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, But Not on Eosinophils1

,§

*
Sections of Pulmonary and Critical Care Medicine and
Immunobiology and
Department of Pathology, Yale University School of Medicine, New Haven, CT 06520;
§
Pathology and Laboratory Medicine Service, Veterans Administration Connecticut Health Care System, West Haven, CT 06516;
¶
Department of Microbiology and Immunology, University of California, San Francisco, CA 94143; and
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Department of Immunology, University of Cape Town, Cape Town, South Africa
Mucus hyperproduction in asthma results from airway inflammation
and contributes to clinical symptoms, airway obstruction, and
mortality. In human asthmatics and in animal models, excess mucus
production correlates with airway eosinophilia. We previously described
a system in which TCR transgenic CD4 Th2 cells generated in vitro were
transferred into recipient mice and activated in the respiratory tract
with inhaled Ag. Th2 cells stimulated airway eosinophilia and a marked
increase in mucus production, while mice that received Th1 cells
exhibited airway inflammation without eosinophilia or mucus. Mucus
could be induced by IL-4-/- Th2 cells at comparable
levels to mucus induced by IL-4+/+ Th2 cells. In the
current studies we dissect further the mechanisms of Th2-induced mucus
production. When IL-4-/- Th2 cells are transferred into
IL-4R
-/- mice, mucus is not induced, and BAL
eosinophilia is absent. These data suggest that in the absence of IL-4,
IL-13 may be critical for Th2-induced mucus production and
eosinophilia. To determine whether eosinophils are important in mucus
production, IL-5-/- Th2 cells were transferred into
IL-5-/- recipients. Eosinophilia was abolished, yet mucus
staining in the epithelium persisted. These studies show definitively
that IL-5, eosinophils, or mast cells are not essential, but signaling
through IL-4R
is critically important in Th2 cell stimulation of
mucus production.
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