RESUMEN
ETHNOPHARMACOLOGICAL RELEVANCE: Kanglaite (KLT) is an active extract of the Coix lacryma-jobi seed, which can benefit Qi and nourish Yin, and disperse the accumulation of evils. It is used as a biphasic broad-spectrum anti-cancer drug, and shows synergistic effects with radiotherapy and chemotherapy. However, the mechanism of KLT combined with cisplatin (CDDP) against hepatocellular carcinoma (HCC) has not been elucidated. AIM OF THE STUDY: The aim of present study was to investigate the potential synergistic effects of KLT and CDDP on HepG2 cells, discussing the possible mechanisms from the perspective of CKLF1 and NF-κB mediated inflammatory response and chemoresistance, and the involvement of drug efflux transporters. MATERIALS AND METHODS: CDDP injured HepG2 cells were used to investigate the effects of KLT on chemotherapeutics treated HCC. Effects of KLT pretreatment on CDDP injured HepG2 cells were determined by MTT, wound healing assay, and transwell assay. Expression of chemokine-like factor 1 (CKLF1) and activation of nuclear factor κB (NF-κB) were examined by qPCR, western blot, and immunofluorescence staining. Furthermore, to study the role of CKLF1 in KLT mediated effects on this CDDP injured HCC cell model, HepG2 cells overexpressed with CKLF1 gene were used. Cell viability and NF-κB activation were investigated. Moreover, TNF-α and IL-1ß levels were measured by Elisa analysis and western blot to evaluate the inflammatory response. Additionally, ATP-binding cassette (ABC) drug efflux transporters, MDR1, MRP2, and BCRP were also determined in present study. RESULTS: KLT pretreatment followed by CDDP treatment was found to show synergistic effects, which showed by decreased cell viability, migration and invasion ability of HepG2 cells. Expression of CKLF1 enhanced significantly in CDDP treated HepG2 cells, and KLT decreased this elevation obviously. Furthermore, CDDP activated NF-κΒ and promoted translocation of NF-κB toward the nucleus. KLT inhibited the activation of NF-κΒ, which sensitized cancer cells. Overexpression of CKLF1 reversed the effects of KLT on CDDP injured HepG2 cells, which exhibited by increased cell viability and enhanced activation of NF-κΒ. CDDP induced NF-κΒ activation could also lead to excessive inflammatory response, and KLT can suppress the aggravating inflammation which may be beneficial for tumor progression. Furthermore, we found that ABC drug efflux transporters MDR1, MRP2, and BCRP in CDDP treated HepG2 cells were decreased when pretreated with KLT. CONCLUSIONS: KLT pretreatment may increase the effects of CDDP on HepG2 cells, by exhibiting cooperative effects on suppression of HepG2 cells. The mechanisms may partly by inhibiting CKLF1 mediated NF-κB pathway, which may contribute to inflammation of tumor microenvironment and chemoresistance of CDDP. Inhibition of transporter-mediated drug efflux is also involved in KLT mediated sensitization effects of CDDP.
Asunto(s)
Carcinoma Hepatocelular/metabolismo , Quimiocinas/metabolismo , Cisplatino/administración & dosificación , Medicamentos Herbarios Chinos/administración & dosificación , Neoplasias Hepáticas/metabolismo , Proteínas con Dominio MARVEL/metabolismo , FN-kappa B/metabolismo , Antineoplásicos/administración & dosificación , Antineoplásicos Fitogénicos/administración & dosificación , Carcinoma Hepatocelular/tratamiento farmacológico , Supervivencia Celular/efectos de los fármacos , Supervivencia Celular/fisiología , Quimiocinas/antagonistas & inhibidores , Relación Dosis-Respuesta a Droga , Sinergismo Farmacológico , Células Hep G2 , Humanos , Neoplasias Hepáticas/tratamiento farmacológico , Proteínas con Dominio MARVEL/antagonistas & inhibidores , Proteínas de Transporte de Membrana/metabolismo , FN-kappa B/antagonistas & inhibidores , Resultado del TratamientoRESUMEN
Context: Socheongryongtang is a traditional Korean medical prescription used to treat pulmonary diseases.Objective: This study investigated the therapeutic mechanism of socheongryongtang for pulmonary diseases.Materials and methods: Seventy BALB/c mice were used: control, 0.8 mg/kg/study LPS intranasal instillation, 1 mg/kg/day Spiriva oral administration for five days, two socheongryongtang groups (150 or 1500 mg/kg/day orally treatment for five days). To illuminate the anti-COPD mechanism, several factors were evaluated such as WBC and differential counts in BALF and IgE in serum, morphological changes, and changes of COPD-related cytokines (TNF-α, IFN-γ, TGF-ß) and chemokines (CXCL1, CCL-2, CCR2) in the lung. In order to confirm the statistical significance, all results were compared under p < 0.01 and p < 0.05.Results: LPS induced a high level of WBC, neutrophils and eosinophils in our in vivo study. Additionally, COPD related cytokines and chemokines such as TNF-α, IFN-γ, TGF-ß, CXCL1, CCL-2 and CCR2 were induced by LPS. Compared to the LPS treatment group, socheongryongtang significantly controlled the level of WBC, neutrophils and eosinophils as well as the level of IgE. It effectively down-regulated the morphological changes, such as fibrosis near bronchoalveolar spaces, small airway destruction (emphysema), etc. It also inhibited the levels of COPD-related cytokines (TNF-α, IFN-γ, TGF-ß) and chemokines (CXCL1, CCL-2, CCR2) compared to the LPS treatment group. In particular, socheongryongtang significantly down-regulated the levels of TNF-α, IFN-γ, and CCR2.Conclusions: Socheongryongtang controlled COPD, but as it has been used as a prescription for respiratory disease, we should additionally evaluate the therapeutic effects against various pulmonary diseases.
