Kato Yoshiko, Fujisawa Takao, Nishimori Hisashi, Katsumata Hajime, Atsuta Jun, Iguchi Kosei, Kamiya Hitoshi
Institute for Clinical Research, Mie National Hospital, Tsu, Japan.
Int Arch Allergy Immunol. 2005;137 Suppl 1:17-20. doi: 10.1159/000085427. Epub 2005 Jun 2.
Eosinophils may play an important role in the pathogenesis of airway remodeling in asthma through the production of various fibrogenic cytokines such as transforming growth factor-beta1 (TGF-beta1). Cysteinyl leukotrienes are also suggested to be involved in remodeling with their potential to induce proliferation of airway smooth muscle cells. Since massive eosinophil infiltration and the release of cysteinyl leukotrienes in airway secretions are often seen in asthma, we hypothesized that cysteinyl leukotrienes may be involved in airway remodeling through induction of TGF-beta1 from eosinophils. Peripheral blood eosinophils were cultured with leukotriene D(4) (LTD(4)) and/or interleukin-5 (IL-5) or granulocyte colony-stimulating factor (GM-CSF) for 16 h and gene expression of TGF-beta1 was quantified with real-time PCR. A combination of LTD(4) and IL-5 or LTD(4) and GM-CSF synergistically induced TGF-beta1 expression in eosinophils although stimulation with single factor, LTD(4), IL-5 or GM-CSF did not induce the gene expression. LTD(4) also induced significant gene expression in eosinophils cultured in an intercellular adhesion molecule-1-coated plate. The results suggested that CysLTs stimulate eosinophils to induce TGF-beta1 production in allergic inflammation where IL-5 and GM-CSF are abundant and may be involved in the pathogenesis of airway remodeling.
嗜酸性粒细胞可能通过产生多种促纤维化细胞因子,如转化生长因子-β1(TGF-β1),在哮喘气道重塑的发病机制中发挥重要作用。半胱氨酰白三烯也被认为参与了重塑过程,因为它们有诱导气道平滑肌细胞增殖的潜力。由于在哮喘中经常可见大量嗜酸性粒细胞浸润以及气道分泌物中半胱氨酰白三烯的释放,我们推测半胱氨酰白三烯可能通过诱导嗜酸性粒细胞产生TGF-β1而参与气道重塑。将外周血嗜酸性粒细胞与白三烯D4(LTD4)和/或白细胞介素-5(IL-5)或粒细胞集落刺激因子(GM-CSF)一起培养16小时,并用实时PCR定量TGF-β1的基因表达。LTD4与IL-5或LTD4与GM-CSF联合使用可协同诱导嗜酸性粒细胞中TGF-β1的表达,而单独用LTD4、IL-5或GM-CSF刺激则不会诱导该基因表达。LTD4还能在细胞间黏附分子-1包被的培养板中培养的嗜酸性粒细胞中诱导显著的基因表达。结果表明,在IL-5和GM-CSF丰富的过敏性炎症中,半胱氨酰白三烯刺激嗜酸性粒细胞诱导TGF-β1的产生,可能参与气道重塑的发病机制。