Department of Pulmonary Medicine, Erasmus MC, Rotterdam, The Netherlands.
Inflammation Research Center, VIB, Ghent, Belgium; Department of Respiratory Medicine, Ghent University, Ghent, Belgium.
J Allergy Clin Immunol. 2018 May;141(5):1620-1633.e12. doi: 10.1016/j.jaci.2017.08.012. Epub 2017 Sep 6.
BACKGROUND: It is currently unknown why allergen exposure or environmental triggers in patients with mild-to-moderate asthma result in T2-mediated eosinophilic inflammation, whereas patients with severe asthma often present with T17-mediated neutrophilic inflammation. The activation state of dendritic cells (DCs) is crucial for both T2 and T17 cell differentiation and is mediated through nuclear factor κB activation. Ablation of TNF-α-induced protein 3 (TNFAIP3), one of the crucial negative regulators of nuclear factor κB activation in myeloid cells and DCs, was shown to control DC activation. OBJECTIVE: In this study we investigated the precise role of TNFAIP3 in myeloid cells for the development of T2- and T17-cell mediated asthma. METHODS: We exposed mice with conditional deletion of the Tnfaip3 gene in either myeloid cells (by using the lysozyme M [LysM] promotor) or specifically in DCs (by using the Cd11c promotor) to acute and chronic house dust mite (HDM)-driven asthma models. RESULTS: We demonstrated that reduced Tnfaip3 gene expression in DCs in either Tnfaip3 or Tnfaip3 mice dose-dependently controlled development of T17-mediated neutrophilic severe asthma in both acute and chronic HDM-driven models, whereas wild-type mice had a purely T2-mediated eosinophilic inflammation. TNFAIP3-deficient DCs induced HDM-specific T17 cell differentiation through increased expression of the T17-instructing cytokines IL-1β, IL-6, and IL-23, whereas HDM-specific T2 cell differentiation was hampered by increased IL-12 and IL-6 production. CONCLUSIONS: These data show that the extent of TNFAIP3 expression in DCs controls T2/T17 cell differentiation. This implies that reducing DC activation could be a new pharmacologic intervention to treat patients with severe asthma who present with T17-mediated neutrophilic inflammation.
背景:目前尚不清楚为什么轻度至中度哮喘患者的过敏原暴露或环境触发因素会导致 T2 介导的嗜酸性粒细胞炎症,而重度哮喘患者通常表现为 T17 介导的中性粒细胞炎症。树突状细胞(DCs)的激活状态对于 T2 和 T17 细胞分化至关重要,并且通过核因子κB 激活来介导。已经表明,肿瘤坏死因子-α诱导蛋白 3(TNFAIP3)的缺失(髓样细胞和 DCs 中核因子κB 激活的关键负调节剂之一)可控制 DC 的激活。
目的:在这项研究中,我们研究了 TNFAIP3 在髓样细胞中对于 T2 和 T17 细胞介导的哮喘发展的确切作用。
方法:我们使用溶酶体酶 M(LysM)启动子在髓样细胞中(通过使用溶酶体酶 M [LysM] 启动子)或在 DC 中(通过使用 Cd11c 启动子)特异性地对具有条件性删除 Tnfaip3 基因的小鼠进行急性和慢性屋尘螨(HDM)驱动的哮喘模型暴露。
结果:我们证明,在 DC 中减少 Tnfaip3 基因表达(在 Tnfaip3 或 Tnfaip3 小鼠中)可剂量依赖性地控制急性和慢性 HDM 驱动模型中 T17 介导的中性粒细胞重度哮喘的发展,而野生型小鼠则具有纯 T2 介导的嗜酸性粒细胞炎症。TNFAIP3 缺陷型 DC 通过增加 T17 指令性细胞因子 IL-1β、IL-6 和 IL-23 的表达来诱导 HDM 特异性 T17 细胞分化,而通过增加 IL-12 和 IL-6 的产生来阻碍 HDM 特异性 T2 细胞分化。
结论:这些数据表明,DC 中 TNFAIP3 表达的程度控制 T2/T17 细胞分化。这意味着降低 DC 激活可能是一种新的药物干预措施,可用于治疗患有 T17 介导的中性粒细胞炎症的重度哮喘患者。
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