Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of Michigan Medical School, Ann Arbor, Mich.
Department of Pathology, University of Michigan Medical School, Ann Arbor, Mich.
J Allergy Clin Immunol. 2014 Feb;133(2):379-87. doi: 10.1016/j.jaci.2013.07.037. Epub 2013 Sep 24.
Endogenous prostanoids have been suggested to modulate sensitization during experimental allergic asthma, but the specific role of prostaglandin (PG) E₂ or of specific E prostanoid (EP) receptors is not known.
Here we tested the role of EP2 signaling in allergic asthma.
Wild-type (WT) and EP2(-/-) mice were subjected to ovalbumin sensitization and acute airway challenge. The PGE2 analog misoprostol was administered during sensitization in both genotypes. In vitro culture of splenocytes and flow-sorted dendritic cells and T cells defined the mechanism by which EP2 exerted its protective effect. Adoptive transfer of WT and EP2(-/-) CD4 T cells was used to validate the importance of EP2 expression on T cells.
Compared with WT mice, EP2(-/-) mice had exaggerated airway inflammation in this model. Splenocytes and lung lymph node cells from sensitized EP2(-/-) mice produced more IL-13 than did WT cells, suggesting increased sensitization. In WT but not EP2(-/-) mice, subcutaneous administration of misoprostol during sensitization inhibited allergic inflammation. PGE₂ decreased cytokine production and inhibited signal transducer and activator of transcription 6 phosphorylation by CD3/CD28-stimulated CD4(+) T cells. Coculture of flow cytometry-sorted splenic CD4(+) T cells and CD11c(+) dendritic cells from WT or EP2(-/-) mice suggested that the increased IL-13 production in EP2(-/-) mice was due to the lack of EP2 specifically on T cells. Adoptive transfer of CD4(+) EP2(-/-) T cells caused greater cytokine production in the lungs of WT mice than did transfer of WT CD4(+) T cells.
We conclude that the PGE2-EP2 axis is an important endogenous brake on allergic airway inflammation and primarily targets T cells and that its agonism represents a potential novel therapeutic approach to asthma.
内源性前列腺素被认为可以调节实验性变应性哮喘中的致敏作用,但前列腺素(PG)E₂或特定的 E 型前列腺素(EP)受体的具体作用尚不清楚。
本研究旨在检测 EP2 信号在变应性哮喘中的作用。
野生型(WT)和 EP2(-/-)小鼠接受卵清蛋白致敏和急性气道挑战。在两种基因型中,在致敏期间给予 PGE2 类似物米索前列醇。脾细胞和流式分选树突状细胞和 T 细胞的体外培养确定了 EP2 发挥其保护作用的机制。WT 和 EP2(-/-)CD4 T 细胞的过继转移用于验证 EP2 表达对 T 细胞的重要性。
与 WT 小鼠相比,EP2(-/-)小鼠在该模型中具有更严重的气道炎症。与 WT 细胞相比,致敏的 EP2(-/-)小鼠的脾细胞和肺淋巴结细胞产生更多的 IL-13,提示致敏增加。在 WT 但不是 EP2(-/-)小鼠中,在致敏期间皮下给予米索前列醇可抑制变应性炎症。PGE₂可减少细胞因子的产生,并抑制 CD3/CD28 刺激的 CD4(+)T 细胞中信号转导和转录激活因子 6 的磷酸化。流式细胞术分选的 WT 或 EP2(-/-)小鼠的脾 CD4(+)T 细胞和 CD11c(+)树突状细胞的共培养表明,EP2(-/-)小鼠中增加的 IL-13 产生是由于 T 细胞上缺乏 EP2 特异性。与 WT CD4(+)T 细胞的转移相比,WT 小鼠肺中转移的 CD4(+)EP2(-/-)T 细胞引起了更大的细胞因子产生。
我们得出结论,PGE2-EP2 轴是变应性气道炎症的重要内源性制动,主要靶向 T 细胞,其激动剂代表哮喘的一种潜在新型治疗方法。