Skip to main content
Top
Published in: Respiratory Research 1/2015

Open Access 01-12-2015 | Research

Uridine supplementation exerts anti-inflammatory and anti-fibrotic effects in an animal model of pulmonary fibrosis

Authors: Sanja Cicko, Melanie Grimm, Korcan Ayata, Jessica Beckert, Anja Meyer, Madelon Hossfeld, Gernot Zissel, Marco Idzko, Tobias Müller

Published in: Respiratory Research | Issue 1/2015

Login to get access

Abstract

Rationale

Pulmonary fibrosis is a progressive disease with only few treatment options available at the moment. Recently, the nucleoside uridine has been shown to exert anti-inflammatory effects in different animal models, e.g. in acute lung injury or bronchial asthma.

Method

Therefore, we investigated the influence of uridine supplementation on inflammation and fibrosis in the classical bleomycin model. Male C57BL/6 mice received an intratracheal injection of bleomycin on day 0 and were treated intraperitoneally with uridine or vehicle. The degree of inflammation and fibrosis was assessed at different time points.

Results

Uridine administration resulted in attenuated inflammation, as demonstrated by reduced leukocytes and pro-inflammatory cytokines in the broncho-alveolar lavage (BAL) fluid. Furthermore, collagen deposition in the lung interstitium was also reduced by uridine supplementation. Similar results were obtained in a model in which animals received repeated intraperitoneal bleomycin injections. In addition uridine inhibited collagen and TGF-ß synthesis by primary lung fibroblasts, the release of pro-inflammatory cytokines by human lung epithelial cells, as well as the production of reactive oxygen species by human neutrophils.