Asunto(s)
Quimiocinas/antagonistas & inhibidores , Citocinas/antagonistas & inhibidores , Lipopolisacáridos/toxicidad , Pulmón/efectos de los fármacos , Preparaciones de Plantas/uso terapéutico , Enfermedad Pulmonar Obstructiva Crónica/tratamiento farmacológico , Animales , Quimiocinas/metabolismo , Citocinas/metabolismo , Relación Dosis-Respuesta a Droga , Femenino , Pulmón/metabolismo , Pulmón/patología , Medicina Tradicional Coreana , Ratones , Ratones Endogámicos BALB C , Preparaciones de Plantas/farmacología , Enfermedad Pulmonar Obstructiva Crónica/inducido químicamente , Enfermedad Pulmonar Obstructiva Crónica/metabolismo , Enfermedad Pulmonar Obstructiva Crónica/patologíaRESUMEN
Resveratrol was shown to exert anti-inflammatory effects in experimental models of psoriasis. Several natural oligomers of resveratrol have been extracted from plants. We investigated the antipsoriatic activity of topical administration of resveratrol oligomers and explored the effect of the number of resveratrol subunits on skin absorption to establish the structure-permeation relationship (SPR). Three oligomers, ε-viniferin (dimer), ampelopsin C (trimer) and vitisin A (tetramer), extracted from Vitis thunbergii root were compared to the resveratrol glycoside polydatin. Delivery to porcine skin was assessed in vitro using the Franz cell. Keratinocytes activated with imiquimod (IMQ) were utilized to evaluate cytokine/chemokine inhibition. Topical application of resveratrol and oligomers was characterized in vivo by assessing cutaneous absorption, skin physiology, proinflammatory mediator expression, and histopathology in IMQ-treated mice. Skin deposition decreased as the molecular size and lipophilicity of the permeants increased. Resveratrol exhibited highest absorption, followed by ε-viniferin. The monomers resveratrol and polydatin exhibited higher flux across skin than the larger oligomers. In silico modeling revealed the permeants that strongly interacted with stratum corneum (SC) lipids exhibited lower transport to viable skin and the receptor compartment. In vitro, resveratrol and its derivatives had comparable ability to inhibit IMQ-induced IL-1ß, IL-6, and CXCL8 secretion in activated keratinocytes. In vivo, topically applied ε-viniferin accumulated at higher levels than resveratrol (0.067 versus 0.029 nmol/mg) in psoriasis-like mouse skin with impaired barrier capacity. Topical ε-viniferin alleviated psoriasiform symptoms and reduced IL-23 secretion (by 58% vs. 37%) more effectively than resveratrol. ε-Viniferin has potential as an anti-inflammatory agent to prevent or treat psoriasis.
Asunto(s)
Antiinflamatorios/farmacología , Mediadores de Inflamación/metabolismo , Psoriasis/tratamiento farmacológico , Resveratrol/análogos & derivados , Resveratrol/farmacología , Administración Tópica , Animales , Antiinflamatorios/administración & dosificación , Antiinflamatorios/farmacocinética , Benzofuranos/química , Benzofuranos/farmacología , Química Farmacéutica , Quimiocinas/antagonistas & inhibidores , Citocinas/antagonistas & inhibidores , Flavonoides/química , Flavonoides/farmacología , Glucósidos/farmacología , Queratinocitos , Ratones , Fenoles/química , Fenoles/farmacología , Extractos Vegetales/farmacología , Resveratrol/administración & dosificación , Resveratrol/farmacocinética , Absorción Cutánea/fisiología , Estilbenos/química , Estilbenos/farmacología , PorcinosRESUMEN
Celastrol and triptolide, chemical compounds isolated from Tripterygium wilfordii hook (also known as thunder god vine), are effective against rheumatoid arthritis (RA). Celastrol targets numerous signaling pathways involving NFκB, endoplasmic reticulum Ca2+ATPase, myeloid differentiation factor 2, tolllike receptor 4, proinflammatory chemokines, DNA damage, cell cycle arrest and apoptosis. Triptolide, inhibits NFκB, the receptor activator of NFκB (RANK)/RANK ligand/osteoprotegerin signaling pathway, cyclooxygenase2, matrix metalloproteases and cytokines. The present review examined the chemistry and bioavailability of celastrol and triptolide, and their molecular targets in treating RA. Clinical studies have demonstrated that T. wilfordii has several promising bioactivities, but its multitarget toxicity has restricted its application. Thus, dosage control and structural modification of T. wilfordii are required to reduce the toxicity. In this review, future directions for research into these promising natural products are discussed.
