Articles
 

Effects and Mechanism of Arsenic Trioxide on Reversing the Asthma Pathologies Including Th17-IL-17 Axis in a Mouse Model

Abstract

In traditional Chinese medicine, arsenous compounds, including arsenic trioxide (ATO), are often used to treat many diseases, which are safe and effective. Recently, studies have indicated that Th17– IL-17 involved in the pathogenesis and development of asthma. The goal of this study was to investigate the effect and mechanism of ATO on asthma, especially the Th17– IL-17 axis.
We used oval bumin (OVA)-immunized mice as a model for asthma and treated mice with ATO or dexamethasone. The mice were then monitored airway responsiveness, airway inflammation, mucus production, IL-17 levels in BALF and the positive rate of Th17 cells. In vitro, CD4+ T cells from splenic cell suspensions were separated and purified.
We measured the expression of IL-17 and caspase-12 protein in purified CD4+ T cells, and detected IL-17 levels in CD4+  T lymphocyte culture solution with or without ATO. Moreover, apoptosis, mitochondrial membrane potential, cytosolic calcium were analyzed.
We found that ATO  could reduce airway responsiveness, airway inflammation, mucus hyperplasia, the expression of IL-17 in BALF and the positive rate of Th17 cells at a level comparable to treatment with DXM. In vitro data suggested that ATO can induce CD4+ T cells apoptosis, cause mitochondrial dysfunction, Ca2+  overload and promote  caspase-12 activation. Our study suggested that ATO had potential medical value for the treatment of human asthma.

