Nakagami Yasuhiro, Favoreto Silvio, Zhen Guohua, Park Sung-Woo, Nguyenvu Louis T, Kuperman Douglas A, Dolganov Gregory M, Huang Xiaozhu, Boushey Homer A, Avila Pedro C, Erle David J
Lung Biology Center, Department of Medicine, University of California, San Francisco, CA 94158, USA.
J Immunol. 2008 Aug 1;181(3):2203-10. doi: 10.4049/jimmunol.181.3.2203.
Asthma exacerbations can be triggered by viral infections or allergens. The Th2 cytokines IL-13 and IL-4 are produced during allergic responses and cause increases in airway epithelial cell mucus and electrolyte and water secretion into the airway surface liquid (ASL). Since ASL dehydration can cause airway inflammation and obstruction, ion transporters could play a role in pathogenesis of asthma exacerbations. We previously reported that expression of the epithelial cell anion transporter pendrin is markedly increased in response to IL-13. Herein we show that pendrin plays a role in allergic airway disease and in regulation of ASL thickness. Pendrin-deficient mice had less allergen-induced airway hyperreactivity and inflammation than did control mice, although other aspects of the Th2 response were preserved. In cultures of IL-13-stimulated mouse tracheal epithelial cells, pendrin deficiency caused an increase in ASL thickness, suggesting that reductions in allergen-induced hyperreactivity and inflammation in pendrin-deficient mice result from improved ASL hydration. To determine whether pendrin might also play a role in virus-induced exacerbations of asthma, we measured pendrin mRNA expression in human subjects with naturally occurring common colds caused by rhinovirus and found a 4.9-fold increase in mean expression during colds. Studies of cultured human bronchial epithelial cells indicated that this increase could be explained by the combined effects of rhinovirus and IFN-gamma, a Th1 cytokine induced during virus infection. We conclude that pendrin regulates ASL thickness and may be an important contributor to asthma exacerbations induced by viral infections or allergens.
哮喘急性发作可由病毒感染或过敏原引发。Th2细胞因子白细胞介素13(IL-13)和白细胞介素4(IL-4)在过敏反应过程中产生,会导致气道上皮细胞黏液增加,以及电解质和水分分泌到气道表面液体(ASL)中。由于ASL脱水可导致气道炎症和阻塞,离子转运体可能在哮喘急性发作的发病机制中起作用。我们之前报道过,上皮细胞阴离子转运体pendrin的表达会因IL-13而显著增加。在此我们表明,pendrin在过敏性气道疾病以及ASL厚度调节中发挥作用。与对照小鼠相比,pendrin缺陷小鼠的过敏原诱导的气道高反应性和炎症较轻,尽管Th2反应的其他方面得以保留。在IL-13刺激的小鼠气管上皮细胞培养物中,pendrin缺陷导致ASL厚度增加,这表明pendrin缺陷小鼠中过敏原诱导的高反应性和炎症的减轻是由于ASL水合作用改善所致。为了确定pendrin是否也可能在病毒诱导的哮喘急性发作中起作用,我们测量了因鼻病毒引起自然感冒的人类受试者中pendrin mRNA的表达,发现感冒期间平均表达增加了4.9倍。对培养的人支气管上皮细胞的研究表明,这种增加可以由鼻病毒和干扰素-γ(一种病毒感染期间诱导产生的Th1细胞因子)的联合作用来解释。我们得出结论,pendrin调节ASL厚度,可能是病毒感染或过敏原诱导的哮喘急性发作的重要促成因素。