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The nitric oxide donors, azide, and hydroxylamine, inhibit the programmed cell death of cytokine-deprived human eosinophils

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Abstract

Azide and hydroxylamine release nitric oxide (NO) enzymatically in biological conditions. We observed that both compounds were able to inhibit in vitro the programmed cell death of human eosinophils from peripheral blood. This protective effect could be mimicked by permeable cGMP analogs and by the phosphodiesterase inhibitor 3-isobutyl-1-methylxanthine. Moreover, the soluble guanylate cyclase inhibitor LY-83583 inhibited in a dose-response manner the effects of the NO donors. Consequently, via the increase of eosinophil survival, NO could contribute to the amplification of inflammatory and allergic processes. This effect appears to be mediated, at least in part, by the soluble guanylate pathway.
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... Nasal breathing has been reported to reduce pulmonary vascular resistance (PVR) and improve arterial oxygenation compared with oral breathing in subjects without lung disease (Lundberg, I996;Lundberg et al, I996c;Settergren et al, 1998) Th2 cells which putatively produce a cytokine profile that has been associated with exacerbation of asthma (Taylor-Robinson et al, 1993;Bames & Liew, 1995). NO has also been shown to promote chemotaxis (Ferreira et al, 1996) and increase survival o f eosinophils (Beauvais et al, 1995). On the other hand, NO has been found to be mainly secreted in the nose and paranasal sinuses (Lundberg et al, 1994b;Lundberg et al, 1995a), with diseases involving them modulating nasal NO levels (Kharitonov et al, 1997b;Lindberg et al, 1997b). ...
... Furthermore, some studies in murine cells have suggested that NO may amplify inflammation by altering the balance between T-helper (Th) 1 and Th2 cell types, leading to the proliferation o f Th2 cells which putatively produce a cytokine profile that has been associated with exacerbation o f asthma (Barnes & Liew, 1995). NO has also been shown to promote chemotaxis (Ferreira et al, 1996) and increase survival o f eosinophils (Beauvais et al, 1995). These observations, however, have not yet been extended to humans. ...
Thesis
Chronic rhinosinusitis (CRS) is a prevalent disease that has marked effects on the society. Its definition, pathophysiology, microbiology and treatment are still a source of debate. Likewise, there is still considerable confusion in the literature concerning the relationship and the effect of therapy of CRS upon the concomitant asthma. The aims of the thesis were: To conduct the first prospective randomised controlled trial, evaluating and comparing the medical and surgical treatment of CRS and its subgroups; to study whether the presence of nasal polyps serves as a poor prognostic factor for the efficacy of CRS therapy; to study whether asthma serves as a poor prognostic factor for the efficacy of CRS therapy; to elucidate the relationship between upper and lower airway diseases, considering specifically the relationship between CRS and asthma; to conduct the first prospective randomised study evaluating and comparing the effect of the medical and surgical treatment of CRS and its subgroups upon asthma, applying a range of subjective and objective parameters, and including exhaled NO as an easy and sensitive detector of inflammation; to study whether the presence of nasal polyps serves as a poor prognostic factor tor asthma control in CRS patients; to study the effect of medical and surgical therapy of CRS upon nasal NO levels; to investigate the value of nasal NO as an objective indicator of the effect of therapy on CRS. 2. Subjects were 90 patients with CRS, of whom 43 were asthmatics. Patients were randomised either to medical or surgical therapy of CRS. All patients underwent pre and post-treatment assessments of visual analogue score (VAS), chest score, overall asthma control score, use of anti-asthma medication, hospitalisation tor asthma, the Sinonasal Outcome Test-20, the Short Form 36 Health Survey (SF-36), nitric oxide (NO), acoustic rhinometry, saccharine clearance time, spirometry, and nasal examination including anterior rhinoscopy and endoscopy. 3. Both the medical and surgical treatment of CRS significantly improved almost all the subjective and objective parameters of CRS (P<0.01), with no significant difference being found between the medical and surgical groups (P>0.05) except for total nasal volume in CRS (P<0.01) and CRS without polyposis (P<0.01) groups in which the surgical treatment demonstrated greater changes.. 4. Both the medical and surgical treatment significantly improved almost all the subjective and objective parameters of CRS in asthmatic patients (P<0.01 in total groups and <0.05 in subgroups), with no significant difference being found between the surgical and medical groups. 