Asunto(s)
Diterpenos/química , Fenantrenos/química , Tripterygium/química , Triterpenos/química , Artritis Reumatoide/tratamiento farmacológico , Artritis Reumatoide/patología , Quimiocinas/antagonistas & inhibidores , Quimiocinas/metabolismo , Ciclooxigenasa 2/química , Ciclooxigenasa 2/metabolismo , Diterpenos/metabolismo , Diterpenos/farmacología , Diterpenos/uso terapéutico , Compuestos Epoxi/química , Compuestos Epoxi/metabolismo , Compuestos Epoxi/farmacología , Compuestos Epoxi/uso terapéutico , Humanos , FN-kappa B/antagonistas & inhibidores , FN-kappa B/metabolismo , Triterpenos Pentacíclicos , Fenantrenos/metabolismo , Fenantrenos/farmacología , Fenantrenos/uso terapéutico , Transducción de Señal/efectos de los fármacos , Receptor Toll-Like 4/antagonistas & inhibidores , Receptor Toll-Like 4/metabolismo , Tripterygium/metabolismo , Triterpenos/metabolismo , Triterpenos/farmacología , Triterpenos/uso terapéuticoRESUMEN
Ze339, an herbal extract from Petasites hybridus leaves is effective in treatment of allergic rhinitis by inhibition of a local production of IL-8 and eicosanoid LTB4 in allergen-challenged patients. However, the mechanism of action and anti-inflammatory potential in virally induced exacerbation of the upper airways is unknown. This study investigates the anti-inflammatory mechanisms of Ze339 on primary human nasal epithelial cells (HNECs) upon viral, bacterial and pro-inflammatory triggers. To investigate the influence of viral and bacterial infections on the airways, HNECs were stimulated with viral mimics, bacterial toll-like-receptor (TLR)-ligands or cytokines, in presence or absence of Ze339. The study uncovers Ze339 modulated changes in pro-inflammatory mediators and decreased neutrophil chemotaxis as well as a reduction of the nuclear translocation and phosphorylation of STAT molecules. Taken together, this study suggests that phyto drug Ze339 specifically targets STAT-signalling pathways in HNECs and has high potential as a broad anti-inflammatory drug that exceeds current indication. © 2016 BioFactors, 43(3):388-399, 2017.
Asunto(s)
Células Epiteliales/efectos de los fármacos , Petasites/química , Extractos Vegetales/farmacología , Factores de Transcripción STAT/antagonistas & inhibidores , Sesquiterpenos/farmacología , Movimiento Celular/efectos de los fármacos , Quimiocinas/antagonistas & inhibidores , Quimiocinas/biosíntesis , Células Epiteliales/citología , Células Epiteliales/metabolismo , Flagelina/antagonistas & inhibidores , Flagelina/farmacología , Regulación de la Expresión Génica , Humanos , Interferón gamma/antagonistas & inhibidores , Interferón gamma/farmacología , Interleucina-4/antagonistas & inhibidores , Interleucina-4/farmacología , Lipopéptidos/antagonistas & inhibidores , Lipopéptidos/farmacología , Cavidad Nasal/citología , Cavidad Nasal/efectos de los fármacos , Cavidad Nasal/metabolismo , Neutrófilos/efectos de los fármacos , Hojas de la Planta/química , Poli I-C/antagonistas & inhibidores , Poli I-C/farmacología , Cultivo Primario de Células , Factores de Transcripción STAT/genética , Factores de Transcripción STAT/metabolismo , Transducción de SeñalRESUMEN
Tanshinone IIA (TSIIA), one of the major bioactive components of the traditional Chinese herb Salvia miltiorrhiza, has been reported to have both anti-inflammatory and immunoregulatory effects. The effect of treatment with TSIIA in multiple sclerosis, an autoimmune inflammatory neurodegenerative disease, however, remains poorly understood. In the present study, experimental autoimmune encephalomyelitis (EAE), a classical experimental model of MS, was used to investigate the therapeutic effect of TSIIA. TSIIA attenuated motor dysfunction and improved inflammation and demyelination associated with EAE in a dose-dependent manner. TSIIA also significantly reduced the levels of glial fibrillary acidic protein (GFAP) and ionized calcium-binding adapter molecule-1 (Iba-1), and protected the integrity of the blood-brain barrier (BBB) by increasing the expression of critical endothelial tight junction (TJ) proteins. TSIIA also inhibited the expression of some adhesion molecules and chemokines, which are considered to be critical for adhesion of immune cells and migration across the BBB. TSIIA was thus shown to be effective in the treatment of EAE through preventing the infiltration of immune cells into the CNS, strengthening the integrity of the BBB and decreasing the numbers of adhesion molecules and chemokines.
Asunto(s)
Abietanos/farmacología , Barrera Hematoencefálica/efectos de los fármacos , Moléculas de Adhesión Celular/antagonistas & inhibidores , Moléculas de Adhesión Celular/biosíntesis , Quimiocinas/antagonistas & inhibidores , Quimiocinas/biosíntesis , Encefalomielitis Autoinmune Experimental/tratamiento farmacológico , Encefalomielitis Autoinmune Experimental/metabolismo , Animales , Proteínas de Unión al Calcio/biosíntesis , Proteínas de Unión al Calcio/genética , Enfermedades Desmielinizantes/tratamiento farmacológico , Relación Dosis-Respuesta a Droga , Encefalomielitis Autoinmune Experimental/patología , Femenino , Proteína Ácida Fibrilar de la Glía/biosíntesis , Proteína Ácida Fibrilar de la Glía/genética , Proteínas de Microfilamentos/biosíntesis , Proteínas de Microfilamentos/genética , Trastornos del Movimiento/tratamiento farmacológico , Trastornos del Movimiento/etiología , Ratas , Ratas Endogámicas Lew , Proteínas de Uniones Estrechas/biosíntesis , Proteínas de Uniones Estrechas/genéticaRESUMEN
In the current study, we evaluated the anti-inflammatory effects of Lonicera japonica THUNB. (LJ) and its underlying molecular mechanism in lipopolysaccharide (LPS)-stimulated BV-2 microglial cells. Our results indicated that LJ significantly inhibits LPS-stimulated production of nitric oxide (NO) and prostaglandin E2 (PGE2). In addition, LJ inhibited inducible nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2) at both the protein and mRNA levels. In LPS-stimulated BV-2 microglial cells, LJ inhibited proinflammatory cytokines and chemokines, tumor necrosis factor-α (TNF-α), interleukin-1ß (IL-1ß), monocyte chemoattractant protein-1 (MCP-1), matrix metalloproteinase-9 (MMP-9) enzymatic activities, and/or mRNA expression, as well as reactive oxygen species (ROS) production. LJ significantly suppressed activation of nuclear factor-κB (NF-κB) and its translocation from the cytosol to the nucleus and suppressed the DNA-binding activity of NF-κB. Furthermore, LJ significantly inhibited phosphorylation of c-Jun N-terminal kinase (JNK), extracellular signal-regulated kinase 1/2 (ERK 1/2), p38 mitogen-activated protein kinases (MAPKs), phosphatidylinositol 3-kinases (PI3K)/Akt, and Janus kinase 1 (JAK1)/signal transducer and activator of transcription (STAT)1/3. Collectively, our findings indicated that the antineuroinflammatory properties of LJ in LPS-induced BV-2 microglial cells is due to downregulation of proinflammatory cytokines and chemokines downstream of inhibition of NF-κB activation.
