Wu Chengyong, Hu Xuxu, Mo Zhongyuan, Meng Yan, Du Yingying, Duan Yunyu, Zeng Zaopin, Shan Jiahui, Li Juan, Zhang Nali, Ma Youfeng, Wang Huaqi, Liu Chi, Zhang Guojun, Foster Paul S, Xu Huisha, Li Fuguang, Yang Ming
Department of Microbiology and Immunology, School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, Henan Province, 450001, People's Republic of China.
Department of Respiratory and Critical Care Medicine, Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang, Henan Province, 471009, People's Republic of China.
J Inflamm Res. 2025 Jun 21;18:8199-8216. doi: 10.2147/JIR.S512605. eCollection 2025.
The immunological interaction between the lung and gut remains underexplored, particularly in the context of coexisting mucosal inflammation. While IL-17A has been implicated in both asthma and colitis independently, its role in coordinating systemic immune responses across tissue compartments is not well defined.
In this study, we developed a combined house dust mite-induced asthma model and dextran sulfate sodium-induced colitis model to investigate the role of IL-17A in driving inflammation in both the lungs and the intestines.
Our findings demonstrate that IL-17A neutralization markedly reduced airway and intestinal inflammation, attenuated mucus hypersecretion, downregulated pro-inflammatory cytokine expression, and alleviated colitis severity. Histopathological analysis revealed decreased infiltration of immune cells, including eosinophils, lymphocytes, and macrophages, in both the lungs and colonic tissues following IL-17A blockade. Additionally, we observed a reduction in mucus production, particularly in the airways, highlighting IL-17A's direct role in mucin regulation. Transcriptomic analysis confirmed that IL-17A blockade downregulated several immune-related pathways in colon tissues, further supporting its central role in mediating multi-organ inflammation.
These findings indicate that IL-17A represents a systemic immunomodulator, which orchestrates compartmentalized immune responses along the lung-gut axis. The observed tissue-specific redistribution of IL-17A and the therapeutic benefit of its neutralization suggest that IL-17A may serve as a clinically actionable target in patients with overlapping asthma and colitis. The study also shows that IL-17A plays a reciprocal role in influencing immune responses in both lung and gut.
肺与肠道之间的免疫相互作用仍未得到充分研究,尤其是在并存黏膜炎症的情况下。虽然白细胞介素-17A(IL-17A)已分别被认为与哮喘和结肠炎有关,但其在协调跨组织区室的全身免疫反应中的作用尚不清楚。
在本研究中,我们建立了一种联合的屋尘螨诱导哮喘模型和葡聚糖硫酸钠诱导结肠炎模型,以研究IL-17A在驱动肺部和肠道炎症中的作用。
我们的研究结果表明,中和IL-17A可显著减轻气道和肠道炎症,减轻黏液分泌过多,下调促炎细胞因子表达,并减轻结肠炎严重程度。组织病理学分析显示,在阻断IL-17A后,肺和结肠组织中免疫细胞(包括嗜酸性粒细胞、淋巴细胞和巨噬细胞)的浸润减少。此外,我们观察到黏液分泌减少,尤其是在气道中,突出了IL-17A在黏蛋白调节中的直接作用。转录组分析证实,阻断IL-17A可下调结肠组织中几种免疫相关途径,进一步支持其在介导多器官炎症中的核心作用。
这些发现表明,IL-17A是一种全身免疫调节剂,可协调沿肺-肠轴的区室化免疫反应。观察到的IL-17A组织特异性再分布及其中和的治疗益处表明,IL-17A可能是哮喘和结肠炎重叠患者的临床可操作靶点。该研究还表明,IL-17A在影响肺和肠道的免疫反应中起相互作用。