DNA-dependent protein kinase inhibition blocks asthma in mice and modulates human endothelial and CD4 T-cell

Mohamed A Ghonim1, Kusma Pyakurel2, Jihang Ju2

  • 1Stanley S. Scott Cancer Center, LSU Health Sciences Center, New Orleans, La; Faculty of Pharmacy, Al-Azhar University, Cairo, Egypt.

Abstract

Insights

DNA-dependent protein kinase (DNA-PK) plays a crucial role in asthma development by regulating inflammatory responses and T-cell differentiation. Inhibiting DNA-PK offers a potential therapeutic strategy for treating asthma without causing immunodeficiency.

Area of Science:

  • Immunology
  • Molecular Biology
  • Respiratory Medicine

Background:

  • DNA-dependent protein kinase (DNA-PK) is implicated in inflammatory diseases, particularly in nuclear factor κB-dependent gene expression.
  • Previous findings suggest a potential role for DNA-PK in inflammatory processes.

Purpose of the Study:

  • To investigate the specific role of DNA-PK in the pathogenesis of asthma.
  • To explore DNA-PK as a potential therapeutic target for asthma treatment.

Main Methods:

  • Utilized cell culture techniques and established murine models of asthma induced by ovalbumin (OVA) and house dust mite (HDM).
  • Administered the DNA-PK inhibitor NU7441 and employed gene heterozygosity of DNA-PK catalytic subunit (DNA-PKcs(+/-)).
  • Analyzed immune cell responses, cytokine production, and T-cell differentiation in vitro and in vivo.

Main Results:

  • DNA-PK inhibition significantly reduced asthma symptoms, including airway eosinophilia, mucus production, and hyperresponsiveness.
  • Treatment decreased the expression of adhesion molecules (VCAM-1) and key inflammatory cytokines (IL-4, IL-5, IL-13, eotaxin) and chemokines.
  • DNA-PK inhibition in T cells blocked Gata3 expression, hindering TH1/TH2 differentiation without impairing T-cell proliferation or causing severe combined immunodeficiency.

Conclusions:

  • DNA-dependent protein kinase (DNA-PK) is identified as a novel determinant in asthma pathogenesis.
  • Targeting DNA-PK presents a promising therapeutic avenue for managing asthma and related inflammatory airway diseases.

Related Concept Videos

Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
16
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
1.8K
Antiasthma Drugs: Leukotriene Modifiers01:19

Antiasthma Drugs: Leukotriene Modifiers

Leukotriene modifiers, or cysteinyl leukotriene receptor antagonists, are medications used to manage chronic asthma. These agents target specific inflammatory mediators produced during arachidonic acid metabolism, an essential process in generating inflammation in the body.
Leukotriene modifiers work through two distinct mechanisms:
2.3K
Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
5.0K
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs01:25

Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs

Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
2.5K
Drugs Used in Lower Respiratory Disorders: Overview01:17

Drugs Used in Lower Respiratory Disorders: Overview

Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
1.7K