Skip to main content
Top
Published in: Respiratory Research 1/2012

Open Access 01-12-2012 | Research

Resolvin D1 attenuates inflammation in lipopolysaccharide-induced acute lung injury through a process involving the PPARγ/NF-κB pathway

Authors: Zenglin Liao, Jiajia Dong, Wei Wu, Ting Yang, Tao Wang, Lingli Guo, Lei Chen, Dan Xu, Fuqiang Wen

Published in: Respiratory Research | Issue 1/2012

Login to get access

Abstract

Background

Docosahexaenoic acid (DHA) and DHA-derived lipid mediators have recently been shown to possess anti-inflammatory and pro-resolving properties. In fact, DHA can down-regulate lipolysaccharide (LPS)-induced activation of NF-κB via a PPARγ-dependent pathway. We sought to investigate the effects of the novel DHA-derived mediator resolvin D1 (RvD1) on LPS-induced acute lung injury and to determine whether these effects occur via a PPARγ-dependent pathway.

Methods

BALB/c mice aged 6–8 weeks were randomly divided into seven groups: two control groups receiving saline or RvD1 (600 ng) without LPS; a control group receiving LPS only; an experimental group receiving RvD1 (300 ng) or RvD1 (600 ng), followed by LPS; a group receiving the PPARγ antagonist GW9662; and a group receiving GW9662, then RvD1 (600 ng) and finally LPS. LPS (50 μM) and saline were administered intratracheally. RvD1 was injected intravenously 24 h and 30 min before LPS, while GW9662 was injected intravenously 30 min before RvD1. Mice were killed at 6, 12, and 24 h. Samples of bronchoalveolar lavage fluid (BALF) were analyzed for cell counts and cytokine analysis. Lung tissues were collected for histology, Western blotting and electrophoretic mobility shift assays (EMSAs).

Results

At all three time points, groups receiving either dose of RvD1 followed by LPS had significantly lower total leukocyte counts and levels of TNF-α and IL-6 levels in BALF than did the group given only LPS. RvD1 markedly attenuated LPS-induced lung inflammation at 24 h, based on hematoxylin-eosin staining of histology sections. RvD1 activated PPARγ and suppressed IκBα degradation and NF-κB p65 nuclear translocation, based on Western blots and EMSAs. The PPARγ inhibitor GW9662 partially reversed RvD1-induced suppression of IκBα degradation and p65 nuclear translocation.

