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富马酸二甲酯通过改变树突状细胞功能来消除尘螨诱导的过敏性哮喘。

Dimethyl fumarate abrogates dust mite-induced allergic asthma by altering dendritic cell function.

机构信息

The Laboratory of Lung Inflammation, College of Veterinary Medicine, Auburn University, Auburn, Alabama.

Department of Pathobiology, College of Veterinary Medicine, Auburn University, Auburn, Alabama.

出版信息

Immun Inflamm Dis. 2019 Sep;7(3):201-213. doi: 10.1002/iid3.262. Epub 2019 Jul 2.


DOI:10.1002/iid3.262
PMID:31264384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6688084/
Abstract

INTRODUCTION: Allergic asthma is the most common inflammatory disease of upper airways. Airway dendritic cells (DCs) are key antigen presenting cells that regulate T helper 2 (Th2)-dependent allergic inflammation. Recent studies have shown critical role of airway DCs in the induction of Th2-mediated allergic inflammation and are attractive therapeutic targets in asthma. However, molecular signaling mechanism that regulate DCs function to Th2 immune responses are poorly understood. Here we aim to evaluate the immunomodulatory effect of dimethyl fumarate (DMF), an FDA approved small molecule drug, in the house dust mite (HDM)-induced experimental model of allergic asthma. METHODS: DMF was administered intranasally in the challenge period of HDM-induced murine model of experimental asthma. Airway inflammation, airway hyperreactivity, Th2/Th1 cytokine were assessed. The effect of DMF on DC function was further evaluated by adoptive transfer of HDM-pulsed DMF treated DCs to wild-type naïve mice. RESULTS: DMF treatment significantly reduced HDM-induced airway inflammation, mucous cell metaplasia, and airway hyperactivity to inhaled methacholine. Mechanistically, DMF interferes with the migration of lung DCs to draining mediastinal lymph nodes, thereby attenuates the induction of allergic sensitization and Th2 immune response. Notably, adoptive transfer of DMF treated DCs to naïve mice with HDM challenge similarly reduces the features of allergic asthma. CONCLUSION: This identifies a novel function of DMF on DC-mediated adaptive immune responses in the setting of HDM-induced airway inflammation. Taken together, our results offer a mechanistic rationale for DMF use to target DCs in local lung environment as antiasthmatic therapy.

摘要

简介:过敏性哮喘是最常见的上呼吸道炎症性疾病。气道树突状细胞(DCs)是调节 T 辅助 2(Th2)依赖性过敏炎症的关键抗原呈递细胞。最近的研究表明,气道 DCs 在诱导 Th2 介导的过敏炎症中起关键作用,是哮喘的有吸引力的治疗靶点。然而,调节 DC 功能向 Th2 免疫反应的分子信号机制仍知之甚少。本研究旨在评估二甲基富马酸(DMF),一种 FDA 批准的小分子药物,在屋尘螨(HDM)诱导的过敏性哮喘实验模型中的免疫调节作用。

方法:在 HDM 诱导的实验性哮喘小鼠模型的挑战期内,经鼻给予 DMF。评估气道炎症、气道高反应性、Th2/Th1 细胞因子。通过将 HDM 脉冲 DMF 处理的 DC 过继转移至野生型 naive 小鼠,进一步评估 DMF 对 DC 功能的影响。

结果:DMF 治疗显著降低了 HDM 诱导的气道炎症、黏液细胞化生和气道对吸入性乙酰甲胆碱的高反应性。机制上,DMF 干扰肺 DC 向引流纵隔淋巴结的迁移,从而减弱了过敏致敏和 Th2 免疫反应的诱导。值得注意的是,将 DMF 处理的 DC 过继转移至接受 HDM 挑战的 naive 小鼠同样减少了过敏性哮喘的特征。

结论:这表明 DMF 在 HDM 诱导的气道炎症中对 DC 介导的适应性免疫反应具有新的作用。总之,我们的研究结果为 DMF 在局部肺部环境中靶向 DC 作为抗哮喘治疗提供了机制依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/054fd28db327/IID3-7-201-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/e2b9e28450b5/IID3-7-201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/b1b205f515b4/IID3-7-201-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/cfa7b474a23f/IID3-7-201-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/235d36270772/IID3-7-201-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/dfa410cf9b90/IID3-7-201-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/054fd28db327/IID3-7-201-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/e2b9e28450b5/IID3-7-201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/b1b205f515b4/IID3-7-201-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/cfa7b474a23f/IID3-7-201-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/235d36270772/IID3-7-201-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/dfa410cf9b90/IID3-7-201-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2129/6688084/054fd28db327/IID3-7-201-g006.jpg

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本文引用的文献

[1]
Dimethyl fumarate targets GAPDH and aerobic glycolysis to modulate immunity.

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Eur J Neurol. 2017-5

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Dectin-1 Plays an Important Role in House Dust Mite-Induced Allergic Airway Inflammation through the Activation of CD11b+ Dendritic Cells.

J Immunol. 2017-1-1

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