1. Targeting phosphoinositide 3-kinase δ for allergic asthma
- Author
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Wendy C. Rowan, Karen Affleck, Augustin Amour, and Janet L. Smith
- Subjects
Inflammation ,Immune receptor ,Biochemistry ,Pathogenesis ,Phosphatidylinositol 3-Kinases ,medicine ,Animals ,Humans ,Immunologic Factors ,Enzyme Inhibitors ,Asthma ,Phosphoinositide-3 Kinase Inhibitors ,Lung ,Phosphoinositide 3-kinase ,biology ,business.industry ,Kinase ,Degranulation ,medicine.disease ,medicine.anatomical_structure ,Immunology ,biology.protein ,medicine.symptom ,business - Abstract
Chronic inflammation in the lung has long been linked to the pathogenesis of asthma. Central to this airway inflammation is a T-cell response to allergens, with Th2 cytokines driving the differentiation, survival and function of the major inflammatory cells involved in the allergic cascade. PI3Kδ (phosphoinositide 3-kinase δ) is a lipid kinase, expressed predominantly in leucocytes, where it plays a critical role in immune receptor signalling. A selective PI3Kδ inhibitor is predicted to block T-cell activation in the lung, reducing the production of pro-inflammatory Th2 cytokines. PI3Kδ is also involved in B-cell and mast cell activation. Therefore the inhibition of PI3Kδ should dampen down the inflammatory cascade involved in the asthmatic response through a wide breadth of pharmacology. Current anti-inflammatory therapies, which are based on corticosteroids, are effective in controlling inflammation in mild asthmatics, but moderate/severe asthmatic patients remain poorly controlled, experiencing recurrent exacerbations. Corticosteroids have no effect on mast cell degranulation and do not act directly on B-cells, so, overall, a PI3Kδ inhibitor has the potential to deliver improvements in onset of action, efficacy and reduced exacerbations in moderate/severe asthmatics. Additionally, PI3Kδ inhibition is expected to block effects of Th17 cells, which are increasingly implicated in steroid-insensitive asthma.
- Published
- 2012