Laboratory of Lung Inflammation, College of Veterinary Medicine, Auburn University, Auburn, Alabama.
Department of Pathobiology, College of Veterinary Medicine, Auburn University, Auburn, Alabama.
Am J Physiol Lung Cell Mol Physiol. 2022 Jan 1;322(1):L102-L115. doi: 10.1152/ajplung.00315.2021. Epub 2021 Dec 1.
Asthma and its heterogeneity change with age. Increased airspace neutrophil numbers contribute to severe steroid-resistant asthma exacerbation in the elderly, which correlates with the changes seen in adults with asthma. However, whether that resembles the same disease mechanism and pathophysiology in aged and adults is poorly understood. Here, we sought to address the underlying molecular mechanism of steroid-resistant airway inflammation development and response to corticosteroid (Dex) therapy in aged mice. To study the changes in inflammatory mechanism, we used a clinically relevant treatment model of house-dust mite (HDM)-induced allergic asthma and investigated lung adaptive immune response in adult (20-22 wk old) and aged (80-82 wk old) mice. Our result indicates an age-dependent increase in airway hyperresponsiveness (AHR), mixed granulomatous airway inflammation comprising eosinophils and neutrophils, and Th1/Th17 immune response with progressive decrease in frequencies and numbers of HDM-bearing dendritic cells (DC) accumulation in the draining lymph node (DLn) of aged mice as compared with adult mice. RNA-Seq experiments of the aged lung revealed short palate, lung, and nasal epithelial clone 1 (SPLUNC1) as one of the steroid-responsive genes, which progressively declined with age and further by HDM-induced inflammation. Moreover, we found increased glycolytic reprogramming, maturation/activation of DCs, the proliferation of OT-II cells, and Th2 cytokine secretion with recombinant SPLUNC1 (rSPLUNC1) treatment. Our results indicate a novel immunomodulatory role of SPLUNC1 regulating metabolic adaptation/maturation of DC. An age-dependent decline in the SPLUNC1 level may be involved in developing steroid-resistant airway inflammation and asthma heterogeneity.
哮喘及其异质性随年龄而变化。气道中性粒细胞数量的增加导致老年患者严重的类固醇抵抗性哮喘加重,这与成人哮喘中的变化相关。然而,老年人和成人中是否存在相同的疾病机制和病理生理学尚不清楚。在这里,我们试图解决类固醇抵抗性气道炎症发展的潜在分子机制以及在老年小鼠中对皮质类固醇(Dex)治疗的反应。为了研究炎症机制的变化,我们使用了一种与临床相关的屋尘螨(HDM)诱导的变应性哮喘治疗模型,研究了成年(20-22 周龄)和老年(80-82 周龄)小鼠的肺适应性免疫反应。我们的结果表明,与成年小鼠相比,老年小鼠的气道高反应性(AHR)、混合性肉芽肿性气道炎症(包括嗜酸性粒细胞和中性粒细胞)以及 Th1/Th17 免疫反应呈年龄依赖性增加,而具有 HDM 载量的树突状细胞(DC)在引流淋巴结(DLN)中的积累频率和数量则逐渐减少。老年肺的 RNA-Seq 实验表明,短腭、肺和鼻上皮克隆 1(SPLUNC1)是类固醇反应性基因之一,随着年龄的增长而逐渐下降,并因 HDM 诱导的炎症而进一步下降。此外,我们发现糖酵解重编程、DC 的成熟/激活、OT-II 细胞的增殖以及 Th2 细胞因子的分泌增加,而重组 SPLUNC1(rSPLUNC1)治疗则增加了糖酵解重编程、DC 的成熟/激活、OT-II 细胞的增殖以及 Th2 细胞因子的分泌。我们的研究结果表明,SPLUNC1 具有调节 DC 代谢适应性/成熟的新型免疫调节作用。SPLUNC1 水平随年龄的下降可能与发展为类固醇抵抗性气道炎症和哮喘异质性有关。
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