Natural
Substance May Hold
Key to Asthma Therapies
Excerpt
By Linda Carroll,
Reuter's
Health
NEW YORK (Reuters Health) - A chemical that naturally occurs
in the body may help scientists find better treatments for asthma.
The chemical, called lipoxin A4 (LXA4), appears to quiet hyper-responsive
airways, researchers report this week in the advance online publication
of the journal Nature Medicine.
In the new study, researchers gave asthmatic mice a synthetic
compound that is similar to LXA4, but longer lasting, study co-author
Dr. Charles N. Serhan explained in an interview with Reuters Health.
People with asthma often experience attacks during which airways
narrow. Attacks can range from occasional periods of wheezing,
mild coughing and slight breathlessness to more severe episodes
that can lead to total blockage of the airways.
"LXA4 is rapidly formed and rapidly broken down by the body
as a way of regulating cellular traffic," according to Serhan,
director of the Center for Experimental Therapeutics at Brigham
and Women's Hospital and a professor of anesthesia, perioperative
and pain medicine, biochemistry and molecular pharmacology at
Harvard Medical School, both in Boston, Massachusetts.
Basically, Serhan said, LXA4 acts to quiet inflammation by knocking
down levels of cells that cause it.
In the new study, Serhan and his colleagues looked at the effect
of LXa, a substance that mimics the naturally occurring molecule,
but doesn't break down as quickly, in mice with asthma.
An hour after the mice were given LXa, they were exposed to
substances that might normally cause airways to narrow and become
inflamed. LXa not only kept the airways open, but also appeared
to reduce inflammation, Serhan said.
To further test to see if LXA4 might be the key to new medications
in humans, Serhan and his colleagues used genetic engineering
techniques to produce mice that expressed the human version of
the LXA4 receptor. Again, LXa kept airways from narrowing and
reduced inflammation.
Serhan is hoping that the new research will catch the eye of
a pharmaceutical company looking to develop new therapies for
asthma.
"That would not be something we do," Serhan said. "But we're
hoping that this research will be encouraging enough to draw that
kind of attention."
With asthma on the rise, especially in children, new treatments
are needed, Serhan said. "The agents available today have limited
use and they don't work for everyone," he added. "A lot of testing
needs to be done to figure out which medication is best for which
patient. And that takes a long time. Besides, some of the classic
therapies have side effects."
Serhan suspects that because LXA4 is produced by the body, that
an analog to the molecule will have fewer side effects than drugs
developed in other ways.
The new study was funded, in part, by grants from the National
Institutes of Health.
SOURCE: Nature Medicine 2002;10.1038/nm748.
Reference
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