title: Fluticasone inhibits the progression of allergen-induced structural airway changes.
abstract: BACKGROUND
  Inhaled corticosteroids are widely used as first-line therapy in patients with asthma. The concept of early introduction is more and more accepted.
  
  
  OBJECTIVE
  In our rat model of airway remodelling, we investigated whether treatment with inhaled fluticasone propionate can inhibit further progression of established structural airway changes.
  
  
  METHODS
  Sensitized Brown Norway rats were exposed to aerosolized ovalbumin (1%) from day 14 to 42. From day 28 to 42, animals were treated with inhaled fluticasone or placebo 30 min before each allergen challenge. One control group was exposed to PBS from day 28 to 42, a second control group throughout the whole experiment.
  
  
  RESULTS
  Exposure to ovalbumin during 2 weeks induced structural airway changes, including epithelial cell proliferation, increase in airway wall area and fibronectin deposition. Goblet cell number was increased, although not significantly compared with PBS. Continuing allergen exposure for 2 weeks further enhanced each of these features. In addition, the amount of collagen in the airway wall was enhanced by 4 weeks allergen exposure compared with PBS-exposed animals. These additional increases were inhibited by treatment with fluticasone during the last 2 weeks.
  
  
  CONCLUSIONS
  The progression of established allergen-induced structural airway changes in sensitized rats can be inhibited by treatment with fluticasone.
authors.affiliation: Department of Respiratory Diseases, Ghent University Hospital, Ghent, Belgium. nele.vanacker@rug.ac.be
authors.forename: N J
authors.initials: NJ
authors.lastname: Vanacker
authors.forename: E
authors.initials: E
authors.lastname: Palmans
authors.forename: R A
authors.initials: RA
authors.lastname: Pauwels
authors.forename: J C
authors.initials: JC
authors.lastname: Kips
mesh_terms: D000280:Administration, Inhalation; D000287:Administration, Topical; D000485:Allergens / Q000008:administration & dosage / Q000009:adverse effects* / Q000187:drug effects*; D000730:Androstadienes / Q000008:administration & dosage*; D000818:Animals; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D000918:Antibody Specificity / Q000187:drug effects; D001249:Asthma / Q000097:blood / Q000188:drug therapy* / Q000209:etiology*; D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology; D002217:Carbachol / Q000494:pharmacology; D018679:Cholinergic Agonists / Q000494:pharmacology; D003094:Collagen / Q000187:drug effects / Q000378:metabolism; D004195:Disease Models, Animal; D018450:Disease Progression; D004305:Dose-Response Relationship, Drug; D005353:Fibronectins / Q000187:drug effects / Q000378:metabolism; D000068298:Fluticasone; D005938:Glucocorticoids; D007073:Immunoglobulin E / Q000097:blood / Q000187:drug effects; D007962:Leukocytes / Q000187:drug effects; D008168:Lung / Q000098:blood supply / Q000378:metabolism / Q000473:pathology; D008297:Male; D010047:Ovalbumin / Q000008:administration & dosage / Q000009:adverse effects / Q000187:drug effects; D051381:Rats; D013997:Time Factors
chemical_list: D000485:Allergens; D000730:Androstadienes; D000893:Anti-Inflammatory Agents; D018679:Cholinergic Agonists; D005353:Fibronectins; D005938:Glucocorticoids; D007073:Immunoglobulin E; D002217:Carbachol; D010047:Ovalbumin; D003094:Collagen; D000068298:Fluticasone