Antisense therapy against CCR3 and the common beta chain attenuates allergen-induced eosinophilic responses.


RATIONALE The drug product TPI ASM8 contains two modified phosphorothioate antisense oligonucleotides designed to inhibit allergic inflammation by down-regulating human CCR3 and the common beta chain (beta(c)) of IL-3, IL-5, and granulocyte-macrophage colony-stimulating factor receptors. OBJECTIVES This study examined the effects of inhaled TPI ASM8 on sputum cellular influx, CCR3 and beta(c) mRNA and protein levels, and the airway physiologic response after inhaled allergen. METHODS Seventeen subjects with mild atopic asthma were randomized in a crossover study to inhale 1,500 microg TPI ASM8 or placebo by nebulizer, once daily for 4 days. On Day 3, subjects underwent allergen inhalation challenge. Sputum samples were collected before and after allergen. CCR3 and beta(c) protein levels were measured by flow cytometry, mRNA was measured using real-time quantitative polymerase chain reaction, and the FEV1 was measured over 7 hours after challenge. MEASUREMENTS AND MAIN RESULTS Compared with placebo, TPI ASM8 inhibited sputum eosinophil influx by 46% (P = 0.02) and blunted the increase in total cells (63%) after allergen challenge. TPI ASM8 significantly reduced the early asthmatic response (P = 0.04) with a trend for the late asthmatic response (P = 0.08). The allergen-induced (Day 2 to Day 3) levels of beta(c) mRNA and CCR3 mRNA in sputum-derived cells were inhibited by TPI ASM8 (P = 0.039 and P = 0.054, respectively), with no significant effects on the cell surface protein expression of CCR3 and beta(c) (P > 0.05). No serious adverse events were reported. CONCLUSIONS TPI ASM8 attenuates the allergen-induced increase in target gene mRNA and airway responses in subjects with mild asthma. Clinical trial registered with (NCT 00264966).

DOI: 10.1164/rccm.200708-1251OC
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@article{Gauvreau2008AntisenseTA, title={Antisense therapy against CCR3 and the common beta chain attenuates allergen-induced eosinophilic responses.}, author={Gail M Gauvreau and Louis Philippe Boulet and Donald W Cockcroft and Adrian Baatjes and Johanne Cote and Francine Deschesnes and Beth Davis and Tara Strinich and Karen Howie and Mylinh Duong and Richard M Watson and Paolo M Renzi and Paul M O'Byrne}, journal={American journal of respiratory and critical care medicine}, year={2008}, volume={177 9}, pages={952-8} }