Conclusion

In summary, we were able to show that uridine has potent anti-inflammatory and anti-fibrotic properties. As uridine supplementation has been shown to be well tolerated and safe in humans, this might be a new therapeutic approach for the treatment of fibrotic lung diseases.
Literature
2.
go back to reference Wolters PJ, Collard HR, Jones KD. Pathogenesis of idiopathic pulmonary fibrosis. Annu Rev Pathol. 2014;9:157–79.CrossRefPubMed Wolters PJ, Collard HR, Jones KD. Pathogenesis of idiopathic pulmonary fibrosis. Annu Rev Pathol. 2014;9:157–79.CrossRefPubMed
3.
go back to reference Wuyts WA, Agostini C, Antoniou K, Bouros D, Chambers R, Cottin V, et al. The pathogenesis of pulmonary fibrosis: a moving target. Eur Respir J Off J Eur Soc Clin Respir Physiol. 2012;41(5):1207–18. Wuyts WA, Agostini C, Antoniou K, Bouros D, Chambers R, Cottin V, et al. The pathogenesis of pulmonary fibrosis: a moving target. Eur Respir J Off J Eur Soc Clin Respir Physiol. 2012;41(5):1207–18.
4.
go back to reference Blackburn MR, Lee CG, Young HWJ, Zhu Z, Chunn JL, Kang MJ, et al. Adenosine mediates IL-13-induced inflammation and remodeling in the lung and interacts in an IL-13 – adenosine amplification pathway. J Clin Invest. 2003;112:332–44.CrossRefPubMedPubMedCentral Blackburn MR, Lee CG, Young HWJ, Zhu Z, Chunn JL, Kang MJ, et al. Adenosine mediates IL-13-induced inflammation and remodeling in the lung and interacts in an IL-13 – adenosine amplification pathway. J Clin Invest. 2003;112:332–44.CrossRefPubMedPubMedCentral
5.
go back to reference Da Rocha Lapa F, de Oliveira APL, Accetturi BG, de Oliveira Martins I, Domingos HV, de Almeida Cabrini D, et al. Anti-inflammatory effects of inosine in allergic lung inflammation in mice: evidence for the participation of adenosine A(2A) and A (3) receptors. Purinergic Signal. 2013;9(3):325–36.CrossRefPubMedPubMedCentral Da Rocha Lapa F, de Oliveira APL, Accetturi BG, de Oliveira Martins I, Domingos HV, de Almeida Cabrini D, et al. Anti-inflammatory effects of inosine in allergic lung inflammation in mice: evidence for the participation of adenosine A(2A) and A (3) receptors. Purinergic Signal. 2013;9(3):325–36.CrossRefPubMedPubMedCentral
6.
go back to reference Liaudet L, Mabley JG, Pacher P, Virág L, Soriano FG, Marton A, et al. Inosine exerts a broad range of antiinflammatory effects in a murine model of acute lung injury. Ann Surg. 2002;235:568–78.CrossRefPubMedPubMedCentral Liaudet L, Mabley JG, Pacher P, Virág L, Soriano FG, Marton A, et al. Inosine exerts a broad range of antiinflammatory effects in a murine model of acute lung injury. Ann Surg. 2002;235:568–78.CrossRefPubMedPubMedCentral
7.
go back to reference Evaldsson C, Rydén I, Uppugunduri S. Anti-inflammatory effects of exogenous uridine in an animal model of lung inflammation. Int Immunopharmacol. 2007;7:1025–32.CrossRefPubMed Evaldsson C, Rydén I, Uppugunduri S. Anti-inflammatory effects of exogenous uridine in an animal model of lung inflammation. Int Immunopharmacol. 2007;7:1025–32.CrossRefPubMed
8.
go back to reference Müller T, Grimm M, de Vieira RP, Cicko S, Dürk T, Sorichter S, et al. Local administration of uridine suppresses the cardinal features of asthmatic airway inflammation. Clin Exp Allergy. 2010;40:1552–60.CrossRefPubMed Müller T, Grimm M, de Vieira RP, Cicko S, Dürk T, Sorichter S, et al. Local administration of uridine suppresses the cardinal features of asthmatic airway inflammation. Clin Exp Allergy. 2010;40:1552–60.CrossRefPubMed
9.
