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Published on: November 4, 2010
Gastrin-releasing peptide blockade as a broad-spectrum anti-inflammatory therapy for asthma
Shutang Zhou1, Erin N Potts, Frank Cuttitta
1Department of Pathology, Duke University Medical Center, Durham, NC 27710, USA. shutang.zhou@duke.edu
Insights
Gastrin-releasing peptide (GRP) blockade effectively reduced airway hyperreactivity and inflammation in mouse models of asthma. This suggests GRP blockade is a promising therapeutic strategy for preventing and treating asthma.
Area of Science:
- Pulmonary Medicine
- Immunology
- Pharmacology
Background:
- Asthma affects over 300 million people globally, with early mechanisms remaining unclear.
- Infants with bronchopulmonary dysplasia (BPD) often develop asthma, a condition linked to pulmonary neuroendocrine cells producing gastrin-releasing peptide (GRP).
Purpose of the Study:
- To investigate the role of GRP in mediating asthma and airway inflammation.
- To evaluate the therapeutic potential of GRP blockade in asthma models.
Main Methods:
- Two murine asthma models were used: ozone exposure for air pollution-induced airway hyperreactivity (AHR) and ovalbumin (OVA)-induced allergic airway disease.
- Mice were treated with a GRP blocking agent (77427) or antibody (2A11) prior to ozone or OVA challenge.
- Effects on AHR, bronchoalveolar lavage (BAL) cell counts, and BAL cytokines were assessed. GRP receptor (GRPR) phosphorylation was also examined.
Main Results:
- GRP blockade significantly abrogated AHR, reduced BAL macrophages and granulocytes, and decreased key asthma-related cytokines (Th1, Th2, Th17, macrophage, and neutrophil-derived).
- Dexamethasone showed less pronounced effects compared to GRP blockade.
- GRP blockade inhibited GRPR serine phosphorylation in response to ozone or OVA challenge.
Conclusions:
- Gastrin-releasing peptide plays a mediating role in airway hyperreactivity and inflammation in mouse asthma models.
- GRP blockade demonstrates potential as a broad-spectrum therapeutic for preventing and treating human asthma.
Abstract:
Gastrin-releasing peptide (GRP) is synthesized by pulmonary neuroendocrine cells in inflammatory lung diseases, such as bronchopulmonary dysplasia (BPD). Many BPD infants develop asthma, a serious disorder of intermittent airway obstruction. Despite extensive research, early mechanisms of asthma remain controversial. The incidence of asthma is growing, now affecting >300 million people worldwide. To test the hypothesis that GRP mediates asthma, we used two murine models: ozone exposure for air pollution-induced airway hyperreactivity (AHR), and ovalbumin (OVA)-induced allergic airway disease. BALB/c mice were given small molecule GRP blocking agent 77427, or GRP blocking antibody 2A11, before exposure to ozone or OVA challenge. In both models, GRP blockade abrogated AHR and bronchoalveolar lavage (BAL) macrophages and granulocytes, and decreased BAL cytokines implicated in asthma, including those typically derived from Th1 (e.g., IL-2, TNFα), Th2 (e.g., IL-5, IL-13), Th17 (IL-17), macrophages (e.g., MCP-1, IL-1), and neutrophils (KC = IL-8). Dexamethasone generally had smaller effects on all parameters. Macrophages, T cells, and neutrophils express GRP receptor (GRPR). GRP blockade diminished serine phosphorylation of GRPR with ozone or OVA. Thus, GRP mediates AHR and airway inflammation in mice, suggesting that GRP blockade is promising as a broad-spectrum therapeutic approach to treat and/or prevent asthma in humans.
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