Conclusions

These results suggest that RvD1 may attenuate lung inflammation of LPS-induced acute lung injury by suppressing NF-κB activation through a mechanism partly dependent on PPARγ activation.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ferguson ND, Frutos-Vivar F, Esteban A, Fernández-Segoviano P, Aramburu JA, Nájera L, Stewart TE: Acute respiratory distress syndrome: underrecognition by clinicians and diagnostic accuracy of three clinical definitions. Crit Care Med. 2005, 33 (10): 2228-2234. 10.1097/01.CCM.0000181529.08630.49.PubMedCrossRef Ferguson ND, Frutos-Vivar F, Esteban A, Fernández-Segoviano P, Aramburu JA, Nájera L, Stewart TE: Acute respiratory distress syndrome: underrecognition by clinicians and diagnostic accuracy of three clinical definitions. Crit Care Med. 2005, 33 (10): 2228-2234. 10.1097/01.CCM.0000181529.08630.49.PubMedCrossRef
2.
go back to reference Levitt JE, Matthay MA: Treatment of acute lung injury: historical perspective and potential future therapies. Semin Respir Crit Care Med. 2006, 27 (4): 426-437. 10.1055/s-2006-948296.PubMedCrossRef Levitt JE, Matthay MA: Treatment of acute lung injury: historical perspective and potential future therapies. Semin Respir Crit Care Med. 2006, 27 (4): 426-437. 10.1055/s-2006-948296.PubMedCrossRef
3.
go back to reference Rubenfeld GD, Caldwell E, Peabody E, Weaver J, Martin DP, Neff M, Stern EJ, Hudson LD: Incidence and out-comes of acute lung injury. N Engl J Med. 2005, 353 (16): 1685-1693. 10.1056/NEJMoa050333.PubMedCrossRef Rubenfeld GD, Caldwell E, Peabody E, Weaver J, Martin DP, Neff M, Stern EJ, Hudson LD: Incidence and out-comes of acute lung injury. N Engl J Med. 2005, 353 (16): 1685-1693. 10.1056/NEJMoa050333.PubMedCrossRef
4.
go back to reference Serhan CN, Krishnamoorthy S, Recchiuti A, Chiang N: Novel anti-inflammatory–pro-resolving mediators and their receptors. Curr Top Med Chem. 2011, 11 (6): 629-647. 10.2174/1568026611109060629.PubMedPubMedCentralCrossRef Serhan CN, Krishnamoorthy S, Recchiuti A, Chiang N: Novel anti-inflammatory–pro-resolving mediators and their receptors. Curr Top Med Chem. 2011, 11 (6): 629-647. 10.2174/1568026611109060629.PubMedPubMedCentralCrossRef
5.
go back to reference Bannenberg GL, Chiang N, Ariel A, Arita M, Tjonahen E, Gotlinger KH, Hong S, Serhan CN: Molecular circuits of resolution: formation and actions of resolvins and protectins. J Immunol. 2005, 174 (7): 4345-4355.PubMedCrossRef Bannenberg GL, Chiang N, Ariel A, Arita M, Tjonahen E, Gotlinger KH, Hong S, Serhan CN: Molecular circuits of resolution: formation and actions of resolvins and protectins. J Immunol. 2005, 174 (7): 4345-4355.PubMedCrossRef
6.
go back to reference Haworth O, Levy BD: Endogenous lipid mediators in the resolution of airway inflammation. Eur Respir J. 2007, 30 (5): 980-992. 10.1183/09031936.00005807.PubMedPubMedCentralCrossRef Haworth O, Levy BD: Endogenous lipid mediators in the resolution of airway inflammation. Eur Respir J. 2007, 30 (5): 980-992. 10.1183/09031936.00005807.PubMedPubMedCentralCrossRef
7.
go back to reference Draper E, Reynolds CM, Canavan M, Mills KH, Loscher CE, Roche HM: Omega-3 fatty acids attenuate dendritic cell function via NF-κB independent of PPARγ. J Nutr Biochem. 2011, 22 (8): 784-790. 10.1016/j.jnutbio.2010.06.009.PubMedCrossRef Draper E, Reynolds CM, Canavan M, Mills KH, Loscher CE, Roche HM: Omega-3 fatty acids attenuate dendritic cell function via NF-κB independent of PPARγ. J Nutr Biochem. 2011, 22 (8): 784-790. 10.1016/j.jnutbio.2010.06.009.PubMedCrossRef
8.
