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Metformin alleviates allergic airway inflammation and increases Treg cells in obese asthma
Authors:Yimin Guo  Jianting Shi  Qiujie Wang  Luna Hong  Ming Chen  Shanying Liu  Xiaoqing Yuan  Shanping Jiang
Affiliation:1. Department of Respiratory Medicine, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Medical Research Center, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Institute of Pulmonary Diseases, Sun Yat-sen University, Guangzhou, China

Contribution: Conceptualization (equal), Data curation (equal), Formal analysis (equal), ​Investigation (equal), Methodology (equal), Resources (equal), Software (equal), Visualization (equal), Writing - original draft (equal);2. Department of Respiratory Medicine, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Medical Research Center, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Institute of Pulmonary Diseases, Sun Yat-sen University, Guangzhou, China

Contribution: Conceptualization (equal), Funding acquisition (equal), Project administration (equal), Supervision (equal);3. Department of Respiratory Medicine, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China;4. Department of Respiratory Medicine, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Medical Research Center, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Institute of Pulmonary Diseases, Sun Yat-sen University, Guangzhou, China

Contribution: Formal analysis (equal), Methodology (equal), Software (equal), Validation (equal);5. Department of Respiratory Medicine, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Medical Research Center, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Institute of Pulmonary Diseases, Sun Yat-sen University, Guangzhou, China

Contribution: Methodology (equal), Software (equal);6. Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Medical Research Center, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Research Center of Medicine, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Contribution: Conceptualization (equal), Funding acquisition (equal), Project administration (equal), Visualization (equal), Writing - review & editing (equal);7. Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Medical Research Center, Sun Yat-sen University Second University Hospital, Sun Yat-sen University, Guangzhou, China

Abstract:Obesity increases the morbidity and severity of asthma, with poor sensitivity to corticosteroid treatment. Metformin has potential effects on improving asthma airway inflammation. Regulatory T cells (Tregs) play a key role in suppressing the immunoreaction to allergens. We built an obese asthmatic mouse model by administering a high-fat diet (HFD) and ovalbumin (OVA) sensitization, with daily metformin treatment. We measured the body weight and airway inflammatory status by histological analysis, qRT-PCR, and ELISA. The percentage of Tregs was measured by flow cytometry. Obese asthmatic mice displayed more severe airway inflammation and more significant changes in inflammatory cytokines. Metformin reversed the obese situation and alleviated the airway inflammation and remodelling with increased Tregs and related transcript factors. The anti-inflammatory function of metformin may be mediated by increasing Tregs.
Keywords:Metformin  Obese asthma  Tregs
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