Azithromycin Inhibits Mucus Hypersecretion from Airway Epithelial Cells

To examine the in vivo effects of the 15-member macrolide, azithromycin (AZM), on mucus hypersecretion, we induced hypertrophic and metaplastic changes of goblet cells in rat nasal epithelium by intranasal instillation of ovalbumin (OVA) in OVA-sensitized rats, or by intranasal lipopolysaccharides (...

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Main Authors: Takeshi Shimizu, Shino Shimizu
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/265714
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author Takeshi Shimizu
Shino Shimizu
author_facet Takeshi Shimizu
Shino Shimizu
author_sort Takeshi Shimizu
collection DOAJ
description To examine the in vivo effects of the 15-member macrolide, azithromycin (AZM), on mucus hypersecretion, we induced hypertrophic and metaplastic changes of goblet cells in rat nasal epithelium by intranasal instillation of ovalbumin (OVA) in OVA-sensitized rats, or by intranasal lipopolysaccharides (LPS) instillation. Oral administration of AZM (5–10 mg/kg) or clarithromycin (CAM, 5–10 mg/kg) significantly inhibited OVA- and LPS-induced mucus production, whereas josamycin (JM) or ampicillin (ABPC) showed no effect. In vitro effects of AZM on airway epithelial cells were examined using NCI-H292 cells and human nasal epithelial cells cultured in air-liquid interface. Mucus secretion was evaluated by enzyme-linked immunosorbent assay using an anti-MUC5AC monoclonal antibody. AZM or CAM significantly inhibited tumor necrosis factor-α (TNF-α) (20 ng/mL)-induced MUC5AC secretion from NCI-H292 cells at 10−6–10−7 M, whereas JM or ABPC showed no effect. AZM significantly inhibited TNF-𝛼 (20 ng/mL)-induced MUC5AC secretion from human nasal epithelial cells at 10−4 M. MUC5AC mRNA expression was also significantly inhibited. These results indicate that the 15-member macrolide, AZM, exerts direct inhibitory effects on mucus secretion from airway epithelial cells and that it may be useful for the treatment of mucus hypersecretion caused by allergic inflammation and LPS stimulation.
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spelling doaj-art-cdcc08be59fc4898989522b892000c652025-02-03T05:47:11ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/265714265714Azithromycin Inhibits Mucus Hypersecretion from Airway Epithelial CellsTakeshi Shimizu0Shino Shimizu1Department of Otorhinolaryngology, Shiga University of Medical Science, Seta, Tsukinowa, Otsu, Shiga 520-2192, JapanDepartment of Otorhinolaryngology, Shiga University of Medical Science, Seta, Tsukinowa, Otsu, Shiga 520-2192, JapanTo examine the in vivo effects of the 15-member macrolide, azithromycin (AZM), on mucus hypersecretion, we induced hypertrophic and metaplastic changes of goblet cells in rat nasal epithelium by intranasal instillation of ovalbumin (OVA) in OVA-sensitized rats, or by intranasal lipopolysaccharides (LPS) instillation. Oral administration of AZM (5–10 mg/kg) or clarithromycin (CAM, 5–10 mg/kg) significantly inhibited OVA- and LPS-induced mucus production, whereas josamycin (JM) or ampicillin (ABPC) showed no effect. In vitro effects of AZM on airway epithelial cells were examined using NCI-H292 cells and human nasal epithelial cells cultured in air-liquid interface. Mucus secretion was evaluated by enzyme-linked immunosorbent assay using an anti-MUC5AC monoclonal antibody. AZM or CAM significantly inhibited tumor necrosis factor-α (TNF-α) (20 ng/mL)-induced MUC5AC secretion from NCI-H292 cells at 10−6–10−7 M, whereas JM or ABPC showed no effect. AZM significantly inhibited TNF-𝛼 (20 ng/mL)-induced MUC5AC secretion from human nasal epithelial cells at 10−4 M. MUC5AC mRNA expression was also significantly inhibited. These results indicate that the 15-member macrolide, AZM, exerts direct inhibitory effects on mucus secretion from airway epithelial cells and that it may be useful for the treatment of mucus hypersecretion caused by allergic inflammation and LPS stimulation.http://dx.doi.org/10.1155/2012/265714
spellingShingle Takeshi Shimizu
Shino Shimizu
Azithromycin Inhibits Mucus Hypersecretion from Airway Epithelial Cells
Mediators of Inflammation
title Azithromycin Inhibits Mucus Hypersecretion from Airway Epithelial Cells
title_full Azithromycin Inhibits Mucus Hypersecretion from Airway Epithelial Cells
title_fullStr Azithromycin Inhibits Mucus Hypersecretion from Airway Epithelial Cells
title_full_unstemmed Azithromycin Inhibits Mucus Hypersecretion from Airway Epithelial Cells
title_short Azithromycin Inhibits Mucus Hypersecretion from Airway Epithelial Cells
title_sort azithromycin inhibits mucus hypersecretion from airway epithelial cells
url http://dx.doi.org/10.1155/2012/265714
work_keys_str_mv AT takeshishimizu azithromycininhibitsmucushypersecretionfromairwayepithelialcells
AT shinoshimizu azithromycininhibitsmucushypersecretionfromairwayepithelialcells