Division of Immune Regulation, La Jolla Institute for Allergy and Immunology, La Jolla, CA, USA.
Department of Medicine, University of California San Diego, La Jolla, CA, USA.
Allergy. 2018 Jul;73(7):1415-1424. doi: 10.1111/all.13390. Epub 2018 Mar 1.
Rhinovirus (RV) can exacerbate allergen-driven asthma. However, it has been suggested that serial infections with RV may also lead to asthma-like features in childhood without prior allergen exposure.
We sought to test the effects of RV infection in the absence of allergen challenge on lung tissue remodeling and to understand whether RV induced factors in common with allergen that promote remodeling.
We infected C57BL/6 mice multiple times with RV in the absence or presence of allergen to assess airway remodeling. We used knockout mice and blocking reagents to determine the participation of LIGHT (TNFSF14), as well as IL-1β and TGF-β, each previously shown to contribute to lung remodeling driven by allergen.
Recurrent RV infection without allergen challenge induced an increase in peribronchial smooth muscle mass and subepithelial fibrosis. Rhinovirus (RV) induced LIGHT expression in mouse lungs after infection, and alveolar epithelial cells and neutrophils were found to be potential sources of LIGHT. Accordingly, LIGHT-deficient mice, or mice where LIGHT was neutralized, displayed reduced smooth muscle mass and lung fibrosis. Recurrent RV infection also exacerbated the airway remodeling response to house dust mite allergen, and this was significantly reduced in LIGHT-deficient mice. Furthermore, neutralizing IL-1β or TGF-β also limited subepithelial fibrosis and/or smooth muscle thickness induced by RV.
Rhinovirus can promote airway remodeling in the absence of allergen through upregulating common factors that also contribute to allergen-associated airway remodeling.
鼻病毒 (RV) 可加重变应原驱动的哮喘。然而,有研究表明,RV 的连续感染也可能导致儿童出现类似哮喘的特征,而无需先前暴露于变应原。
我们旨在检验 RV 感染而无变应原刺激对肺组织重塑的影响,并了解 RV 是否诱导了与变应原类似的促进重塑的因素。
我们通过多次感染 RV 而不进行变应原挑战或同时进行变应原挑战,以评估气道重塑。我们使用基因敲除小鼠和阻断试剂来确定 LIGHT(TNFSF14)、IL-1β 和 TGF-β 的参与,这些因素先前均被证实可促进变应原驱动的肺重塑。
反复 RV 感染而无变应原挑战可引起细支气管周围平滑肌质量增加和上皮下纤维化。鼻病毒 (RV) 感染后可诱导小鼠肺部 LIGHT 表达,肺泡上皮细胞和中性粒细胞被认为是 LIGHT 的潜在来源。因此,LIGHT 缺陷小鼠或 LIGHT 被中和的小鼠显示出平滑肌质量和肺纤维化减少。反复 RV 感染也可加重对屋尘螨变应原的气道重塑反应,而 LIGHT 缺陷小鼠的这一反应明显减少。此外,中和 IL-1β 或 TGF-β 也可限制 RV 诱导的上皮下纤维化和/或平滑肌厚度增加。
鼻病毒可通过上调也参与变应原相关气道重塑的共同因子,在无变应原的情况下促进气道重塑。