National Heart and Lung Institute, Imperial College London, London, United Kingdom; Asthma UK Centre in Allergic Mechanisms of Asthma, Imperial College London, London, United Kingdom.
Immunoregulation and Infection Laboratory, Francis Crick Institute, London, United Kingdom.
J Allergy Clin Immunol. 2020 Feb;145(2):666-678.e9. doi: 10.1016/j.jaci.2019.08.006. Epub 2019 Aug 22.
Although originally defined as a type 2 (T2) immune-mediated condition, non-T2 cytokines, such as IFN-γ and IL-17A, have been implicated in asthma pathogenesis, particularly in patients with severe disease. IL-10 regulates T cell phenotypes and can dampen T2 immunity to allergens, but its functions in controlling non-T2 cytokine responses in asthmatic patients are unclear.
We sought to determine how IL-10 regulates the balance of T cell responses to inhaled allergen.
Allergic airway disease was induced in wild-type, IL-10 reporter, and conditional IL-10 or IL-10 receptor α (IL-10Rα) knockout mice by means of repeated intranasal administration of house dust mite (HDM). IL-10 and IFN-γ signaling were disrupted by using blocking antibodies.
Repeated HDM inhalation induced a mixed IL-13/IL-17A response and accumulation of IL-10-producing forkhead box P3-negative effector CD4 T cells in the lungs. Ablation of T cell-derived IL-10 increased the IFN-γ and IL-17A response to HDM, reducing IL-13 levels and airway eosinophilia without affecting IgE levels or airway hyperresponsiveness. The increased IFN-γ response could be recapitulated by IL-10Rα deletion in CD11c myeloid cells or local IL-10Rα blockade. Disruption of the T cell-myeloid IL-10 axis resulted in increased pulmonary monocyte-derived dendritic cell numbers and increased IFN-γ-dependent expression of CXCR3 ligands by airway macrophages, which is suggestive of a feedforward loop of T1 cell recruitment. Augmented IFN-γ responses in the HDM allergic airway disease model were accompanied by increased disruption of airway epithelium, which was reversed by therapeutic blockade of IFN-γ.
IL-10 from effector T cells signals to CD11c myeloid cells to suppress an atypical and pathogenic IFN-γ response to inhaled HDM.
虽然最初被定义为 2 型(T2)免疫介导的疾病,但非 T2 细胞因子,如 IFN-γ 和 IL-17A,已被牵涉到哮喘发病机制中,特别是在重症患者中。IL-10 调节 T 细胞表型,可抑制过敏原的 T2 免疫,但它在控制哮喘患者非 T2 细胞因子反应中的作用尚不清楚。
我们试图确定 IL-10 如何调节 T 细胞对吸入性过敏原反应的平衡。
通过反复鼻腔给予屋尘螨(HDM),在野生型、IL-10 报告基因、条件性 IL-10 或 IL-10 受体 α(IL-10Rα)敲除小鼠中诱导过敏性气道疾病。使用阻断抗体破坏 IL-10 和 IFN-γ 信号。
反复吸入 HDM 诱导出混合的 IL-13/IL-17A 反应,并在肺部积累了产生叉头框 P3 阴性效应 CD4 T 细胞的 IL-10 产生细胞。T 细胞来源的 IL-10 的缺失增加了对 HDM 的 IFN-γ 和 IL-17A 反应,降低了 IL-13 水平和气道嗜酸性粒细胞浸润,而不影响 IgE 水平或气道高反应性。在 CD11c 髓样细胞或局部 IL-10Rα 阻断中缺失 IL-10Rα 可以重现增加的 IFN-γ 反应。T 细胞-髓样细胞 IL-10 轴的破坏导致肺部单核细胞衍生的树突状细胞数量增加,并增加气道巨噬细胞中 IFN-γ 依赖性表达 CXCR3 配体,提示 T1 细胞募集的正反馈环。在 HDM 过敏性气道疾病模型中,IFN-γ 反应增强伴随着气道上皮的破坏增加,而通过 IFN-γ 的治疗性阻断可以逆转这种破坏。
效应 T 细胞的 IL-10 向 CD11c 髓样细胞发出信号,抑制对吸入性 HDM 的非典型和致病性 IFN-γ 反应。