Center of Experimental and Molecular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Department of Pathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Respir Res. 2019 Jul 24;20(1):165. doi: 10.1186/s12931-019-1136-5.
BACKGROUND: Complement factor C5 can either aggravate or attenuate the T-helper type 2 (T2) immune response and airway hyperresponsiveness (AHR) in murine models of allergic asthma. The effect of C5 during the effector phase of allergen-induced asthma is ill-defined. OBJECTIVES: We aimed to determine the effect of C5 blockade during the effector phase on the pulmonary T2 response and AHR in a house dust mite (HDM) driven murine asthma model. METHODS: BALB/c mice were sensitized and challenged repeatedly with HDM via the airways to induce allergic lung inflammation. Sensitized mice received twice weekly injections with a blocking anti-C5 or control antibody 24 h before the first challenge. RESULTS: HDM challenge in sensitized mice resulted in elevated C5a levels in bronchoalveolar lavage fluid. Anti-C5 administered to sensitized mice prior to the first HDM challenge prevented this rise in C5a, but did not influence the influx of eosinophils or neutrophils. While anti-C5 did not impact the recruitment of CD4 T cells upon HDM challenge, it reduced the proportion of T2 cells recruited to the airways, attenuated IL-4 release by regional lymph nodes restimulated with HDM ex vivo and mitigated the plasma IgE response. Anti-C5 did not affect innate lymphoid cell (ILC) proliferation or group 2 ILC (ILC2) differentiation. Anti-C5 attenuated HDM induced AHR in the absence of an effect on lung histopathology, mucus production or vascular leak. CONCLUSIONS: Generation of C5a during the effector phase of HDM induced allergic lung inflammation contributes to T2 cell differentiation and AHR without impacting ILC2 cells.
背景:补体因子 C5 既能加重也能减轻过敏性哮喘小鼠模型中的辅助性 T 细胞 2(T2)免疫反应和气道高反应性(AHR)。过敏原诱导的哮喘效应阶段 C5 的作用尚未明确。
目的:我们旨在确定在效应阶段阻断 C5 对屋尘螨(HDM)驱动的哮喘小鼠模型中肺部 T2 反应和 AHR 的影响。
方法:BALB/c 小鼠通过气道反复致敏和激发 HDM 以诱导过敏性肺炎症。致敏小鼠在第一次激发前 24 小时每周接受两次阻断性抗 C5 或对照抗体注射。
结果:在致敏小鼠中,HDM 激发导致支气管肺泡灌洗液中 C5a 水平升高。在第一次 HDM 激发前给予致敏小鼠抗 C5 可预防 C5a 的升高,但不影响嗜酸性粒细胞或中性粒细胞的流入。虽然抗 C5 不影响 HDM 激发时 CD4 T 细胞的募集,但它减少了募集到气道的 T2 细胞的比例,减弱了用 HDM 体外再刺激时局部淋巴结释放的 IL-4,并减轻了血浆 IgE 反应。抗 C5 不影响固有淋巴细胞(ILC)的增殖或 2 型固有淋巴细胞(ILC2)的分化。抗 C5 减轻了 HDM 诱导的 AHR,而对肺组织病理学、粘液产生或血管渗漏没有影响。
结论:HDM 诱导的过敏性肺炎症效应阶段 C5a 的产生有助于 T2 细胞分化和 AHR,而不影响 ILC2 细胞。
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