Adner Mikael, Starkhammar Magnus, Georén Susanna Kumlien, Dahlén Sven-Erik, Cardell Lars-Olaf
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Centre for Allergy Research, Karolinska Institutet, Stockholm, Sweden.
Eur J Pharmacol. 2013 Oct 15;718(1-3):544-51. doi: 10.1016/j.ejphar.2013.09.004. Epub 2013 Sep 13.
Toll-like receptor (TLR) 7 and TLR9 recognise microbial products of viral descent. Since viruses are a common trigger of asthma exacerbations these TLRs have emerged as interesting therapeutic targets. Even though their effects on allergic inflammation have been evaluated in several models their effects on established allergic airway inflammation remains to be described. Therefore, mice with an on-going ovalbumin (OVA)-induced allergic airway inflammation were given R848 or CpG (TLR7 and TLR9 agonists, respectively) intranasally during four consecutive days. At day five, the R848 treatment had reduced OVA-induced airway hyperresponsiveness (measured as the increased resistance to methacholine), counteracted the accompanying influx of eosinophils and macrophages, and decreased the OVA-enhanced release of interleukin (IL)-5 and leukotriene (LT) B4 in bronchoalveolar lavage fluid. CpG, which by itself caused airway hyperresponsiveness, did not influence the OVA-induced airway hyperresponsiveness, and release of IL-5 and LTB4, but decreased the OVA-induced influx of cells in bronchoalveolar lavage fluid, and increased the amount of pro-inflammatory mediators like IL-12, CXCL1 and CXCL9. To conclude, TLR7 dampens the allergic airway reactivity and local inflammation, whereas TLR9 that causes airway hyperresponsiveness and increased cellular response per se, do generally not interfere with the effects induced by allergic inflammation.
Toll样受体(TLR)7和TLR9可识别病毒来源的微生物产物。由于病毒是哮喘加重的常见触发因素,这些TLR已成为有趣的治疗靶点。尽管它们对过敏性炎症的作用已在多种模型中进行了评估,但其对已建立的过敏性气道炎症的作用仍有待描述。因此,对持续存在卵清蛋白(OVA)诱导的过敏性气道炎症的小鼠,连续四天经鼻给予R848或CpG(分别为TLR7和TLR9激动剂)。在第5天,R848治疗降低了OVA诱导的气道高反应性(以对乙酰甲胆碱的阻力增加来衡量),抵消了随之而来的嗜酸性粒细胞和巨噬细胞的流入,并减少了支气管肺泡灌洗液中OVA增强的白细胞介素(IL)-5和白三烯(LT)B4的释放。CpG本身可引起气道高反应性,但不影响OVA诱导的气道高反应性以及IL-5和LTB4的释放,但可减少OVA诱导的支气管肺泡灌洗液中的细胞流入,并增加促炎介质如IL-12、CXCL1和CXCL9的量。总之,TLR7可减轻过敏性气道反应性和局部炎症,而本身可引起气道高反应性和细胞反应增加的TLR9通常不干扰过敏性炎症诱导的效应。