Iwasaki Masao, Saito Kuniaki, Takemura Masao, Sekikawa Kenji, Fujii Hidehiko, Yamada Yasuhiro, Wada Hisayasu, Mizuta Keisuke, Seishima Mitsuru, Ito Yatsuji
Department of Otorhinolaryngology, Gifu University School of Medicine, Gifu.
J Allergy Clin Immunol. 2003 Jul;112(1):134-40. doi: 10.1067/mai.2003.1554.
Allergic rhinitis is an inflammation involving T(H)2-type cytokine production, with pathologic eosinophil infiltration in the nasal mucosa. Although TNF-alpha is thought to be a pro-inflammatory cytokine, the relationship between TNF-alpha and allergic rhinitis has not been clarified.
The role of TNF-alpha in a murine model of ovalbumin (OVA)-sensitized allergic rhinitis was investigated by using mice deficient in the gene encoding TNF-alpha (TNF-alpha(-/-) mice).
Both wild-type (TNF-alpha(+/+)) and TNF-alpha(-/-) mice were sensitized with OVA by means of intraperitoneal injection. They were then challenged with intranasal OVA, and various allergic responses were assessed.
The production of OVA-specific IgE in the serum (P <.05) and the frequency of sneezes (P <.05) and nasal rubs (P <.05) decreased significantly in TNF-alpha(-/-) mice after OVA sensitization compared with that in TNF-alpha(+/+) mice (P <.05). The mRNA expression of IL-4, IL-10, and eotaxin in nasal mucosa in TNF-alpha(-/-) mice was also significantly suppressed compared with that in TNF-alpha(+/+) mice after OVA sensitization (P <.05). Furthermore, the expression of both endothelial-leukocyte adhesion molecule 1 and vascular cell adhesion molecule 1 mRNA in the nasal mucosa was significantly suppressed (P <.05), although intercellular adhesion molecule 1 mRNA expression did not decrease significantly in TNF-alpha(-/-) mice compared with that in TNF-alpha(+/+) mice after OVA sensitization. In addition, the effect of TNF-alpha on endothelial-leukocyte adhesion molecule 1 and vascular cell adhesion molecule 1 expression by means of Western blot analysis was compatible with the mRNA results. Pathologically, eosinophil infiltration in nasal mucosa was significantly restricted in TNF-alpha(-/-) mice compared with in TNF-alpha(+/+) mice after OVA sensitization (P <.05).
TNF-alpha is necessary for antigen-specific IgE production and for the induction of T(H)2-type cytokines and chemokines. Furthermore, TNF-alpha might be important for the expression of adhesion molecules to recruit eosinophils to the allergic inflammatory site. We conclude that the lack of TNF-alpha inhibited the development of allergic rhinitis.
变应性鼻炎是一种涉及T(H)2型细胞因子产生的炎症,鼻黏膜有病理嗜酸性粒细胞浸润。虽然肿瘤坏死因子-α(TNF-α)被认为是一种促炎细胞因子,但TNF-α与变应性鼻炎之间的关系尚未阐明。
通过使用编码TNF-α的基因缺陷小鼠(TNF-α(-/-)小鼠),研究TNF-α在卵清蛋白(OVA)致敏的变应性鼻炎小鼠模型中的作用。
野生型(TNF-α(+/+))和TNF-α(-/-)小鼠均通过腹腔注射用OVA致敏。然后用鼻内OVA激发,并评估各种变应性反应。
与TNF-α(+/+)小鼠相比,OVA致敏后TNF-α(-/-)小鼠血清中OVA特异性IgE的产生(P<.05)、喷嚏频率(P<.05)和鼻擦频率(P<.05)均显著降低(P<.05)。与OVA致敏后的TNF-α(+/+)小鼠相比,TNF-α(-/-)小鼠鼻黏膜中IL-4、IL-10和嗜酸性粒细胞趋化因子的mRNA表达也显著受到抑制(P<.05)。此外,鼻黏膜中内皮细胞-白细胞黏附分子1和血管细胞黏附分子1 mRNA的表达均显著受到抑制(P<.05),尽管与OVA致敏后的TNF-α(+/+)小鼠相比,TNF-α(-/-)小鼠细胞间黏附分子1 mRNA的表达没有显著降低。此外,通过蛋白质印迹分析,TNF-α对内皮细胞-白细胞黏附分子1和血管细胞黏附分子1表达的影响与mRNA结果一致。病理上,与OVA致敏后的TNF-α(+/+)小鼠相比,TNF-α(-/-)小鼠鼻黏膜中的嗜酸性粒细胞浸润显著受限(P<.05)。
TNF-α对于抗原特异性IgE产生以及T(H)2型细胞因子和趋化因子的诱导是必需的。此外,TNF-α对于黏附分子的表达可能很重要,以将嗜酸性粒细胞募集到变应性炎症部位。我们得出结论,TNF-α的缺乏抑制了变应性鼻炎的发展。