restoration of corticosteroid sensitivity by p38 mitogen activated protein kinase inhibition in peripheral blood mononuclear cells from severe asthma恢复p38皮质类固醇敏感的有丝分裂原激活蛋白激酶抑制外周血单核细胞从严重的哮喘.pdfVIP
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restoration of corticosteroid sensitivity by p38 mitogen activated protein kinase inhibition in peripheral blood mononuclear cells from severe asthma恢复p38皮质类固醇敏感的有丝分裂原激活蛋白激酶抑制外周血单核细胞从严重的哮喘
Restoration of Corticosteroid Sensitivity by p38 Mitogen
Activated Protein Kinase Inhibition in Peripheral Blood
Mononuclear Cells from Severe Asthma
1 1,2 1 1,2 1,2
Nicolas Mercado , Amir Hakim , Yoshiki Kobayashi , Sally Meah , Omar S. Usmani , Kian
1,2 1 1
Fan Chung , Peter J. Barnes , Kazuhiro Ito *
1 Airway Disease Section, National Heart and Lung Institute, Imperial College, London, United Kingdom, 2 Biomedical Research Unit, Royal Brompton Hospital and
Imperial College, London, United Kingdom
Abstract
Background: Severe asthma accounts for a small number of asthmatics but represents a disproportionate cost to health
care systems. The underlying mechanism in severe asthma remains unknown but several mechanisms are likely to be
involved because of a very heterogeneous profile. We investigated the effects of a p38MAPK inhibitor in corticosteroid
sensitivity in peripheral blood mononuclear cells (PBMCs) from severe asthmatics and the profile of its responders.
Methodology/Principal Findings: Corticosteroid sensitivity was determined by measuring dexamethasone inhibition of
CD3/28 and TNF-a induced IL-8 production in PBMCs by using ELISA. PBMCs from severe asthmatics were relatively less
sensitive to dexamethasone (Dex) as compared to those of non-severe asthmatics and healthy volunteers. The IC50 values of
Dex negatively correlated with decreased glucocorticoid receptor (GR) nuclear translocation assessed using immunocy-
tochemistry (r = 20.65; p,0.0005) and with decreased FEV1 (% predicted) (r = 0.6; p,0.0005). A p38a/ b inhibitor (SB203580)
restored Dex-sensit
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