The phosphodiesterase 4 inhibitor AA6216 suppresses activity of fibrosis-specific macrophages

磷酸二酯酶4抑制剂AA6216抑制纤维化特异性巨噬细胞的活性

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作者:Takashi Matsuhira ,Osamu Nishiyama ,Yuji Tabata ,Shinji Kurashimo ,Hiroyuki Sano ,Takashi Iwanaga ,Yuji Tohda

Abstract

Background: Idiopathic pulmonary fibrosis (IPF) is a form of chronic, progressive fibrosing interstitial pneumonia of unknown cause, with a poor prognosis. We previously showed the antifibrotic effects of a novel phosphodiesterase 4 (PDE4) inhibitor, AA6216. In this study, we examined the effect of AA6216 on the pulmonary accumulation of segregated-nucleus-containing atypical monocytes (SatMs), which produce tumor necrosis factor (TNF)-α and are involved in murine lung fibrosis. Methods: Mice were treated with bleomycin intratracheally at day 0 and either 10 mg/kg AA6216, 100 mg/kg nintedanib, or vehicle orally once daily from day 0 to 8. On day 9, we isolated the bronchoalveolar lavage fluid and analyzed the SatM ratio. In addition, we evaluated the effect of AA6216 on TNF-α production from SatMs isolated from murine bone marrow. Results: AA6216, and not the antifibrotic agent nintedanib, significantly suppressed the pulmonary accumulation of SatMs (AA6216: 68.3 ± 5.4%, Nintedanib: 129.8 ± 19.7%). Furthermore, AA6216 dose-dependently inhibited the production of TNF-α by SatMs. Conclusions: AA6216 suppresses pathogenic SatMs in the lung, which contributes to its antifibrotic effects.

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