Pulmonary fibrosis, a progressive and lethal
lung disease characterized by
inflammation and accumulation of extracellular matrix components, is a major therapeutic challenge for which new therapeutic strategies are warranted.
Cyclooxygenase (COX) inhibitors have been previously utilized to reduce
inflammation.
Histamine H4 receptor (H4R), largely expressed in hematopoietic cells, has been identified as a novel target for inflammatory and
immune disorders. The aim of this study was to evaluate the effect of
JNJ7777120 (1-[(5-chloro-1H-indol-2-yl)carbonyl]-4-methylpiperazine), a selective H4R antagonist, and
naproxen, a well known nonsteroidal anti-inflammatory
drug, and their combination in a murine model of
bleomycin-induced
fibrosis.
Bleomycin (0.05 IU) was instilled intratracheally to C57BL/6 mice, which were then treated by micro-osmotic pump with vehicle,
JNJ7777120 (40 mg/kg b.wt.),
naproxen (21 mg/kg b.wt.), or a combination of both. Airway resistance to inflation, an index of lung stiffness, was assessed, and lung specimens were processed for
inflammation, oxidative stress, and
fibrosis markers. Both drugs alone were able to reduce the airway resistance to inflation induced by
bleomycin and the inflammatory response by decreasing COX-2 and
myeloperoxidase expression and activity and
thiobarbituric acid-reactive substance and
8-hydroxy-2'-deoxyguanosine production. Lung
fibrosis was inhibited, as demonstrated by the reduction of tissue levels of
transforming growth factor-β,
collagen deposition, relative goblet cell number, and smooth muscle layer thickness. Our results demonstrate that both
JNJ7777120 and
naproxen exert an anti-inflammatory and antifibrotic effect that is increased by their combination, which could be an effective therapeutic strategy in the treatment of
pulmonary fibrosis.