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Roles of PI3k pan-inhibitors and PI3k-d inhibitors in allergic lung inflammation: systematic review and a meta-analysis

Yong Chul Lee, Jong Seung Kim, Jae Seok Jeong, Sam Hyun Kwon, So Ri Kim
European Respiratory Journal 2020 56: 231; DOI: 10.1183/13993003.congress-2020.231
Yong Chul Lee
1Department of Internal Medicine, Research Center for Pulmonary Disorders, Chonbuk National University Medical School, Jeonju, Republic of Korea
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  • For correspondence: leeyc@jbnu.ac.kr
Jong Seung Kim
2Department of Otorhinolaryngology, Chonbuk National University Medical School, Jeonju, Republic of Korea
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Jae Seok Jeong
1Department of Internal Medicine, Research Center for Pulmonary Disorders, Chonbuk National University Medical School, Jeonju, Republic of Korea
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Sam Hyun Kwon
2Department of Otorhinolaryngology, Chonbuk National University Medical School, Jeonju, Republic of Korea
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So Ri Kim
1Department of Internal Medicine, Research Center for Pulmonary Disorders, Chonbuk National University Medical School, Jeonju, Republic of Korea
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Abstract

Meta-analysis can be applied to study the effectiveness of the summary estimates for experimental papers, producing objective and unbiased results. We investigate the effects of phosphoinositide-3-kinase on the inflammatory profile in allergic mouse models, which are currently under development in signal transduction materials. PubMed, EMBASE and Web of Science databases were searched for relevant literature using the search term "PI3k inhibitor" and "allergy" or "asthma". Cochrane Review Manager and R were used for handling continuous variables. The primary outcomes of the inflammatory profile were divided into cell count and inflammatory cytokines. We used a random effects model to draw a forest plot.

Through the database search and subsequent selection, 17 articles were identified. Regarding the cell count, both the PI3k pan-inhibitors and PI3k-δ inhibitors effectively reduced the total cell count, eosinophils, neutrophils and lymphocytes. In contrast to PI3k-δ inhibitors, PI3k pan-inhibitors effectively reduced macrophages. Regarding the inflammatory cytokines, PI3k pan-inhibitors and PI3k-δ inhibitors effectively reduced total IgE, IL-4, IL-5, IL-13, TNF-α, IL-1β, VEGF and have no effect on IL-6.

Compared to the PI3k pan-inhibitors, which block all pathways, selective PI3k-δ inhibitors are expected to be relatively less toxic. Regarding the efficacy, PI3k-δ inhibitors have at least the same or better efficacy than PI3k pan-inhibitors in effector cells and inflammatory mediators.

  • Asthma - mechanism
  • Allergy
  • Asthma

Footnotes

Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 231.

This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2020
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Roles of PI3k pan-inhibitors and PI3k-d inhibitors in allergic lung inflammation: systematic review and a meta-analysis
Yong Chul Lee, Jong Seung Kim, Jae Seok Jeong, Sam Hyun Kwon, So Ri Kim
European Respiratory Journal Sep 2020, 56 (suppl 64) 231; DOI: 10.1183/13993003.congress-2020.231

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Roles of PI3k pan-inhibitors and PI3k-d inhibitors in allergic lung inflammation: systematic review and a meta-analysis
Yong Chul Lee, Jong Seung Kim, Jae Seok Jeong, Sam Hyun Kwon, So Ri Kim
European Respiratory Journal Sep 2020, 56 (suppl 64) 231; DOI: 10.1183/13993003.congress-2020.231
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