Department of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, Xiangya Hospital, Central South University, Changsha, China; Department of Physiology, School of Basic Medicine Science, Central South University, Changsha, China; Basic and Clinical Research Laboratory of Major Respiratory Diseases, Central South University, Changsha, China.
Department of Physiology, School of Basic Medicine Science, Central South University, Changsha, China.
J Allergy Clin Immunol. 2023 Feb;151(2):431-446.e16. doi: 10.1016/j.jaci.2022.09.032. Epub 2022 Oct 13.
Airway epithelial cells (AECs) with impaired barrier function contribute to airway remodeling through the activation of epithelial-mesenchymal trophic units (EMTUs). Although the decreased expression of ITGB4 in AECs is implicated in the pathogenesis of asthma, how ITGB4 deficiency impacts airway remodeling remains obscure.
This study aims to determine the effect of epithelial ITGB4 deficiency on the barrier function of AECs, asthma susceptibility, airway remodeling, and EMTU activation.
AEC-specific ITGB4 conditional knockout mice (ITGB4) were generated and an asthma model was employed by the sensitization and challenge of house dust mite (HDM). EMTU activation-related growth factors were examined in ITGB4-silenced primary human bronchial epithelial cells of healthy subjects after HDM stimulation. Dexamethasone, the inhibitors of JNK phosphorylation or FGF2 were administered for the identification of the molecular mechanisms of airway remodeling in HDM-exposed ITGB4 mice.
ITGB4 deficiency in AECs enhanced asthma susceptibility and airway remodeling by disrupting airway epithelial barrier function. Aggravated airway remodeling in HDM-exposed ITGB4 mice was induced through the enhanced activation of EMTU mediated by Src homology domain 2-containing protein tyrosine phosphatase 2/c-Jun N-terminal kinase/Jun N-terminal kinase-dependent transcription factor/FGF2 (SHP2/JNK/c-Jun/FGF2) signaling pathway, which was partially independent of airway inflammation. Both JNK and FGF2 inhibitors significantly inhibited the aggravated airway remodeling and EMTU activation in HDM-exposed ITGB4 mice.
Airway epithelial ITGB4 deficiency induces airway remodeling in a mouse model of asthma through enhanced EMTU activation that is regulated by the SHP2/JNK/c-Jun/FGF2 pathway.
气道上皮细胞(AEC)的屏障功能受损会通过激活上皮-间充质营养单位(EMTUs)导致气道重塑。尽管 AEC 中 ITGB4 的表达减少与哮喘的发病机制有关,但 ITGB4 缺乏如何影响气道重塑仍不清楚。
本研究旨在确定上皮细胞 ITGB4 缺乏对 AEC 屏障功能、哮喘易感性、气道重塑和 EMTU 激活的影响。
生成了上皮细胞特异性 ITGB4 条件性敲除小鼠(ITGB4),并通过屋尘螨(HDM)致敏和激发建立哮喘模型。在 HDM 刺激后,检测健康受试者中 ITGB4 沉默的原代人支气管上皮细胞中 EMTU 激活相关生长因子。用地塞米松、JNK 磷酸化抑制剂或 FGF2 抑制剂处理,以鉴定 HDM 暴露的 ITGB4 小鼠中气道重塑的分子机制。
AEC 中 ITGB4 的缺乏通过破坏气道上皮屏障功能增强了哮喘易感性和气道重塑。在 HDM 暴露的 ITGB4 小鼠中,通过 Src 同源结构域 2 包含的蛋白酪氨酸磷酸酶 2/c-Jun N 末端激酶/JNK 依赖性转录因子/FGF2(SHP2/JNK/c-Jun/FGF2)信号通路增强 EMTU 的激活,导致气道重塑加重,该通路部分独立于气道炎症。JNK 和 FGF2 抑制剂均可显著抑制 HDM 暴露的 ITGB4 小鼠中加重的气道重塑和 EMTU 激活。
气道上皮 ITGB4 缺乏通过调节 SHP2/JNK/c-Jun/FGF2 通路增强 EMTU 激活,在哮喘小鼠模型中诱导气道重塑。