Volume 8, Issue 5
Article number e63871
Glucocorticoids--therapeutic use; Hypersensitivity--complications; Hypersensitivity--drug therapy; Pneumonia--complications; Pneumonia--drug therapy; Pregnadienediols--therapeutic use
Asthma is a chronic inflammatory condition of the lower respiratory tract associated with airway hyperreactivity and mucus obstruction in which a majority of cases are due to an allergic response to environmental allergens. Glucocorticoids such as prednisone have been standard treatment for many inflammatory diseases for the past 60 years. However, despite their effectiveness, long-term treatment is often limited by adverse side effects believed to be caused by glucocorticoid receptor-mediated gene transcription. This has led to the pursuit of compounds that retain the anti-inflammatory properties yet lack the adverse side effects associated with traditional glucocorticoids. We have developed a novel series of steroidal analogues (VBP compounds) that have been previously shown to maintain anti-inflammatory properties such as NFκB-inhibition without inducing glucocorticoid receptor-mediated gene transcription. This study was undertaken to determine the effectiveness of the lead compound, VBP15, in a mouse model of allergic lung inflammation. We show that VBP15 is as effective as the traditional glucocorticoid, prednisolone, at reducing three major hallmarks of lung inflammation—NFκB activity, leukocyte degranulation, and pro-inflammatory cytokine release from human bronchial epithelial cells obtained from patients with asthma. Moreover, we found that VBP15 is capable of reducing inflammation of the lung in vivo to an extent similar to that of prednisone. We found that prednisolone–but not VBP15 shortens the tibia in mice upon a 5 week treatment regimen suggesting effective dissociation of side effects from efficacy. These findings suggest that VBP15 may represent a potent and safer alternative to traditional glucocorticoids in the treatment of asthma and other inflammatory diseases.
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Damsker, J. M., Dillingham, B. C., Rose, M. C., Balsley, M. A., Heier, C. R., Watson, A. M., Stemmy, E.J., Jurjus, R.A., Huynh, T., Tatem, K., Uaesoontrachoon, K., Berry, D.M., Benton, A.S., Freishtat, R.J., Hoffman, E.P., McCall, J.M., Gordish-Dressman, H., Constant, S.L., Reeves, E.K.M., Nagaraju, K. (2013). VBP15, a glucocorticoid analogue, is effective at reducing allergic lung inflammation in mice. PLoS ONE, 8(5), e63871.
Reproduced with permission of PLoS ONE