go back to reference Uppugunduri S, Gautam C. Effects of uridine, isomatitol and 4-thiouridine on in vitro cell adhesion and in vivo effects of 4-thiouridine in a lung inflammation model. Int Immunopharmacol. 2004;4:1241–8.CrossRefPubMed Uppugunduri S, Gautam C. Effects of uridine, isomatitol and 4-thiouridine on in vitro cell adhesion and in vivo effects of 4-thiouridine in a lung inflammation model. Int Immunopharmacol. 2004;4:1241–8.CrossRefPubMed
10.
go back to reference McComsey GA, Walker UA, Budhathoki CB, Su Z, Currier JS, Kosmiski L, et al. Uridine supplementation in the treatment of HIV lipoatrophy: results of ACTG 5229. AIDS. 2010;24:2507–15.CrossRefPubMedPubMedCentral McComsey GA, Walker UA, Budhathoki CB, Su Z, Currier JS, Kosmiski L, et al. Uridine supplementation in the treatment of HIV lipoatrophy: results of ACTG 5229. AIDS. 2010;24:2507–15.CrossRefPubMedPubMedCentral
11.
go back to reference Venhoff N, Lebrecht D, Deveaud C, Beauvoit B, Bonnet J, Müller K, et al. Oral uridine supplementation antagonizes the peripheral neuropathy and encephalopathy induced by antiretroviral nucleoside analogues. AIDS. 2010;24:345–52.CrossRefPubMed Venhoff N, Lebrecht D, Deveaud C, Beauvoit B, Bonnet J, Müller K, et al. Oral uridine supplementation antagonizes the peripheral neuropathy and encephalopathy induced by antiretroviral nucleoside analogues. AIDS. 2010;24:345–52.CrossRefPubMed
12.
go back to reference Cicko S, Lucattelli M, Müller T, Lommatzsch M, De Cunto G, Cardini S, et al. Purinergic receptor inhibition prevents the development of smoke-induced lung injury and emphysema. J Immunol. 2010;185:688–97.CrossRefPubMed Cicko S, Lucattelli M, Müller T, Lommatzsch M, De Cunto G, Cardini S, et al. Purinergic receptor inhibition prevents the development of smoke-induced lung injury and emphysema. J Immunol. 2010;185:688–97.CrossRefPubMed
13.
go back to reference Lommatzsch M, Cicko S, Müller T, Lucattelli M, Bratke K, Stoll P, et al. Extracellular adenosine triphosphate and chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2010;181:928–34.CrossRefPubMed Lommatzsch M, Cicko S, Müller T, Lucattelli M, Bratke K, Stoll P, et al. Extracellular adenosine triphosphate and chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2010;181:928–34.CrossRefPubMed
14.
go back to reference Chua F, Gauldie J, Laurent GJ. Pulmonary fibrosis: searching for model answers. Am J Respir Cell Mol Biol. 2005;33:9–13.CrossRefPubMed Chua F, Gauldie J, Laurent GJ. Pulmonary fibrosis: searching for model answers. Am J Respir Cell Mol Biol. 2005;33:9–13.CrossRefPubMed
15.
go back to reference Pedroza M, Schneider DJ, Karmouty-Quintana H, Coote J, Shaw S, Corrigan R, et al. Interleukin-6 contributes to inflammation and remodeling in a model of adenosine mediated lung injury. PLoS One. 2011;6:e22667.CrossRefPubMedPubMedCentral Pedroza M, Schneider DJ, Karmouty-Quintana H, Coote J, Shaw S, Corrigan R, et al. Interleukin-6 contributes to inflammation and remodeling in a model of adenosine mediated lung injury. PLoS One. 2011;6:e22667.CrossRefPubMedPubMedCentral
16.
go back to reference Young HWJ, Molina JG, Dimina D, Zhong H, Jacobson M, Chan L-NL, et al. A3 adenosine receptor signaling contributes to airway inflammation and mucus production in adenosine deaminase-deficient mice. J Immunol. 2004;173:1380–9.CrossRefPubMed Young HWJ, Molina JG, Dimina D, Zhong H, Jacobson M, Chan L-NL, et al. A3 adenosine receptor signaling contributes to airway inflammation and mucus production in adenosine deaminase-deficient mice. J Immunol. 2004;173:1380–9.CrossRefPubMed
17.
