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School of Medicine, Respiratory Cell and Molecular Biology Division, Southampton General Hospital, Southampton, United Kingdom
In sensitized individuals, exposure to allergens such as
Dermatophagoides pteronyssinus (Der p)
causes Th2 polarization and release of cytokines, including IL-4 and
IL-13. Because Der p extracts also have direct effects
on epithelial cells, we hypothesized that allergen augments the effects
of Th2 cytokines by promoting mediator release from the bronchial
epithelium in allergic asthma. To test our hypothesis, primary
bronchial epithelial cultures were grown from bronchial brushings of
normal and atopic asthmatic subjects. RT-PCR showed that each culture
expressed IL-4R
, common
-chain, and
IL-13R
1, as well as IL-13R
2, which
negatively regulates IL-13 signaling; FACS analysis confirmed
IL-13R
2 protein expression. Exposure of epithelial
cultures to either Der p extracts, TNF-
, IL-4, or
IL-13 enhanced GM-CSF and IL-8 release, and this was partially
suppressible by corticosteroids. Simultaneous exposure of the
epithelial cultures to IL-4 or IL-13 together with Der p
resulted in a further increase in cytokine release, which was at least
additive. Release of TGF-
was also increased by TNF-
and
combinations of IL-4, IL-13, and Der p; however, this
stimulation was only significant in the asthma-derived cultures. These
data suggest that, in an allergic environment, Th2 cytokines and
allergen have the potential to sustain airway inflammation through a
cooperative effect on cytokine release by the bronchial epithelium. Our
novel finding that IL-4, IL-13, and allergen enhance release of
TGF-
, a ligand for the epidermal growth factor receptor that
stimulates fibroblast proliferation and goblet cell differentiation,
provides a potential link between allergen exposure, Th2 cytokines, and
airway remodelling in asthma.
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