Department of Pediatrics and Pediatric Respiratory Research, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Immunobiology. 2011 May;216(5):548-57. doi: 10.1016/j.imbio.2010.10.002. Epub 2010 Oct 20.
CD1d-restricted natural killer T (NKT) cells are implicated in the pathogenesis of asthma. β-Glucosylceramide (GC), a naturally occurring lipid, was previously shown to alter NKT cell distribution in the liver. We hypothesized that GC can affect lung and liver NKT cell distribution and ameliorate asthma. Mice were sensitized by intra-peritoneal injection of ovalbumin (OVA) for 2 weeks followed by repeated intranasal OVA challenges to induce lung injury mimicking asthma. OVA induced asthma groups were either treated by intranasal instillation of normal saline, intranasal instillation of GC or inhaled budesonide. To investigate the role of the liver, hepatic fibrosis was induced using carbon tetrachloride prior to asthma induction. Allergen induced bronchoconstriction was measured prior to sacrifice. Isolated lymphocytes from lungs, livers and spleens were analyzed for OVA induced proliferation and flow cytometry. Liver and lung histology, serum aminotransferase and anti-OVA antibodies level were assessed. Treatment with GC significantly reduced OVA induced airway responsiveness (p<0.001) similar to inhaled budesonide. GC significantly reduced the peri-bronchial and peri-vascular inflammatory infiltration mainly through an effect on T cells, as suggested by decreased T cell proliferation (p=0.009). Liver CD4 and NKT cells significantly increased after GC treatment suggesting liver involvement. Inducing hepatic fibrosis blunted the propagation of asthma in spite of sufficient increase of serum anti-OVA titers. GC has an immunomodulatory effect on a murine model of experimental asthma. We also suggest that the liver acts as an immunomodulatory organ and might have a regulatory effect on pulmonary diseases.
CD1d 限制性自然杀伤 T(NKT)细胞被认为与哮喘的发病机制有关。β-葡糖脑苷脂(GC)是一种天然存在的脂质,先前已显示其可以改变肝脏中 NKT 细胞的分布。我们假设 GC 可以影响肺和肝 NKT 细胞的分布并改善哮喘。通过腹腔注射卵清蛋白(OVA)对小鼠进行 2 周致敏,然后进行重复的鼻内 OVA 挑战,以诱导模仿哮喘的肺损伤。OVA 诱导的哮喘组通过鼻内滴注生理盐水、鼻内滴注 GC 或吸入布地奈德进行治疗。为了研究肝脏的作用,在用哮喘诱导物之前使用四氯化碳诱导肝纤维化。在牺牲之前测量过敏原诱导的支气管收缩。从肺、肝和脾中分离淋巴细胞,分析 OVA 诱导的增殖和流式细胞术。评估肝和肺组织学、血清转氨酶和抗 OVA 抗体水平。GC 治疗显著降低了 OVA 诱导的气道反应性(p<0.001),与吸入布地奈德相似。GC 显著减少了主要通过 T 细胞减少增殖(p=0.009)引起的支气管周围和血管周围炎症浸润。GC 治疗后,肝 CD4 和 NKT 细胞显著增加,提示肝脏受累。尽管血清抗 OVA 滴度增加,但诱导肝纤维化会减弱哮喘的传播。GC 对实验性哮喘的小鼠模型具有免疫调节作用。我们还表明,肝脏作为免疫调节器官,可能对肺部疾病具有调节作用。