Elesela Srikanth, Arzola-Martínez Llilian, Rasky Andrew, Ptaschinski Catherine, Hogan Simon P, Lukacs Nicholas W
Department of Pathology, University of Michigan Medical School, Ann Arbor, Mich; Mary H. Weiser Food Allergy Center, Ann Arbor, Mich.
Department of Pathology, University of Michigan Medical School, Ann Arbor, Mich.
J Allergy Clin Immunol. 2023 Dec;152(6):1607-1618.e1. doi: 10.1016/j.jaci.2023.08.006. Epub 2023 Aug 19.
IgA is the most abundant immunoglobulin at the mucosal surface and although its role in regulating mucosal immunity is not fully understood, its presence is associated with protection from developing allergic disease.
We sought to determine the role of IgA immune complexes for therapeutic application to mucosal allergic responses.
Trinitrophenol (TNP)-specific IgA immune complexes were applied, using TNP-coupled ovalbumin (OVA), to airway and gut mucosal surfaces in systemically sensitized allergic animals to regulate allergen challenge responses. Animals were assessed for both pathologic and immune-mediated responses in the lung and gut, respectively, using established mouse models.
The mucosal application of IgA immune complexes in the lung and gut with TNP-OVA regulated T2-driven allergic response in the lung and gut, reducing T2 cytokines and mucus (lung) as well as diarrhea and temperature loss (gut), but increasing IL-10 and the number of regulatory T cells. The IgA-OVA immune complex did not alter peanut-induced anaphylaxis, indicating antigen specificity. Using OVA-specific DO.11-green fluorescent protein IL-4 reporter mouse-derived T2-skewed cells in a transfer model demonstrated that mucosal IgA immune complex treatment reduced T2-cell expansion and increased the number of regulatory T cells. To address a potential mechanism of action, TGF-β and IL-10 were induced in bone marrow-derived dendritic cells when they were exposed to IgA immune complex, suggesting a regulatory phenotype induced in dendritic cells that also led to an altered primary T-cell-mediated response in in vitro OVA-specific assays.
These studies highlight one possible mechanism of how allergen-specific IgA may provide a regulatory signal to reduce the development of allergic responses in the lung and gut.
IgA是黏膜表面最丰富的免疫球蛋白,尽管其在调节黏膜免疫中的作用尚未完全明确,但其存在与预防过敏性疾病相关。
我们试图确定IgA免疫复合物在治疗黏膜过敏反应中的作用。
使用三硝基苯酚(TNP)偶联的卵清蛋白(OVA),将TNP特异性IgA免疫复合物应用于全身致敏的过敏性动物的气道和肠道黏膜表面,以调节变应原激发反应。分别使用已建立的小鼠模型评估动物在肺和肠道中的病理和免疫介导反应。
在肺和肠道中黏膜应用IgA免疫复合物与TNP-OVA可调节肺和肠道中T2驱动的过敏反应,减少T2细胞因子和黏液(肺)以及腹泻和体温降低(肠道),但增加IL-10和调节性T细胞数量。IgA-OVA免疫复合物未改变花生诱导的过敏反应,表明具有抗原特异性。在转移模型中使用OVA特异性DO.11-绿色荧光蛋白IL-4报告基因小鼠来源的T2偏向细胞表明,黏膜IgA免疫复合物治疗可减少T2细胞扩增并增加调节性T细胞数量。为探讨潜在的作用机制,当骨髓来源的树突状细胞暴露于IgA免疫复合物时,TGF-β和IL-10被诱导,提示树突状细胞诱导出调节表型,这也导致体外OVA特异性试验中初始T细胞介导的反应发生改变。
这些研究突出了变应原特异性IgA如何提供调节信号以减少肺和肠道中过敏反应发生的一种可能机制。