Niflumic acid suppresses interleukin-13–induced asthma phenotypes

T Nakano, H Inoue, S Fukuyama… - American journal of …, 2006 - atsjournals.org
T Nakano, H Inoue, S Fukuyama, K Matsumoto, M Matsumura, M Tsuda, T Matsumoto…
American journal of respiratory and critical care medicine, 2006atsjournals.org
Rationale: Chloride channels have been implicated in the regulation of mucus production in
epithelial cells. Expression of hCLCA1, a calcium-activated chloride channel, has been
reported to be increased in the airway epithelium of patients with asthma. Interleukin (IL)-13
induces the cardinal features of bronchial asthma, and glucocorticoids are not sufficient to
suppress IL-13–induced airway hyperresponsiveness or goblet cell hyperplasia. Objectives:
We studied the effects of chloride channel inhibitors in IL-13–induced asthma. Methods: The …
Rationale: Chloride channels have been implicated in the regulation of mucus production in epithelial cells. Expression of hCLCA1, a calcium-activated chloride channel, has been reported to be increased in the airway epithelium of patients with asthma. Interleukin (IL)-13 induces the cardinal features of bronchial asthma, and glucocorticoids are not sufficient to suppress IL-13–induced airway hyperresponsiveness or goblet cell hyperplasia.
Objectives: We studied the effects of chloride channel inhibitors in IL-13–induced asthma.
Methods: The effects of niflumic acid (NA), a relatively specific blocker of calcium-activated chloride channel (CLCA), on goblet cell hyperplasia, eosinophil accumulation, and airway hyperresponsiveness were evaluated after IL-13 instillation into the airways. Because IL-13–dependent features rely on JAK/STAT6 signaling, the effect of NA on phosphorylation of JAK2 and STAT6 after IL-13 stimulation was examined in airway epithelial cells in vitro. The expression of the mCLCA family in mouse lung after IL-13 local administration in vivo was analyzed using reverse transcription–polymerase chain reaction.
Measurements and Main Results: Treatment with NA inhibited not only IL-13–induced goblet cell hyperplasia but also airway hyperresponsiveness and eosinophilic infiltration. NA suppressed the eotaxin levels in bronchoalveolar lavage fluids and overexpression of the MUC5AC gene, a marker of goblet cell hyperplasia, in the lung after IL-13 instillation. NA suppressed JAK2 activation, STAT6 activation, and eotaxin expression in epithelial cells. The expression of mCLCA3 (mouse homolog hCLCA1), but not that of other CLCA family members, was up-regulated by IL-13.
Conclusions: These findings suggest that a chloride channel inhibitor can control IL-13–mediated airway features at least by suppressing JAK/STAT6 activation.
ATS Journals