BACKGROUND AND PURPOSEChronic obstructive pulmonary disease (COPD) is a major cause of illness and death, often induced by cigarette smoking (CS). It is characterized by pulmonary inflammation and fibrosis that impairs lung function. Existing treatments aim to control symptoms but have low efficacy, and there are no broadly effective treatments. A new potential target is the ectoenzyme, semicarbazidesensitive mono-amine oxidase (SSAO; also known as vascular adhesion protein-1). SSAO is elevated in smokers' serum and is a pro-inflammatory enzyme facilitating adhesion and transmigration of leukocytes from the vasculature to sites of inflammation.
EXPERIMENTAL APPROACHPXS-4728A was developed as a low MW inhibitor of SSAO. A model of COPD induced by CS in mice reproduces key aspects of human COPD, including chronic airway inflammation, fibrosis and impaired lung function. This model was used to assess suppression of SSAO activity and amelioration of inflammation and other characteristic features of COPD.
KEY RESULTSTreatment with PXS-4728A completely inhibited lung and systemic SSAO activity induced by acute and chronic CS-exposure. Daily oral treatment inhibited airway inflammation (immune cell influx and inflammatory factors) induced by acute CS-exposure. Therapeutic treatment during chronic CS-exposure, when the key features of experimental COPD develop and progress, substantially suppressed inflammatory cell influx and fibrosis in the airways and improved lung function.
CONCLUSIONS AND IMPLICATIONSTreatment with a low MW inhibitor of SSAO, PXS-4728A, suppressed airway inflammation and fibrosis and improved lung function in experimental COPD, demonstrating the therapeutic potential of PXS-4728A for this debilitating disease.Abbreviations BALF, bronchoalveolar lavage fluid; COPD, chronic obstructive pulmonary disease; CS, cigarette smoke; EM, extracellular matrix; G-CSF, granulocyte-colony stimulating factor; MLI, mean linear intercept; SSAO, semicarbazide-sensitive amine oxidase
IntroductionChronic obstructive pulmonary disease (COPD) is the third leading cause of chronic morbidity and death worldwide, and its prevalence is increasing (Lozano et al., 2012). It is a heterogeneous disease variously comprising debilitating and complex pathological features including chronic pulmonary inflammation (bronchitis), fibrosis and emphysema (Keely et al., 2011;Fricker et al., 2014). These features combine to impair lung function and result in reduced oxygen transfer leading to breathlessness. Cigarette smoke (CS) exposure is the primary etiological agent in Western countries, accounting for more than 90% of cases. Once induced, the patients' condition often continues to deteriorate, even after cessation of smoking. Wood and cooking smoke and pollution are also important risk factors particularly in developing nations (Fabbri et al., 2004;Eisner et al., 2010;Ko and Hui, 2012).There are no cures for COPD, and current treatments have substantial limitations. High doses of corticosteroids, long-acting β-adrenoceptor agonists, ...