1. Distinct anti-inflammatory properties of alpha1-antitrypsin and corticosteroids reveal unique underlying mechanisms of action
- Author
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Yuval Sagiv, Boris M. Baranovski, Eli C. Lewis, Michal Ayalon, Naveh Tov, Michal Stein, Liliana Bar, Ronen Schuster, and Noa Motola-Kalay
- Subjects
0301 basic medicine ,congenital, hereditary, and neonatal diseases and abnormalities ,THP-1 Cells ,medicine.medical_treatment ,Immunology ,Anti-Inflammatory Agents ,Endogeny ,Inflammation ,Pharmacology ,Biology ,Dexamethasone ,03 medical and health sciences ,chemistry.chemical_compound ,Mice ,0302 clinical medicine ,Downregulation and upregulation ,Adrenal Cortex Hormones ,medicine ,Animals ,Humans ,Tumor Necrosis Factor-alpha ,NF-kappa B ,NF-κB ,Interleukin 1 Receptor Antagonist Protein ,030104 developmental biology ,Interleukin 1 receptor antagonist ,Cytokine ,RAW 264.7 Cells ,chemistry ,A549 Cells ,alpha 1-Antitrypsin ,Cytokines ,Animal studies ,medicine.symptom ,hormones, hormone substitutes, and hormone antagonists ,030215 immunology ,medicine.drug ,Signal Transduction - Abstract
Alpha1-antitrypsin (AAT) is a serum protease inhibitor that rises during inflammation and healthy pregnancies. Plasma-derived AAT, indicated for genetic AAT deficiency, is presently being explored for additional medical indications. Unlike corticosteroids, some anti-inflammatory activities of AAT involve NF-κB-dependent outcomes, e.g., induction of IL-1R antagonist. AAT activities were compared to dexamethasone (DEX), using various in-vitro cells assays, animal studies, and NF-κB-p65 localization and activity studies. Results demonstrate a cytokine shift towards resolution in AAT-treated cells, as opposed to pan-suppression in DEX-treated cells. AAT enhanced, while DEX suppressed LPS-induced IL-1Ra production and re-epithelialization. When drugs were combined, AAT allowed the immunosuppressive DEX activities, while DEX at medium to high levels antagonized beneficial AAT effects. Interestingly, lower levels of DEX maintained the immunosuppressive effect, while allowing upregulation of IL-1Ra. Therefore, AAT may represent a distinct endogenous anti-inflammatory, resolution-promoting agent that may improve tissue well-being while preventing undesired corticostroids side effects.
- Published
- 2020