1. New use for an old drug: COX-independent anti-inflammatory effects of sulindac in models of cystic fibrosis
- Author
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Ralph Epaud, Pascale Fanen, Agathe Tarze, Abdel Aissat, Virginie Prulière-Escabasse, Sylvie Manin, Anne Hulin, Adeline Wohlhuter-Haddad, Jérémy Rocca, and Wilfried Verbecq-Morlot
- Subjects
0301 basic medicine ,Male ,Cystic Fibrosis ,Inflammation ,Pharmacology ,Cystic fibrosis ,Cell Line ,03 medical and health sciences ,Mice ,Sulindac ,In vivo ,Medicine ,Animals ,Humans ,Secretion ,Lung ,business.industry ,Anti-Inflammatory Agents, Non-Steroidal ,medicine.disease ,Research Papers ,In vitro ,Mice, Inbred C57BL ,030104 developmental biology ,medicine.anatomical_structure ,Prostaglandin-Endoperoxide Synthases ,Tumor necrosis factor alpha ,medicine.symptom ,business ,medicine.drug ,HeLa Cells ,Research Paper - Abstract
Background and Purpose Pulmonary disease is the main cause of morbidity and mortality in cystic fibrosis (CF) patients due to exacerbated inflammation. To date, the only anti-inflammatory drug available to CF patients is high-dose ibuprofen, which can slow pulmonary disease progression, but whose cyclooxygenase-dependent digestive adverse effects limit its clinical use. Here we have tested sulindac, another non-steroidal anti-inflammatory drug with an undefined anti-inflammatory effect in CF airway epithelial cells. Experimental Approach Using in vitro and in vivo models, we NF-κB activity and IL-8 secretion. In HeLa-F508del cells, we performed luciferase reporter gene assays in order to measure i) IL-8 promoter activity, and ii) the activity of synthetic promoter containing NF-κB responsive elements. We quantified IL-8 secretion in airway epithelial CFBE cells cultured at an air-liquid interface and in a mouse model of CF. Key Results Sulindac inhibited the transcriptional activity of NF-κB and decreased IL-8 transcription and secretion in TNF-α stimulated CF cells via a cyclooxygenase-independent mechanism. This effect was confirmed in vivo in a mouse model of CF induced by intra-tracheal instillation of LPS, with a significant decrease of the induction of mRNA for MIP-2, following treatment with sulindac. Conclusion and Implications Overall, sulindac decrease lung inflammation by a mechanism independent of cycolooxygenase. This drug could be beneficially employed in CF.
- Published
- 2015