go back to reference Evaldsson C, Rydén I, Rosén A, Uppugunduri S. 4-Thiouridine Induces Dose-Dependent Reduction of Oedema, Leucocyte Influx and Tumour Necrosis Factor in Lung Inflammation. Clin Exp Immunol. 2009;155:330–8.CrossRefPubMedPubMedCentral Evaldsson C, Rydén I, Rosén A, Uppugunduri S. 4-Thiouridine Induces Dose-Dependent Reduction of Oedema, Leucocyte Influx and Tumour Necrosis Factor in Lung Inflammation. Clin Exp Immunol. 2009;155:330–8.CrossRefPubMedPubMedCentral
18.
go back to reference Müller T, Robaye B, Vieira RP, Ferrari D, Grimm M, Jakob T, et al. The purinergic receptor P2Y2 receptor mediates chemotaxis of dendritic cells and eosinophils in allergic lung inflammation. Allergy. 2010;65:1545–53.CrossRefPubMed Müller T, Robaye B, Vieira RP, Ferrari D, Grimm M, Jakob T, et al. The purinergic receptor P2Y2 receptor mediates chemotaxis of dendritic cells and eosinophils in allergic lung inflammation. Allergy. 2010;65:1545–53.CrossRefPubMed
19.
go back to reference Vieira RP, Müller T, Grimm M, von Gernler V, Vetter B, Dürk T, et al. Purinergic receptor type 6 contributes to airway inflammation and remodeling in experimental allergic airway inflammation. Am J Respir Crit Care Med. 2011;184:215–23.CrossRefPubMed Vieira RP, Müller T, Grimm M, von Gernler V, Vetter B, Dürk T, et al. Purinergic receptor type 6 contributes to airway inflammation and remodeling in experimental allergic airway inflammation. Am J Respir Crit Care Med. 2011;184:215–23.CrossRefPubMed
20.
go back to reference Yilmaz MS, Coskun C, Suzer O, Yalcin M, Mutlu D, Savci V. Hypotensive effects of intravenously administered uridine and cytidine in conscious rats: involvement of adenosine receptors. Eur J Pharmacol. 2008;584:125–36.CrossRefPubMed Yilmaz MS, Coskun C, Suzer O, Yalcin M, Mutlu D, Savci V. Hypotensive effects of intravenously administered uridine and cytidine in conscious rats: involvement of adenosine receptors. Eur J Pharmacol. 2008;584:125–36.CrossRefPubMed
21.
go back to reference Brown RA, Spina D, Page CP. Adenosine receptors and asthma. Br J Pharmacol. 2008;153 Suppl(December 2007):S446–56. Brown RA, Spina D, Page CP. Adenosine receptors and asthma. Br J Pharmacol. 2008;153 Suppl(December 2007):S446–56.
22.
go back to reference Polosa R, Blackburn MR. Adenosine receptors as targets for therapeutic intervention in asthma and chronic obstructive pulmonary disease. Trends Pharmacol Sci. 2009;30:528–35.CrossRefPubMedPubMedCentral Polosa R, Blackburn MR. Adenosine receptors as targets for therapeutic intervention in asthma and chronic obstructive pulmonary disease. Trends Pharmacol Sci. 2009;30:528–35.CrossRefPubMedPubMedCentral
23.
go back to reference Baggiolini M, Walz A, Kunkel SL. Neutrophil-activating peptide-1/interleukin 8, a novel cytokine that activates neutrophils. J Clin Invest. 1989;84:1045–9.CrossRefPubMedPubMedCentral Baggiolini M, Walz A, Kunkel SL. Neutrophil-activating peptide-1/interleukin 8, a novel cytokine that activates neutrophils. J Clin Invest. 1989;84:1045–9.CrossRefPubMedPubMedCentral
24.
go back to reference Kinder BW, Brown KK, Schwarz MI, Ix JH, Kervitsky A, King TE. Baseline BAL neutrophilia predicts early mortality in idiopathic pulmonary fibrosis. Chest. 2008;133:226–32.CrossRefPubMed Kinder BW, Brown KK, Schwarz MI, Ix JH, Kervitsky A, King TE. Baseline BAL neutrophilia predicts early mortality in idiopathic pulmonary fibrosis. Chest. 2008;133:226–32.CrossRefPubMed
25.
go back to reference Keane MP, Arenberg DA, Lynch JP, Whyte RI, Iannettoni MD, Burdick MD, et al. The CXC chemokines, IL-8 and IP-10, regulate angiogenic activity in idiopathic pulmonary fibrosis. J Immunol. 1997;159:1437–43.PubMed Keane MP, Arenberg DA, Lynch JP, Whyte RI, Iannettoni MD, Burdick MD, et al. The CXC chemokines, IL-8 and IP-10, regulate angiogenic activity in idiopathic pulmonary fibrosis. J Immunol. 1997;159:1437–43.PubMed
