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Chemico-Biological Interactions
journal homepage: www.elsevier.com/locate/chembioint
Flavocoxid attenuates airway inflammation in ovalbumin-induced mouse
asthma model
Rania R. Abdеlaziz
*
, Mohammеd kh Еlmahdy, Ghada M. Suddеk
Department of Pharmacology & Toxicology, Faculty of Pharmacy, Mansoura University, 35516, Mansoura, Egypt
ARTICLE INFO
Keywords:
Ovalbumin
IL-13
Flavocoxid
Bеclomеthasonе
Airway inflammation
ABSTRACT
Asthma is a common airways inflammatory disease. This study provides evidence on the efficacy of flavocoxid
against ovalbumin (OVA)-induced allergic airways inflammation in a mouse model of asthma. Airway in-
flammation was induced by intrapеritonеal injection of 10 mg ovalbumin (OVA) on day zero and day 7 followed
by OVA challenge starting from 14th day to 16th day. Beclomethasone; a standard anti-inflammatory agent was
selected as a drug in asthma. Flavocoxid (20 mg/kg, i. p.) was administered on day zero till 16th day followed by
OVA challenge. At the end of the study, lung weight index, bronchoalveolar lavage fluid (BALF) content of total
and differential WBCs, interleukin-13(IL-13), in addition to lung tissue nitrate/nitrite (NO) and oxidative stress
biomarkers were measured. Also, histological and immunohistochemical analysis were conducted. Daily i. p.
injection of flavocoxid (20 mg/kg) significantly improved airway inflammation. Inflammatory cells in BALF,
malondialdehyde (MDA), NO and IL-13 significantly declined with concomitant increase in superoxide dis-
mutase (SOD) activity. Histopathological examination and immunohistochеmical staining of mast cells were
correlated with observed biochemical improvements. Collectively, these results demonstrate that flavocoxid
mitigates the allergic airway inflammation induced by ovalbumin through attenuation of IL-13, NO expressions
and oxidative stress.
1. Introduction
Asthma is a common allergic disease characterized by airways in-
flammation [1]. It usually presents with recurrent symptoms including
obstruction of airflow, bronchoconstriction, wheezing, cough, dyspnea
and chest tightness episodes [2]. Symptoms may become worsen with
exercise or at night [3]. The main pathological changes that highlight
asthma are mucus overproduction, airway obstruction, and increased
infiltration of inflammatory cells including mast cells, eosinophils and
lymphocytes [4].
Ovalbumin (OVA) is one of the most important allergen, utilized to
reproduce asthma in experimental models [5]. Overеxprеssion of nitric
oxide, T-helper cytokines, oxidative damage and inflammatory cells
accumulation usually characterize OVA-induced asthma in mice [6].
The major mechanism of OVA-induced asthma involves activation
of Type II T helper (Th
2
) derived cytokines as interleukin (IL)-4; IL-5
and IL-13, which induce inflammatory cells activation, recruitment and
overproduction of mucus [7].
There is strong evidence that the exogenous and endogenous ni-
trogen and reactive oxygen species play a crucial role in airway in-
flammation and are the most determinants of asthma severity [8,9].
Glucocorticoids are considered gold standard in asthma treatment,
despite its limited efficacy in reversing airway remodeling. Side effects
of inhaled form of beclomethasone caused infections of airways and
inflammatory throat, Cushing's syndrome, headache, cataract, super-
infection, anaphylactic reactions and oral candidiasis. Long term ad-
ministration induced adrenal insufficiency and mood or personality
changes [10]. The combination of bronchodilators and glucocorticoids
is still unable to control the main asthma symptoms [11], and results in
multiple complications. SO, there is an important need for the identi-
fication of effective therapies for the management of airway in-
flammation in asthma.
Dual cyclooxygenase-2 (COX-2) and 5-lipoxygenase (5-LOX) in-
hibitors of which, flavocoxid has been reported to show promising re-
sults in modulation of inflammation and attenuation of the dangerous
leukotrienes (LTs) expression involved in a variety of pathological
conditions such as asthma, cardiovascular complications, renal in-
sufficiency, and gastric ulceration [12]. Flavocoxid contains natural
flavonoids catеchin and baicalin [12,13]. Flavocoxid binds to blood
albumin, onset of action is 2–2.5 h and its duration is 12 h. A small
concentration of its both components (catеchin and baicalin) (< 10%)
is metabolized by liver enzymes. Catechin is metabolized to
https://doi.org/10.1016/j.cbi.2018.07.001
Received 4 May 2018; Received in revised form 25 June 2018; Accepted 1 July 2018
*
Corresponding author.
E-mail addresses: rania200582@yahoo.com, rania200582@mans.edu.eg (R.R. Abdеlaziz).
Chemico-Biological Interactions 292 (2018) 15–23
Available online 02 July 2018
0009-2797/ © 2018 Elsevier B.V. All rights reserved.
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