Jiang Hui, Jiang Yaona, Dong Ran, Fu Chang-Yong
Department of Respiratory Medicine, Shanghai East hospital, Tongji university School of Medicine, Pudong, Shanghai, China.
Department of Pulmonary and Critical Care Medicine, People's Hospital of Tiantai Country, Taizhou, China.
Respir Res. 2025 Apr 24;26(1):159. doi: 10.1186/s12931-025-03233-6.
BACKGROUND: ETS2 has been identified as a pivotal regulator in the development of human inflammatory diseases. Nevertheless, the functional aspects of ETS2 in asthma remain inadequately characterized. The release of mitochondrial dsRNA is recognized as an initiator of innate immune responses and implicated in intensifying inflammation triggered by alternative immunogens. The interplay between these mechanisms remains poorly understood, and only a limited number of direct targets that underpin the pro-inflammatory role of ETS2 have been identified. METHODS: The expression of ETS2 in epithelial cells under immune responses was analyzed, and its effects on asthma progression were examined through clinical specimens, human bronchial epithelial cells, and an allergic asthma mouse model. Additionally, the potential involvement of adenine nucleotide translocase-2 in mediating the immune responses regulated by ETS2 was explored. RESULTS: Increased expression of ETS2 in lung epithelial cells was observed in both asthma patients and ovalbumin (OVA)-induced asthma mice. The deficiency of ETS2 resulted in a substantial decline in inflammatory cell infiltration and markedly diminished IL-6, IL-5, and IL-13 levels in epithelial cells. Mechanistically, ETS2 overexpression was associated with elevated cytosolic mitochondrial RNA levels, whereas knockdown resulted in their suppression. Furthermore, adenine nucleotide translocase-2 (ANT2) expression was robustly upregulated by ETS2 through direct promoter binding. The advantageous effects of ETS2 on asthma development were abrogated in ANT2-deficient mice. CONCLUSIONS: The findings collectively underscore the role of ETS2 as an exacerbating factor in allergic airway inflammation during asthma progression, primarily by inducing ANT2 expression. Therapeutic targeting of epithelial ETS2 could represent a novel approach to asthma management. CLINICAL TRIAL NUMBER: Not applicable.
背景:ETS2已被确定为人类炎症性疾病发展中的关键调节因子。然而,ETS2在哮喘中的功能方面仍未得到充分表征。线粒体双链RNA的释放被认为是先天性免疫反应的启动因素,并与强化由其他免疫原引发的炎症有关。这些机制之间的相互作用仍知之甚少,并且仅确定了少数支持ETS2促炎作用的直接靶点。 方法:分析免疫反应下上皮细胞中ETS2的表达,并通过临床标本、人支气管上皮细胞和过敏性哮喘小鼠模型研究其对哮喘进展的影响。此外,还探讨了腺嘌呤核苷酸转位酶2在介导ETS2调节的免疫反应中的潜在作用。 结果:在哮喘患者和卵清蛋白(OVA)诱导的哮喘小鼠中均观察到肺上皮细胞中ETS2表达增加。ETS2缺陷导致炎症细胞浸润大幅下降,上皮细胞中IL-6、IL-5和IL-13水平明显降低。机制上,ETS2过表达与胞质线粒体RNA水平升高有关,而敲低则导致其受到抑制。此外,ETS2通过直接结合启动子强烈上调腺嘌呤核苷酸转位酶2(ANT2)的表达。在ANT2缺陷小鼠中,ETS2对哮喘发展的有利作用被消除。 结论:这些发现共同强调了ETS2在哮喘进展过程中作为过敏性气道炎症加剧因素的作用,主要是通过诱导ANT2表达。上皮ETS2的治疗靶向可能代表一种哮喘管理的新方法。 临床试验编号:不适用。
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