Vitamin D and glucocorticoids differentially modulate chemokine expression in human airway smooth muscle cells

作者：Banerjee A; Damera G; Bhandare R; Gu S; Lopez Boado Y S; Panettieri R A Jr; Tliba O^*

来源：British Journal of Pharmacology, 2008, 155(1): 84-92.

DOI：10.1038/bjp.2008.232

• chemokines
• cytokines
• glucocorticoids
• steroid resistance
• asthma
• airway structural cells
• inflammation
• gene expression
• drug
• calcitriol

Background and purpose: Chemokines play a critical role in the pathogenesis of asthma and facilitate the recruitment of inflammatory cells in the airways. Evidence now suggests that airway smooth muscle (ASM) may serve as a source of chemokines in inflamed airways. Although vitamin D has potent anti-inflammatory properties in vitro in some cell types, its effects on ASM cells remain unclear. Here, we investigated whether 1 alpha, 25-dihydroxy vitamin D(3) (calcitriol) modulated chemokine production in ASM.
Experimental approach: Human ASM cell cultures were derived from tracheal samples taken during surgery. ASM cells were treated with tumour necrosis factor alpha (TNF alpha) and/or interferon gamma (IFN gamma) for 24 h in the presence of calcitriol and/or the glucocorticoid fluticasone added 2 h before. RANTES (regulated upon activation, normal T-cell expressed and secreted), interferon-inducible protein 10 (IP-10) and fractalkine (FKN) levels in cell supernatants were measured by ELISA.
Key results: In TNF alpha-treated cells, calcitriol inhibited RANTES and IP-10 secretion in a concentration-dependent manner. FKN levels were negligible. In TNF alpha/IFN gamma-treated cells, whereas fluticasone or calcitriol alone partially inhibited RANTES secretion (by 38 and 20%, respectively), the combination of both drugs additively inhibited RANTES secretion (by 60%). No effect was observed on IP-10 secretion. Whereas fluticasone enhanced FKN secretion (by 50%), calcitriol significantly decreased FKN levels (by 50%). Interestingly, calcitriol blocked the stimulatory effect of fluticasone on FKN secretion, which was inhibited by 60% with the combination of calcitriol and fluticasone.
Conclusions and implications: These findings suggest that vitamin D uniquely modulates human ASM expression of chemokines and may exert some beneficial effects in the treatment of steroid-resistant patients with asthma.

• 出版日期2008-9