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Division of Pulmonary Medicine, Joseph Stokes, Jr. Research Institute, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104
The airway responses to allergen exposure in allergic
asthma are qualitatively similar to those elicited by specific viral respiratory pathogens, most notably rhinovirus (RV), suggesting that
the altered airway responsiveness seen in allergic asthma and that
elicited by viral respiratory tract infection may share a common
underlying mechanism. To the extent that T helper cell type 2 (Th2)
cytokines have been implicated in the pathogenesis of allergic asthma,
this study examined the potential role(s) of Th2-type cytokines in
mediating pro-asthmatic-like changes in airway smooth muscle (ASM)
responsiveness after inoculation of naive ASM with human RV. Isolated
rabbit ASM tissues and cultured human ASM cells were exposed to RV
(serotype 16) for 24 h in the absence and presence of monoclonal
blocking antibodies (MAbs) or antagonists directed against either the
Th2-type cytokines interleukin (IL)-4 and IL-5, intercellular adhesion
molecule (ICAM)-1 (the endogenous host receptor for most RVs), or the
pleiotropic proinflammatory cytokine IL-1
. Relative to control
(vehicle-treated) tissues, RV-exposed ASM exhibited significantly
enhanced isometric contractility to acetylcholine and impaired
relaxation to isoproterenol. These pro-asthmatic-like changes in ASM
responsiveness were ablated by pretreating the RV-exposed tissues with
either IL-5-receptor-
blocking antibody or human recombinant
IL-1-receptor antagonist, whereas IL-4 neutralizing antibody had no
effect. Extended studies further demonstrated that inoculation of ASM
cells with RV elicited 1) an increased mRNA expression and
release of IL-5 protein, which was inhibited in the presence of
anti-ICAM-1 MAb, and 2) an enhanced release of IL-1
protein,
which was inhibited in the presence of IL-5 receptor-
antibody.
Collectively, these observations provide new evidence demonstrating
that RV-induced changes in ASM responsiveness are largely attributed to
ICAM-1-dependent activation of a cooperative autocrine signaling
mechanism involving upregulated IL-5-mediated release of IL-1
by the
RV-exposed ASM itself.
T helper cell type 2 cytokines; airway smooth muscle; asthma
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