Subgroups of patients with severe
asthma showing marked increases in sputum eosinophils and/or neutrophils are insensitive to
corticosteroids. Previous reports have shown that exogenous administration of an anti-inflammatory
cytokine,
interleukin (IL)-10 negatively regulated both eosinophilic and neutrophilic migration into tissues. The objective of this study was to elucidate whether intratracheal
IL-10 administration suppresses asthmatic responses in a
steroid-insensitive model of mice.
Ovalbumin (OVA)-sensitized BALB/c mice were intratracheally challenged with OVA at 500 µg/animal four times.
Dexamethasone (1 mg/kg, intraperitoneal) or
IL-10 (25 ng/mouse, intratracheal) was administered during the multiple challenges. The number of leukocytes, expression of
intercellular adhesion molecule-1 (ICAM-1),
vascular cell adhesion molecule-1 (VCAM-1), and
IL-10 receptor in the lung, and the development of
airway remodeling and hyperresponsiveness were evaluated after the fourth challenge. Consistent with our previous study,
dexamethasone hardly suppressed the development of
airway remodeling and hyperresponsiveness. Although intratracheal
IL-10 administration did not affect the development of
airway remodeling, the infiltration of eosinophils and neutrophils, and the development of
airway hyperresponsiveness were significantly inhibited. Moreover,
IL-10 administration significantly decreased the numbers of ICAM-1+ and VCAM-1+ pulmonary vascular endothelial cells, which express
IL-10 receptor 1, even though neither production of eosinophilic nor neutrophilic
cytokines in the lung was inhibited. Therefore,
IL-10 can suppress eosinophil and neutrophil infiltration by inhibiting the proliferation of ICAM-1+ and VCAM-1+ pulmonary vascular endothelial cells, resulting in inhibition of
airway hyperresponsiveness in
steroid-insensitive asthmatic mice.
IL-10 replacement
therapy may be clinically useful for the treatment of
steroid-insensitive
asthma.