go back to reference Chawla A, Repa JJ, Evans RM, Mangelsdorf DJ: Nuclear receptors and lipid physiology: opening the X-files. Science. 2001, 294 (5548): 1866-1870. 10.1126/science.294.5548.1866.PubMedCrossRef Chawla A, Repa JJ, Evans RM, Mangelsdorf DJ: Nuclear receptors and lipid physiology: opening the X-files. Science. 2001, 294 (5548): 1866-1870. 10.1126/science.294.5548.1866.PubMedCrossRef
9.
go back to reference Wall R, Ross RP, Fitzgerald GF, Stanton C: Fatty acids from fish: the anti-inflammatory potential of long-chain omega-3 fatty acids. Nutr Rev. 2010, 68 (5): 280-289. 10.1111/j.1753-4887.2010.00287.x.PubMedCrossRef Wall R, Ross RP, Fitzgerald GF, Stanton C: Fatty acids from fish: the anti-inflammatory potential of long-chain omega-3 fatty acids. Nutr Rev. 2010, 68 (5): 280-289. 10.1111/j.1753-4887.2010.00287.x.PubMedCrossRef
10.
go back to reference Jump DB, Clarke SD: Regulation of gene expression by dietary fat. Annu Rev Nutr. 1999, 19: 63-90. 10.1146/annurev.nutr.19.1.63.PubMedCrossRef Jump DB, Clarke SD: Regulation of gene expression by dietary fat. Annu Rev Nutr. 1999, 19: 63-90. 10.1146/annurev.nutr.19.1.63.PubMedCrossRef
11.
go back to reference Poynter ME, Daynes RA: Peroxisome proliferator-activated receptor alpha activation mod ulates cellular redox status, represses nuclear factor-kappa B signaling, and reduces inflammatory cytokine production in aging. J Biol Chem. 1998, 273 (49): 32833-32841. 10.1074/jbc.273.49.32833.PubMedCrossRef Poynter ME, Daynes RA: Peroxisome proliferator-activated receptor alpha activation mod ulates cellular redox status, represses nuclear factor-kappa B signaling, and reduces inflammatory cytokine production in aging. J Biol Chem. 1998, 273 (49): 32833-32841. 10.1074/jbc.273.49.32833.PubMedCrossRef
12.
go back to reference Li H, Ruan XZ, Powis SH, Fernando R, Mon WY, Wheeler DC, Moorhead JF, Varghese Z: EPA and DHA reduce LPS-induced inflammation responses in HK-2 cells: evidence for a PPAR-gamma-dependent mechanism. Kidney Int. 2005, 67 (3): 867-884. 10.1111/j.1523-1755.2005.00151.x.PubMedCrossRef Li H, Ruan XZ, Powis SH, Fernando R, Mon WY, Wheeler DC, Moorhead JF, Varghese Z: EPA and DHA reduce LPS-induced inflammation responses in HK-2 cells: evidence for a PPAR-gamma-dependent mechanism. Kidney Int. 2005, 67 (3): 867-884. 10.1111/j.1523-1755.2005.00151.x.PubMedCrossRef
13.
go back to reference Rogerio AP, Haworth O, Croze R, Oh SF, Uddin M, Carlo T, Pfeffer MA, Priluck R, Serhan CN, Levy BD: Resolvin d1 and aspirin-triggered resolvin d1 promote resolution of allergic airways responses. J Immunol. 2012, 189 (4): 1983-1991. 10.4049/jimmunol.1101665.PubMedPubMedCentralCrossRef Rogerio AP, Haworth O, Croze R, Oh SF, Uddin M, Carlo T, Pfeffer MA, Priluck R, Serhan CN, Levy BD: Resolvin d1 and aspirin-triggered resolvin d1 promote resolution of allergic airways responses. J Immunol. 2012, 189 (4): 1983-1991. 10.4049/jimmunol.1101665.PubMedPubMedCentralCrossRef
14.
go back to reference Sun YP, Oh SF, Uddin J, Yang R, Gotlinger K, Campbell E, Colgan SP, Petasis NA, Serhan CN: Resolvin D1 and its aspirin-triggered 17R epimer stereochemical assignments, anti-inflammatory properties, and enzymatic inactivation. J Biol Chem. 2007, 282 (13): 9323-9334. 10.1074/jbc.M609212200.PubMedCrossRef Sun YP, Oh SF, Uddin J, Yang R, Gotlinger K, Campbell E, Colgan SP, Petasis NA, Serhan CN: Resolvin D1 and its aspirin-triggered 17R epimer stereochemical assignments, anti-inflammatory properties, and enzymatic inactivation. J Biol Chem. 2007, 282 (13): 9323-9334. 10.1074/jbc.M609212200.PubMedCrossRef
15.
