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Cardiovascular Research Institute and Departments of Medicine and Physiology, University of California, San Francisco, California 94132-0130
Mucus hypersecretion
contributes to the morbidity and mortality in acute asthma. Both T
helper 2 (Th2) cytokines and epidermal growth factor receptor (EGFR)
signaling have been implicated in allergen-induced goblet cell (GC)
metaplasia. Present results show that a cascade of EGFR involving
neutrophils is implicated in interleukin (IL)-13-induced mucin
expression in GC. Treatment with a selective EGFR tyrosine kinase
inhibitor prevented IL-13-induced GC metaplasia dose dependently and
completely. Instillation of IL-13 also induced tumor necrosis
factor-
protein expression, mainly in infiltrating neutrophils.
Control airway epithelium contained few leukocytes, but intratracheal
instillation of IL-13 resulted in time-dependent leukocyte recruitment
by IL-13-induced IL-8-like chemoattractant expression in airway
epithelium. Pretreatment with an inhibitor of leukocytes in the bone
marrow (cyclophosphamide) or with a blocking antibody to IL-8 prevented
both IL-13-induced leukocyte recruitment and GC metaplasia. These
findings indicate that EGFR signaling is involved in IL-13-induced
mucin production. They suggest a potential therapeutic role for
inhibitors of the EGFR cascade in the hypersecretion that occurs in
acute asthma.
airway epithelium; mucus hypersecretion; epidermal growth factor receptor activation; T helper 2 cytokine; interleukin
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