Department of Otolaryngology-Head and Neck Surgery, the Second Hospital, Shanxi Medical University, Taiyuan, China.
Key Research Laboratory of Airway Neuroimmunology, Shanxi Province, China.
Int Forum Allergy Rhinol. 2022 May;12(5):757-770. doi: 10.1002/alr.22914. Epub 2021 Nov 24.
Chronic jet lag (CJL)-induced circadian rhythm disruption (CRD) is positively correlated with an increased risk of allergic diseases. However, little is known about the mechanism involved in allergic rhinitis (AR).
Aberrant light/dark cycles-induced CRD mice were randomly divided into negative control (NC) group, AR group, CRD+NC group, and CRD+AR group (n = 8/group). After ovalbumin (OVA) challenge, nasal symptom scores were recorded. The expression of Occludin and ZO-1 in both nasal mucosa and lung tissues was detected by reverse transcription-quantitative polymerase chain reaction (RT-PCR) and immunohistochemical staining. The level of OVA-specific immunoglobulin E (sIgE) and T-helper (Th)-related cytokines in the plasma was measured by enzyme-linked immunosorbent assay (ELISA), and the proportion of Th1, Th2, Th17, and regulatory T cell (Treg) in splenocytes was evaluated by flow cytometry.
The nasal symptom score in the CRD+AR group was significantly higher than those in the AR group with respect to eosinophil infiltration, mast cell degranulation, and goblet cell hyperplasia. The expression of ZO-1 and Occludin in the nasal mucosa and lung tissues in the CRD+AR group were significantly lower than those in the AR group. Furthermore, Th2 and Th17 cell counts from splenocytes and OVA-sIgE, interleukin 4 (IL-4), IL-6, IL-13, and IL-17A levels in plasma were significantly increased in the CRD+AR group than in the AR group, whereas Th1 and Treg cell count and interferon γ (IFN-γ) level were significantly decreased in the CRD+AR group.
CRD experimentally mimicked CJL in human activities, could exacerbate local and systemic allergic reactions in AR mice, partially through decreasing Occludin and ZO-1 level in the respiratory mucosa and increasing Th2-like immune response in splenocytes.
慢性时差反应(CJL)引起的生物钟紊乱(CRD)与过敏疾病风险增加呈正相关。然而,对于变应性鼻炎(AR)的相关机制知之甚少。
将异常明暗周期诱导的 CRD 小鼠随机分为阴性对照组(NC 组)、AR 组、CRD+NC 组和 CRD+AR 组(每组 n=8)。在卵清蛋白(OVA)攻击后,记录鼻症状评分。通过逆转录定量聚合酶链反应(RT-PCR)和免疫组织化学染色检测鼻黏膜和肺组织中 Occludin 和 ZO-1 的表达。通过酶联免疫吸附试验(ELISA)检测血浆中 OVA 特异性免疫球蛋白 E(sIgE)和 T 辅助(Th)相关细胞因子的水平,并通过流式细胞术评估脾细胞中 Th1、Th2、Th17 和调节性 T 细胞(Treg)的比例。
CRD+AR 组的鼻症状评分明显高于 AR 组,表现为嗜酸性粒细胞浸润、肥大细胞脱颗粒和杯状细胞增生。CRD+AR 组鼻黏膜和肺组织中 ZO-1 和 Occludin 的表达明显低于 AR 组。此外,CRD+AR 组脾细胞中 Th2 和 Th17 细胞计数以及血浆中 OVA-sIgE、白细胞介素 4(IL-4)、IL-6、IL-13 和白细胞介素 17A 水平明显高于 AR 组,而 Th1 和 Treg 细胞计数和干扰素 γ(IFN-γ)水平明显低于 CRD+AR 组。
CRD 实验模拟了人类活动中的 CJL,可加重 AR 小鼠的局部和全身过敏反应,部分机制可能是通过降低呼吸道黏膜中 Occludin 和 ZO-1 的水平,增加脾细胞中的 Th2 样免疫反应。