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IL-5 antagonism reverses priming and activation of eosinophils in severe eosinophilic asthma.

作者信息

Luo Jian, Chen Wentao, Liu Wei, Jiang Shan, Ye Yuan, Shrimanker Rahul, Hynes Gareth, Klenerman Paul, Pavord Ian D, Xue Luzheng

机构信息

Respiratory Medicine Unit and NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.

Respiratory Medicine Unit and NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.

出版信息

Mucosal Immunol. 2024 Aug;17(4):524-536. doi: 10.1016/j.mucimm.2024.03.005. Epub 2024 Mar 15.


DOI:10.1016/j.mucimm.2024.03.005
PMID:38493955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11649845/
Abstract

Eosinophils are key effector cells mediating airway inflammation and exacerbation in patients with severe eosinophilic asthma. They are present in increased numbers and activation states in the airway mucosa and lumen. Interleukin-5 (IL-5) is the key eosinophil growth factor that is thought to play a role in eosinophil priming and activation. However, the mechanism of these effects is still not fully understood. The anti-IL-5 antibody mepolizumab reduces eosinophil counts in the airway modestly but has a large beneficial effect on the frequency of exacerbations of severe eosinophilic asthma, suggesting that reduction in eosinophil priming and activation is of central mechanistic importance. In this study, we used the therapeutic effect of mepolizumab and single-cell ribonucleic acid sequencing to investigate the mechanism of eosinophil priming and activation by IL-5. We demonstrated that IL-5 is a dominant driver of eosinophil priming and plays multifaceted roles in eosinophil function. It enhances eosinophil responses to other stimulators of migration, survival, and activation by activating phosphatidylinositol-3-kinases, extracellular signal-regulated kinases, and p38 mitogen-activated protein kinases signaling pathways. It also enhances the pro-fibrotic roles of eosinophils in airway remodeling via transforming growth factor-β pathway. These findings provide a mechanistic understanding of eosinophil priming in severe eosinophilic asthma and the therapeutic effect of anti-IL-5 approaches in the disease.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/5d38b9b3c997/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/7d3f87b799d8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/12ce1993c5c0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/decb8588d321/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/d6a61e623f5a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/2e3da102fa01/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/5d38b9b3c997/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/7d3f87b799d8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/12ce1993c5c0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/decb8588d321/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/d6a61e623f5a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/2e3da102fa01/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d995/11649845/5d38b9b3c997/gr6.jpg

相似文献

[1]
IL-5 antagonism reverses priming and activation of eosinophils in severe eosinophilic asthma.

Mucosal Immunol. 2024-8

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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[6]
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本文引用的文献

[1]
Active eosinophils regulate host defence and immune responses in colitis.

Nature. 2023-3

[2]
Comparative efficacy of mepolizumab, benralizumab, and dupilumab in eosinophilic asthma: A Bayesian network meta-analysis.

J Allergy Clin Immunol. 2022-11

[3]
Clonally expanded, GPR15-expressing pathogenic effector T2 cells are associated with eosinophilic esophagitis.

Sci Immunol. 2021-8-13

[4]
Computational modelling prediction and clinical validation of impact of benralizumab on airway smooth muscle mass in asthma.

Eur Respir J. 2019-11-14

[5]
Human Eosinophils Express a Distinct Gene Expression Program in Response to IL-3 Compared with Common β-Chain Cytokines IL-5 and GM-CSF.

J Immunol. 2019-6-7

[6]
Synergistic activation of pro-inflammatory type-2 CD8 T lymphocytes by lipid mediators in severe eosinophilic asthma.

Mucosal Immunol. 2018-6-15

[7]
Mepolizumab Attenuates Airway Eosinophil Numbers, but Not Their Functional Phenotype, in Asthma.

Am J Respir Crit Care Med. 2017-12-1

[8]
Regulation of Eosinophil and Group 2 Innate Lymphoid Cell Trafficking in Asthma.

Front Med (Lausanne). 2017-8-11

[9]
Targeting TGF-β Mediated SMAD Signaling for the Prevention of Fibrosis.

Front Pharmacol. 2017-7-14

[10]
Evidence for the efficacy and safety of anti-interleukin-5 treatment in the management of refractory eosinophilic asthma.

Ther Adv Respir Dis. 2015-8

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