1. Park H, Li Z, Yang XO, Chang SH, Nurieva R, Dong C, et al. A distinct lineage of CD4 T cells regulates tissue inflammation by producing interleukin 17. Nat Immunol 2005; 6(11):1133-41.
2. Wakashin H, Hirose K, Maezawa Y, Kagami S, Suto A, Watanabe N, et al. IL-23 and Th17 cells enhance Th2- cell-mediated eosinophilic airway inflammation in mice. Am J Respir Crit Care Med 2008; 178(10):1023-32.
3. Molet S, Hamid Q, Davoine F, Olivenstein R, Elias J, Chakir J, et al. IL-17 is increased in asthmatic airways and induces human bronchial fibroblasts to produce cytokines. J Allergy Clin Immunol 2001; 108(3):430-8.
4. Chakir J, Shannon J, Molet S, Fukakusa M, Elias J, Laviolette M, et al. Airway remodeling-associated mediators in moderate to severe asthma: effect of steroids on TGF-b, IL-11, IL-17, and type I and type III collagen expression. J Allergy Clin Immunol 2003; 111(6):1293-8.
5. Chen GQ, Zhu J, Shi XG, Chen SJ, Wang ZY, Chen Z, et al. In vivo studies on cellular and molecular mechanisms of arsenic trioxide (As2O3) in the treatment of acute promyelocytic leukemia: As2O3 induces NB4 cell apoptosis with downregulation of Bcl-2 expression and modulation of PML-RAR alpha/PML proteins. Blood 1996 ; 88(3):1052-61.
6. Zhou LF, Zhu Y, Cui XF, Cui XF, Hu AH, Yin KS.Arsenic trioxide, a potent inhibitor of NF-kB, abrogates allergen-induced airway hyperresponsiveness and inflammation. Resperatory Res 2006; 7(1):146-58.
7. Chu KH, Lee CC, Hsin SC, Cai BC, Wang JH, Chiang BL. Arsenic trioxide alleviates airway hyper- responsiveness and eosinophilia in a murine model of asthma. Cell Mol Immunol 2010; 7(5):375-80.
8. Nakagawa T, Zhu H, Morishima N, Li E, Xu J, Yangkner BA, et al. Caspase-12 mediates endoplasmic-reticulum- specific apoptosis and cytotoxicity by amyloid-beta. Nature 2000; 403(6765):98-103.
9. Cai X, Shen YL, Zhu Q, Wang ZY, Chen Z, Chen GQ, et al. Arsenic trioxide-induced apoptosis and differentiation are associated respectively with mitochondrial transmembrane potential collapse and retinoic acid signaling pathways in acute promyelocytic leukemia. Leukemia 2000; 14(2):262-70.
10. Binet F, Chiasson S, Girard D. Arsenic trioxide induces endoplasmic reticulum stress-related events in neutrophils. Int Immunopharmacol 2010; 10(4):508-12.
11. Tang CH, Chiu YC, Huang CF, Chen YW, Chen PC.Arsenic induces cell apoptosis in cultured osteoblasts through endoplasmic reticulum stress. Toxicol Appl Pharmacol 2009; 241(2):173-81.
12. McMillan SJ, Lloyd CM. Prolonged allergen challenge in mice leads to persistent airway remodelling. Clin Exp Allergy 2004; 34(3):497-507.
13. McKinley L, Alcorn JF, Peterson A, Dupont RB, Kapadia S, Logar A, et al. TH17 cells mediate steroid-resistant airway inflammation and airway hyperresponsiveness in mice. Immunol 2008; 181(6):4089-97.
14. Locke NR, Royce SG, Wainewright JS, Samuel CS, Tang ML. Comparison of Airway Remodeling in Acute, Subacute, and Chronic Models of Allergic Airways Disease. Am J Respir Cell Mol Biol 2007; 36(5):625-32.
15. Bandukwala HS, Clay BS, Tong J, Mody PD, Cannon JL,Shilling RA, et al. Signaling through Fc gamma RIII is required for optimal T helper type (Th)2 responses and Th2-mediated airway inflammation. J Exp Med 2007;204(8):1875-89.
16. Mikhak Z, Fukui M, Farsidjani A, Medoff BD, Tager AM, Luster AD. Contribution of CCR4 and CCR8 to antigen-specific Th2 cell trafficking in allergic pulmonary inflammation. J Allergy Clin Immunol 2009; 123(1):67-73.
17. Yang XO, Panopoulos AD, Nurieva R, Wang D, Nurieva R, Dong C, et al. STAT3 Regulates Cytokine-mediated Generation of Inflammatory Helper T Cells. J Biol Chem 2007; 282(13):9358-63.
18. Gupta S, Yel L, Kim D, Kim C, Chiplunkar S, Gollapudi S. Arsenic trioxide induces apoptosis in peripheral blood T lymphocyte subsets by inducing oxidative stress: a role of Bcl-2. Mol Cancer Ther 2003; 2(8):711-9.
19. Zhu XJ, Shi Y, Peng J, Guo CS, Shan NN, Qin P, et al. The effects of BAFF and BAFF-R-Fc fusion protein in immune thrombocytopenia. Blood 2009; 114(26):5362-7.
20. Martin-Orozco N, Chung Y, Chang SH, Wang YH, Dong C. Th17 cells promote pancreatic inflammation but only induce diabetes efficiently in lymphopenic hosts after conversion into Th1 cells. Eur J Immunol 2009;39(1):216-24.
21. Soboloff J, Berger SA. Sustained ER Ca2+ depletion suppresses protein synthesis and induces activation- enhanced cell death in mast cells. J Biol Chem 2002;277(16):13812-20.
22. Douwes J, Gibson P, Pekkanen J, Pearce N. Non- eosinophilic asthma: importance and possible mechanisms. Thorax 2002; 57(7):643-8.
23. Zhang X, Moilanen E, Adcock IM, Lindsay MA, Kankaanranta H. Divergent effect of mometasone on human eosinophil and neutrophil apoptosis. Life Sci 2002; 71(13):1523-34.
24. Cox G. Glucocorticoid treatment inhibits apoptosis in human neutrophils: separation of survival and activation outcomes. J Immunol 1995; 154(9): 4719-25.
25. Pavord ID. Non-eosinophilic asthma and the innate immune response. Thorax 2007; 62(3):193-4.
26. Pavord ID, Brightling CE, Woltmann G, Wardlaw AJ.
Non-eosinophilic corticosteroid unresponsive asthma. Lancet 1999; 353(9171): 2213-4.
27. Pène J, Chevalier S, Preisser L, Ravon E, Yssel H, Gascan H, et al. Chronically Inflamed Human Tissues Are Infiltrated by Highly Differentiated Th17 Lymphocytes. J Immunol 2008; 180(11):7423-30.
28. Corrigan CJ, Kay AB. CD4 T-lymphocyte activation in acute severe asthma: relationship to disease severity and atopic status. Am Rev Respir Dis 1990; 141(4):970-7.
29. Walker C, Bode E, Boer L, Hansel TT, Blaser K, Virchow JC jr. Allergic and nonallergic asthmatics have distinct patterns of T-cell activation and cytokine production in peripheral blood and bronchoalveolar lavage. Am Rev Respir Dis 1992; 146(1):109-15.
30. Xue J, Xu Y, Zhang Z. Lymphocyte apoptosis in asthmatic patients and its molecular mechanism. Zhonghua Jie He He Hu Xi Za Zhi 1999; 22(9):555-7.
31. Hengartner MO. The biochemistry of apoptosis. Nature 2000; 407(6805):770-6.
32. Woolley KL, Gibson PG, Carty K, Wilson AJ, Twaddell SH, Wolley MJ. Eosinophil apoptosis and the resolution of airway inflammation in asthma. Am J Respir Crit Care Med 1996; 154(1):237-43.
33. Zamzami N, Marchetti P, Castedo M, Zanin C, Petit PX, Kroemer G, et al. Reduction in mitochondrial potential constitutes an early irreversible step of programmed lymphocyte death in vivo. J Exp Med 1995; 181(5):1661-72.
34. Benali-Furet NL, Chami M, Houel L, De Giorgi F, Vernejoul F, Lagorce D, et al. Hepatitis C virus core triggers apoptosis in liver cells by inducing ER stress and ER calcium depletion. Oncogene 2005; 24(31):4921-33.
35. Zhang H, Duncan G, Wang L, Liu P, Cui H, Reddan JR, et al. Arsenic trioxide initiates ER stress responses, perturbs calciumsignalling and promotes apoptosis in human lens epithelial cells. Exp Eye Res 2007;85(6):825-35.
36. Du Y, Wang K, Fang H, Li J, Xiao D, Zheng P, et al.Coordination of intrinsic, extrinsic, and endoplasmic reticulum-mediated apoptosis by imatinib mesylate combined with arsenic trioxide in chronic myeloid leukemia. Blood 2006; 107(4):1582-90.
37. Chen J, Qin J, Liu X, Han Y, Yang Z, Chang X, et al.Nitric oxide-mediated neuronal apoptosis in rats with recurrent febrile seizures through endoplasmic reticulum stress pathway. Neurosci Lett 2008; 443(3):134-9.

Files
IssueVol 11, No 2 (2012) QRcode
SectionArticles
Keywords
Apoptosis Arsenic trioxide Asthma IL-17 Th17

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Zhang L, Li K, Ma L- bing, Gong S- bo, Wang G- yi, Liu Y, Ji X- ying, Xu L, Liu S- kun, Chen P, Ouyang R- yun, Xiang X- dong. Effects and Mechanism of Arsenic Trioxide on Reversing the Asthma Pathologies Including Th17-IL-17 Axis in a Mouse Model. Iran J Allergy Asthma Immunol. 1;11(2):133-145.