Department of Otorhinolaryngology-Head and Neck Surgery, Division of Rhinology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pa.
Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pa.
J Allergy Clin Immunol. 2018 Aug;142(2):460-469.e7. doi: 10.1016/j.jaci.2018.03.019. Epub 2018 May 17.
BACKGROUND: IL-25 can function as an early signal for the respiratory type 2 response characteristic of allergic asthma and chronic rhinosinusitis with nasal polyps (CRSwNP). In the mouse gut, tuft cells are the epithelial source of IL-25. However, the source of human airway epithelial IL-25 has remained elusive. OBJECTIVE: In this study we sought to determine whether the solitary chemosensory cell (SCC) is the predominant source of IL-25 in the sinonasal epithelium. METHOD: Flow cytometry and immunofluorescence for SCCs and IL-25 were used to interrogate polyp and turbinate tissue from patients with CRSwNP. Mucus was collected during acute inflammatory exacerbations from patients with CRSwNP or chronic rhinosinusitis without nasal polyps and IL-25 levels determined by using ELISA. Lastly, sinonasal epithelial cultures derived from polyp and turbinate tissue were stimulated with IL-13 and analyzed for SCC proliferation and IL-25 production. RESULTS: This study demonstrates that a discrete cell type, likely an SCC, characterized by expression of the taste-associated G protein gustducin and the intestinal tuft cell marker doublecortin-like kinase 1, is the predominant source of IL-25 in the human upper airway. Additionally, we show that patients with CRSwNP have increased numbers of SCCs in nasal polyp tissue and that in vitro IL-13 exposure both increased proliferation and induced apical secretion of IL-25 into the mucosal layer. CONCLUSIONS: Inflammatory sinus polyps but not adjacent turbinate tissue show expansion of the SCC population, which is the source of epithelial IL-25.
背景:IL-25 可以作为过敏哮喘和伴有鼻息肉的慢性鼻-鼻窦炎(CRSwNP)的呼吸道 2 型反应的早期信号。在小鼠肠道中,簇细胞是 IL-25 的上皮细胞来源。然而,人呼吸道上皮细胞的 IL-25 来源仍然难以确定。 目的:在这项研究中,我们试图确定单个化学感觉细胞(SCC)是否是鼻-鼻窦上皮细胞中 IL-25 的主要来源。 方法:使用流式细胞术和 SCC 和 IL-25 的免疫荧光技术,检测 CRSwNP 患者的息肉和鼻甲组织。在 CRSwNP 或无鼻息肉的慢性鼻-鼻窦炎患者的急性炎症加重期间收集黏液,并通过 ELISA 测定 IL-25 水平。最后,用 IL-13 刺激来自息肉和鼻甲组织的鼻-鼻窦上皮细胞培养物,并分析 SCC 增殖和 IL-25 产生情况。 结果:本研究表明,一种离散的细胞类型,可能是单个化学感觉细胞,其特征是表达味觉相关 G 蛋白 gustducin 和肠簇细胞标志物 doublecortin-like kinase 1,是人类上呼吸道中 IL-25 的主要来源。此外,我们还表明,CRSwNP 患者的鼻息肉组织中 SCC 数量增加,体外 IL-13 暴露不仅增加了增殖,还诱导了 IL-25 向黏膜层的顶端分泌。 结论:炎症性鼻窦息肉而不是相邻的鼻甲组织显示 SCC 群体的扩张,而 SCC 是上皮细胞 IL-25 的来源。
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