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Clarithromycin suppresses induction of monocyte chemoattractant protein-1 and matrix metalloproteinase-9 and improves pathological changes in the lungs and heart of mice infected with influenza A virus.

Abstract
The influenza A virus (IAV)-cytokine-trypsin/matrix metalloproteinase-9 (MMP-9) cycle is one of the important mechanisms of multiple organ failure in severe influenza. Clarithromycin, a macrolide antibiotic, has immune modulatory and anti-inflammatory effects. We analyzed the effects of clarithromycin on the induction of chemokines, cytokines, MMP-9, trypsin, vascular hyper-permeability and inflammatory aggravation in mice with IAV infection. IAV/Puerto Rico/8/34(H1N1) infection increased the levels of monocyte chemoattractant protein-1 (MCP-1) and cytokines in serum, and MMP-9 and trypsin in serum and/or the lungs and heart. Clarithromycin significantly suppressed the induction of serum MCP-1 and MMP-9 and vascular hyperpermeability in these organs in the early phase of infection, but did not suppress the induction of trypsin, IL-6 or IFN-γ. Histopathological examination showed that clarithromycin tended to reduce inflammatory cell accumulation in the lungs and heart. These results suggest that clarithromycin suppresses infection-related inflammation and reduces vascular hyperpermeability by suppressing the induction of MCP-1 and MMP-9.
AuthorsEtsuhisa Takahashi, Irene L Indalao, Takako Sawabuchi, Keiko Mizuno, Satoko Sakai, Takashi Kimoto, Hyejin Kim, Hiroshi Kido
JournalComparative immunology, microbiology and infectious diseases (Comp Immunol Microbiol Infect Dis) Vol. 56 Pg. 6-13 (Feb 2018) ISSN: 1878-1667 [Electronic] England
PMID29406285 (Publication Type: Journal Article)
CopyrightCopyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Chemical References
  • Anti-Bacterial Agents
  • Chemokine CCL2
  • Matrix Metalloproteinase 9
  • Clarithromycin
Topics
  • Animals
  • Anti-Bacterial Agents (therapeutic use)
  • Blotting, Western
  • Chemokine CCL2 (metabolism)
  • Clarithromycin (therapeutic use)
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Influenza A virus
  • Lung (pathology)
  • Matrix Metalloproteinase 9 (metabolism)
  • Mice
  • Mice, Inbred BALB C
  • Myocardium (pathology)
  • Orthomyxoviridae Infections (drug therapy, immunology, pathology, virology)

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