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The Journal of Immunology, 2005, 174: 5774-5780.
Copyright © 2005 by The American Association of Immunologists

Manipulation of Allergen-Induced Airway Remodeling by Treatment with Anti-TGF-{beta} Antibody: Effect on the Smad Signaling Pathway1

Sarah J. McMillan*, Georgina Xanthou{dagger} and Clare M. Lloyd2,*

* Leukocyte Biology Section, Division of Biomedical Sciences, Faculty of Medicine Imperial College, London, United Kingdom; and {dagger} Immunology and Transplantation Centre, Foundation of Biomedical Research of the Academy of Athens, Athens, Greece

Airway inflammation and remodeling are important pathophysiologic features of chronic asthma. Previously, we have developed a mouse model of prolonged allergen challenge which exhibits many characteristics of chronic asthma such as goblet cell hyperplasia and subepithelial collagen deposition, in association with an increase in lung expression of the profibrotic mediator, TGF-{beta}. The aim of this study was to determine the effects of blockade of TGF-{beta} on the development of airway inflammation and remodeling using our murine model of prolonged allergen challenge. Importantly anti-TGF-{beta} Ab was administered therapeutically, with dosing starting after the onset of established eosinophilic airway inflammation. Therapeutic treatment of mice with anti-TGF-{beta} Ab significantly reduced peribronchiolar extracellular matrix deposition, airway smooth muscle cell proliferation, and mucus production in the lung without affecting established airway inflammation and Th2 cytokine production. Thus, our data suggest that it might be possible to uncouple airway inflammation and remodeling during prolonged allergen challenge. In addition, anti-TGF-{beta} Ab treatment was shown to regulate active TGF-{beta} signaling in situ with a reduction in the expression of phospho-Smad 2 and the concomitant up-regulation of Smad 7 in lung sections. Therefore, this is the first report to suggest that anti-TGF-{beta} Ab treatment prevents the progression of airway remodeling following allergen challenge even when given in a therapeutic mode. Moreover, the molecular mechanism behind this effect may involve regulation of active TGF-{beta} signaling.




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