5. The asthmatic surgical groups showed a general trend for improvement in the subjective and objective lower airway measurements. However, this did not reach a statistical significance except for use of bronchodilator inhalers (P<0.05), use of oral corticosteroids (P<0.05), hospitalisation (P<0.05), overall asthma control score (P<0.05), exhaled NO (P<0.05) and FEV1% (P<0.05) in the total surgical group of CRS. The medical groups showed higher significance values than the corresponding surgical groups. However, the difference between the medical and surgical groups did not reach a statistical significance except for exhaled NO (P<0.05) and FEVl% (P<0.05) measurements in CRS with polyposis. On the other hand, no significant difference was found between the surgical groups of CRS without and with polyposis, although CRS without polyposis tended to show higher improvement percentage values in the subjective and objective lower airway measurements. 6. Nasal NO increased significantly with medical (P<0.01) and surgical (P<0.01) treatment of CRS. The surgical groups experienced higher levels of improvement, although not significant (P>0.05), than the medical groups. Nasal NO correlated inversely with VAS (P<0.001), SCT (P<0.001), endoscopic score (P<0.001), polyp grade (P<0.01) and CT score (P<0.001). 7. Chronic rhinosinusitis should be targeted with maximal medical therapy in the first instance, with surgical treatment being reserved for cases refractory to medical therapy. Neither presence of nasal polyps nor asthma serves as a poor prognostic factor for the efficacy of CRS therapy. The evidence of the link between CRS and asthma is too striking to be denied. Both medical and surgical therapy of CRS improve the clinical course of asthma, with the medical treatment being superior to the surgical, especially in CRS with polyposis. On the other hand, it seems that sinus surgery can trigger or aggravate asthma in a subgroup of CRS patients. Finally, nasal NO is a valuable objective measurement in monitoring medical and surgical therapy for CRS.
... IL-10, transforming growth factor beta 1 (TGF-β1), interferon (IFN)-γ, and Fas antigens, Fas ligand are involved in the regulation of the EOS apoptosis. These cytokines can also promote EOS apoptosis [16][17][18]. ...
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Background Eosinophils (EOS) is one of the most important cells involved in the pathogenesis of chronic airway inflammation in asthma, and its apoptosis is part of the mechanisms of asthma. Therefore, this study aimed to observe the effect of Chinese medicine Wentong decoction (WTD) in EOS apoptosis in asthmatic rats. This work also explored the mechanism of WTD regulation in EOS apoptosis and provided a new target for clinical treatment of asthma. Methods Asthmatic rats induced by ovalbumin were treated with WTD. Lung function of rats in each group was detected, and lung tissue pathology, EOS counts in blood and bronchoalveolar lavage fluid were observed. The degree of the EOS apoptosis in rats was detected. The expression content of interleukin (IL)-5, IL-10, chemokine (C–C motif) ligand 5 (CCL5), granulocyte–macrophage colony-stimulating factor (GM-CSF), transforming growth factor beta 1 (TGF-β1), interferon (IFN)-γ, and other cytokines in rat serum and the genes of Eotaxin mRNA, Fas mRNA, FasL mRNA, Fas/FasL and Bcl-2 mRNA in the lung tissues were determined. Results WTD can reduced airway resistance in rat models and improved airway compliance. The pathological changes of lung tissue in WTD group were significantly alleviated, at the same time, WTD could reduce the EOS count in the blood and BALF smears of the asthmatic model rats. Compared with the model group, the apoptosis degree of EOS significantly increased in rats in the WTD group. The expression of IL-5, CCL5, and GM-CSF in the serum and the expression of Eotaxin mRNA, Bcl-2 mRNA in the lung tissues in rats in the WTD group rats decreased. Moreover, the expression of IL-10, TGF-β1, and IFN-γ in the serum and the expression of Fas mRNA, FasL mRNA in the lung tissues in rats in the WTD group rats increased compared with that in rats in the model group. Conclusions Wentong decoction may accelerate EOS apoptosis, reduce asthma inflammation, and alleviate the disease through regulating and controlling the factors related to the anti-apoptosis and pro-apoptosis. Electronic supplementary material The online version of this article (10.1186/s13020-018-0180-2) contains supplementary material, which is available to authorized users.
... However, a deficiency in inducible nitric oxide synthase (iNOS) suppresses ozone-induced airway tissue injury and LPS-induced acute airway inflammation in mice [30,31]. NO inhibitors block eosinophil recruitment in the lungs [32]. NO is also a potent vasodilator in the bronchial circulation and may play a major role in airway circulation [33]. ...
