在混合炎症性哮喘小鼠模型中,中性粒细胞可通过中性粒细胞弹性蛋白酶介导的FGF-2诱导平滑肌增生

2018/11/13

   摘要
   背景:
支气管哮喘一般以慢性过敏性炎症为特征,包括嗜酸性粒细胞增多和Th2细胞因子升高。最近发现IL-17诱导的中性粒细胞浸润与哮喘严重程度和气道重塑有关。
   目的:探讨IL-17诱导的中性粒细胞在慢性支气管哮喘气道重塑中的作用。
   方法:我们利用室内尘螨抗原诱导小鼠哮喘模型。鼻内致敏和慢性抗原刺激导致混合过敏性炎症,包括嗜酸性粒细胞和中性粒细胞(混合组)。我们中和了IL-17和成纤维细胞生长因子(FGF-2),并研究混合组气道重塑的机制。
   结果:混合组肺组织中出现中性粒细胞浸润且IL-17水平升高。混合组同时还出现支气管平滑肌增生。IL-17中和抗体降低了混合组中所有这些效应的强度。抗体芯片分析显示混合组FGF-2较Eo-ip组相对增加,FGF-2升高与平滑肌肥大/增生有关。高浓度的中性粒细胞弹性蛋白酶增强支气管上皮细胞中的钙粘蛋白/β-catenin信号。中性粒细胞弹性蛋白酶抑制剂治疗减少FGF-2生产并抑制钙粘蛋白/β-catenin信号通路从而抑制平滑肌增生。
   结论:在混合性过敏性炎症中IL-17/中性粒细胞轴通过促进平滑肌肥大/增生可能在气道重塑中发挥重要作用,并因此成为一个有吸引力的重症哮喘治疗靶点。这篇文章受版权保护。保留所有权利。

 
(复旦大学附属中山医院呼吸与危重症医学科 魏婷婷 摘译 毕晶 审校)
(Clin Exp Allergy. 2018 Sep 1.)


 
 
Neutrophils induce smooth muscle hyperplasia via neutrophil elastase-induced FGF-2 in a mouse model of asthma with mixed inflammation.
 

Ogawa H et al. Clin Exp Allergy. 2018 Sep 1.

Abstract
BACKGROUND:
Bronchial asthma is traditionally characterized by chronic allergic inflammation, including eosinophilia and elevated Th2 cytokines. Recently, IL-17-derived neutrophil infiltration was shown to correlate with asthma severity and airway remodeling.
OBJECTIVE: To investigate the role of IL-17-derived neutrophils in airway remodeling in chronic bronchial asthma.
METHODS: We utilized house dust mite antigen-induced mouse models of asthma. Intranasal sensitization and chronic antigen challenge caused a mixed allergic inflammation that included eosinophils and neutrophils (Mix-in group). We neutralized IL-17 and fibroblast growth factor (FGF-2) and investigated the mechanism of airway remodeling in the Mix-in group.
RESULTS: The Mix-in group displayed neutrophilic infiltration and high levels of IL-17 in lung tissue. The Mix-in group also exhibited more bronchial smooth muscle hyperplasia. IL-17 neutralization decreased the magnitude of all of these effects in the Mix-in group. Antibody arrays revealed an increase in FGF-2 in the Mix-in Group relative to the Eo-ip group, and FGF-2 elevation was associated with smooth muscle hypertrophy/hyperplasia. High concentrations of neutrophil elastase enhanced E-cadherin/β-catenin signaling in bronchial epithelial cells. Neutrophil elastase inhibitor treatment decreased FGF-2 production and E-cadherin/β-catenin signaling, which inhibited smooth muscle hyperplasia.
CONCLUSION: The IL-17/neutrophil axis may play an important role in airway remodeling by contributing to smooth muscle hypertrophy/hyperplasia in mixed allergic inflammation, and accordingly represents an attractive therapeutic target for severe asthma. This article is protected by copyright. All rights reserved.






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