Asunto(s)
Antiinflamatorios/farmacología , Lipopolisacáridos/farmacología , Lonicera/química , Microglía/metabolismo , FN-kappa B/antagonistas & inhibidores , Extractos Vegetales/farmacología , Línea Celular , Supervivencia Celular/efectos de los fármacos , Quimiocinas/antagonistas & inhibidores , Ciclooxigenasa 2/genética , Citocinas/antagonistas & inhibidores , Expresión Génica/efectos de los fármacos , Óxido Nítrico/antagonistas & inhibidores , Óxido Nítrico Sintasa de Tipo II/genética , Fosforilación/efectos de los fármacos , Prostaglandinas E/antagonistas & inhibidores , ARN Mensajero/análisis , Especies Reactivas de Oxígeno/metabolismo , Transducción de Señal/efectos de los fármacosRESUMEN
A variety of bioactive food components have been shown to modulate inflammatory responses and to attenuate carcinogenesis. Polyphenols isolated several years ago from various medicinal plants now seem to have a prominent role in the prevention and therapy of a variety of ailments. Mangiferin, a unique, important, and highly investigated polyphenol, has attracted much attention of late for its potential as a chemopreventive and chemotherapeutic agent against various types of cancer. Mangiferin has been shown to target multiple proinflammatory transcription factors, cell- cycle proteins, growth factors, kinases, cytokines, chemokines, adhesion molecules, and inflammatory enzymes. These targets can potentially mediate the chemopreventive and therapeutic effects of mangiferin by inhibiting the initiation, promotion, and metastasis of cancer. This review not only summarizes the diverse molecular targets of mangiferin, but also gives the results of various preclinical studies that have been performed in the last decade with this promising polyphenol.
Asunto(s)
Antineoplásicos/uso terapéutico , Terapia Molecular Dirigida , Neoplasias/tratamiento farmacológico , Xantonas/uso terapéutico , Antineoplásicos/farmacocinética , Proteínas de Ciclo Celular/antagonistas & inhibidores , Quimiocinas/antagonistas & inhibidores , Citocinas/antagonistas & inhibidores , Humanos , Neoplasias/genética , Neoplasias/patología , Fosfotransferasas/antagonistas & inhibidores , Transducción de Señal/efectos de los fármacos , Xantonas/farmacocinéticaRESUMEN
Saussurea lappa is a traditional herbal medicine used for to treat various inflammatory diseases. In this study, we investigated the protective effects of S. lappa against atopic dermatitis using human keratinocyte HaCaT cells, murine mast cell line MC/9 cells, and a house dust mite-induced atopic dermatitis model of Nc/Nga mice. Treatment with the S. lappa caused a significant reduction in the mRNA levels and production of inflammatory chemokines and cytokine, including thymus- and activation-regulated chemokine (TARC), macrophage-derived chemokine (MDC), regulated on activation, normal T-cell expressed and secreted (RANTES), and interleukin-8 (IL-8) in tumor necrosis factor-α/interferone-γ-stimulated HaCaT cells. S. lappa exhibited the significant reduction in histamine production in MC/9 cells. In the atopic dermatitis model, S. lappa significantly reduced the dermatitis score and serum IgE and TARC levels. In addition, the back skin and ears of S. lappa-treated Nc/Nga mice exhibited reduced histological manifestations of atopic skin lesions such as erosion, hyperplasia of the epidermis and dermis, and inflammatory cell infiltration. In conclusion, an extract of S. lappa effectively suppressed the development of atopic dermatitis, which was closely related to the reduction of chemokines and cytokine. Our study suggests that S. lappa may be a potential treatment for atopic dermatitis.
