Acute lung injury (ALI) and
acute respiratory distress syndrome are life-threatening conditions that still have no definite
pharmacotherapy. Hence, we investigate the potential effectiveness and underlying mechanism of
CT-133, a newly developed selective antagonist of
prostaglandin D2 receptor 2 (DP2) or of
chemoattractant receptor homologous molecule expressed on Th2 cells (CRTH2), against
lipopolysaccharide (LPS)-induced ALI.
CT-133 (10 or 30 mg/kg) or
dexamethasone (1 mg/kg, positive control) were intragastrically administered 1 h before and 12 h after intratracheal LPS instillation, and primary neutrophils and macrophages and RAW264.7 macrophages were used to investigate the role of
CT-133 in regulation of their functions. LPS induced a significant secretion of
PGD2 from primary macrophages, however,
CT-133 dose-dependently and markedly decreased the infiltration of neutrophils and macrophages into lungs, reduced the IL-1β, TNF-α,
IL-6, and KC levels in broncho-alveolar lavage (BAL) fluids, decreased the wet weight and
myeloperoxidase activity of lungs, reduced
Evans blue and
albumin exudation into lungs, and improved the lung histopathological changes and
hypoxemia. Moreover,
CT-133 significantly suppressed the primary neutrophil migration toward the
PGD2 and robustly inhibited the
mRNA and
protein expression of IL-1β, TNF-α,
IL-6, and KC in primary and RAW264.7 macrophages in response to either LPS- or
PGD2 stimulation. Finally,
CT-133 significantly blocked the LPS-induced P65 activation in both RAW264.7 macrophages and mouse lungs. Thus, This is the first report that a
CRTH2 antagonist, CT-133, is capable of significantly alleviating LPS-induced
lung injury by probably down-regulating the NF-κB signalling.