26.
go back to reference Saito F, Tasaka S, Inoue K-I, Miyamoto K, Nakano Y, Ogawa Y, et al. Role of interleukin-6 in bleomycin-induced lung inflammatory changes in mice. Am J Respir Cell Mol Biol. 2008;38:566–71.CrossRefPubMed Saito F, Tasaka S, Inoue K-I, Miyamoto K, Nakano Y, Ogawa Y, et al. Role of interleukin-6 in bleomycin-induced lung inflammatory changes in mice. Am J Respir Cell Mol Biol. 2008;38:566–71.CrossRefPubMed
27.
28.
go back to reference Kliment CR, Oury TD. Oxidative stress, extracellular matrix targets, and idiopathic pulmonary fibrosis. Free Radic Biol Med. 2010;49:707–17.CrossRefPubMed Kliment CR, Oury TD. Oxidative stress, extracellular matrix targets, and idiopathic pulmonary fibrosis. Free Radic Biol Med. 2010;49:707–17.CrossRefPubMed
29.
go back to reference Bueno M, Lai Y-C, Romero Y, Brands J, St Croix CM, Kamga C, et al. PINK1 deficiency impairs mitochondrial homeostasis and promotes lung fibrosis. J Clin Invest. 2015;125:521–38.CrossRefPubMed Bueno M, Lai Y-C, Romero Y, Brands J, St Croix CM, Kamga C, et al. PINK1 deficiency impairs mitochondrial homeostasis and promotes lung fibrosis. J Clin Invest. 2015;125:521–38.CrossRefPubMed
30.
go back to reference Patel AS, Song JW, Chu SG, Mizumura K, Osorio JC, Shi Y, et al. Epithelial cell mitochondrial dysfunction and PINK1 are induced by transforming growth factor-beta1 in pulmonary fibrosis. PLoS One. 2015;10:e0121246.CrossRefPubMedPubMedCentral Patel AS, Song JW, Chu SG, Mizumura K, Osorio JC, Shi Y, et al. Epithelial cell mitochondrial dysfunction and PINK1 are induced by transforming growth factor-beta1 in pulmonary fibrosis. PLoS One. 2015;10:e0121246.CrossRefPubMedPubMedCentral
31.
go back to reference Uematsu T, Kozawa O, Matsuno H, Niwa M, Yoshikoshi H, Oh-uchi M, et al. Pharmacokinetics and tolerability of intravenous infusion of adenosine (SUNY4001) in healthy volunteers. Br J Clin Pharmacol. 2000;50:177–81.CrossRefPubMedPubMedCentral Uematsu T, Kozawa O, Matsuno H, Niwa M, Yoshikoshi H, Oh-uchi M, et al. Pharmacokinetics and tolerability of intravenous infusion of adenosine (SUNY4001) in healthy volunteers. Br J Clin Pharmacol. 2000;50:177–81.CrossRefPubMedPubMedCentral
32.
go back to reference Kim E, Kang W. Pharmacokinetics of uridine following ocular, oral and intravenous administration in rabbits. Biomol Ther (Seoul). 2013;21:170–2.CrossRef Kim E, Kang W. Pharmacokinetics of uridine following ocular, oral and intravenous administration in rabbits. Biomol Ther (Seoul). 2013;21:170–2.CrossRef
33.
go back to reference Weinberg ME, Roman MC, Jacob P, Wen M, Cheung P, Walker UA, et al. Enhanced uridine bioavailability following administration of a triacetyluridine-rich nutritional supplement. PLoS One. 2011;6:e14709.CrossRefPubMedPubMedCentral Weinberg ME, Roman MC, Jacob P, Wen M, Cheung P, Walker UA, et al. Enhanced uridine bioavailability following administration of a triacetyluridine-rich nutritional supplement. PLoS One. 2011;6:e14709.CrossRefPubMedPubMedCentral
Metadata
Title
Uridine supplementation exerts anti-inflammatory and anti-fibrotic effects in an animal model of pulmonary fibrosis
Authors
Sanja Cicko
Melanie Grimm
Korcan Ayata
Jessica Beckert
Anja Meyer
Madelon Hossfeld
Gernot Zissel
Marco Idzko
Tobias Müller
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2015
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/s12931-015-0264-9

Other articles of this Issue 1/2015

Respiratory Research 1/2015 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.