Asunto(s)
Quimiocinas/antagonistas & inhibidores , Dermatitis Atópica/metabolismo , Mediadores de Inflamación/antagonistas & inhibidores , Ácaros , Extractos Vegetales/farmacología , Saussurea/química , Animales , Secuencia de Bases , Línea Celular , Quimiocinas/biosíntesis , Cartilla de ADN , Liberación de Histamina/efectos de los fármacos , Humanos , Inmunoglobulina E/sangre , Mediadores de Inflamación/metabolismo , Ratones , Reacción en Cadena de la Polimerasa de Transcriptasa InversaRESUMEN
In lymphocytes, the phosphoinositide 3'-kinase (PI3K) isoform p110δ (PI3Kδ) transmits signals from surface receptors, including the B-cell receptor (BCR). CAL-101, a selective inhibitor of PI3Kδ, displays clinical activity in CLL, causing rapid lymph node shrinkage and a transient lymphocytosis. Inhibition of pro-survival pathways, the presumed mechanism of CAL-101, does not explain this characteristic pattern of activity. Therefore, we tested CAL-101 in assays that model CLL-microenvironment interactions in vitro. We found that CAL-101 inhibits CLL cell chemotaxis toward CXCL12 and CXCL13 and migration beneath stromal cells (pseudoemperipolesis). CAL-101 also down-regulates secretion of chemokines in stromal cocultures and after BCR triggering. CAL-101 reduces survival signals derived from the BCR or from nurse-like cells, and inhibits BCR- and chemokine-receptor-induced AKT and MAP kinase (ERK) activation. In stromal cocultures, CAL-101 sensitizes CLL cells toward bendamustine, fludarabine, and dexamethasone. These results are corroborated by clinical data showing marked reductions in circulating CCL3, CCL4, and CXCL13 levels, and a surge in lymphocytosis during CAL-101 treatment. Thus, CAL-101 displays a dual mechanism of action, directly decreasing cell survival while reducing interactions that retain CLL cells in protective tissue microenvironments. These data provide an explanation for the clinical activity of CAL-101, and a roadmap for future therapeutic development.
Asunto(s)
Quimiocinas/antagonistas & inhibidores , Leucemia Linfocítica Crónica de Células B/patología , Purinas/farmacología , Quinazolinonas/farmacología , Receptores de Antígenos de Linfocitos B/antagonistas & inhibidores , Antineoplásicos/uso terapéutico , Movimiento Celular/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Células Cultivadas , Quimiocinas/metabolismo , Fosfatidilinositol 3-Quinasa Clase I , Regulación hacia Abajo/efectos de los fármacos , Evaluación Preclínica de Medicamentos , Humanos , Leucemia Linfocítica Crónica de Células B/tratamiento farmacológico , Leucemia Linfocítica Crónica de Células B/metabolismo , Redes y Vías Metabólicas/efectos de los fármacos , Redes y Vías Metabólicas/fisiología , Inhibidores de las Quinasa Fosfoinosítidos-3 , Purinas/uso terapéutico , Quinazolinonas/uso terapéutico , Transducción de Señal/efectos de los fármacosRESUMEN
Different types of cancer take advantage of inflammatory components to improve their life-span in the organs. A sustenance of growth factors and cytokines (e.g. interleukin (IL)-1, tumor necrosis factor, IL-6, vascular endothelial growth factor) supports malignant cell progression and contributes to suppress the body immune defense. Strategies to modulate the host micro-environment offer new approaches for anti-cancer therapies. For these reasons new molecules with anti-tumor and anti-inflammatory features (e.g. trabectedin) are looked at with new eyes in the light of the crucial link between inflammation and cancer.
Asunto(s)
Inflamación/epidemiología , Neoplasias/epidemiología , Neoplasias/inmunología , Animales , Adhesión Celular , Quimiocinas/antagonistas & inhibidores , Citocinas/antagonistas & inhibidores , Progresión de la Enfermedad , Proteína-Tirosina Quinasas de Adhesión Focal/fisiología , Humanos , Inmunidad Innata , Macrófagos/inmunología , Macrófagos/metabolismo , Neoplasias/tratamiento farmacológico , Neoplasias/prevención & control , Receptores CXCR4/antagonistas & inhibidores , Receptores de Quimiocina/antagonistas & inhibidores , Factor de Necrosis Tumoral alfa/metabolismoRESUMEN
En la DDW 2010, acerca del tratamiento de la colitis ulcerosa se han presentado varios ensayos clínicos sobre nuevas terapias, con resultados negativos en su mayoría. Así, rituximab (anti CD 20) y MDX-1100 (inhibidor de quimiocinas) no mostraron eficacia, aunque es probable que en el futuro se prueben dosis más elevadas de ambos agentes. Tampoco se mostró útil un probiótico con capacidad de sintetizar y liberar interleucina 10 en la luz intestinal. Por el contrario, se comunicó otro ensayo con HMPL-004, extracto de una planta utilizada en medicina oriental, con resultados positivos en colitis levesmoderadas. Además de estos ensayos sobre nuevas terapias, también se presentaron datos acerca de las terapias actuales. En relación con los salicilatos, los resultados comunicados vuelven a enfatizar la importancia del cumplimiento en su eficacia y, en este sentido, del empleo en monodosis. En cuanto a su papel protector contra el cáncer de colon, los datos expuestos son contradictorios. Acerca de los agentes biológicos, estudios observacionales comunicados apoyan la eficacia de infliximab y datos controlados preliminares sugieren la utilidad de adalimumab. Sobre la aféresis leucocitaria, además de estudios observacionales españoles, se presentó un póster de un ensayo controlado y ciego, en el que se mostró eficaz para mantener la remisión de la colitis ulcerosa corticorrefractaria. Finalmente, sobre beclometasona se presentaron datos también españoles, retrospectivos y observacionales, que apoyan su utilidad (AU)
