Division of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
J Immunol. 2012 Oct 1;189(7):3609-17. doi: 10.4049/jimmunol.1200589. Epub 2012 Sep 7.
There is considerable evidence supporting a role for mold exposure in the pathogenesis and expression of childhood asthma. Aspergillus versicolor and Cladosporium cladosporioides are common molds that have been implicated in asthma. In a model of mold-induced asthma, mice were repeatedly exposed to either A. versicolor or C. cladosporioides spores. The two molds induced distinct phenotypes, and this effect was observed in both BALB/c and C57BL/6 strains. C. cladosporioides induced robust airway hyperresponsiveness (AHR), eosinophilia, and a predominately Th2 response, whereas A. versicolor induced a strong Th17 response and neutrophilic inflammation, but very mild AHR. Neutralization of IL-17A resulted in strong AHR and eosinophilic inflammation following A. versicolor exposure. In Dectin-1-deficient mice, A. versicolor exposure resulted in markedly attenuated IL-17A and robust AHR compared with wild-type mice. In contrast, C. cladosporioides induced AHR and eosinophilic inflammation independent of IL-17A and Dectin-1. A. versicolor, but not C. cladosporioides, spores had increased exposure of β-glucans on their surface and were able to bind Dectin-1. Thus, the host response to C. cladosporioides was IL-17A- and Dectin-1-independent, whereas Dectin-1- and IL-17A-dependent pathways were protective against the development of asthma after exposure to A. versicolor.
有大量证据表明,霉菌暴露在儿童哮喘的发病机制和表现中起着重要作用。变色曲霉和枝孢霉是常见的霉菌,它们与哮喘有关。在霉菌诱导的哮喘模型中,小鼠反复暴露于变色曲霉或枝孢霉孢子中。这两种霉菌诱导了不同的表型,这种效应在 BALB/c 和 C57BL/6 两种品系中都观察到了。枝孢霉诱导了强烈的气道高反应性(AHR)、嗜酸性粒细胞增多和主要的 Th2 反应,而变色曲霉诱导了强烈的 Th17 反应和中性粒细胞炎症,但 AHR 非常轻微。中和 IL-17A 后,在变色曲霉暴露后,AHR 和嗜酸性粒细胞炎症明显增强。在 Dectin-1 缺陷小鼠中,与野生型小鼠相比,变色曲霉暴露导致 IL-17A 明显减弱和强烈的 AHR。相比之下,枝孢霉诱导的 AHR 和嗜酸性粒细胞炎症不依赖于 IL-17A 和 Dectin-1。变色曲霉孢子表面β-葡聚糖的暴露增加,并且能够与 Dectin-1 结合,但枝孢霉孢子没有。因此,宿主对枝孢霉的反应不依赖于 IL-17A 和 Dectin-1,而依赖于 Dectin-1 和 IL-17A 的途径可防止暴露于变色曲霉后哮喘的发生。