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白细胞介素-33受体ST2在哮喘的屋尘螨小鼠模型中,对于外周气道高反应性和炎症的发展至关重要。

The interleukin-33 receptor ST2 is important for the development of peripheral airway hyperresponsiveness and inflammation in a house dust mite mouse model of asthma.

作者信息

Zoltowska A M, Lei Y, Fuchs B, Rask C, Adner M, Nilsson G P

机构信息

Clinical Immunology and Allergy Unit, Department of Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.

Department of Pharmacy, The Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.

出版信息

Clin Exp Allergy. 2016 Mar;46(3):479-90. doi: 10.1111/cea.12683.

Abstract

BACKGROUND

Several clinical and experimental studies have implicated IL-33 and its receptor ST2 in the development of asthma. However, the effect of IL-33/ST2 signalling on airway responses and inflammation in allergic asthma is not well established.

OBJECTIVE

To investigate the role of IL-33/ST2 signalling in promoting allergen-induced airway hyperresponsiveness (AHR), airway inflammation, antigen-specific IgE production and mast cell activity in a mouse model of asthma.

METHODS

ST2-deficient (ST2(-/-)) mice and control BALB/c mice were given house dust mite (HDM) extract over a 6-week period. Forty-eight hours after the final HDM administration, lung function and airway inflammation were evaluated. Airway responsiveness was determined in the central airways and peripheral lung. Cellular infiltration and mast cell protease mMCP-1 levels were quantified in bronchoalveolar lavage fluid (BALF). Recruitment of inflammatory cells and inflammatory cytokine profiles were assessed in pulmonary tissue, and HDM-specific IgE was measured in serum.

RESULTS

ST2 deficiency diminished HDM-induced AHR in the peripheral lung, while AHR in the central airways was unaffected. Inflammatory responses to HDM were also reduced in ST2(-/-) mice as reflected by the lower induction of HDM-specific serum IgE, inhibition of HDM-induced eosinophilia and reduced macrophage count in BALF, and a diminished influx of inflammatory cells and reduced goblet cell hyperplasia around the peripheral airways. Furthermore, the levels of the inflammatory cytokines IL-1β, IL-5, IL-13, IL-33, GM-CSF, thymic stromal lymphopoietin and mast cell protease mMCP-1 were reduced in HDM-treated ST2(-/-) mice compared with wild-type controls.

CONCLUSIONS

In addition to promoting Th2 inflammation, we now suggest a role for the IL-33/ST2 pathway for the induction of peripheral inflammation and mucus production that causes AHR in the peripheral lung. This mechanism for inducing AHR at distal parts of the lung may be of specific importance as asthma is considered as a small airway disease.

摘要

背景

多项临床和实验研究表明白细胞介素-33(IL-33)及其受体ST2与哮喘的发生发展有关。然而,IL-33/ST2信号通路对过敏性哮喘气道反应和炎症的影响尚未完全明确。

目的

在哮喘小鼠模型中研究IL-33/ST2信号通路在促进变应原诱导的气道高反应性(AHR)、气道炎症、抗原特异性IgE产生及肥大细胞活性方面的作用。

方法

给ST2基因缺陷(ST2(-/-))小鼠和对照BALB/c小鼠在6周内给予屋尘螨(HDM)提取物。末次给予HDM 48小时后,评估肺功能和气道炎症。测定中央气道和外周肺的气道反应性。对支气管肺泡灌洗液(BALF)中的细胞浸润和肥大细胞蛋白酶mMCP-1水平进行定量分析。评估肺组织中炎症细胞的募集和炎症细胞因子谱,并检测血清中HDM特异性IgE。

结果

ST2基因缺陷可减轻HDM诱导的外周肺AHR,而中央气道的AHR未受影响。ST2(-/-)小鼠对HDM的炎症反应也降低,表现为HDM特异性血清IgE诱导减少、HDM诱导的嗜酸性粒细胞增多受到抑制、BALF中巨噬细胞计数减少,以及外周气道周围炎症细胞流入减少和杯状细胞增生减轻。此外,与野生型对照相比,HDM处理的ST2(-/-)小鼠中炎症细胞因子IL-1β、IL-5、IL-13、IL-33、粒细胞-巨噬细胞集落刺激因子、胸腺基质淋巴细胞生成素和肥大细胞蛋白酶mMCP-1的水平降低。

结论

除促进Th2炎症外,我们现在认为IL-33/ST2通路在诱导外周炎症和黏液产生从而导致外周肺AHR方面发挥作用。由于哮喘被认为是一种小气道疾病,这种在肺远端诱导AHR的机制可能具有特殊重要性。

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