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Quercetin acutely relaxes airway smooth muscle and potentiates {beta}-agonist induced relaxation via dual phosphodiesterase inhibition of PLC{beta} and PDE4

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AJP Lung Cellular and Molecular Physiology

Published online on

Abstract

Asthma is a disease of the airways with symptoms including exaggerated airway narrowing and airway inflammation. Early asthma therapies utilized methylxanthines to relieve symptoms, in part, by inhibiting cyclic nucleotide phosphodiesterases (PDEs), the enzyme responsible for degrading cAMP. The classification of tissue specific PDE subtypes and the clinical introduction of PDE-selective inhibitors for COPD (i.e roflumilast) have reopened the possibility of using PDE inhibition in the treatment of asthma. Quercetin is a naturally-derived PDE4-selective inhibitor found in fruits, vegetables, and tea. We hypothesized that quercetin relaxes airway smooth muscle via cAMP-mediated pathways and augments β-agonist relaxation. Tracheal rings from male A/J mice were mounted in myographs and contracted with acetylcholine (ACh). Addition of quercetin (100 nM-1 mM) acutely and concentration-dependently relaxed airway rings pre-contracted with ACh. In separate studies, pretreatment with quercetin (100 μM) prevented force generation upon exposure to ACh. In additional studies, quercetin (50 μM) significantly potentiated isoproterenol-induced relaxations. In in vitro assays, quercetin directly attenuated phospholipase C activity, decreased inositol phosphate synthesis, and decreased intracellular calcium responses to Gq-coupled agonists (histamine or bradykinin). Finally, nebulization of quercetin (100 μM) in an in vivo model of airway responsiveness significantly attenuated methacholine-induced increases in airway resistance. These novel data show that the natural PDE4-selective inhibitor, quercetin, may provide therapeutic relief of asthma symptoms and decrease reliance on short-acting β-agonists.