Pulmonary and Critical Care Medicine Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
J Immunol. 2012 Aug 15;189(4):1983-91. doi: 10.4049/jimmunol.1101665. Epub 2012 Jul 16.
Asthma is a disease of airway inflammation that in most cases fails to resolve. The resolution of inflammation is an active process governed by specific chemical mediators, including D-series resolvins. In this study, we determined the impact of resolvin D1 (RvD1) and aspirin-triggered RvD1 (AT-RvD1) on the development of allergic airway responses and their resolution. Mice were allergen sensitized, and RvD1, AT-RvD1 (1, 10, or 100 ng), or vehicle was administered at select intervals before or after aerosol allergen challenge. RvD1 markedly decreased airway eosinophilia and mucus metaplasia, in part by decreasing IL-5 and IκBα degradation. For the resolution of established allergic airway responses, AT-RvD1 was even more efficacious than RvD1, leading to a marked decrease in the resolution interval for lung eosinophilia, decrements in select inflammatory peptide and lipid mediators, and more rapid resolution of airway hyperreactivity to methacholine. Relative to RvD1, AT-RvD1 resisted metabolic inactivation by macrophages, and AT-RvD1 significantly enhanced macrophage phagocytosis of IgG-OVA-coated beads in vitro and in vivo, a new proresolving mechanism for the clearance of allergen from the airways. In conclusion, RvD1 and AT-RvD1 can serve as important modulators of allergic airway responses by decreasing eosinophils and proinflammatory mediators and promoting macrophage clearance of allergen. Together, these findings identify D-series resolvins as potential proresolving therapeutic agents for allergic responses.
哮喘是一种气道炎症性疾病,在大多数情况下无法消退。炎症的消退是一个由特定化学介质(包括 D 系列 resolvins)控制的主动过程。在这项研究中,我们确定了 resolvin D1(RvD1)和阿司匹林触发的 resolvin D1(AT-RvD1)对过敏性气道反应的发展及其消退的影响。在致敏后,我们在雾化过敏原攻击前后的特定时间点给予 RvD1、AT-RvD1(1、10 或 100ng)或载体。RvD1 显著降低气道嗜酸性粒细胞增多和黏液化生,部分是通过降低 IL-5 和 IκBα 降解。对于已建立的过敏性气道反应的消退,AT-RvD1 比 RvD1 更有效,导致肺嗜酸性粒细胞消退间隔明显缩短,选择的炎症肽和脂质介质减少,以及对乙酰甲胆碱的气道高反应性更快消退。与 RvD1 相比,AT-RvD1 抵抗巨噬细胞的代谢失活,AT-RvD1 显著增强了体外和体内巨噬细胞对 IgG-OVA 包被珠的吞噬作用,这是一种清除气道中过敏原的新的促解决机制。总之,RvD1 和 AT-RvD1 可通过减少嗜酸性粒细胞和促炎介质并促进巨噬细胞清除过敏原,作为过敏性气道反应的重要调节剂。这些发现表明 D 系列 resolvins 可能成为治疗过敏反应的促解决治疗剂。