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Background Retinoid X receptors (RXRs) are members of the nuclear receptor (NR) superfamily that mediate signaling by 9-cis retinoic acid, a vitamin A (retinol) derivative. RXRs play key roles not only as homodimers but also as heterodimeric partners—e.g., retinoic acid receptors (RARs), vitamin D receptors (VDRs), liver X receptors (LXRs), and peroxisome proliferator-activated receptors (PPARs). The NR family was recently associated with allergic diseases, but the role of RXRs in allergen-induced airway responses is not well defined.The goal of this study is to elucidate the role of RXRs in asthma pathogenesis and the potency of RXR partial agonist in the treatment of allergic airway inflammation and airway hyperresponsiveness using a murine model of asthma. Methods We investigated the effect of a novel RXR partial agonist (NEt-4IB) on the development of allergic airway inflammation and airway hyperresponsiveness (AHR) in a murine model of asthma. Balb/c mice were sensitized (days 0 and 14) and challenged (days 28–30) with ovalbumin (OVA), and airway inflammation and airway responses were monitored 48 h after the last OVA challenge. NEt-4IB was administered orally on days 25 to 32. ResultsOral administration of NEt-4IB significantly suppressed AHR and inflammatory cell accumulation in the airways and attenuated the levels of TNF-α in the lung and IL-5, IL-13 and NO levels in bronchoalveolar lavage (BAL) fluid and the number of periodic acid Schiff (PAS)-positive goblet cells in lung tissue. Treatment with NEt-4IB also significantly suppressed NF-κB expression. Conclusion These data suggest that RXRs may be of crucial importance in the mechanism of allergic asthma and that the novel RXR partial agonist NEt-4IB may be a promising candidate for the treatment of allergic airway inflammation and airway hyperresponsiveness in a model of allergic asthma.
... The consequences of these nitrogen species are diverse, ranging from inhibition of virus protein and RNA synthesis to potentiation of inflammation and injury to the respiratory tract (39). Nitric oxide also regulates many other physiologic processes, including eosinophil migration (40) and survival (41,42), airway epithelial cell ciliary motility (43), and airway caliber through airway smooth muscle relaxation (44). Eosinophil-derived nitric oxide may affect multiple functions in the airway beyond what our experiments were designed to assess. ...
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Background MRL/MpJ -Tnfrsf6 lpr (MRL/ lpr) mice, a murine model of systemic lupus erythematosus (SLE), have defective expression of Fas, substantially reducing signaling for apoptosis via this mechanism. However, it is known that MRL//pr mice have increased spontaneous apoptosis of leukocytes. These conflicting observations have stimulated interest in apoptosis in this SLE model. MRL/ lpr mice overproduce nitric oxide (NO) as autoimmune disease progresses. In vitro administration of NO may induce or decrease apoptosis depending on the cell type. Therefore, we hypothesized that NO induces MRL/ lpr spleen lymphocyte apoptosis independent of Fas receptor engagement. Methods Percentages of apoptotic spleen lymphocytes from MRL/ lpr and BALB/cJ mice were determined ex vivo after in vivo treatment with N G -monomethyl-l-arginine (NMMA), a nitric oxide synthase (NOS) inhibitor. After culture in varying concentrations of a slow-acting NO donor, the following were determined in spleen lymphocytes: (1) levels of apoptosis, (2) the effect of phorbol myristate acid (PMA) on levels of NO-induced apoptosis, and (3) protein kinase C (PKC) activity. Results Spleen lymphocytes from MRL/ lpr mice with active disease had increased levels of ex vivo apoptosis when compared with BALB/cJ controls. This increase was reduced by pharmacologic inhibition of NOS in MRL/ lpr but not in BALB/cJ mice. Exogenous administration of NO in vitro reduced PKC activity and induced apoptosis in MRL/ lpr spleen lymphocytes, an effect that could be reduced via coadministration of PMA in vitro. Conclusion These results suggest that NO plays a role in spleen lymphocyte apoptosis in MRL/ lpr mice, possibly via inhibition of PKC, despite a Fas defect.
Chapter
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1Basic Biology2Cell Trafficking3Cell Function4Immunomodulatory Capabilities5Basophilia and Eosinophilia as Disease Markers6Role in Infectious DiseasesKeywords:basophils and eosinophils;basophils and eosinophils-leukocytes with large cytoplasmic granules from CD34+ progenitor cells;May–Grünwald stain of human peripheral blood basophil;basophil adhesion;cell trafficking-basophils and eosinophil trafficking to inflammation sites through multistep process;basophil and eosinophil adhesion molecules and chemotaxis factors;IgE-mediated activation;immunomodulatory capabilities
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