Rho kinase inhibitors: a novel therapeutical intervention in asthma?

Eur J Pharmacol. 2008 May 13;585(2-3):398-406. doi: 10.1016/j.ejphar.2008.01.056. Epub 2008 Mar 18.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Anti-Asthmatic Agents / pharmacology
  • Anti-Asthmatic Agents / therapeutic use*
  • Asthma / drug therapy*
  • Enzyme Inhibitors / pharmacology
  • Enzyme Inhibitors / therapeutic use*
  • Humans
  • Inflammation / physiopathology
  • Muscle, Smooth / drug effects
  • Muscle, Smooth / physiology
  • rho-Associated Kinases / antagonists & inhibitors*
  • rho-Associated Kinases / physiology

Substances

  • Anti-Asthmatic Agents
  • Enzyme Inhibitors
  • rho-Associated Kinases