Allergic rhinitis (AR) is characterized by IgE-mediated immediate hypersensitivity and usually progresses to chronic nasal inflammation, with depression as one of its comorbidities. The importance of treating the depression in AR patients has been increasingly recognized. Desipramine is a representative of tricyclic-antidepressant agents. In the present study we investigate whether desipramine has therapeutic effects on AR inflammation. BALB/C mice were sensitized by intraperitoneal injection of ovalbumin (OVA), followed by repeated challenge with OVA intranasally. Desipramine was administered orally to treat the mice. The nasal symptoms (sneezing, nasal scratching etc.) of AR were evaluated to determine the severity of AR. Cytokines in the nasal lavage fluid (NALF), including interferon-gamma (IFN-gamma), interleukin 4, (IL-4) and serum OVA-specific immunoglobulin E (IgE) antibody were measured by ELISA. The regulatory T cells (T-reg) and T helper cells 17 (T(h)17) were quantified by flow cytometric analysis. As a result, the repeated oral administration of desipramine attenuated the nasal symptoms (sneezing and nasal rubbing) in AR mice. Desipramine also suppressed the serum OVA-specific IgE and IL-4 levels, but had no effect on IFN-gamma level. Moreover, desipramine treatment up regulated CD4(+)CD25(+)Foxp3(+)T(reg) cells, which were found down-regulated in established AR mice. Meanwhile, desipramine administration attenuated CD4(+)IL-17(+) T(h)17 cells, which were significantly increased in AR mice. These results suggest that the antidepressant drug, desipramine, also has anti-allergic action, which was possibly achieved by reducing allergen-specific IgE and T(h)2 cytokine production and maintaining a balance between T-reg and T(h)17 cells. Thus, this study provide the first evidence that desipramine may be utilized to treat allergic diseases, especially for those allergic patients with depression or depression patients with allergy.
基金:
National Natural Science Foundation of China [30870997, 81072634]; Ministry of Education of China [NCET-10-0409]; [HUST2011TS069]
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Pharmacol, Key Lab Drug Target Res & Pharmacodynam Evaluat H, Wuhan 430074, Hubei, Peoples R China[2]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Otorhinolaryngol, Wuhan 430074, Hubei, Peoples R China
通讯作者:
通讯机构:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Pharmacol, Key Lab Drug Target Res & Pharmacodynam Evaluat H, Wuhan 430074, Hubei, Peoples R China[*1]Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Pharmacol, 13 Hangkong Rd, Wuhan 430074, Hubei, Peoples R China
推荐引用方式(GB/T 7714):
Zhang Y.,Zhen H.,Yao W.,et al.ANTIDEPRESSANT DRUG, DESIPRAMINE, ALLEVIATES ALLERGIC RHINITIS BY REGULATING Treg AND Th17 CELLS[J].INTERNATIONAL JOURNAL OF IMMUNOPATHOLOGY AND PHARMACOLOGY.2013,26(1):107-115.doi:10.1177/039463201302600110.
APA:
Zhang, Y.,Zhen, H.,Yao, W.,Bian, F.,Mao, X....&Jin, S..(2013).ANTIDEPRESSANT DRUG, DESIPRAMINE, ALLEVIATES ALLERGIC RHINITIS BY REGULATING Treg AND Th17 CELLS.INTERNATIONAL JOURNAL OF IMMUNOPATHOLOGY AND PHARMACOLOGY,26,(1)
MLA:
Zhang, Y.,et al."ANTIDEPRESSANT DRUG, DESIPRAMINE, ALLEVIATES ALLERGIC RHINITIS BY REGULATING Treg AND Th17 CELLS".INTERNATIONAL JOURNAL OF IMMUNOPATHOLOGY AND PHARMACOLOGY 26..1(2013):107-115