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Am J Physiol Lung Cell Mol Physiol (June 19, 2009). doi:10.1152/ajplung.00138.2009
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Submitted on April 24, 2009
Revised on June 15, 2009
Accepted on June 15, 2009

Mepacrine inhibits sub-epithelial fibrosis by reducing the expression of arginase and TGF-{beta}1 in an extended sub-acute mouse model of allergic asthma

Ulaganathan Mabalirajan1, Jyotirmoi Aich2, Anurag Agrawal1, and Balaram Ghosh2*

1 Institute of Genomics & Integrative Biology
2 Institute of Genomics and Integrative Biology

* To whom correspondence should be addressed. E-mail: bghosh{at}igib.res.in.

Asthma is a dynamic disorder of airway inflammation and airway remodeling with an imbalance in Th1/Th2 immune response. Increased Th2 cytokines such as IL-4 and IL-13 induce arginase either directly or indirectly through TGF-{beta}1, lead to sub-epithelial fibrosis which is a crucial component of airway remodeling. Synthetic antimalarials have been reported to have immuno-modulatory properties. Mepacrine is known for its reduction of airway inflammation in short term allergen challenge model by reducing Th2 cytokines and cysteinyl leukotrienes which has an important role in the development of airway remodeling features. So we hypothesized that mepacrine may reduce airway remodeling. For this, extended sub-acute ovalbumin mice model of asthma was developed; these mice showed an increased expression of profibrotic mediators, sub-epithelial fibrosis, goblet cell metaplasia along with airway inflammation, increased Th2 cytokines, allergen specific IgE, IgG1, increased cPLA2 and airway hyperresponsiveness. Presence of intra-epithelial eosinophils and significant TGF-{beta}1 expression in sub-epithelial mesenchymal regions by repeated allergen exposures indicate that asthmatic mice of this study have developed human mimicking as well as late stages of asthma. However, mepacrine treatment decreased Th2 cytokines, sub-epithelial fibrosis and alleviates asthma features. These reductions by mepacrine was associated with decrease in levels and expression of TGF-{beta}1 and the reduction in activity, expression of arginase in lung cytosol, and immunolocalization in inflammatory cells present in perivascular and peribronchial regions. These results suggest that mepacrine might reduce the development of sub-epithelial fibrosis by reducing the arginase and TGF-{beta}1. These effects of mepacrine likely underlie its anti-airway remodeling action in asthma.







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