PMID- 34305950 OWN - NLM STAT- MEDLINE DCOM- 20220104 LR - 20220104 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 12 DP - 2021 TI - IL-10-Dependent Amelioration of Chronic Inflammatory Disease by Microdose Subcutaneous Delivery of a Prototypic Immunoregulatory Small Molecule. PG - 708955 LID - 10.3389/fimmu.2021.708955 [doi] LID - 708955 AB - One of the interventional strategies to reestablish the immune effector/regulatory balance, that is typically altered in chronic inflammatory diseases (CID), is the reinforcement of endogenous immunomodulatory pathways as the one triggered by interleukin (IL)-10. In a recent work, we demonstrated that the subcutaneous (sc) administration of an IL-10/Treg-inducing small molecule-based formulation, using a repetitive microdose (REMID) treatment strategy to preferentially direct the effects to the regional immune system, delays the progression of atherosclerosis. Here we investigated whether the same approach using other IL-10-inducing small molecule, such as the safe, inexpensive, and widely available polyphenol curcumin, could induce a similar protective effect in two different CID models. We found that, in apolipoprotein E deficient mice, sc treatment with curcumin following the REMID strategy induced atheroprotection that was not consequence of its direct systemic lipid-modifying or antioxidant activity, but instead paralleled immunomodulatory effects, such as reduced proatherogenic IFNgamma/TNFalpha-producing cells and increased atheroprotective FOXP3(+) Tregs and IL-10-producing dendritic and B cells. Remarkably, when a similar strategy was used in the neuroinflammatory model of experimental autoimmune encephalomyelitis (EAE), significant clinical and histopathological protective effects were evidenced, and these were related to an improved effector/regulatory cytokine balance in restimulated splenocytes. The essential role of curcumin-induced IL-10 for neuroprotection was confirmed by the complete abrogation of the clinical effects in IL-10-deficient mice. Finally, the translational therapeutic prospection of this strategy was evidenced by the neuroprotection observed in mice starting the treatment one week after disease triggering. Collectively, results demonstrate the power of a simple natural IL-10-inducing small molecule to tackle chronic inflammation, when its classical systemic and direct pharmacological view is shifted towards the targeting of regional immune cells, in order to rationally harness its immunopharmacological potential. This shift implies that many well-known IL-10-inducing small molecules could be easily reformulated and repurposed to develop safe, innovative, and accessible immune-based interventions for CID. CI - Copyright (c) 2021 Tabares-Guevara, Jaramillo, Ospina-Quintero, Piedrahita-Ochoa, Garcia-Valencia, Bautista-Erazo, Caro-Gomez, Covian, Retamal-Diaz, Duarte, Gonzalez, Bueno, Riedel, Kalergis and Ramirez-Pineda. FAU - Tabares-Guevara, Jorge H AU - Tabares-Guevara JH AD - Grupo Inmunomodulacion (GIM), Instituto de Investigaciones Medicas, Facultad de Medicina, Corporacion Academica para el Estudio de Patologias Tropicales (CAEPT), Universidad de Antioquia, Medellin, Colombia. FAU - Jaramillo, Julio C AU - Jaramillo JC AD - Grupo Inmunomodulacion (GIM), Instituto de Investigaciones Medicas, Facultad de Medicina, Corporacion Academica para el Estudio de Patologias Tropicales (CAEPT), Universidad de Antioquia, Medellin, Colombia. FAU - Ospina-Quintero, Laura AU - Ospina-Quintero L AD - Grupo Inmunomodulacion (GIM), Instituto de Investigaciones Medicas, Facultad de Medicina, Corporacion Academica para el Estudio de Patologias Tropicales (CAEPT), Universidad de Antioquia, Medellin, Colombia. FAU - Piedrahita-Ochoa, Christian A AU - Piedrahita-Ochoa CA AD - Grupo Inmunomodulacion (GIM), Instituto de Investigaciones Medicas, Facultad de Medicina, Corporacion Academica para el Estudio de Patologias Tropicales (CAEPT), Universidad de Antioquia, Medellin, Colombia. FAU - Garcia-Valencia, Natalia AU - Garcia-Valencia N AD - Grupo Inmunomodulacion (GIM), Instituto de Investigaciones Medicas, Facultad de Medicina, Corporacion Academica para el Estudio de Patologias Tropicales (CAEPT), Universidad de Antioquia, Medellin, Colombia. FAU - Bautista-Erazo, David E AU - Bautista-Erazo DE AD - Grupo Inmunomodulacion (GIM), Instituto de Investigaciones Medicas, Facultad de Medicina, Corporacion Academica para el Estudio de Patologias Tropicales (CAEPT), Universidad de Antioquia, Medellin, Colombia. FAU - Caro-Gomez, Erika AU - Caro-Gomez E AD - Grupo Inmunomodulacion (GIM), Instituto de Investigaciones Medicas, Facultad de Medicina, Corporacion Academica para el Estudio de Patologias Tropicales (CAEPT), Universidad de Antioquia, Medellin, Colombia. FAU - Covian, Camila AU - Covian C AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Genetica Molecular y Microbiologia, Facultad de Ciencias Biologicas, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Retamal-Diaz, Angello AU - Retamal-Diaz A AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Genetica Molecular y Microbiologia, Facultad de Ciencias Biologicas, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Duarte, Luisa F AU - Duarte LF AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Genetica Molecular y Microbiologia, Facultad de Ciencias Biologicas, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Gonzalez, Pablo A AU - Gonzalez PA AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Genetica Molecular y Microbiologia, Facultad de Ciencias Biologicas, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Bueno, Susan M AU - Bueno SM AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Genetica Molecular y Microbiologia, Facultad de Ciencias Biologicas, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Riedel, Claudia A AU - Riedel CA AD - Departamento de Ciencias Biologicas, Facultad de Ciencias de la Vida, Millennium Institute on Immunology and Immunotherapy, Universidad Andres Bello, Santiago, Chile. FAU - Kalergis, Alexis M AU - Kalergis AM AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Genetica Molecular y Microbiologia, Facultad de Ciencias Biologicas, Pontificia Universidad Catolica de Chile, Santiago, Chile. AD - Departamento de Endocrinologia, Escuela de Medicina, Facultad de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile. FAU - Ramirez-Pineda, Jose R AU - Ramirez-Pineda JR AD - Grupo Inmunomodulacion (GIM), Instituto de Investigaciones Medicas, Facultad de Medicina, Corporacion Academica para el Estudio de Patologias Tropicales (CAEPT), Universidad de Antioquia, Medellin, Colombia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210708 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Apolipoproteins E) RN - 0 (Immunomodulating Agents) RN - 0 (Lipids) RN - 130068-27-8 (Interleukin-10) RN - IT942ZTH98 (Curcumin) SB - IM MH - Animals MH - Apolipoproteins E/physiology MH - Atherosclerosis/prevention & control MH - Chronic Disease MH - Curcumin/*administration & dosage/pharmacology MH - Immunomodulating Agents/*administration & dosage MH - Inflammation/*prevention & control MH - Interleukin-10/*physiology MH - Lipids/blood MH - Mice MH - Mice, Inbred C57BL MH - Neuroprotection PMC - PMC8297659 OTO - NOTNLM OT - Interleukin-10 OT - atherosclerosis OT - chronic inflammatory disease OT - curcumin OT - experimental autoimmune encephalomyelitis OT - immune regulation COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/07/27 06:00 MHDA- 2022/01/05 06:00 PMCR- 2021/01/01 CRDT- 2021/07/26 06:24 PHST- 2021/05/13 00:00 [received] PHST- 2021/06/24 00:00 [accepted] PHST- 2021/07/26 06:24 [entrez] PHST- 2021/07/27 06:00 [pubmed] PHST- 2022/01/05 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2021.708955 [doi] PST - epublish SO - Front Immunol. 2021 Jul 8;12:708955. doi: 10.3389/fimmu.2021.708955. eCollection 2021.