Unit of Experimental Asthma and Allergy Research, Institute of Environmental Medicine, Karolinska Institutet and University Hospital, Stockholm, Sweden.
Allergy. 2015 May;70(5):514-21. doi: 10.1111/all.12590. Epub 2015 Feb 24.
Interleukin-33 (IL-33) is implicated as an epithelium-derived danger signal promoting Th2-dependent responses in asthma. We hypothesized that IL-33 might also have direct effects on mast cell-driven allergic airway obstruction.
The effects of IL-33 on allergic responses in the airways of sensitized mice were assessed both in vivo and ex vivo, as well as on cultured mast cells in vitro.
In vivo, the allergen-induced increase in resistance in the conducting airways was enhanced in mice pretreated with IL-33. Also, in the isolated airways, the allergen-induced contractions were increased in preparations from animals subjected to intranasal IL-33 pretreatment. These effects in vivo and ex vivo were blocked by the 5-HT2A receptor antagonist ketanserin and absent in mice without mast cells. Likewise, the IL-33-induced enhancement of the allergen response was absent in isolated airways from mice lacking the IL-33 receptor. Moreover, exposure to IL-33 increased secretion of serotonin from allergen-challenged isolated airways. In cultured mast cells, IL-33 enhanced the expression of tryptophan hydroxylase 1, serotonin synthesis, and storage, as well as the secretion of serotonin following IgE receptor cross-linking.
These results demonstrate that IL-33 exacerbates allergic bronchoconstriction by increasing synthesis, storage, and secretion of serotonin from the mast cell. This mechanism has implications for the development of airway obstruction in asthma.
白细胞介素-33(IL-33)被认为是一种上皮细胞衍生的危险信号,可促进哮喘中的 Th2 依赖性反应。我们假设 IL-33 也可能对肥大细胞驱动的过敏性气道阻塞有直接影响。
在体内和体外评估了 IL-33 对致敏小鼠气道中过敏性反应的影响,以及对体外培养的肥大细胞的影响。
在体内,IL-33 预处理增强了变应原诱导的气道传导阻力增加。此外,在分离的气道中,用变应原刺激时,经鼻内给予 IL-33 预处理的动物的气道收缩增加。这些体内和体外的作用被 5-HT2A 受体拮抗剂酮色林阻断,并且在没有肥大细胞的小鼠中不存在。同样,缺乏 IL-33 受体的小鼠的 IL-33 诱导的增强的变应原反应在分离的气道中不存在。此外,IL-33 的暴露增加了分离的气道中受变应原挑战的气道中 5-羟色胺的分泌。在培养的肥大细胞中,IL-33 增强了色氨酸羟化酶 1 的表达、5-羟色胺的合成和储存,以及 IgE 受体交联后 5-羟色胺的分泌。
这些结果表明,IL-33 通过增加肥大细胞中 5-羟色胺的合成、储存和分泌来加重过敏性支气管痉挛。这种机制对哮喘中气道阻塞的发展具有重要意义。