PMID- 29406285 OWN - NLM STAT- MEDLINE DCOM- 20180801 LR - 20180801 IS - 1878-1667 (Electronic) IS - 0147-9571 (Linking) VI - 56 DP - 2018 Feb TI - Clarithromycin suppresses induction of monocyte chemoattractant protein-1 and matrix metalloproteinase-9 and improves pathological changes in the lungs and heart of mice infected with influenza A virus. PG - 6-13 LID - S0147-9571(17)30095-4 [pii] LID - 10.1016/j.cimid.2017.11.002 [doi] AB - The influenza A virus (IAV)-cytokine-trypsin/matrix metalloproteinase-9 (MMP-9) cycle is one of the important mechanisms of multiple organ failure in severe influenza. Clarithromycin, a macrolide antibiotic, has immune modulatory and anti-inflammatory effects. We analyzed the effects of clarithromycin on the induction of chemokines, cytokines, MMP-9, trypsin, vascular hyper-permeability and inflammatory aggravation in mice with IAV infection. IAV/Puerto Rico/8/34(H1N1) infection increased the levels of monocyte chemoattractant protein-1 (MCP-1) and cytokines in serum, and MMP-9 and trypsin in serum and/or the lungs and heart. Clarithromycin significantly suppressed the induction of serum MCP-1 and MMP-9 and vascular hyperpermeability in these organs in the early phase of infection, but did not suppress the induction of trypsin, IL-6 or IFN-gamma. Histopathological examination showed that clarithromycin tended to reduce inflammatory cell accumulation in the lungs and heart. These results suggest that clarithromycin suppresses infection-related inflammation and reduces vascular hyperpermeability by suppressing the induction of MCP-1 and MMP-9. CI - Copyright (c) 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved. FAU - Takahashi, Etsuhisa AU - Takahashi E AD - Division of Enzyme Chemistry, Institute for Enzyme Research, Tokushima University, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan. FAU - Indalao, Irene L AU - Indalao IL AD - Division of Enzyme Chemistry, Institute for Enzyme Research, Tokushima University, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan. FAU - Sawabuchi, Takako AU - Sawabuchi T AD - Division of Enzyme Chemistry, Institute for Enzyme Research, Tokushima University, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan. FAU - Mizuno, Keiko AU - Mizuno K AD - Division of Enzyme Chemistry, Institute for Enzyme Research, Tokushima University, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan. FAU - Sakai, Satoko AU - Sakai S AD - Division of Enzyme Chemistry, Institute for Enzyme Research, Tokushima University, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan. FAU - Kimoto, Takashi AU - Kimoto T AD - Division of Enzyme Chemistry, Institute for Enzyme Research, Tokushima University, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan. FAU - Kim, Hyejin AU - Kim H AD - Division of Enzyme Chemistry, Institute for Enzyme Research, Tokushima University, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan. FAU - Kido, Hiroshi AU - Kido H AD - Division of Enzyme Chemistry, Institute for Enzyme Research, Tokushima University, Kuramoto-cho 3-18-15, Tokushima 770-8503, Japan. Electronic address: kido@tokushima-u.ac.jp. LA - eng PT - Journal Article DEP - 20171123 PL - England TA - Comp Immunol Microbiol Infect Dis JT - Comparative immunology, microbiology and infectious diseases JID - 7808924 RN - 0 (Anti-Bacterial Agents) RN - 0 (Chemokine CCL2) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) RN - H1250JIK0A (Clarithromycin) SB - IM MH - Animals MH - Anti-Bacterial Agents/*therapeutic use MH - Blotting, Western MH - Chemokine CCL2/*metabolism MH - Clarithromycin/*therapeutic use MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - *Influenza A virus MH - Lung/*pathology MH - Matrix Metalloproteinase 9/*metabolism MH - Mice MH - Mice, Inbred BALB C MH - Myocardium/*pathology MH - Orthomyxoviridae Infections/*drug therapy/immunology/pathology/virology OTO - NOTNLM OT - BBB OT - Clarithromycin OT - Evans' blue extravasation OT - IAV OT - Influenza A virus infection OT - MC OT - MOF OT - Macrolide OT - Matrix metalloproteinase-9 OT - Multiple organ failure OT - PID OT - PR8 OT - blood-brain barrier OT - influenza A virus OT - influenza A/Puerto Rico/8/34(H1N1) OT - methyl cellulose OT - multiple organ failure OT - pfu OT - plaque-forming units OT - post-infection day EDAT- 2018/02/07 06:00 MHDA- 2018/08/02 06:00 CRDT- 2018/02/07 06:00 PHST- 2017/04/01 00:00 [received] PHST- 2017/10/07 00:00 [revised] PHST- 2017/11/15 00:00 [accepted] PHST- 2018/02/07 06:00 [entrez] PHST- 2018/02/07 06:00 [pubmed] PHST- 2018/08/02 06:00 [medline] AID - S0147-9571(17)30095-4 [pii] AID - 10.1016/j.cimid.2017.11.002 [doi] PST - ppublish SO - Comp Immunol Microbiol Infect Dis. 2018 Feb;56:6-13. doi: 10.1016/j.cimid.2017.11.002. Epub 2017 Nov 23.