Reductions in eosinophil biomarkers by benralizumab in patients with asthma
RESPIRATORY MEDICINE
Authors: Tuyet-Hang Pham; Damera, Gautam; Newbold, Paul; Ranade, Koustubh
Abstract
Background: Eosinophilic inflammation is frequently associated with increased asthma severity. Benralizumab is a humanized, afucosylated, antieinterleukin-5R alpha monoclonal antibody that selectively depletes eosinophils and basophils through enhanced antibody-dependent cell-mediated cytotoxicity. Objective: To study effects of benralizumab on eosinophil counts and activity following administration to asthma patients. Methods: Sera were collected from asthma patients enrolled in two clinical studies. Placebo or benralizumab was subcutaneously administered to patients in Phase I (100 or 200 mg, multiple doses; N = 14; NCT00659659) and Phase IIa (25, 100, or 200 mg every 4 weeks; N = 24; NCT00783289) studies. Sera were also collected from healthy volunteers (N = 20) for comparison. Blood eosinophils, IL-5, eosinophilderived neurotoxin (EDN), eosinophil cationic protein (ECP), eotaxin/chemokine (CeC motif) 11 (CCL11), eotaxin-2/CCL24, tumor necrosis factor (TNF), and interferon-gamma (IFN-gamma) were measured at baseline and post-treatment. Results: Increased EDN concentrations were observed in sera of patients from both studies relative to healthy volunteers (p < 0.05). At baseline, sera EDN concentrations correlated with blood eosinophil counts (r(s) = 0.5; p < 0.05). Benralizumab reduced blood eosinophil numbers and sera EDN and ECP relative to baseline (p < 0.05). No changes in TNF or IFN-gamma were observed, while serum IL-5, eotaxin/CCL11, and eotaxin-2/CCL24 increased after benralizumab administration vs. placebo (p < 0.05). Conclusions: In two independent studies, serum IL-5, EDN, and ECP were modulated following benralizumab. Eosinophil depletion after benralizumab also resulted in significant reductions in EDN and ECP concentrations, suggesting that cytotoxic granule proteins were not released after eosinophil reduction. (C) 2016 Elsevier Ltd. All rights reserved.
Inflammatory chemokine eotaxin-1 is correlated with age in heroin dependent patients under methadone maintenance therapy
DRUG AND ALCOHOL DEPENDENCE
Authors: Kuo, Hsiang-Wei; Liu, Tung-Hsia; Tsou, Hsiao-Hui; Hsu, Ya-Ting; Wang, Sheng-Chang; Fang, Chiu-Ping; Liu, Chia-Chen; Chen, Andrew C. H.; Liu, Yu-Li
Abstract
Background Degeneration of central neurons and fibers has been observed in postmortem brains of heroin dependent patients. However, there are no biomarkers to predict the severity of neurodegeneration related to heroin dependence. A correlation has been reported between inflammatory C-C motif chemokine ligand 11 (CCL11, or eotaxin-1) and neurodegeneration in Alzheimer's disease. Methods: Three-hundred-forty-four heroin dependent, Taiwanese patients under methadone maintenance treatment (MMT) were included with clinical assessment and genomics information. Eighty-seven normal control subjects were also recruited for comparison. Results: Using receiver operating characteristics curve analyses, CCL11 showed the strongest sensitivity and specificity in correlation with age by a cut-off at 45 years (AUC = 0.69, P < 0.0001) in MMT patients, but not normal controls. Patients 45 years of age or older had significantly higher plasma levels of CCL11, fibroblast growth factor 2 (FGF-2), nicotine metabolite cotinine, and a longer duration of addiction. Plasma level of CCL11 was correlated with that of FGF-2 (partial r(2) = 0.24, P < 0.0001). Carriers with the mutant allele of rs1129844, a functional single nucleotide polymorphism (Ala23Thr) in the CCL1I gene, showed a higher plasma level of A beta 42, ratio of A beta 42/A beta 40, and insomnia side effect symptom score than the GG genotype carriers among MMT responders with morphine-negative urine results. Conclusions: The results suggest possible novel mechanisms mediated through CCL11 involving neurotoxicity in heroin dependent patients.