go back to reference Schwab JM, Chiang N, Arita M, Serhan CN: Resolvin E1 and protectin D1 activate inflammation-resolution programmes. Nature. 2007, 447 (7146): 869-874. 10.1038/nature05877.PubMedPubMedCentralCrossRef Schwab JM, Chiang N, Arita M, Serhan CN: Resolvin E1 and protectin D1 activate inflammation-resolution programmes. Nature. 2007, 447 (7146): 869-874. 10.1038/nature05877.PubMedPubMedCentralCrossRef
16.
go back to reference Collin M, Abdelrahman M, Thiemermann C: Endogenous ligands of PPAR-gamma reduce the liver injury in haemorrhagic shock. Eur J Pharmacol. 2004, 486 (2): 233-235. 10.1016/j.ejphar.2003.12.032.PubMedCrossRef Collin M, Abdelrahman M, Thiemermann C: Endogenous ligands of PPAR-gamma reduce the liver injury in haemorrhagic shock. Eur J Pharmacol. 2004, 486 (2): 233-235. 10.1016/j.ejphar.2003.12.032.PubMedCrossRef
17.
go back to reference Imanaka H, Shimaoka M, Matsuura N, Nishimura M, Ohta N, Kiyono H: Ventilator-induced lung injury is associated with neutrophil infiltration, macrophage activation, and TGF-beta 1 mRNA upregulation in rat lungs. Anesth Analg. 2001, 92 (2): 428-436. 10.1213/00000539-200102000-00029.PubMedCrossRef Imanaka H, Shimaoka M, Matsuura N, Nishimura M, Ohta N, Kiyono H: Ventilator-induced lung injury is associated with neutrophil infiltration, macrophage activation, and TGF-beta 1 mRNA upregulation in rat lungs. Anesth Analg. 2001, 92 (2): 428-436. 10.1213/00000539-200102000-00029.PubMedCrossRef
18.
go back to reference Jing X, Piao YF, Liu Y, Gao PJ: Beta2-GPI: a novel factor in the development of hepatocellular carcinoma. J Cancer Res Clin Oncol. 2010, 136 (11): 1671-1680. 10.1007/s00432-010-0825-8.PubMedCrossRef Jing X, Piao YF, Liu Y, Gao PJ: Beta2-GPI: a novel factor in the development of hepatocellular carcinoma. J Cancer Res Clin Oncol. 2010, 136 (11): 1671-1680. 10.1007/s00432-010-0825-8.PubMedCrossRef
19.
go back to reference Minamino T, Komuro I: Regeneration of the endothelium as a novel therapeutic strategy for acute lung injury. J Clin Invest. 2006, 116 (9): 2316-2319. 10.1172/JCI29637.PubMedPubMedCentralCrossRef Minamino T, Komuro I: Regeneration of the endothelium as a novel therapeutic strategy for acute lung injury. J Clin Invest. 2006, 116 (9): 2316-2319. 10.1172/JCI29637.PubMedPubMedCentralCrossRef
20.
go back to reference Calder PC: n-3 polyunsaturated fatty acids and cytokine production in health and disease. Ann Nutr Metab. 1997, 41 (4): 203-234. 10.1159/000177997.PubMedCrossRef Calder PC: n-3 polyunsaturated fatty acids and cytokine production in health and disease. Ann Nutr Metab. 1997, 41 (4): 203-234. 10.1159/000177997.PubMedCrossRef
21.
go back to reference Murakami T, Suzuki K, Tamura H, Nagaoka I: Suppressive action of resolvin D1 on the production and release of septic mediators in D-galactosamine-sensitized endotoxin shock mice. Experimental and Therapeutic Medicine. 2011, 2 (1): 57-61.PubMedPubMedCentral Murakami T, Suzuki K, Tamura H, Nagaoka I: Suppressive action of resolvin D1 on the production and release of septic mediators in D-galactosamine-sensitized endotoxin shock mice. Experimental and Therapeutic Medicine. 2011, 2 (1): 57-61.PubMedPubMedCentral
22.
go back to reference Bento AF, Claudino RF, Dutra RC, Marcon R, Calixto JB: Omega-3 fatty acid-derived mediators 17(R)-hydroxy docosahexaenoic acid, aspirin-triggered resolvin D1 and resolvin D2 prevent experimental colitis in mice. J Immunol. 2011, 187 (4): 1957-1969. 10.4049/jimmunol.1101305.PubMedCrossRef Bento AF, Claudino RF, Dutra RC, Marcon R, Calixto JB: Omega-3 fatty acid-derived mediators 17(R)-hydroxy docosahexaenoic acid, aspirin-triggered resolvin D1 and resolvin D2 prevent experimental colitis in mice. J Immunol. 2011, 187 (4): 1957-1969. 10.4049/jimmunol.1101305.PubMedCrossRef