Several clinical trials on new therapies in ulcerative colitis were presented in Digestive Disease Week 2010, mostly with negative results. Thus, rituximab (anti CD 20) and MDX-1100 (a chemokine inhibitor) failed to show efficacy, although higher doses of both agents will probably be tested in the future. A probiotic able to synthesize and release interleukin-10 into the gut lumen also failed to prove useful. In contrast, HMPL-004, an extract from a herb used in Oriental medicine, was reported to have positive results in mild-to-moderate colitis. In addition to these data on new therapies, some other results segurion current therapies were also presented. The results communicated on salicylates once again emphasized the importance of compliance to achieve efficacy and the advantages of single-dose regimens in achieving this goal. The data reported on the protective role of salicylates against colon cancer were contradictory. Observational studies of biological agents supported the efficacy of infliximab and controlled preliminary data suggested the utility of adalimumab. Both Spanish observational studies and a poster presenting a blind, controlled trial showed the efficacy of leukocyte apheresis in maintaining remission in steroid-refractory ulcerative colitis. Finally, retrospective and observational Spanish data on beclomethasone supported the usefulness of this drug (AU)
Asunto(s)
Humanos , Colitis Ulcerosa/tratamiento farmacológico , Quimiocinas/antagonistas & inhibidores , Anticuerpos Monoclonales/farmacocinética , Probióticos/farmacocinética , Salicilatos/farmacocinética , Terapia Biológica , Procedimientos de Reducción del Leucocitos , Beclometasona/farmacocinéticaRESUMEN
IMPORTANCE OF THE FIELD: Chemokines have principally been associated with inflammation due to their role in the control of leukocyte migration, but just over a decade ago chemokine receptors were also identified as playing a pivotal role in the entry of the HIV virus into cells. Chemokines activate seven transmembrane G protein-coupled receptors, making them extremely attractive therapeutic targets for the pharmaceutical industry. AREAS COVERED IN THIS REVIEW: Although there are now a large number of molecules targeting chemokines and chemokine receptors including neutralizing antibodies in clinical trials for inflammatory diseases, the results to date have not always been positive, which has been disappointing for the field. These failures have often been attributed to redundancy in the chemokine system. However, other difficulties have been encountered in drug discovery processes targeting the chemokine system, and these will be addressed in this review. WHAT THE READER WILL GAIN: In this review, the reader will get an insight into the hurdles that have to be overcome, learn about some of the pitfalls that may explain the lack of success, and get a glimpse of the outlook for the future. TAKE HOME MESSAGE: In 2007, the FDA approved maraviroc, an inhibitor of CCR5 for the prevention of HIV infection, the first triumph for a small-molecule drug acting on the chemokine system. The time to market, 11 years from discovery of CCR5, was fast by industry standards. A second small-molecule drug, a CXCR4 antagonist for hematopoietic stem cell mobilization, was approved by the FDA at the end of 2008. The results of a Phase III trial with a CCR9 inhibitor for Crohn's disease are also promising. This could herald the first success for a chemokine receptor antagonist as an anti-inflammatory therapeutic and confirms the importance of chemokine receptors as a target class for anti-inflammatory and autoimmune diseases.
Asunto(s)
Quimiocinas/antagonistas & inhibidores , Sistemas de Liberación de Medicamentos , Diseño de Fármacos , Animales , Fármacos Anti-VIH/farmacología , Ensayos Clínicos como Asunto , Modelos Animales de Enfermedad , Evaluación Preclínica de Medicamentos , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/virología , Humanos , Especificidad de la EspecieRESUMEN
The immune response of atopic individuals against allergens is characterized by increased levels of Th2 cytokines and chemokines. However, the way in which the cytokine/chemokine profile is matched to the type of invading allergen, and why these profiles sometimes derail and lead to disease, is not well understood. We recently demonstrated that pollen modulates dendritic cell (DC) function in a way that results in an enhanced capacity to initiate Th2 responses in vitro. Here, we examined the effects of aqueous birch pollen extracts (Bet.-APE) on chemokine receptor expression and chemokine production by human monocyte-derived DCs. Bet.-APE strongly induced expression and function of CXCR4 and reduced CCR1 and CCR5 expression on immature DCs. In addition, DC treatment with Bet.-APE significantly reduced LPS-induced production of CXCL10/IP-10, CCL5/RANTES; induced CCL22/macrophage-derived chemokine; and did not significantly change release of CCL17/thymus and activation-regulated chemokine. At a functional level, Bet.-APE increased the capacity of LPS-stimulated DCs to attract Th2 cells, whereas the capacity to recruit Th1 cells was reduced. Bet.-APE significantly and dose-dependently enhanced intracellular cAMP, suggesting that water-soluble factors from pollen grains bind a G(alphas)-protein-coupled receptor. E(1)-Phytoprostanes were identified to be one player in the Th2-polarizing potential of aqueous pollen extracts. In summary, our results demonstrate that pollen itself releases regulatory mediators which generate a Th2-promoting micromilieu with preferential recruitment of Th2 cells to the site of pollen exposure.
