Short-term intratracheal use of PEG-modified IL-2 and glucocorticoid persistently alleviates asthma in a mouse model

Sci Rep. 2016 Aug 16:6:31562. doi: 10.1038/srep31562.

Abstract

Regulatory T (Treg) cells play an important role in allergic airway diseases, and upregulation of Treg cells is a potential therapeutic strategy for asthma. In this study, we show that short-term intratracheal use of IL-2 combined with glucocorticoid alleviates antigen-induced airway inflammation and reduces airway hyperresponsiveness by expanding antigen-nonspecific Treg cells, with a decrease in T helper 2 (Th2) cells and Th2-associated cytokines. We also designed a long-acting polyethylene glycol (PEG)-modified IL-2 and demonstrated that the optimal dosage form is IL-2(PEG) plus budesonide, which can upregulate Treg cells and ameliorate asthma at a lower dose. The therapeutic effect was faster than treatment with dexamethasone and was effective at a low dose suitable for humans that could last for at least 6 weeks. This study unveils a new therapeutic regimen and suggests that such endogenous Treg therapy could be a useful tool to persistently alleviate asthma.

MeSH terms

  • Animals
  • Asthma / metabolism
  • Asthma / prevention & control*
  • Bronchoalveolar Lavage Fluid
  • Budesonide / administration & dosage
  • Cytokines / metabolism
  • Dexamethasone / administration & dosage*
  • Disease Models, Animal*
  • Drug Administration Routes
  • Female
  • Interleukin-2 / administration & dosage*
  • Interleukin-2 / chemistry
  • Mice
  • Mice, Inbred BALB C
  • Polyethylene Glycols / administration & dosage*
  • T-Lymphocytes, Regulatory / drug effects
  • T-Lymphocytes, Regulatory / immunology
  • Trachea*

Substances

  • Cytokines
  • Interleukin-2
  • Polyethylene Glycols
  • Budesonide
  • Dexamethasone