PMID- 17707916 OWN - NLM STAT- MEDLINE DCOM- 20071025 LR - 20190104 IS - 0165-2478 (Print) IS - 0165-2478 (Linking) VI - 112 IP - 1 DP - 2007 Sep 15 TI - Modulation of human lung fibroblast functions by ciclesonide: evidence for its conversion into the active metabolite desisobutyryl-ciclesonide. PG - 39-46 AB - BACKGROUND: Ciclesonide, an inhaled corticosteroid administered as inactive compound with almost no binding affinity for the glucocorticoid receptor, is clinically effective in asthma being converted by airway epithelial cells into its active metabolite desisobutyryl-(des)-ciclesonide. AIM: To evaluate whether ciclesonide could directly modulate in vitro bronchial fibroblast functions being converted into des-ciclesonide by these pluripotent cells involved in the regulation of airway inflammation and remodelling. METHODS: Ciclesonide (0.09-9.0 microM) was added to a human adult lung fibroblast cell line (CCL-202), seeded in medium in the presence of the following cytokines and growth factors: (a) basic fibroblast growth factor (bFGF) for cell proliferation, measured by tritiated thymidine ([3H]TdR) incorporation; (b) tumour necrosis factor (TNF)-alpha, to stimulate intercellular adhesion molecule (ICAM)-1 expression and monocyte chemoattractant protein-1 (MCP-1) and eotaxin release, evaluated by flow cytometry and ELISA, respectively; (c) transforming growth factor (TGF)-beta1, for induction of alpha smooth muscle actin (alpha-SMA) protein expression and modification of the organization of alpha-SMA stress fibres, evaluated by Western blot analysis and fluorescence microscopy. RESULTS: The presence of ciclesonide in cell cultures induced a significant downregulation of: (a) bFGF-induced fibroblast proliferation and TNF-alpha-induced ICAM-1 expression, at the 0.3-9.0 microM concentrations (p<0.05); (b) TNF-alpha-induced MCP-1 release, at all the concentrations tested (p<0.05); (c) TNF-alpha-induced eotaxin release, at the three highest concentrations (0.9-9.0 microM) (p<0.05); (d) TGF-beta1-induced of alpha-SMA protein expression at the 0.3-3.0 microM concentrations, associated with a reduction in the organization of alpha-SMA stress fibres. CONCLUSIONS: These data show at cellular level an effective anti-inflammatory activity of ciclesonide on human lung fibroblasts and support the hypothesis that also these cells, in addition to airway epithelial cells, may be involved in converting the parental compound into its active metabolite in the airways. FAU - Boero, Silvia AU - Boero S AD - Pulmonary Disease Unit, G. Gaslini Institute, Largo G. Gaslini 5, 16147 Genoa, Italy. FAU - Sabatini, Federica AU - Sabatini F FAU - Silvestri, Michela AU - Silvestri M FAU - Petecchia, Loredana AU - Petecchia L FAU - Nachira, Antonio AU - Nachira A FAU - Pezzolo, Annalisa AU - Pezzolo A FAU - Scarso, Lucia AU - Scarso L FAU - Rossi, Giovanni A AU - Rossi GA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070801 PL - Netherlands TA - Immunol Lett JT - Immunology letters JID - 7910006 RN - 0 (Actins) RN - 0 (Anti-Asthmatic Agents) RN - 0 (Anti-Inflammatory Agents) RN - 0 (CCL11 protein, human) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL11) RN - 0 (Chemokine CCL2) RN - 0 (Chemokines, CC) RN - 0 (Pregnenediones) RN - 0 (Transforming Growth Factor beta1) RN - 0 (Tumor Necrosis Factor-alpha) RN - 103107-01-3 (Fibroblast Growth Factor 2) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 8DL7FH77SF (desisobutyrylciclesonide) RN - S59502J185 (ciclesonide) SB - IM MH - Actins/metabolism MH - Anti-Asthmatic Agents/metabolism/*pharmacology MH - Anti-Inflammatory Agents/metabolism/*pharmacology MH - Biotransformation MH - Cell Differentiation/drug effects MH - Cell Line MH - Cell Proliferation/drug effects MH - Chemokine CCL11 MH - Chemokine CCL2/metabolism MH - Chemokines, CC/metabolism MH - Dose-Response Relationship, Drug MH - Fibroblast Growth Factor 2/metabolism MH - Fibroblasts/*drug effects/metabolism MH - Humans MH - Intercellular Adhesion Molecule-1/metabolism MH - Lung/cytology/*drug effects/metabolism MH - Pregnenediones/metabolism/*pharmacology MH - Stress Fibers/drug effects/metabolism MH - Transforming Growth Factor beta1/metabolism MH - Tumor Necrosis Factor-alpha/metabolism EDAT- 2007/08/21 09:00 MHDA- 2007/10/27 09:00 CRDT- 2007/08/21 09:00 PHST- 2007/05/23 00:00 [received] PHST- 2007/06/21 00:00 [revised] PHST- 2007/06/26 00:00 [accepted] PHST- 2007/08/21 09:00 [pubmed] PHST- 2007/10/27 09:00 [medline] PHST- 2007/08/21 09:00 [entrez] AID - S0165-2478(07)00144-7 [pii] AID - 10.1016/j.imlet.2007.06.010 [doi] PST - ppublish SO - Immunol Lett. 2007 Sep 15;112(1):39-46. doi: 10.1016/j.imlet.2007.06.010. Epub 2007 Aug 1.