PMID- 14604971 OWN - NLM STAT- MEDLINE DCOM- 20040415 LR - 20210206 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 103 IP - 6 DP - 2004 Mar 15 TI - Activated protein C inhibits bronchial hyperresponsiveness and Th2 cytokine expression in mice. PG - 2196-204 AB - Asthma is one of the most common diseases and is characterized by airway obstruction, airway inflammation, and increased airway responsiveness. Glucocorticoids are very effective in treatment, but their long-term use is associated with several side effects, so that new anti-inflammatory drugs are in development. Activated protein C (APC) is a serine protease with potent anti-inflammatory effects. This study evaluated the effect of inhaled APC on airway inflammation and hyperresponsiveness in a murine asthma model. Asthma was induced in BALB/c mice by exposure to chicken egg ovalbumin (OVA), and the effect of inhaled APC was assessed by administering prior to OVA exposure. Inhalation of APC significantly inhibited the expression of T helper 2 (Th2) cytokines, immunoglobulin E (IgE), eosinophilic inflammation, and hyperresponsiveness. APC also significantly suppressed the expression of Th2 cytokines and IgE from lymphocytes isolated from OVA-sensitized/challenged animals. In addition, binding of signal transducer and activator of transcription 6 (STAT6) and nuclear factor kappa B (NF-kappa B) oligonucleotides to lung nuclear proteins was significantly reduced in mice treated with inhaled APC. In brief, the exogenous supplementation of APC inhibits the immunologic and inflammatory responses induced by Th2 cytokines in a mouse model of asthma and may represent a novel anti-inflammatory treatment. FAU - Yuda, Hisamichi AU - Yuda H AD - Third Department of Internal Medicine, Mie University School of Medicine, Tsu, Mie 514 8507, Japan. FAU - Adachi, Yukihiko AU - Adachi Y FAU - Taguchi, Osamu AU - Taguchi O FAU - Gabazza, Esteban C AU - Gabazza EC FAU - Hataji, Osamu AU - Hataji O FAU - Fujimoto, Hajime AU - Fujimoto H FAU - Tamaki, Shigenori AU - Tamaki S FAU - Nishikubo, Kimiaki AU - Nishikubo K FAU - Fukudome, Kenji AU - Fukudome K FAU - D'Alessandro-Gabazza, Corina N AU - D'Alessandro-Gabazza CN FAU - Maruyama, Junko AU - Maruyama J FAU - Izumizaki, Masahiko AU - Izumizaki M FAU - Iwase, Michiko AU - Iwase M FAU - Homma, Ikuo AU - Homma I FAU - Inoue, Ryo AU - Inoue R FAU - Kamada, Haruhiko AU - Kamada H FAU - Hayashi, Tatsuya AU - Hayashi T FAU - Kasper, Michael AU - Kasper M FAU - Lambrecht, Bart N AU - Lambrecht BN FAU - Barnes, Peter J AU - Barnes PJ FAU - Suzuki, Koji AU - Suzuki K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20031106 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Antibodies) RN - 0 (Antigens, CD) RN - 0 (Biomarkers) RN - 0 (Blood Coagulation Factors) RN - 0 (Cytokines) RN - 0 (Endothelial Protein C Receptor) RN - 0 (Endothelins) RN - 0 (Glycoproteins) RN - 0 (NF-kappa B) RN - 0 (PROCR protein, human) RN - 0 (Protein C) RN - 0 (Receptor, PAR-1) RN - 0 (Receptors, Cell Surface) RN - 0 (STAT6 Transcription Factor) RN - 0 (STAT6 protein, human) RN - 0 (Stat6 protein, mouse) RN - 0 (Trans-Activators) RN - 0 (leukocyte procoagulant activity) RN - 31C4KY9ESH (Nitric Oxide) RN - 37341-29-0 (Immunoglobulin E) RN - 9006-59-1 (Ovalbumin) RN - EC 3.4.21.5 (Thrombin) RN - K7Q1JQR04M (Dinoprostone) SB - IM MH - Animals MH - Antibodies MH - Antigens, CD MH - Asthma/*drug therapy/immunology/metabolism MH - Biomarkers MH - Blood Coagulation Factors/immunology MH - Bronchial Hyperreactivity/*drug therapy/immunology/metabolism MH - Cytokines/metabolism MH - Dinoprostone/metabolism MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Endothelial Protein C Receptor MH - Endothelins/genetics/immunology MH - Eosinophils/immunology MH - Female MH - Glycoproteins MH - HeLa Cells MH - Humans MH - Hypersensitivity/drug therapy/immunology/metabolism MH - Immunoglobulin E/metabolism MH - Mice MH - Mice, Inbred BALB C MH - NF-kappa B/metabolism MH - Nitric Oxide/metabolism MH - Ovalbumin/immunology MH - Protein C/*pharmacology MH - Receptor, PAR-1/antagonists & inhibitors MH - Receptors, Cell Surface MH - STAT6 Transcription Factor MH - Specific Pathogen-Free Organisms MH - Th2 Cells/drug effects/*immunology MH - Thrombin/metabolism MH - Trans-Activators/metabolism MH - U937 Cells EDAT- 2003/11/08 05:00 MHDA- 2004/04/16 05:00 CRDT- 2003/11/08 05:00 PHST- 2003/11/08 05:00 [pubmed] PHST- 2004/04/16 05:00 [medline] PHST- 2003/11/08 05:00 [entrez] AID - S0006-4971(20)50014-1 [pii] AID - 10.1182/blood-2003-06-1980 [doi] PST - ppublish SO - Blood. 2004 Mar 15;103(6):2196-204. doi: 10.1182/blood-2003-06-1980. Epub 2003 Nov 6.