Hall Sara L, Baker Theresa, Lajoie Stephane, Richgels Phoebe K, Yang Yanfen, McAlees Jaclyn W, van Lier Adelaide, Wills-Karp Marsha, Sivaprasad Umasundari, Acciani Thomas H, LeCras Timothy D, Myers Jocelyn Biagini, Kovacic Melinda Butsch, Lewkowich Ian P
Division of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Division of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
J Allergy Clin Immunol. 2017 Feb;139(2):462-471.e14. doi: 10.1016/j.jaci.2016.04.037. Epub 2016 Jun 11.
Increased IL-17A production has been associated with more severe asthma; however, the mechanisms whereby IL-17A can contribute to IL-13-driven pathology in asthmatic patients remain unclear.
We sought to gain mechanistic insight into how IL-17A can influence IL-13-driven responses.
The effect of IL-17A on IL-13-induced airway hyperresponsiveness, gene expression, mucus hypersecretion, and airway inflammation was assessed by using in vivo models of IL-13-induced lung pathology and in vitro culture of murine fibroblast cell lines and primary fibroblasts and human epithelial cell lines or primary human epithelial cells exposed to IL-13, IL-17A, or both.
Compared with mice given intratracheal IL-13 alone, those exposed to IL-13 and IL-17A had augmented airway hyperresponsiveness, mucus production, airway inflammation, and IL-13-induced gene expression. In vitro, IL-17A enhanced IL-13-induced gene expression in asthma-relevant murine and human cells. In contrast to the exacerbating influence of IL-17A on IL-13-induced responses, coexposure to IL-13 inhibited IL-17A-driven antimicrobial gene expression in vivo and in vitro. Mechanistically, in both primary human and murine cells, the IL-17A-driven increase in IL-13-induced gene expression was associated with enhanced IL-13-driven signal transducer and activator of transcription 6 activation.
Our data suggest that IL-17A contributes to asthma pathophysiology by increasing the capacity of IL-13 to activate intracellular signaling pathways, such as signal transducer and activator of transcription 6. These data represent the first mechanistic explanation of how IL-17A can directly contribute to the pathogenesis of IL-13-driven pathology.
白细胞介素-17A(IL-17A)产生增加与更严重的哮喘相关;然而,IL-17A促进哮喘患者白细胞介素-13(IL-13)驱动的病理过程的机制仍不清楚。
我们试图深入了解IL-17A如何影响IL-13驱动的反应。
通过使用IL-13诱导的肺部病理体内模型以及小鼠成纤维细胞系和原代成纤维细胞以及暴露于IL-13、IL-17A或两者的人上皮细胞系或原代人上皮细胞的体外培养,评估IL-17A对IL-13诱导的气道高反应性、基因表达、黏液高分泌和气道炎症的影响。
与单独气管内给予IL-13的小鼠相比,暴露于IL-13和IL-17A的小鼠气道高反应性、黏液产生、气道炎症和IL-13诱导的基因表达增强。在体外,IL-17A增强了哮喘相关的小鼠和人细胞中IL-13诱导的基因表达。与IL-17A对IL-13诱导反应的加剧作用相反,同时暴露于IL-13在体内和体外均抑制了IL-17A驱动的抗菌基因表达。从机制上讲,在原代人和小鼠细胞中,IL-17A驱动的IL-13诱导基因表达增加与IL-13驱动的信号转导和转录激活因子6激活增强有关。
我们的数据表明,IL-17A通过增加IL-13激活细胞内信号通路(如信号转导和转录激活因子6)的能力来促进哮喘病理生理学。这些数据首次对IL-17A如何直接促进IL-13驱动的病理过程的发病机制作出了机理性解释。