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[白细胞介素-25对过敏性哮喘中嗜酸性粒细胞祖细胞的动员作用]

[The mobilization effect of IL-25 on eosinophil progenitor cells in allergic asthma].

作者信息

Du W, Du J, Zhou J, Shi G C, Wan H Y, Tang W

机构信息

Department of Pulmonary & Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.

Department of Pulmonary & Critical Care Medicine, Northern Branch of Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201801, China.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2019 Jul 12;42(7):515-521. doi: 10.3760/cma.j.issn.1001-0939.2019.07.012.

Abstract

Eosinophil progenitor cells (EoP) play a critical role in allergic airway inflammation in asthma. Previous studies have revealed that the expression of IL-25 receptor subunits (IL-17RA and IL-17RB) are increased on eosinophils (Eos) from allergic asthmatics upon allergen inhalation but few study has explored the role of IL-25 on EoP. Thus, in this research we examined the possible role of IL-25 on EoP in allergic asthmatics challenged by allergen, as well as in animal models where we verified the changes of newly produced Eos after IL-25 knockout. Asthmatics (14, during 2017-2018) who developed allergen-induced early and late responses were enrolled in this study. Blood was collected at pre-and 24 h post-challenge. Surface expression of IL-17RA and IL-17RB were evaluated by flow cytometry on EoP. In vitro migration assay was used to examine migrational responses of EoP and hematopoietic cells (HPC) from these subjects. In animal models, mice were grouped according to whether IL-25 was knock-out and whether mice were sensitized and challenged by ovalbumin (OVA) into asthmatic, control, knockout asthmatic and knockout control groups. Lung tissues, bronchoalveolar lavage flow (BALF) and bone marrow tissues of these mice were collected in order to evaluate airway inflammation and amount of newly produced (Brdu positive) and mature Eos. EoP expressing IL-17RB were significantly increased after allergen inhalation in allergic asthmatics [(514±138) . (1146±450)/10(6) cells, pre-and post-challenge, 6.819, 0.022]. Pre-exposure to IL-25 primed the migrational responsiveness of EoP to stromal cell-derived factor (SDF)1α [(39.0±10.1)% . (73.0±7.9)%, control and IL-25 exposure groups respectively, 0.021, 95% 5.19%~58.45%]. In OVA sensitized mice, knockout of IL-25 significantly reduced Eos and newly produced Eos percentage in the BALF [Eos, (7.8±2.0)% . (3.1±0.6)%, asthmatic and knockout asthmatic group respectively, 0.002, 95% -7.57% to -1.98%; Brdu positive Eos, (50.0±7.6)% . (8.6±4.3)%, asthmatic and knockout asthmatic group respectively, 0.011, 95% -72.41% to -10.27%], and newly produced Eos were also reduced in the bone marrow [(70.8±6.1)% . (1.3±1.3)%, asthmatic and knockout asthmatic group respectively, 0.000, 95% -94.88% to -44.18%]. These results suggest an important role of IL-25 in allergen-induced EoP migration, local differentiation and eosinophilia in the airways.

摘要

嗜酸性粒细胞祖细胞(EoP)在哮喘的过敏性气道炎症中起关键作用。先前的研究表明,变应原吸入后,过敏性哮喘患者嗜酸性粒细胞(Eos)上白细胞介素25受体亚基(IL-17RA和IL-17RB)的表达增加,但很少有研究探讨白细胞介素25对EoP的作用。因此,在本研究中,我们研究了白细胞介素25在变应原激发的过敏性哮喘患者EoP中的可能作用,以及在动物模型中,我们验证了白细胞介素25基因敲除后新产生的嗜酸性粒细胞的变化。本研究纳入了14例(2017 - 2018年期间)出现变应原诱导的早发和迟发反应的哮喘患者。在激发前和激发后24小时采集血液。通过流式细胞术评估EoP上IL-17RA和IL-17RB的表面表达。体外迁移试验用于检测这些受试者的EoP和造血细胞(HPC)的迁移反应。在动物模型中,根据白细胞介素25是否敲除以及小鼠是否用卵清蛋白(OVA)致敏和激发,将小鼠分为哮喘组、对照组、敲除哮喘组和敲除对照组。收集这些小鼠的肺组织、支气管肺泡灌洗液(BALF)和骨髓组织,以评估气道炎症以及新产生的(溴脱氧尿苷阳性)和成熟嗜酸性粒细胞的数量。变应原吸入后,过敏性哮喘患者中表达IL-17RB的EoP显著增加[(激发前和激发后分别为(514±138).(1146±45)/10(6)细胞,6.819,0.022]。预先暴露于白细胞介素25可增强EoP对基质细胞衍生因子(SDF)1α的迁移反应性[对照组和白细胞介素25暴露组分别为(39.0±10.1)%.(73.0±7.9)%,0.021,95% 5.19%~58.45%]。在OVA致敏的小鼠中,敲除白细胞介素25显著降低了BALF中嗜酸性粒细胞和新产生的嗜酸性粒细胞百分比[嗜酸性粒细胞,哮喘组和敲除哮喘组分别为(7.8±2.0)%.(3.1±0.6)%,0.002,95% -7.57%至-1.98%;溴脱氧尿苷阳性嗜酸性粒细胞,哮喘组和敲除哮喘组分别为(50.0±7.6)%.(8.6±4.3)%,0.011,95% -72.41%至-10.27%],骨髓中新生嗜酸性粒细胞也减少[哮喘组和敲除哮喘组分别为(70.8±6.1)%.(1.3±1.3)%,0.000,95% -94.88%至-44.18%]。这些结果表明白细胞介素25在变应原诱导的EoP迁移、局部分化和气道嗜酸性粒细胞增多中起重要作用。

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