Perkins Charles, Wills-Karp Marsha, Finkelman Fred D
Division of Immunology, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, OH 45267, USA.
J Allergy Clin Immunol. 2006 Aug;118(2):410-9. doi: 10.1016/j.jaci.2006.06.004.
The related T(H)2 cytokines IL-4 and IL-13 are produced during allergic responses, signal through receptors that contain IL-4 receptor (IL-4R) alpha, and promote allergic inflammation by activating signal transducer and activator of transcription 6. IL-4 promotes T(H)2 response induction, and IL-13 is necessary and sufficient to induce airways hyperresponsiveness (AHR) and goblet cell hyperplasia in some mouse models of asthma. The nonredundant role of IL-13 could reflect unique IL-13 activation of a signaling pathway, inhibitory effects induced by IL-4 but not IL-13, or greater production-potency of IL-13 than IL-4.
We sought to distinguish among these possibilities by determining whether IL-4 inhalation can induce acute allergic airways disease in the absence of IL-13.
Mice were inoculated intratracheally with IL-13 or a long-acting formulation of IL-4. Responses of IL-13-deficient and IL-13-sufficient mice were compared, as were responses in mice treated with a potent IL-13 antagonist, anti-IL-4Ralpha antibody, or control reagents.
IL-4 inhalation stimulated bronchoalveolar lavage fluid eosinophilia, AHR, and goblet cell hyperplasia. These responses were similar in IL-13-deficient and IL-13-sufficient mice and were not inhibited by an IL-13 antagonist but were blocked by anti-IL-4Ralpha antibody.
IL-4 can induce IL-13-independent AHR and goblet cell hyperplasia. Thus the greater role for IL-13 than IL-4 in the induction of these acute allergy-related changes reflects increased production, potency, or both of IL-13 relative to IL-4 rather than a unique IL-13-signaling pathway or a suppressive effect of IL-4.
Dual IL-4/IL-13 inhibition might be more effective than selective IL-13 inhibition at suppressing allergic inflammation in some circumstances.
相关的辅助性T细胞2(T(H)2)细胞因子白细胞介素-4(IL-4)和白细胞介素-13在过敏反应过程中产生,通过含有白细胞介素-4受体(IL-4R)α的受体发出信号,并通过激活信号转导和转录激活因子6促进过敏性炎症。IL-4促进T(H)2反应诱导,在某些哮喘小鼠模型中,IL-13对于诱导气道高反应性(AHR)和杯状细胞增生是必需且足够的。IL-13的非冗余作用可能反映了其对信号通路的独特激活、IL-4而非IL-13诱导的抑制作用,或者IL-13比IL-4更高的产生能力。
我们试图通过确定在没有IL-13的情况下吸入IL-4是否能诱导急性过敏性气道疾病来区分这些可能性。
将小鼠经气管内接种IL-13或长效IL-4制剂。比较了IL-13缺陷型和IL-13充足型小鼠的反应,以及用强效IL-13拮抗剂、抗IL-4Rα抗体或对照试剂处理的小鼠的反应。
吸入IL-4刺激支气管肺泡灌洗液嗜酸性粒细胞增多、AHR和杯状细胞增生。这些反应在IL-13缺陷型和IL-13充足型小鼠中相似,且未被IL-13拮抗剂抑制,但被抗IL-4Rα抗体阻断。
IL-4可诱导不依赖IL-13的AHR和杯状细胞增生。因此,在诱导这些急性过敏相关变化方面,IL-13比IL-4发挥更大作用反映了相对于IL-4,IL-13的产生增加、效力增强或两者兼而有之,而非独特的IL-13信号通路或IL-4的抑制作用。
在某些情况下,双重抑制IL-4/IL-13可能比选择性抑制IL-13在抑制过敏性炎症方面更有效。