Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Department of Anesthesiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Mucosal Immunol. 2018 Sep;11(5):1352-1362. doi: 10.1038/s41385-018-0028-1. Epub 2018 Jun 15.
Asthmatics sensitized to fungi are reported to have more severe asthma, yet the immunopathogenic pathways contributing to this severity have not been identified. In a pilot assessment of human asthmatics, those subjects sensitized to fungi demonstrated elevated levels of the common γ-chain cytokine IL-7 in lung lavage fluid, which negatively correlated with the lung function measurement PC20. Subsequently, we show that IL-7 administration during experimental fungal asthma worsened lung function and increased the levels of type 2 cytokines (IL-4, IL-5, IL-13), proallergic chemokines (CCL17, CCL22) and proinflammatory cytokines (IL-1α, IL-1β). Intriguingly, IL-7 administration also increased IL-22, which we have previously reported to drive immunopathogenic responses in experimental fungal asthma. Employing IL22R26R reporter mice, we identified γδ T cells, iNKT cells, CD4 T cells and ILC3s as sources of IL-22 during fungal asthma; however, only iNKT cells were significantly increased after IL-7 administration. IL-7-induced immunopathogenesis required both type 2 and IL-22 responses. Blockade of IL-7Rα in vivo resulted in attenuated IL-22 production, lower CCL22 levels, decreased iNKT cell, CD4 T-cell and eosinophil recruitment, yet paradoxically increased dynamic lung resistance. Collectively, these results suggest a complex role for IL-7 signaling in allergic fungal asthma.
据报道,对真菌过敏的哮喘患者的哮喘病情更为严重,但导致这种严重程度的免疫发病途径尚未确定。在对人类哮喘患者的初步评估中,那些对真菌过敏的患者的肺灌洗液中常见的γ链细胞因子 IL-7 水平升高,与肺功能测量 PC20 呈负相关。随后,我们表明,在实验性真菌性哮喘期间给予 IL-7 会恶化肺功能并增加 2 型细胞因子(IL-4、IL-5、IL-13)、促过敏趋化因子(CCL17、CCL22)和促炎细胞因子(IL-1α、IL-1β)的水平。有趣的是,IL-7 的给药还增加了 IL-22,我们之前曾报道过它在实验性真菌性哮喘中驱动免疫发病反应。使用 IL22R26R 报告小鼠,我们鉴定出 γδ T 细胞、iNKT 细胞、CD4 T 细胞和 ILC3s 是真菌性哮喘期间 IL-22 的来源;然而,只有 iNKT 细胞在给予 IL-7 后显著增加。IL-7 诱导的免疫发病机制需要 2 型和 IL-22 反应。体内阻断 IL-7Rα 导致 IL-22 产生减少、CCL22 水平降低、iNKT 细胞、CD4 T 细胞和嗜酸性粒细胞募集减少,但矛盾的是增加了动态肺阻力。总之,这些结果表明 IL-7 信号在变应性真菌性哮喘中具有复杂的作用。