Meloxicam treatment disrupts the regional structure of innate inflammation sites by targeting the pro-inflammatory effects of prostanoids.

NSAID eosinophils high-content immunohistochemistry innate inflammation macrophages meloxicam microenvironment prostanoid

Journal

British journal of pharmacology
ISSN: 1476-5381
Titre abrégé: Br J Pharmacol
Pays: England
ID NLM: 7502536

Informations de publication

Date de publication:
12 Oct 2023
Historique:
revised: 10 08 2023
received: 05 04 2023
accepted: 29 09 2023
pubmed: 12 10 2023
medline: 12 10 2023
entrez: 12 10 2023
Statut: aheadofprint

Résumé

Non-steroidal anti-inflammatory drugs (NSAIDs) are the most widely prescribed drugs in the world due to their analgesic, antipyretic and anti-inflammatory effects. However, NSAIDs inhibit prostanoid synthesis, interfering with their pro-inflammatory and anti-inflammatory functions and potentially prolonging acute inflammation. We used high-content immunohistochemistry to define the impact of meloxicam treatment on spatially separated pro-inflammatory and anti-inflammatory processes during innate inflammation in mice induced by zymosan. This allowed us to determine the effect of meloxicam treatment on the organization of pro-inflammatory and anti-inflammatory microenvironments, thereby identifying relevant changes in immune cell localization, recruitment and activation. Meloxicam treatment reduced zymosan-induced thermal hypersensitivity at early time points but delayed its resolution. High-content immunohistochemistry revealed that the pro-inflammatory area was smaller after treatment, diminishing neutrophil recruitment, M1-like macrophage polarization, and especially phagocytosis by neutrophils and macrophages. The polarization of macrophages towards the M2-like anti-inflammatory phenotype was unaffected, and the number of anti-inflammatory eosinophils actually increased. High-content immunohistochemistry was able to identify relevant meloxicam-mediated effects on inflammatory processes based on alterations in the regional structure of inflammation sites. Meloxicam delayed the clearance of pathogens by inhibiting pro-inflammatory processes, causing prolonged inflammation. Our data suggest that the prescription of NSAIDs as a treatment during an acute pathogen-driven inflammation should be reconsidered in patients with compromised immune systems.

Sections du résumé

BACKGROUND AND PURPOSE OBJECTIVE
Non-steroidal anti-inflammatory drugs (NSAIDs) are the most widely prescribed drugs in the world due to their analgesic, antipyretic and anti-inflammatory effects. However, NSAIDs inhibit prostanoid synthesis, interfering with their pro-inflammatory and anti-inflammatory functions and potentially prolonging acute inflammation.
EXPERIMENTAL APPROACH METHODS
We used high-content immunohistochemistry to define the impact of meloxicam treatment on spatially separated pro-inflammatory and anti-inflammatory processes during innate inflammation in mice induced by zymosan. This allowed us to determine the effect of meloxicam treatment on the organization of pro-inflammatory and anti-inflammatory microenvironments, thereby identifying relevant changes in immune cell localization, recruitment and activation.
KEY RESULTS RESULTS
Meloxicam treatment reduced zymosan-induced thermal hypersensitivity at early time points but delayed its resolution. High-content immunohistochemistry revealed that the pro-inflammatory area was smaller after treatment, diminishing neutrophil recruitment, M1-like macrophage polarization, and especially phagocytosis by neutrophils and macrophages. The polarization of macrophages towards the M2-like anti-inflammatory phenotype was unaffected, and the number of anti-inflammatory eosinophils actually increased.
CONCLUSION AND IMPLICATIONS CONCLUSIONS
High-content immunohistochemistry was able to identify relevant meloxicam-mediated effects on inflammatory processes based on alterations in the regional structure of inflammation sites. Meloxicam delayed the clearance of pathogens by inhibiting pro-inflammatory processes, causing prolonged inflammation. Our data suggest that the prescription of NSAIDs as a treatment during an acute pathogen-driven inflammation should be reconsidered in patients with compromised immune systems.

Identifiants

pubmed: 37823675
doi: 10.1111/bph.16261
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Deutsche Forschungsgemeinschaft
ID : GRK2336 (TP07)
Organisme : Deutsche Forschungsgemeinschaft
ID : SFB1039 (TP A08, B06, Z01)
Organisme : Deutsche Forschungsgemeinschaft
ID : SCHO817/3-3
Organisme : ACLF-I
ID : P02
Organisme : Fraunhofer Cluster of Excellence Immune-Mediated Diseases

Informations de copyright

© 2023 The Authors. British Journal of Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society.

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Auteurs

Tim J Schäufele (TJ)

Institute of Clinical Pharmacology, Goethe University Frankfurt, Frankfurt, Germany.

Anja Kolbinger (A)

Institute of Clinical Pharmacology, Goethe University Frankfurt, Frankfurt, Germany.

Joschua Friedel (J)

Institute of Clinical Pharmacology, Goethe University Frankfurt, Frankfurt, Germany.

Robert Gurke (R)

Institute of Clinical Pharmacology, Goethe University Frankfurt, Frankfurt, Germany.
Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Frankfurt, Germany.
Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Frankfurt, Germany.

Gerd Geisslinger (G)

Institute of Clinical Pharmacology, Goethe University Frankfurt, Frankfurt, Germany.
Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Frankfurt, Germany.
Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Frankfurt, Germany.

Andreas Weigert (A)

Institute of Biochemistry I, Goethe University Frankfurt, Frankfurt, Germany.

Sandra Pierre (S)

Institute of Clinical Pharmacology, Goethe University Frankfurt, Frankfurt, Germany.

Klaus Scholich (K)

Institute of Clinical Pharmacology, Goethe University Frankfurt, Frankfurt, Germany.
Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Frankfurt, Germany.
Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Frankfurt, Germany.

Classifications MeSH