Asunto(s)
Betula/química , Movimiento Celular/efectos de los fármacos , Células Dendríticas/efectos de los fármacos , Factores Inmunológicos/farmacología , Polen/química , Células Th2/inmunología , Adenilil Ciclasas/metabolismo , Quimiocinas/antagonistas & inhibidores , Ciclopentanos/metabolismo , Células Dendríticas/inmunología , Ácidos Grasos Insaturados/metabolismo , Humanos , Factores Inmunológicos/aislamiento & purificación , Ligandos , Lipopolisacáridos/inmunología , Extractos Vegetales/farmacología , Receptores de Quimiocina/efectos de los fármacos , Receptores de Quimiocina/metabolismoRESUMEN
Asthma bronchiale, an inflammatory airway disease, imposes a significant health care problem worldwide. It is characterized by three critical phenotypic traits: intermittent and reversible bronchoconstriction, bronchial hyperresponsiveness and airway inflammation. Conventional therapy basically consists of beta(2)-adrenoceptor agonists in combination with glucocorticoids. Nevertheless, there is an urgent need for novel therapies, both for patients with uncontrollable disease symptoms and for those suffering from glucocorticoid-insensitive asthma. Monotherapy seems to be relatively ineffective against this complex and multifaceted disease, which is evident by the variety of disappointing treatment strategies. Thus, we should instead concentrate on multiple target strategies, such as novel and more potent glucocorticoids or phosphodiesterase type 4 (PDE4) inhibitors with isozyme selectivity. In addition, an examination of the application method should not be neglected, with emphasis on inhalative approaches. To summarize, research into asthma's pathophysiology is of critical importance, concentrating on human-relevant targets and conducting preliminary studies. With these imperatives in mind, we can hope to better manage this multifactor disease in the near future.
Asunto(s)
Antiasmáticos/uso terapéutico , Asma/tratamiento farmacológico , Administración por Inhalación , Administración Oral , Animales , Antiasmáticos/administración & dosificación , Broncodilatadores/uso terapéutico , Quimiocinas/antagonistas & inhibidores , Quimiocinas/fisiología , Terapias Complementarias , Terapia Genética , Humanos , Inmunización , Mediadores de Inflamación , Inhibidores de la Metaloproteinasa de la Matriz , Proteínas Quinasas Activadas por Mitógenos/antagonistas & inhibidores , FN-kappa B/fisiología , Inhibidores de Poli(ADP-Ribosa) Polimerasas , Poli(ADP-Ribosa) Polimerasas/fisiología , Proteínas Tirosina Quinasas/antagonistas & inhibidoresRESUMEN
Our understanding of the mechanisms underlying acute coronary syndromes has evolved beyond the view that this syndrome reflects a progressive collection of lipids and cellular debris in the vascular wall. Current evidence has implicated a role for inflammation in the pathogenesis of this process. Thus, inflammatory cytokines may attenuate interstitial collagen synthesis, increase matrix degradation and promote apoptosis in several atheroma-associated cell types, and all these cellular events may enhance plaque vulnerability. Recently, a series of experimental studies have reported the plaque-stabilising effects of immunomodulatory therapy such as chemokine blockade, anti-CD40 ligand and IL-10. It is conceivable that some of these approaches will be tested clinically and, if successful, they could provide novel treatment strategies for atherosclerotic plaque stabilisation.
Asunto(s)
Antiinflamatorios/farmacología , Enfermedad de la Arteria Coronaria/tratamiento farmacológico , Endotelio Vascular/efectos de los fármacos , Factores Inmunológicos/farmacología , Interleucina-10/farmacología , Músculo Liso Vascular/efectos de los fármacos , Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Animales , Antiinflamatorios/uso terapéutico , Anticuerpos Monoclonales/uso terapéutico , Ligando de CD40/antagonistas & inhibidores , Ligando de CD40/inmunología , Quimiocinas/antagonistas & inhibidores , Quimiocinas/inmunología , Enfermedad de la Arteria Coronaria/inmunología , Enfermedad de la Arteria Coronaria/prevención & control , Evaluación Preclínica de Medicamentos , Endotelio Vascular/inmunología , Endotelio Vascular/patología , Humanos , Inhibidores de Hidroximetilglutaril-CoA Reductasas/farmacología , Inhibidores de Hidroximetilglutaril-CoA Reductasas/uso terapéutico , Factores Inmunológicos/uso terapéutico , Inflamación/tratamiento farmacológico , Inflamación/inmunología , Interleucina-10/uso terapéutico , Músculo Liso Vascular/inmunologíaRESUMEN
Chemokine receptors have been implicated in several disease processes such as acute and chronic inflammation, cancer, and allograft rejection and are therefore targets for drug development. The chemokine receptors CCR5 and CXCR4 are of particular interest as they serve as entry cofactors for human immunodeficiency virus. These receptors are members of the G protein-coupled receptor (GPCR) family. In this respect, assessing GPCR activation by GTP binding is an important tool to study the early stage of signal transduction. The assay normally utilizes the non-hydrolysable GTP analogue guanosine 5'-gamma-[35S]thiotriphosphate. In order to avoid the problems involved in working with radioactivity, a new non-radioactive version of the assay was developed using a europium-labeled GTP analogue in which europium-GTP binding can be assayed using time-resolved fluorescence. The assay was optimized for CXCR4 and CCR5 and validated for screening of chemokine antagonists using the small molecule CXCR4 antagonist AMD3100 and CCR5 antagonists.
