Published ahead of print on June 26, 2008, doi:10.1164/rccm.200710-1588OC Am. J. Respir. Crit. Care Med., Volume 178, Number 6, September 2008, 565-573 A more recent version of this article appeared on September 15, 2008
Submitted on October 29, 2007 Arginase Inhibition Protects Against Allergic Airway Obstruction, Hyperresponsiveness & InflammationHarm Maarsingh1*,1 Department of Molecular Pharmacology, University Center for Pharmacy, University of Groningen, Groningen, The Netherlands, 2 N.V. Organon, Oss, The Netherlands, 3 Laboratoire de Chimie et Biochimie Pharmacologiques et Toxicologiques, Universite Paris V.R. Descartes, Paris, France * To whom correspondence should be addressed. E-mail: h.maarsingh{at}rug.nl.
Rationale: In a guinea pig model of allergic asthma, using perfused tracheal preparations ex vivo, we recently demonstrated that L-arginine limitation due to increased arginase activity underlies a deficiency of bronchodilating nitric oxide (NO) and airway hyperresponsiveness (AHR) after the allergen-induced early and late asthmatic reaction. Objective: Using the same animal model, we investigated the acute effects of the specific arginase inhibitor 2(S)-amino-6-boronohexanoic acid (ABH) and of L-arginine on AHR after the early and late reaction in vivo. In addition, we investigated the protection of allergen-induced asthmatic reactions, AHR and airway inflammation by pretreatment with the drug. Results: Inhaled ABH acutely reversed AHR to histamine after the early reaction from 4.77±0.56-fold to 2.04±0.34-fold (P<0.001), while a tendency to inhibition was observed after the late reaction (from 1.95±0.56-fold to 1.56±0.47-fold, P<0.10). Quantitatively similar results were obtained with inhaled L-arginine. Remarkably, after pretreatment with ABH a 33-fold higher dose of allergen was needed to induce airways obstruction (P<0.01). Consequently, ABH inhalation 0.5 h before and 8 h after allergen challenge protected against the allergen-induced early and late asthmatic reactions, AHR and inflammatory cell infiltration. Conclusion: Inhalation of ABH or L-arginine acutely reverses allergen-induced AHR after the early and late asthmatic reaction, presumably by attenuating arginase-induced substrate deficiency to NO synthase in the airways. Moreover, ABH considerably reduces the airway sensitivity to inhaled allergen and protects against allergen-induced bronchial obstructive reactions, AHR and airway inflammation. This is the first in vivo study indicating that arginase inhibitors may have therapeutic potential in allergic asthma. Key words: allergic asthma, 2(S)-amino-6-boronohexanoic acid, L-arginine, nitric oxide, guinea pigs
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