23.
go back to reference Wang B, Gong X, Wan JY, Zhang L, Zhang Z, Li HZ, Min S: Resolvin D1 protects mice from LPS-induced acute lung injury. Pulm Pharmacol Ther. 2011, 24 (4): 434-441. 10.1016/j.pupt.2011.04.001.PubMedCrossRef Wang B, Gong X, Wan JY, Zhang L, Zhang Z, Li HZ, Min S: Resolvin D1 protects mice from LPS-induced acute lung injury. Pulm Pharmacol Ther. 2011, 24 (4): 434-441. 10.1016/j.pupt.2011.04.001.PubMedCrossRef
24.
go back to reference Eickmeier O, Seki H, Haworth O, Hilberath JN, Gao F, Uddin M, Croze RH, Carlo T, Pfeffer MA, Levy BD: Aspirin-triggered resolvin D1 reduces mucosal inflammation and promotes resolution in a murine model of acute lung injury. Mucosal Immunol. 2012, 11: 10.1038/mi.2012.66. Eickmeier O, Seki H, Haworth O, Hilberath JN, Gao F, Uddin M, Croze RH, Carlo T, Pfeffer MA, Levy BD: Aspirin-triggered resolvin D1 reduces mucosal inflammation and promotes resolution in a murine model of acute lung injury. Mucosal Immunol. 2012, 11: 10.1038/mi.2012.66.
25.
go back to reference Serhan CN: Novel lipid mediators and resolution mechanisms in acute inflammation: to resolve or not?. Am J Patho. 2010, 177 (4): 1576-1591. 10.2353/ajpath.2010.100322.CrossRef Serhan CN: Novel lipid mediators and resolution mechanisms in acute inflammation: to resolve or not?. Am J Patho. 2010, 177 (4): 1576-1591. 10.2353/ajpath.2010.100322.CrossRef
26.
go back to reference Serhan CN, Chiang N, Van Dyke TE: Resolving inflammation: dual anti-inflammatory and pro-resolution lipid mediators. Nat Rev Immunol. 2008, 8 (5): 349-361. 10.1038/nri2294.PubMedPubMedCentralCrossRef Serhan CN, Chiang N, Van Dyke TE: Resolving inflammation: dual anti-inflammatory and pro-resolution lipid mediators. Nat Rev Immunol. 2008, 8 (5): 349-361. 10.1038/nri2294.PubMedPubMedCentralCrossRef
27.
go back to reference Fialkow L, Fochesatto Filho L, Bozzetti MC, Milani AR, Rodrigues Filho EM, Ladniuk RM, Pierozan P, de Moura RM, Prolla JC, Vachon E, Downey GP: Neutrophil apoptosis: a marker of disease severity in sepsis and sepsis-induced acute respiratory distress syndrome. Crit Care. 2006, 10 (6): R155-10.1186/cc5090.PubMedPubMedCentralCrossRef Fialkow L, Fochesatto Filho L, Bozzetti MC, Milani AR, Rodrigues Filho EM, Ladniuk RM, Pierozan P, de Moura RM, Prolla JC, Vachon E, Downey GP: Neutrophil apoptosis: a marker of disease severity in sepsis and sepsis-induced acute respiratory distress syndrome. Crit Care. 2006, 10 (6): R155-10.1186/cc5090.PubMedPubMedCentralCrossRef
28.
go back to reference Sookhai S, Wang JJ, McCourt M, Kirwan W, Bouchier-Hayes D, Redmond P: A novel therapeutic strategy for attenuating neutrophil-mediated lung injury in vivo. Ann Surg. 2002, 235 (2): 285-291. 10.1097/00000658-200202000-00018.PubMedPubMedCentralCrossRef Sookhai S, Wang JJ, McCourt M, Kirwan W, Bouchier-Hayes D, Redmond P: A novel therapeutic strategy for attenuating neutrophil-mediated lung injury in vivo. Ann Surg. 2002, 235 (2): 285-291. 10.1097/00000658-200202000-00018.PubMedPubMedCentralCrossRef
29.
go back to reference Singer P, Shapiro H, Theilla M, Anbar R, Singer J, Cohen J: Anti-inflammatory properties of omega-3 fatty acids in critical illness: novel mechanisms and an integrative perspective. Intensive Care Med. 2008, 34 (9): 1580-1592. 10.1007/s00134-008-1142-4.PubMedCrossRef Singer P, Shapiro H, Theilla M, Anbar R, Singer J, Cohen J: Anti-inflammatory properties of omega-3 fatty acids in critical illness: novel mechanisms and an integrative perspective. Intensive Care Med. 2008, 34 (9): 1580-1592. 10.1007/s00134-008-1142-4.PubMedCrossRef
