Division of Immune Regulation, La Jolla Institute for Allergy and Immunology, La Jolla, California, USA.
Nat Med. 2011 May;17(5):596-603. doi: 10.1038/nm.2356. Epub 2011 Apr 17.
Individuals with chronic asthma show a progressive decline in lung function that is thought to be due to structural remodeling of the airways characterized by subepithelial fibrosis and smooth muscle hyperplasia. Here we show that the tumor necrosis factor (TNF) family member LIGHT is expressed on lung inflammatory cells after allergen exposure. Pharmacological inhibition of LIGHT using a fusion protein between the IgG Fc domain and lymphotoxin β receptor (LTβR) reduces lung fibrosis, smooth muscle hyperplasia and airway hyperresponsiveness in mouse models of chronic asthma, despite having little effect on airway eosinophilia. LIGHT-deficient mice also show a similar impairment in fibrosis and smooth muscle accumulation. Blockade of LIGHT suppresses expression of lung transforming growth factor-β (TGF-β) and interleukin-13 (IL-13), cytokines implicated in remodeling in humans, whereas exogenous administration of LIGHT to the airways induces fibrosis and smooth muscle hyperplasia, Thus, LIGHT may be targeted to prevent asthma-related airway remodeling.
慢性哮喘患者的肺功能逐渐下降,据认为这是由于气道的结构重塑所致,其特征是上皮下纤维化和平滑肌增生。在这里,我们发现肿瘤坏死因子(TNF)家族成员 LIGHT 在过敏原暴露后表达于肺部炎症细胞上。使用 IgG Fc 结构域和淋巴毒素β受体(LTβR)之间的融合蛋白对 LIGHT 进行药理学抑制,可减少慢性哮喘小鼠模型中的肺纤维化、平滑肌增生和气道高反应性,尽管对气道嗜酸性粒细胞浸润几乎没有影响。缺乏 LIGHT 的小鼠也表现出类似的纤维化和平滑肌积累缺陷。阻断 LIGHT 可抑制肺转化生长因子-β(TGF-β)和白细胞介素-13(IL-13)的表达,这些细胞因子与人类的重塑有关,而将 LIGHT 外源性给予气道会诱导纤维化和平滑肌增生,因此,LIGHT 可能成为预防与哮喘相关的气道重塑的靶标。