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Am J Physiol Lung Cell Mol Physiol (January 18, 2008). doi:10.1152/ajplung.00386.2007
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Submitted on September 18, 2007
Accepted on January 11, 2008

Simvastatin attenuates release of neutrophilic and remodelling factors from primary bronchial epithelial cells derived from stable lung transplant recipients

Desmond Michael Murphy1, Ian Alexander Forrest2, Paul A Corris2, Gail E Johnson2, Therese Small2, Debbie Jones3, Andrew J Fisher2, Jim J Egan4, Timothy E Cawston3, Chris Ward2*, and James L Lordan2

1 The Applied Immunobiology and Transplantation Research group, The University of Newcastle-upon-Tyne, Newcastle-upon-Tyne, United Kingdom; The Irish Lung Transplant Programme, The Mater Misericordiae Hospital, Dublin, Ireland
2 The Applied Immunobiology and Transplantation Research group, The University of Newcastle-upon-Tyne, United Kingdom
3 The Musculoskeletal Research Group, The University of Newcastle-upon-Tyne, United Kingdom
4 The Irish Lung Transplant Programme, The Mater Misericordiae Hospital, Dublin, Ireland

* To whom correspondence should be addressed. E-mail: chris.ward{at}newcastle.ac.uk.

Rationale: Obliterative Bronchiolitis (OB), the major cause of chronic lung allograft dysfunction, is characterised by airway neutrophilia, inflammation and remodelling, with progressive fibroproliferation and obliteration of small airways that ultimately leads to patient death. Statins have potential anti-inflammatory effects and have been demonstrated to confer a survival advantage in lung transplant patients. We postulated that the beneficial effects of simvastatin in lung transplantation are in part due to inhibition of the epithelial production of key mediators of neutrophil chemotaxis, inflammation and airway remodelling. Objective: To assess the effect of simvastatin on a unique population of primary bronchial epithelial cells (PBECs) derived from stable lung allografts, with specific reference to airway neutrophilia and remodelling. Methods: Primary bronchial epithelial cell cultures were stimulated with IL-17 or TGF-{beta}, with and without simvastatin. Supernatant levels of factors critical to driving airway neutrophilia and remodelling were measured. Results: IL-17 upregulated IL-8, IL-6, GCSF, GMCSF and VEGF, while TGF-{beta} increased IL-6, GM-CSF, MMP-2 and MMP-9. Simvastatin attenuated effects of both IL-17 and TGF-{beta}. Conclusion: We have demonstrated the ability of simvastatin to attenuate release of airway neutrophilic and remodelling mediators and to inhibit their upregulation by TGF-{beta} and IL-17. These data illustrate the potential of simvastatin to alleviate neutrophilic airway inflammation and remodelling in the transplanted lung and may have additional relevance to other neutrophilic airway conditions, such as COPD.




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Future Treatments for Chronic Obstructive Pulmonary Disease and Its Comorbidities
Proceedings of the ATS, December 1, 2008; 5(8): 857 - 864.
[Abstract] [Full Text] [PDF]




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