性别差异:CD103+树突状细胞在过敏性哮喘促进女性为主Th2细胞因子生成

2018/01/15

   摘要
   背景:成人哮喘在发病率和严重程度上存在性别差异,其主要归因于女性患者Th2细胞因子生成显著多于男性患者。然而,介导这一效应的通路尚不明确。
   目的:本研究旨在评价女性患者树突状细胞(DCs)两个组要亚型的作用,尤其是在OVA诱导哮喘小鼠模型中给予过敏原刺激后表达CD11b 或CD103的DCs。
   方法:在哮喘小鼠模型中给予过敏原刺激后,性别差异性表现在炎症区域DCs数量,联合刺激分子表达,幼稚CD4+T细胞向Th2转化的分化能力。此外,体外研究评估Th2启动过程中17β-雌二醇在CD103+DC的作用。
   结果:在OVA吸入16-20小时后,雌性小鼠肺和支气管淋巴结(BLN)CD11b高表达DCs和CD103+DCs显著高于雄性小鼠。在BLN中,CD86和I-A/I-E表达水平和抗原提成能力在雌性小鼠中显著高于雄性小鼠,但在CD11b高表达DCs中未有类似情况。此外,与CD103+DCs共培养CD4+T细胞中,雌性小鼠较雄性小鼠IL-4、IL-5和IL-13生成增加。在过敏原暴露后,17β雌二醇导致CD103+DCs中CD86表达增加,进而诱导CD4+T细胞中IL-5生成增加。
   结论&临床意义:本研究提示在哮喘中,女性Th2细胞因子生成增加可能与BLN中17β雌二醇介导Th2诱导CD103+DCs相关。

 
(上海交通大学医学院附属瑞金医院呼吸与危重症医学科 周剑平 万欢英 摘译)
(Clin Exp Allergy. 2017 Dec 30. doi: 10.1111/cea.13081. [Epub ahead of print])
 
 
Sex-based differences in CD103+ dendritic cells promote female-predominant Th2 cytokine production during allergic asthma.
 
Clin Exp Allergy. 2017 Dec 30. doi: 10.1111/cea.13081. [Epub ahead of print]
Masuda C, Miyasaka T, Kawakami K, Inokuchi JI, Kawano T, Dobashi-Okuyama K, Takahashi T, Takayanagi M, Ohno I.
 
Abstract
BACKGROUND:Gender disparities in adult patients with asthma regarding its prevalence and severity are mainly due to enhanced type 2 T-helper (Th2) cytokine production in female patients compared to that in male patients. However, the pathways mediating this effect remain unclear.
OBJECTIVE:We aimed to determine the roles of two major subsets of dendritic cells (DCs) in females, specifically those displaying CD11b or CD103, during enhanced Th2-priming after allergen exposure, using an ovalbumin-induced asthma mouse model.
METHODS:Sex-based differences in the number of DCs at inflamed sites, co-stimulatory molecule expression on DCs, and the ability of DCs to differentiate naïve CD4+ T cells into Th2 population were evaluated after allergen exposure in asthmatic mice. In addition, we assessed the role of 17β-estradiol in CD103+ DC function during Th2-priming in vitro.
RESULTS:The number of CD11bhigh DCs and CD103+ DCs in the lung and bronchial lymph node (BLN) were increased to a greater extent in female mice than in male mice at 16 to 20 hours after ovalbumin (OVA) inhalation. In BLNs, CD86 and I-A/I-E expression levels and antigen uptake ability in CD103+ DCs, but not in CD11bhigh DCs, were greater in female mice than in male mice. Furthermore, CD4+ T cells cultured with CD103+ DCs from female mice produced higher levels of interleukin (IL)-4, IL-5, and IL-13, compared with CD4+ T cells cultured with CD103+ DCs from male mice. The 17β-estradiol oriented-enhancement of CD86 expression on CD103+ DCs after allergen exposure induced the enhanced IL-5 production from CD4+ T cells.
CONCLUSIONS & CLINICAL RELEVANCE:These findings suggest that with regards to asthma, enhanced Th2 cytokine production in females might be attributed to 17β-estradiol-mediated Th2-oriented CD103+ DCs in the BLN.
 


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