Department of Pharmacology, Kobe Pharmaceutical University, Higashinada, Kobe 658-8558, Japan.
J Immunol. 2014 Feb 15;192(4):1372-84. doi: 10.4049/jimmunol.1301538. Epub 2014 Jan 20.
Neutrophilic airway inflammation is a hallmark of patients with severe asthma. Although we have reported that both IL-33 and IL-17A contributed to IgE-mediated neutrophilic inflammation in mice, the relationship remains unclear. In this article, we examined how IL-17A modifies IL-33-induced neutrophilic inflammation and airway hyperresponsiveness (AHR). IL-33 was intratracheally administered to BALB/c mice on days 0-2; furthermore, on day 7, the effect of the combination of IL-33 and IL-17A was evaluated. Compared with IL-33 or IL-17A alone, the combination exacerbated neutrophilic inflammation and AHR, associated with more increased levels of lung glutamic acid-leucine-arginine(+) CXC chemokines, including CXCL1, CXCL2, and CXCL5, and infiltration by alveolar macrophages expressing CXCR2. Treatment with anti-CXCR2 mAb or depletion of alveolar macrophages repressed neutrophilic inflammation and AHR; in addition, depletion of neutrophils suppressed AHR. These findings prompted us to examine the role of CXCR2 in IgE-sensitized mice; a single treatment with anti-CXCR2 mAb in the seventh Ag challenge inhibited late-phase airway obstruction, AHR, and neutrophilic inflammation. In addition to inhibition, multiple treatments during the fourth to seventh challenge attenuated early-phase airway obstruction, eosinophilic inflammation, and goblet cell hyperplasia associated with the reduction of Th2 cytokine production, including IL-4, IL-5, and IL-13. Collectively, IL-33 cooperated with IL-17A to exacerbate AHR by enhancing neutrophilic inflammation via CXCR2 signaling; furthermore, CXCR2 signaling derived Th2 responses. We thus suggest the underlying mechanisms of IL-33 and IL-17A in allergic asthma and CXCR2 as potential therapeutic targets for the disease.
中性粒细胞性气道炎症是重症哮喘患者的一个标志。虽然我们已经报告说,IL-33 和 IL-17A 都有助于小鼠 IgE 介导的中性粒细胞炎症,但这种关系仍不清楚。在本文中,我们研究了 IL-17A 如何改变 IL-33 诱导的中性粒细胞炎症和气道高反应性(AHR)。IL-33 在第 0-2 天经气管内给药;此外,在第 7 天,评估了 IL-33 和 IL-17A 的联合作用。与 IL-33 或 IL-17A 单独给药相比,联合用药加剧了中性粒细胞炎症和 AHR,与更多增加的肺谷氨酸-亮氨酸-精氨酸(+)CXC 趋化因子水平相关,包括 CXCL1、CXCL2 和 CXCL5,以及表达 CXCR2 的肺泡巨噬细胞浸润。用抗-CXCR2 mAb 治疗或耗尽肺泡巨噬细胞抑制中性粒细胞炎症和 AHR;此外,耗尽中性粒细胞抑制 AHR。这些发现促使我们研究 CXCR2 在 IgE 致敏小鼠中的作用;在第七次 Ag 挑战中单次给予抗-CXCR2 mAb 抑制晚期气道阻塞、AHR 和中性粒细胞炎症。除了抑制作用外,在第四次至第七次挑战期间进行多次治疗可减轻早期气道阻塞、嗜酸性粒细胞炎症和杯状细胞增生,与 Th2 细胞因子产生减少相关,包括 IL-4、IL-5 和 IL-13。总之,IL-33 与 IL-17A 合作通过 CXCR2 信号增强中性粒细胞炎症来加剧 AHR;此外,CXCR2 信号源自 Th2 反应。因此,我们提出了 IL-33 和 IL-17A 在过敏性哮喘中的潜在机制以及 CXCR2 作为该疾病的潜在治疗靶点。
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