Brevenal, a Marine Natural Product, Is Anti-Inflammatory and an Immunomodulator of Macrophage and Lung Epithelial Cells
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marine drugs Article Brevenal, a Marine Natural Product, is Anti-Inflammatory and an Immunomodulator of Macrophage and Lung Epithelial Cells Devon M. Keeler, Meghan K. Grandal and Jennifer R. McCall * UNCW Center for Marine Science, 5600 Marvin K Moss Lane, Wilmington, NC 28409, USA; [email protected] (D.M.K.); [email protected] (M.K.G.) * Correspondence: [email protected]; Tel.: +1-910-962-2081; Fax: +1-910-962-2410 Received: 12 February 2019; Accepted: 17 March 2019; Published: 20 March 2019 Abstract: Chronic respiratory diseases, including chronic obstructive pulmonary disease (COPD), cystic fibrosis, and asthma, are some of the leading causes of illness and fatalities worldwide. The search for novel treatments led to the exploration of marine natural products as drug candidates to combat the debilitating effects of mucus accumulation and chronic inflammation. Previous research showed that an alga-derived compound, brevenal, could attenuate the effects of inflammatory agents, but the mechanisms by which it exerted its effects remained unclear. We investigated the effects of brevenal on lipopolysaccharide (LPS) induced cytokine/chemokine production from murine macrophages and human lung epithelial cells. It was found that brevenal reduces proinflammatory mediator secretion while preserving anti-inflammatory secretion from these cells. Furthermore, we found that brevenal does not alter cell surface Toll-like receptor 4 (TLR4) expression, thereby maintaining the cells’ ability to respond to bacterial infection. However, brevenal does alter macrophage activation states, as demonstrated by reduced expression of both M1 and M2 phenotype markers, indicating this putative anti-inflammatory drug shifts innate immune cells to a less active state. Such a mechanism of action would be ideal for reducing inflammation in the lung, especially with patients suffering from chronic respiratory diseases, where inflammation can be lethal. Keywords: brevenal; marine natural product; immunomodulator; anti-inflammatory; cystic fibrosis; COPD; asthma; cytokine; chemokine; macrophage activation; macrophage phenotype; mucociliary clearance 1. Introduction Chronic respiratory diseases are some of the leading causes of illness and death globally [1]. Chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF), and asthma can all be fatal diseases that affect lung function by increasing inflammation and decreasing mucus clearance. Inflammation is a natural biological response, and at a local site of damage or infection, it is an important mechanism for the immune system to clear harmful stimuli. However, excessive inflammation, like that which occurs during sepsis, can damage delicate organ structures, such as those found in the respiratory system. Prolonged inflammation and corresponding damage of critical organ systems can be lethal [2,3]). Millions of people suffer globally from chronic respiratory diseases, including estimates of 65 million with COPD, 300 million with asthma, and 70,000 with CF [1,4–9]. Approximately 3 million people die each year from COPD [1,4,5]. Regrettably, it is estimated that 250,000 deaths are attributed to asthma each year, many of which could have been prevented with sufficient medical intervention [9]. Life expectancy of a patient with CF was only 5 years in the 1960s, and while the quality and length of Mar. Drugs 2019, 17, 184; doi:10.3390/md17030184 www.mdpi.com/journal/marinedrugs Mar. Drugs 2019, 17, 184 2 of 14 life have improved dramatically since then, CF remains a debilitating and ultimately fatal disease [6–8]. Mar. Drugs 2019, 17, x 2 of 14 As these diseases continue to have such an aggressive impact on human mortality, it is critical to progressdisease [6 research–8]. As these into the diseases causes, continue prevention, to have and such new an treatments aggressive of impact these diseases.on human mortality, it is criticalSearching to progress for novelresearch treatments into the causes, for these prevention, diseases and requires new treatments exploring of newthese drug diseases. candidates with bioactivitySearching for that novel can combat treatments inflammation for these diseases and mucus requires accumulation. exploring new The drug marine candidates environment with providesbioactivity a diversethat can source combat of naturalinflammation products and with mucus potential accumulation. to treat humanThe ailments.marine environment The marine dinoflagellateprovides a diverseKarenia source brevis isof onenatural such products source of with bioactive potential compounds. to treat human This unicellular ailments. alga The produces marine adinoflagellate number of bioactive Karenia compoundsbrevis is one with