Department of Pathology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
J Clin Invest. 2011 Nov;121(11):4420-32. doi: 10.1172/JCI44999. Epub 2011 Oct 17.
TLRs are a family of receptors that mediate immune system pathogen recognition. In the respiratory system, TLR activation has both beneficial and deleterious effects in asthma. For example, clinical data indicate that TLR6 activation exerts protective effects in asthma. Here, we explored the mechanism or mechanisms through which TLR6 mediates this effect using mouse models of Aspergillus fumigatus-induced and house dust mite antigen-induced (HDM antigen-induced) chronic asthma. Tlr6-/- mice with fungal- or HDM antigen-induced asthma exhibited substantially increased airway hyperresponsiveness, inflammation, and remodeling compared with WT asthmatic groups. Surprisingly, whole-lung levels of IL-23 and IL-17 were markedly lower in Tlr6-/- versus WT asthmatic mice. Tlr6-/- DCs generated less IL-23 upon activation with lipopolysaccharide, zymosan, or curdlan. Impaired IL-23 generation in Tlr6-/- mice also corresponded with lower levels of expression of the pathogen-recognition receptor dectin-1 and expansion of Th17 cells both in vivo and in vitro. Exogenous IL-23 treatment of asthmatic Tlr6-/- mice restored IL-17A production and substantially reduced airway hyperresponsiveness, inflammation, and lung fungal burden compared with that in untreated asthmatic Tlr6-/- mice. Together, our data demonstrate that TLR6 activation is critical for IL-23 production and Th17 responses, which both regulate the allergic inflammatory response in chronic fungal-induced asthma. Thus, therapeutics targeting TLR6 activity might prove efficacious in the treatment of clinical asthma.
TLRs 是一组受体,介导免疫系统对病原体的识别。在呼吸系统中,TLR 的激活在哮喘中既有有益作用,也有有害作用。例如,临床数据表明 TLR6 的激活对哮喘具有保护作用。在这里,我们使用烟曲霉菌诱导和屋尘螨抗原诱导(HDM 抗原诱导)慢性哮喘的小鼠模型,探讨了 TLR6 介导这种作用的机制。与 WT 哮喘组相比,真菌或 HDM 抗原诱导的哮喘 Tlr6-/- 小鼠的气道高反应性、炎症和重塑明显增加。令人惊讶的是,Tlr6-/- 哮喘小鼠的肺内 IL-23 和 IL-17 水平明显低于 WT 哮喘小鼠。TLR6-/-DC 在受到脂多糖、酵母聚糖或几丁质激活时产生的 IL-23 明显减少。Tlr6-/- 小鼠中 IL-23 的生成受损也与病原体识别受体 dectin-1 的表达水平降低以及体内和体外 Th17 细胞的扩增相对应。与未治疗的哮喘 Tlr6-/- 小鼠相比,哮喘 Tlr6-/- 小鼠中给予外源性 IL-23 治疗可恢复 IL-17A 的产生,并显著降低气道高反应性、炎症和肺部真菌负荷。总之,我们的数据表明 TLR6 的激活对于 IL-23 的产生和 Th17 反应至关重要,这两者都调节慢性真菌诱导哮喘中的过敏炎症反应。因此,针对 TLR6 活性的治疗方法可能在治疗临床哮喘方面有效。