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Inhaled iloprost suppresses the cardinal features of asthma via inhibition of airway dendritic cell function.


ABSTRACT: Inhalation of iloprost, a stable prostacyclin (PGI(2)) analog, is a well-accepted and safe treatment for pulmonary arterial hypertension. Although iloprost mainly acts as a vasodilator by binding to the I prostanoid (IP) receptor, recent evidence suggests that signaling via this receptor also has antiinflammatory effects through unclear mechanisms. Here we show in a murine model of asthma that iloprost inhalation suppressed the cardinal features of asthma when given during the priming or challenge phase. As a mechanism of action, iloprost interfered with the function of lung myeloid DCs, critical antigen-presenting cells of the airways. Iloprost treatment inhibited the maturation and migration of lung DCs to the mediastinal LNs, thereby abolishing the induction of an allergen-specific Th2 response in these nodes. The effect of iloprost was DC autonomous, as iloprost-treated DCs no longer induced Th2 differentiation from naive T cells or boosted effector cytokine production in primed Th2 cells. These data should pave the way for a clinical effectiveness study using inhaled iloprost for the treatment of asthma.

SUBMITTER: Idzko M 

PROVIDER: S-EPMC1783814 | biostudies-literature | 2007 Feb

REPOSITORIES: biostudies-literature

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Inhaled iloprost suppresses the cardinal features of asthma via inhibition of airway dendritic cell function.

Idzko Marco M   Hammad Hamida H   van Nimwegen Menno M   Kool Mirjam M   Vos Nanda N   Hoogsteden Henk C HC   Lambrecht Bart N BN  

The Journal of clinical investigation 20070201 2


Inhalation of iloprost, a stable prostacyclin (PGI(2)) analog, is a well-accepted and safe treatment for pulmonary arterial hypertension. Although iloprost mainly acts as a vasodilator by binding to the I prostanoid (IP) receptor, recent evidence suggests that signaling via this receptor also has antiinflammatory effects through unclear mechanisms. Here we show in a murine model of asthma that iloprost inhalation suppressed the cardinal features of asthma when given during the priming or challen  ...[more]

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