Asunto(s)
Antagonistas de los Receptores CCR5 , Europio , Guanosina Trifosfato/metabolismo , Receptores CXCR4/antagonistas & inhibidores , Fármacos Anti-VIH/farmacología , Bencilaminas , Calcio/metabolismo , Línea Celular , Membrana Celular/efectos de los fármacos , Membrana Celular/metabolismo , Quimiocinas/antagonistas & inhibidores , Quimiocinas/metabolismo , Ciclamas , Relación Dosis-Respuesta a Droga , Evaluación Preclínica de Medicamentos/métodos , Fluorescencia , Guanosina Difosfato , Guanosina Trifosfato/análogos & derivados , Compuestos Heterocíclicos/farmacología , Humanos , Receptores CCR5/metabolismo , Receptores CXCR4/metabolismo , Reproducibilidad de los Resultados , Saponinas , Transducción de Señal , Cloruro de Sodio , Temperatura , Factores de TiempoRESUMEN
INTRODUCTION: Neuritic plaques, a neuropathologic hallmark of Alzheimer's disease, are extracellular deposits of beta-amyloid peptides (Abeta). In the central nervous system neuritic plaques are surrounded by activated microglial cells expressing proinflammatory cytokines, chemokines, and neurotoxic mediators. Long-term activation of microglial cells is suspected to contribute to the neuron loss in Alzheimer's disease. OBJECTIVE: This study was conducted to determine whether a ginger (Zingiber officinale and Alpinia galanga) extract (GE) can dampen the activation of THP-1 cells by lipopolysaccharide, proinflammatory cytokines, and fibrillar amyloid peptide Abeta(1-42), a major component of neuritic plaques. METHODS: THP-1 cells, a human monocytic cell line with properties similar to human microglial cells, were incubated with GE or control medium alone for 1 hour, and then with reincubated lipopolysaccharide (LPS), tumor necrosis factor-alpha (TNF-alpha), interleukin-1beta (IL-1beta) or fibrillar Abeta(1-42) for an additional hour. The extent of THP-1 cell activation was determined by measuring mRNA levels of TNF-alpha and IL-1beta, cyclooxygenase-2 (COX-2), macrophage inflammatory protein 1alpha (MIP-1alpha), monocyte chemoattractant protein-1 (MCP-1), and interferon-gamma inducible protein 10 (IP-10). RESULTS: The results document that the GE used in this study inhibits LPS, cytokine, and amyloid Abeta peptide-induced expression of the proinflammatory genes TNF-alpha, IL-1beta, COX-2, MIP-alpha, MCP-1, and IP-10. The data provide experimental evidence that ginger can inhibit the activation of human monocytic THP-1 cells by different proinflammatory stimuli and reduce the expression of a wide range of inflammation-related genes in these microglial-like cells. CONCLUSIONS: The findings suggest that GE may be useful in delaying the onset and the progression of neurodegenerative disorders involving chronically activated microglial cells in the central nervous system.
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Enfermedad de Alzheimer/tratamiento farmacológico , Péptidos beta-Amiloides/metabolismo , Quimiocinas/antagonistas & inhibidores , Citocinas/antagonistas & inhibidores , Monocitos/efectos de los fármacos , Fragmentos de Péptidos/metabolismo , Placa Amiloide/efectos de los fármacos , Zingiber officinale , Enfermedad de Alzheimer/metabolismo , Técnicas de Cultivo de Célula , Quimiocina CCL2/antagonistas & inhibidores , Quimiocina CCL3 , Quimiocina CCL4 , Quimiocina CXCL10 , Quimiocinas CXC/antagonistas & inhibidores , Ciclooxigenasa 2 , Relación Dosis-Respuesta a Droga , Regulación de la Expresión Génica/efectos de los fármacos , Humanos , Interleucina-1/antagonistas & inhibidores , Lipopolisacáridos/antagonistas & inhibidores , Proteínas Inflamatorias de Macrófagos/antagonistas & inhibidores , Proteínas de la Membrana , Monocitos/metabolismo , Extractos Vegetales/farmacología , Placa Amiloide/metabolismo , Prostaglandina-Endoperóxido Sintasas/efectos de los fármacos , ARN Mensajero , Factor de Necrosis Tumoral alfa/antagonistas & inhibidoresAsunto(s)
Quimiocinas/antagonistas & inhibidores , Inmunosupresores/farmacología , Receptores de Quimiocina/antagonistas & inhibidores , Animales , Enfermedades Autoinmunes/tratamiento farmacológico , Enfermedades Autoinmunes/inmunología , Enfermedades Autoinmunes/fisiopatología , Quimiocinas/inmunología , Quimiocinas/metabolismo , Evaluación Preclínica de Medicamentos , Humanos , Tolerancia Inmunológica/efectos de los fármacos , Tolerancia Inmunológica/inmunología , Inmunosupresores/química , Inmunosupresores/aislamiento & purificación , Extractos Vegetales/farmacología , Extractos Vegetales/uso terapéutico , Receptores de Quimiocina/inmunología , Receptores de Quimiocina/metabolismoRESUMEN
Chemokines belong to a large family of inflammatory cytokines responsible for migration and accumulation of leukocytes at inflammatory sites. Over the past decade, accumulating evidence indicated a crucial role for chemokines and chemokine receptors in the pathophysiology of rheumatoid arthritis (RA). RA is a chronic autoimmune disease in which the synovial tissue is heavily infiltrated by leukocytes. Chemokines play an important role in the infiltration, localization, retention of infiltrating leukocytes and generation of ectopic germinal centers in the inflamed synovium. Recent evidence also suggests that identification of inhibitors directly targeting chemokines or their receptors may provide a novel therapeutic strategy in RA. Traditional Chinese medicines (TCMs) have a long history in the treatment of inflammatory joint disease. The basis for the clinical benefits of TCM remains largely unclear. Our studies have led to the identification of numerous novel chemokine/chemokine receptor inhibitors present in anti-inflammatory TCMs. All of these inhibitors were previously reported by other researchers to have anti-arthritic effect, which may be attributable, at least in part, to their inhibitory effect on chemokine and/or chemokine receptor. Therefore, identification of agents capable of targeting chemokine/chemokine receptor interactions has suggested a mechanism of action for several TCM components and provided a means of identifying additional anti-RA TCM. Thus, this approach may lead to the discovery of new inhibitors of chemokines or chemokine receptors that can be used to treat diseases associated with inappropriately overactive chemokine mediated inflammatory reactions.