In vivo resistance to corticosteroids in bronchial asthma is associated with enhanced phosphorylation of JUN N-terminal kinase and failure of prednisolone to inhibit JUN N-terminal kinase phosphorylation
Ar. Sousa et al., In vivo resistance to corticosteroids in bronchial asthma is associated with enhanced phosphorylation of JUN N-terminal kinase and failure of prednisolone to inhibit JUN N-terminal kinase phosphorylation, J ALLERG CL, 104(3), 1999, pp. 565-574
Background: Corticosteroid-resistant (CR) asthma is associated with increas
ed in vitro activity of the proinflammatory transcription factor activating
peptide (AP)-1 in PBMCs resulting from increased c-POS synthesis. Increase
d AP-1 may sequester the glucocorticoid receptor to produce a CR state. Usi
ng the tuberculin-induced inflammatory responses in the skin, we have previ
ously demonstrated that a therapeutically effective dose of prednisolone su
ppressed T-cell, macrophage, and eosinophil infiltration into purified prot
ein derivative-induced lesional skin of corticosteroid-sensitive (CS), but
not CR, individuals.
Objective: Skin biopsy specimens from a tuberculin-induced model of dermal
inflammation have been evaluated for the effect of corticosteroids in regul
ating components of AP-1 in vivo.
Methods: Immunohistochemical analysis of the tuberculin-mediated cutaneous
response has been performed on 9 subjects with CS asthma and 6 subjects wit
h CR asthma for the regulatory components of AP-1 before and after 9 days o
f either 40 mg prednisolone or placebo,
Results: Significantly greater expression of c-FOS, phosphorylated c-JUN, a
nd phosphorylated JUN N-terminal kinase (JNK) protein has been identified i
n CR than in CS subjects. Corticosteroids suppressed phosphorylation of c-J
UN and MK in the CS Group (P = .004 for both) but enhanced phosphorylation
of c-JUN and JNK in the CR group (P = .031 for both),
Conclusion: Resistance to corticosteroids in asthmatic subjects may be caus
ed, at least in part, by failure to suppress JNK phosphorylation, leading t
o failure to suppress c-JUN N-phosphorylation, Increased JNK may be one of
the mechanisms central to the mechanism of CR asthma.