such therapeutic source of potential, bioactive including compounds. the neurotoxicThis unicellular brevetoxins alga (PbTxs),produces hemibrevetoxin a number of bioactive B, brevisin, compounds brevisamide, with therapeutic tamulamides potential, A and including B, and brevenal the neurotoxic [10–16 ]. Brevenalbrevetoxins (Figure (PbTxs),1) was hemibrevetoxin the first natural B, nontoxic brevisin, ligand brevisamide, described tamulamides that displaces A and PbTxs B, and from brevenal binding to[10 voltage-sensitive–16]. Brevenal (Figure sodium 1) was channels the first [16 natural]. In cell nontoxic models, ligand brevenal described has beenthat displaces found to PbTxs antagonize from PbTx-inducedbinding to voltage elevations-sensitive in intracellular sodium channels calcium [16 levels]. In [ 17cell] and models, reduce brevenal cell death has in been the presence found to of highlyantagonize toxic PbTx concentrations-induced elevations of PbTxs in [18 intrace]. In vivollularmodels calcium have levels shown [17] and that reduce brevenal cell can death attenuate in the PbTx-inducedpresence of highly bronchoconstriction toxic concentrations and of increase PbTxs tracheal[18]. In vivo mucosal models velocity have shown in sheep that [19 brevenal]. The ability can ofattenuate brevenal PbTx to increase-induced tracheal bronchoconstriction mucosal velocity and and increase mucocilliary tracheal clearance mucosal has velocity led to in the sheep patenting [19]. ofThe brevenal ability of as brevenal a treatment to increase for COPD, tracheal cystic mucosal fibrosis, velocity and asthma,and mucocilliary as well asclearance attempts has by led Silurian to the Pharmaceuticalspatenting of brevenal to begin as Phasea treatment I clinical for testingCOPD, for cystic the treatmentfibrosis, and of cysticasthma fibrosis., as well as attempts by Silurian Pharmaceuticals to begin Phase I clinical testing for the treatment of cystic fibrosis. FigureFigure 1.1. ChemicalChemical structures of relevant Karenia brevis natural products products.. DuringDuring thethe inin vivovivoinvestigation of of the the antagonistic antagonistic effects effects of ofbrevenal brevenal against against brevetoxins, brevetoxins, it itwas was discovered discovered that that brevenal brevenal alone alone cou couldld also also attenuate attenuate the theeffects effects of other of other inflammatory inflammatory agents. agents.For Forexample, example, brevenal brevenal has hasbeen been shown shown to attenuate to attenuate neutrophil neutrophil elastase elastase-induced-induced bronchoconstriction bronchoconstriction and anddecrease decrease neutrophil neutrophil recruitment recruitment into into the the lung lung[20 [20–22–22]. ].These These results results indicate indicate anti anti-inflammatory-inflammatory effectseffects not not typically typically seenseen withwith traditionaltraditional lunglung clearingclearing pharmaceuticals [20 [20––2323]].. Brevenal Brevenal has has also also beenbeen found found to to attenuateattenuate PbTx-inducedPbTx-induced activity and sodium influx influx in, in, but but not not activation activation of, of, mast mast cells, cells, aa keykey immuneimmune cellcell thatthat coordinatescoordinates allergicallergic responsesresponses [ 24]].. While brevenal brevenal shows shows promise promise as as a a potentialpotential therapeutic therapeutic forfor lunglung disease,disease, the the mechanism by which brevenal brevenal can can attenuate attenuate inflammation inflammation remainsremains unclear. unclear. SecondarySecondary to to airway airway restriction, restriction, chronic chronic respiratory respiratory diseases diseases are oftenare often compounded compounded by the by effects the ofeffects inflammation. of inflammation. An excessiveAn excessive inflammatory inflammatory response response can cause can seriouscause serious damage damage to lung to tissues, lung decreasingtissues, decreasing quality of quality life and increasingof life and debilitating increasing symptomsdebilitating associated symptoms with associated COPD, asthma, with COPD, and CF. Asasthma, such, andideal CF. drug As such, candidates ideal drug for chroniccandidates respiratory for chronic disease respirato willry have disease a dual will effect:have a Combatdual effect: the rootCombat cause the of diseaseroot cause (e.g., bronchoconstrictionof disease (e.g., bronchoconstriction or mucus accumulation) or mucus and simultaneously accumulation) reduce and damagingsimultaneously inflammation. reduce damaging The purpose inflammation. of our studyThe was purpose to examine of our the study effects was of to brevenal examine on the pro- effects and of brevenal on pro- and anti-inflammatory cytokine production from lung epithelial cells and immune cells, as an additive mechanism to its influence on airway restriction. Macrophages were used for