Department of Pulmonary and Critical Care Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Institute of Respiratory Diseases of Sun Yat-sen University, Guangzhou, People's Republic of China.
Department of Pulmonary and Critical Care Medicine, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, People's Republic of China.
Inflammation. 2024 Feb;47(1):173-190. doi: 10.1007/s10753-023-01902-6. Epub 2023 Sep 22.
Cigarette smoke (CS) facilitates adverse effects on the airway inflammation and treatment of asthma. Here, we investigated the mechanisms by which CS exacerbates asthma. The roles of IL-33 and IL-35 in asthma development were examined by treatment with IL-33 knockout (IL-33 KO) or transfection of adenovirus encoding IL-35 (Ad-IL-35) in a murine model of cigarette smoke-exposure asthma. Furthermore, the involvement of IL-33 and IL-35 in regulating DCs and Th2/Th17 cells was examined in a coculture system of DCs with CD4 T cells. Additionally, we observed the effect of CpG-ODNs on the balance of IL-33 and IL-35. We show that CS and house dust mite (HDM) exposure induced IL-33 and suppressed IL-35 levels in cigarette smoke-exposure asthma in vivo and in vitro. Treatment with IL-33 KO or Ad-IL-35 significantly attenuated airway hyperreactivity, goblet hyperplasia, airway remodelling, and eosinophil and neutrophil infiltration in the lung tissues from asthmatic mice. Furthermore, we demonstrated reciprocal regulation between CS and HDM-modulated IL-33 and IL-35. Mechanistically, IL-33 KO (or anti-ST2) and Ad-IL-35 attenuated Th2- and Th17-associated inflammation by downregulating TSLP-DC signalling. Finally, administration of CpG-ODNs suppressed the expression of IL-33/ST2 and elevated the levels of IL-35, which is mainly derived from CD4Foxp Tregs, to alleviate Th2- and Th17-associated inflammation by inhibiting the activation of BMDCs. Taken together, the IL-33/ST2 pathway drives the DC-Th2 and Th17 responses of cigarette smoke-exposure asthma, while IL-35 has the opposite effect. CpG-ODNs represent a potential therapeutic strategy for modulating the balance of IL-33 and IL-35 to suppress allergic airway inflammation.
香烟烟雾(CS)促进气道炎症的不良影响和哮喘的治疗。在这里,我们研究了 CS 加重哮喘的机制。通过用 IL-33 敲除(IL-33 KO)或转染编码 IL-35 的腺病毒(Ad-IL-35)治疗,在香烟烟雾暴露性哮喘的小鼠模型中检查了 IL-33 和 IL-35 在哮喘发展中的作用。此外,在 DC 与 CD4 T 细胞的共培养系统中,研究了 IL-33 和 IL-35 在调节 DC 和 Th2/Th17 细胞中的作用。此外,我们观察了 CpG-ODNs 对 IL-33 和 IL-35 平衡的影响。我们表明,CS 和屋尘螨(HDM)暴露在体内和体外诱导 IL-33 并抑制香烟烟雾暴露性哮喘中的 IL-35 水平。IL-33 KO 或 Ad-IL-35 治疗显著减轻哮喘小鼠气道高反应性、杯状细胞增生、气道重塑以及肺部嗜酸性粒细胞和中性粒细胞浸润。此外,我们证明了 CS 和 HDM 调节的 IL-33 和 IL-35 之间的相互调节。从机制上讲,IL-33 KO(或抗 ST2)和 Ad-IL-35 通过下调 TSLP-DC 信号来减轻 Th2 和 Th17 相关炎症。最后,CpG-ODNs 的给药抑制了 IL-33/ST2 的表达并升高了 IL-35 的水平,IL-35 主要来源于 CD4Foxp Tregs,通过抑制 BMDCs 的激活来减轻 Th2 和 Th17 相关炎症。总之,IL-33/ST2 途径驱动香烟烟雾暴露性哮喘中的 DC-Th2 和 Th17 反应,而 IL-35 则产生相反的效果。CpG-ODNs 代表了一种调节 IL-33 和 IL-35 平衡以抑制过敏性气道炎症的潜在治疗策略。
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