PMID- 35490266 OWN - NLM STAT- MEDLINE DCOM- 20220503 LR - 20220503 IS - 1735-5249 (Electronic) IS - 1735-1502 (Linking) VI - 21 IP - 2 DP - 2022 Apr 11 TI - Study Effect of Azithromycin and Doxycycline in Mucus Producing and Inflammatory Signaling Pathways of Allergic Asthma. PG - 119-127 LID - 10.18502/ijaai.v21i2.9220 [doi] AB - Asthma is a respiratory disease; involving millions of people worldwide. The main cause of asthma is allergy and immune response dysregulation. The effects of azithromycin and doxycycline as asthma-controlling drugs were evaluated in this study. Mice asthma model was produced and asthmatic mice were treated with azithromycin (75 mg/kg, orally) and doxycycline (20 mg/kg, orally). Eosinophils and neutrophils count, interleukin (IL)-4, IL-5, IL-12, IL-13, and total immunoglobulin E (IgE) levels were measured. Histological study and evaluating the genes expression of Muc5ac, Muc5b, IL-33, COX2, MYD88, and TRAF6 were performed. Azithromycin and doxycycline did not affect eosinophil and neutrophil percentage, IL-4, IL-5, IL-12, and total IgE levels, peribronchial and perivascular inflammation, goblet cell hyperplasia, and gene expression of MYD88, TRAF6, and COX2. Treatment with azithromycin significantly decreased IL-13 level, mucus secretion, and gene expression of IL-33, Muc5ac, and Muc5b; compared to the non-treated asthma group. Azithromycin administration controls mucus secretion and inflammation. Azithromycin therapy and not doxycycline might be an effective adjuvant option in asthma with reducing mucus in the airway. FAU - Wang, Zhen AU - Wang Z AD - The second Department of Respiration, Xi'an Children's Hospital, Xi'an, China. Zhennwang@ymail.com. FAU - Xin, Lihong AU - Xin L AD - The second Department of Respiration, Xi'an Children's Hospital, Xi'an, China. Lihongnxin@ymail.com. FAU - Zhang, Wen AU - Zhang W AD - The second Department of Respiration, Xi'an Children's Hospital, Xi'an, China. wenzhang.res@gmail.com. LA - eng PT - Journal Article DEP - 20220411 PL - Iran TA - Iran J Allergy Asthma Immunol JT - Iranian journal of allergy, asthma, and immunology JID - 101146178 RN - 0 (Interleukin-13) RN - 0 (Interleukin-33) RN - 0 (Interleukin-5) RN - 0 (Myeloid Differentiation Factor 88) RN - 0 (TNF Receptor-Associated Factor 6) RN - 187348-17-0 (Interleukin-12) RN - 37341-29-0 (Immunoglobulin E) RN - 83905-01-5 (Azithromycin) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - N12000U13O (Doxycycline) SB - IM MH - Animals MH - *Asthma MH - *Azithromycin/pharmacology/therapeutic use MH - Cyclooxygenase 2/genetics/metabolism MH - Doxycycline/pharmacology/therapeutic use MH - Humans MH - Immunoglobulin E/metabolism MH - Inflammation/drug therapy MH - Interleukin-12 MH - Interleukin-13/metabolism/therapeutic use MH - Interleukin-33 MH - Interleukin-5/metabolism/therapeutic use MH - Mice MH - Mucus/metabolism MH - Myeloid Differentiation Factor 88/metabolism MH - Signal Transduction MH - TNF Receptor-Associated Factor 6 OTO - NOTNLM OT - Allergy and immunology OT - Antibiotic prophylaxis OT - Inflammation OT - Signal transduction EDAT- 2022/05/02 06:00 MHDA- 2022/05/04 06:00 CRDT- 2022/05/01 00:00 PHST- 2021/08/10 00:00 [received] PHST- 2021/09/04 00:00 [accepted] PHST- 2022/05/01 00:00 [entrez] PHST- 2022/05/02 06:00 [pubmed] PHST- 2022/05/04 06:00 [medline] AID - 10.18502/ijaai.v21i2.9220 [doi] PST - epublish SO - Iran J Allergy Asthma Immunol. 2022 Apr 11;21(2):119-127. doi: 10.18502/ijaai.v21i2.9220.