30.
go back to reference Bogazzi F, Russo D, Locci MT, Chifenti B, Ultimieri F, Raggi F, Viacava P, Cecchetti D, Cosci C, Sardella C, Acerbi G, Gasperi M, Martino E: Peroxisome proliferator-activated receptor (PPAR) gamma is highly expressed in normal human pituitary gland. J Endocrinol Invest. 2005, 28 (10): 899-904.PubMedCrossRef Bogazzi F, Russo D, Locci MT, Chifenti B, Ultimieri F, Raggi F, Viacava P, Cecchetti D, Cosci C, Sardella C, Acerbi G, Gasperi M, Martino E: Peroxisome proliferator-activated receptor (PPAR) gamma is highly expressed in normal human pituitary gland. J Endocrinol Invest. 2005, 28 (10): 899-904.PubMedCrossRef
31.
go back to reference Xu YW, Sun L, Liang H, Sun GM, Cheng Y: 12/15-Lipoxygenase inhibitor baicalein suppresses PPAR gamma expression and nuclear translocation induced by cerebral ischemia/reperfusion. Brain Res. 2010, 1307: 149-157.PubMedCrossRef Xu YW, Sun L, Liang H, Sun GM, Cheng Y: 12/15-Lipoxygenase inhibitor baicalein suppresses PPAR gamma expression and nuclear translocation induced by cerebral ischemia/reperfusion. Brain Res. 2010, 1307: 149-157.PubMedCrossRef
32.
go back to reference Mishra A, Chaudhary A, Sethi S: Oxidized omega-3 fatty acids inhibit NF-kappa B activation via a PPAR alpha-dependent pathway. Arterioscler Thromb Vasc Biol. 2004, 24 (9): 1621-1627. 10.1161/01.ATV.0000137191.02577.86.PubMedCrossRef Mishra A, Chaudhary A, Sethi S: Oxidized omega-3 fatty acids inhibit NF-kappa B activation via a PPAR alpha-dependent pathway. Arterioscler Thromb Vasc Biol. 2004, 24 (9): 1621-1627. 10.1161/01.ATV.0000137191.02577.86.PubMedCrossRef
33.
go back to reference Fan J, Ye RD, Malik AB: Transcriptional mechanisms of acute lung injury. Am J Physiol Lung Cell Mol Physiol. 2001, 281 (5): L1037-L1050.PubMed Fan J, Ye RD, Malik AB: Transcriptional mechanisms of acute lung injury. Am J Physiol Lung Cell Mol Physiol. 2001, 281 (5): L1037-L1050.PubMed
34.
go back to reference Krishnamoorthy S, Recchiuti A, Chiang N, Yacoubian S, Lee CH, Yang R, Petasis NA, Serhan CN: Resolvin D1 binds human phagocytes with evidence for proresolving receptors. Proc Natl Acad Sci USA. 2010, 107 (4): 1660-1665. 10.1073/pnas.0907342107.PubMedPubMedCentralCrossRef Krishnamoorthy S, Recchiuti A, Chiang N, Yacoubian S, Lee CH, Yang R, Petasis NA, Serhan CN: Resolvin D1 binds human phagocytes with evidence for proresolving receptors. Proc Natl Acad Sci USA. 2010, 107 (4): 1660-1665. 10.1073/pnas.0907342107.PubMedPubMedCentralCrossRef
35.
go back to reference Oh DY, Talukdar S, Bae EJ, Imamura T, Morinaga H, Fan W, Li P, Lu WJ, Watkins SM, Olefsky JM: GPR120 is an omega-3 fatty acid receptor mediating potent anti-inflammatory and insulin-sensitizing effects. Cell. 2010, 142 (5): 687-698. 10.1016/j.cell.2010.07.041.PubMedPubMedCentralCrossRef Oh DY, Talukdar S, Bae EJ, Imamura T, Morinaga H, Fan W, Li P, Lu WJ, Watkins SM, Olefsky JM: GPR120 is an omega-3 fatty acid receptor mediating potent anti-inflammatory and insulin-sensitizing effects. Cell. 2010, 142 (5): 687-698. 10.1016/j.cell.2010.07.041.PubMedPubMedCentralCrossRef
Metadata
Title
Resolvin D1 attenuates inflammation in lipopolysaccharide-induced acute lung injury through a process involving the PPARγ/NF-κB pathway
Authors
Zenglin Liao
Jiajia Dong
Wei Wu
Ting Yang
Tao Wang
Lingli Guo
Lei Chen
Dan Xu
Fuqiang Wen
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2012
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/1465-9921-13-110

Other articles of this Issue 1/2012

Respiratory Research 1/2012 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.