help button home button
AJRCCM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH

Published ahead of print on October 10, 2008, doi:10.1164/rccm.200801-084OC

Am. J. Respir. Crit. Care Med., Volume 178, Number 11, December 2008, 1115-1122

A more recent version of this article appeared on December 1, 2008
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
200801-084OCv1
178/11/1115    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Southam, D. S
Right arrow Articles by Inman, M. D
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Southam, D. S
Right arrow Articles by Inman, M. D

Submitted on January 13, 2008
Accepted on October 9, 2008

Goblet Cell Rebound and Airway Dysfunction with Corticosteroid Withdrawal in a Mouse Model of Asthma

David S Southam1*, Russ Ellis1, Jennifer Wattie2, William Glass3, and Mark D Inman1

1 Firestone Institute for Respiratory Health, Department of Medicine, McMaster University, Hamilton, Canada, 2 Firestone Institute for Respiratory Health, Department of Medicine, McMaster University & St. Joseph's Hospital, Hamilton, Canada, 3 Centecor R&D, Radnor, Pennsylvania, United States

* To whom correspondence should be addressed. E-mail: southads{at}mcmaster.ca.

Rationale: Although corticosteroids are highly effective at preventing allergen-induced increases in goblet cell numbers, in unpublished experiments, we have observed a rebound increase in goblet cell numbers in mice, following the simultaneous withdrawal of corticosteroid and cessation of exposure to allergen, that reached levels greater than those observed in mice exposed to allergen alone without any corticosteroid treatment. Objectives: Formally explore the goblet cell hyperplasia rebound observed following corticosteroid withdrawal in allergen exposed mice and determine the mechanism responsible for this previously undescribed pathology. Methods: Mice airways were assessed for mucin containing goblet cells following exposure to varying durations of allergen and corticosteroid. Measurements and Main Results: We confirmed that the simultaneous withdrawal of corticosteroid and cessation of exposure to allergen resulted in a goblet cell hyperplasia rebound that reached levels greater than those observed in allergen exposed corticosteroid naive mice. Importantly, the goblet cell rebound was associated with a significant airway dysfunction, that was greater than that observed in allergen exposed corticosteroid naive mice. The goblet cell hyperplasia rebound is independent of the type of corticosteroid or allergen and was associated with an increased level of bronchoalveolar lavage interleukin-13. Inhibition of interleukin-13, but not CD4+ T cells, completely inhibited the goblet cell hyperplasia rebound and critically the associated airway dysfunction. Conclusions: These findings suggest that certain corticosteroid treatment regimes may actually potentiate airway remodeling and dysfunction in patients with asthma and lead to increased exacerbations and worsening of asthma symptoms.


Key words: asthma • corticosteroids • goblet cell hyperplasia • interleukin-13 • airway dysfunction




This article has been cited by other articles:


Home page
Am. J. Respir. Crit. Care Med.Home page
W. C. Moore
Update in Asthma 2008
Am. J. Respir. Crit. Care Med., May 15, 2009; 179(10): 869 - 874.
[Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
A. Bush
Update in Pediatric Lung Disease 2008
Am. J. Respir. Crit. Care Med., April 15, 2009; 179(8): 637 - 649.
[Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Proc. Am. Thorac. Soc. Am. J. Respir. Cell Mol. Biol.
Copyright © 2008 American Thoracic Society
  ATS 2008 State of the Art Course