Ishizuka Masahiro, Miyazaki Yasunari, Masuo Masahiro, Suhara Kozo, Tateishi Tomoya, Yasui Makito, Inase Naohiko
Department of Respiratory Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
PLoS One. 2015 Sep 14;10(9):e0137978. doi: 10.1371/journal.pone.0137978. eCollection 2015.
Hypersensitivity pneumonitis (HP) is an immune mediated lung disease induced by the repeated inhalation of a wide variety of antigens. Bird-related hypersensitivity pneumonitis (BRHP) is one of the most common forms of HP in human and results from the inhalation of avian antigens. The findings of a recent clinical analysis suggest that in addition to Th1 factors, the levels of interleukin(IL)-17 and IL-17-associated transcripts are increased in the setting of HP, and that both IL-17A and neutrophils are crucial for the development of pulmonary inflammation in murine models of HP. Our objectives were to investigate the roles of IL-17A and neutrophils in granuloma-forming inflammation in an acute HP model. We developed a mouse model of acute BRHP using pigeon dropping extract. We evaluated the process of granuloma formation and the roles of both IL-17A and neutrophils in a model. We found that the neutralization of IL-17A by the antibody attenuated granuloma formation and the recruitment of neutrophils, and also decreased the expression level of chemokine(C-X-C motif) ligand 5 (CXCL5) in the acute HP model. We confirmed that most of the neutrophils in the acute HP model exhibited immunoreactivity to the anti-IL-17 antibody. We have identified the central roles of both IL-17A and neutrophils in the pathogenesis of granuloma formation in acute HP. We have also assumed that neutrophils are an important source of IL-17A in an acute HP model, and that the IL-17A-CXCL5 pathway may be responsible for the recruitment of neutrophils.
过敏性肺炎(HP)是一种由反复吸入多种抗原引起的免疫介导性肺部疾病。鸟类相关过敏性肺炎(BRHP)是人类最常见的HP形式之一,由吸入禽类抗原所致。最近一项临床分析结果表明,在HP发病过程中,除Th1因子外,白细胞介素(IL)-17及IL-17相关转录本水平升高,且在HP小鼠模型中,IL-17A和中性粒细胞对肺部炎症的发生发展均至关重要。我们的目的是研究IL-17A和中性粒细胞在急性HP模型中肉芽肿形成性炎症中的作用。我们使用鸽粪提取物建立了急性BRHP小鼠模型。我们在该模型中评估了肉芽肿形成过程以及IL-17A和中性粒细胞的作用。我们发现,在急性HP模型中,抗体对IL-17A的中和作用减弱了肉芽肿形成和中性粒细胞募集,还降低了趋化因子(C-X-C基序)配体5(CXCL5)的表达水平。我们证实,急性HP模型中的大多数中性粒细胞对抗IL-17抗体呈免疫反应性。我们确定了IL-17A和中性粒细胞在急性HP肉芽肿形成发病机制中的核心作用。我们还推测,中性粒细胞是急性HP模型中IL-17A的重要来源,且IL-17A-CXCL5途径可能负责中性粒细胞的募集。