靶向 P2Y 受体抑制 IL-33 和 HMGB1 的释放并改善实验性哮喘。

Targeting the P2Y Receptor Suppresses IL-33 and HMGB1 Release and Ameliorates Experimental Asthma.

机构信息

Respiratory Immunology Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.

Faculty of Medicine and.

出版信息

Am J Respir Crit Care Med. 2022 Feb 1;205(3):300-312. doi: 10.1164/rccm.202009-3686OC.

Abstract

The alarmins IL-33 and HMGB1 (high mobility group box 1) contribute to type 2 inflammation and asthma pathogenesis. To determine whether P2Y-R (P2Y receptor), a purinergic GPCR (G protein-coupled receptor) and risk allele for asthma, regulates the release of IL-33 and HMGB1. Bronchial biopsy specimens were obtained from healthy subjects and subjects with asthma. Primary human airway epithelial cells (AECs), primary mouse AECs, or C57Bl/6 mice were inoculated with various aeroallergens or respiratory viruses, and the nuclear-to-cytoplasmic translocation and release of alarmins was measured by using immunohistochemistry and an ELISA. The role of P2Y-R in AEC function and in the onset, progression, and exacerbation of experimental asthma was assessed by using pharmacological antagonists and mice with P2Y-R gene deletion. Aeroallergen exposure induced the extracellular release of ADP and ATP, nucleotides that activate P2Y-R. ATP, ADP, and aeroallergen (house dust mite, cockroach, or antigen) or virus exposure induced the nuclear-to-cytoplasmic translocation and subsequent release of IL-33 and HMGB1, and this response was ablated by genetic deletion or pharmacological antagonism of P2Y13. In mice, prophylactic or therapeutic P2Y-R blockade attenuated asthma onset and, critically, ablated the severity of a rhinovirus-associated exacerbation in a high-fidelity experimental model of chronic asthma. Moreover, P2Y-R antagonism derepressed antiviral immunity, increasing IFN-λ production and decreasing viral copies in the lung. We identify P2Y-R as a novel gatekeeper of the nuclear alarmins IL-33 and HMGB1 and demonstrate that the targeting of this GPCR via genetic deletion or treatment with a small-molecule antagonist protects against the onset and exacerbations of experimental asthma.

摘要

警报素 IL-33 和 HMGB1(高迁移率族蛋白 B1)有助于 2 型炎症和哮喘的发病机制。为了确定嘌呤能 G 蛋白偶联受体(GPCR)P2Y-R(P2Y 受体)是否作为哮喘的风险等位基因,调节 IL-33 和 HMGB1 的释放。从健康受试者和哮喘患者中获取支气管活检标本。用各种气传过敏原或呼吸道病毒接种原代人气道上皮细胞(AECs)、原代小鼠 AECs 或 C57Bl/6 小鼠,通过免疫组织化学和 ELISA 测量警报素的核质易位和释放。通过使用药理学拮抗剂和 P2Y-R 基因缺失的小鼠来评估 P2Y-R 在 AEC 功能以及实验性哮喘的发病、进展和恶化中的作用。过敏原暴露诱导细胞外释放激活 P2Y-R 的核苷酸 ADP 和 ATP。ATP、ADP 和过敏原(屋尘螨、蟑螂或抗原)或病毒暴露诱导 IL-33 和 HMGB1 的核质易位和随后释放,这种反应被 P2Y13 的基因缺失或药理学拮抗作用所消除。在小鼠中,预防性或治疗性 P2Y-R 阻断可减轻哮喘发病,并且在慢性哮喘的高保真实验模型中可消除鼻病毒相关加重的严重程度。此外,P2Y-R 拮抗作用解除了抗病毒免疫的抑制作用,增加了 IFN-λ 的产生并减少了肺部的病毒拷贝数。我们确定 P2Y-R 是核警报素 IL-33 和 HMGB1 的新型门卫,并证明通过基因缺失或用小分子拮抗剂靶向该 GPCR 可预防实验性哮喘的发病和加重。

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