Rho kinase inhibitors: a novel therapeutical intervention in asthma?

D Schaafsma, R Gosens, J Zaagsma… - European journal of …, 2008 - Elsevier
D Schaafsma, R Gosens, J Zaagsma, AJ Halayko, H Meurs
European journal of pharmacology, 2008Elsevier
In asthma, inflammatory mediators that are released in the airways by recruited inflammatory
cells and by resident structural cells result in airway hyperresponsiveness caused by
increased bronchoconstriction. In addition, chronic inflammation appears to drive
remodelling of the airways that contributes to the development of fixed airway obstruction
and airway hyperresponsiveness in chronic asthma. Airway remodelling includes several
key features such as excessive deposition of extracellular matrix proteins in the airway wall …
In asthma, inflammatory mediators that are released in the airways by recruited inflammatory cells and by resident structural cells result in airway hyperresponsiveness caused by increased bronchoconstriction. In addition, chronic inflammation appears to drive remodelling of the airways that contributes to the development of fixed airway obstruction and airway hyperresponsiveness in chronic asthma. Airway remodelling includes several key features such as excessive deposition of extracellular matrix proteins in the airway wall (fibrosis) and increased abundance of contractile airway smooth muscle encircling the airways. Current asthma therapy fails to inhibit these features satisfactorily. This review focuses on Rho kinase as a potential drug target in asthma, as compelling evidence from animal models and ex vivo studies suggests a central role for this enzyme and its associated signalling in acute and chronic airway hyperresponsiveness.
Elsevier