Department of Respiratory Medicine, The Affiliated Children's Hospital, Zhengzhou University, Zhengzhou, Henan, China.
J Cell Biochem. 2018 Nov;119(11):8887-8896. doi: 10.1002/jcb.27142. Epub 2018 Aug 4.
Asthma is the most common chronic childhood disease worldwide, characterized by airway remodeling and chronic inflammation, orchestrated primarily by Th2 cytokines. The aim of the current study was to explore the influences of milk fat globule epidermal growth factor 8 (MFG-E8)/integrin β3 signaling involved in airway inflammation and remodeling in asthma. BALB/c mice were sensitized by intraperitoneal injection of ovalbumin (OVA), followed by OVA nebulization. The levels of MFG-E8 expression were declined markedly in the OVA-induced allergy murine model. In addition, administration of MFG-E8 strongly reduced the accumulation of T-helper type 2 (Th2)-associated cytokines (such as interleukin-4, -5, and -13) as well as chemokine CCL11 (eotaxin) in bronchoalveolar lavage fluid and tissues in the OVA-sensitized mice. Moreover, MFG-E8 remarkably repressed the total immunoglobulin E and OVA-specific immunoglobulin E in serum in OVA-challenged mice. Meanwhile, treatment with recombinant murine MFG-E8 noticeably prevented inflammatory cell infiltration into the airways, as showed by a marked decrease in the numbers of total immune cells, eosinophils, neutrophils, macrophages, and lymphocytes in the bronchoalveolar lavage fluid in response to OVA challenge. Importantly, MFG-E8 apparently alleviated OVA-driven airway remodeling, which were evidenced by declined secretion of important mediators of airway remodeling, including transforming growth factor-β1, matrix metalloproteinase 9, ADAM8, and vascular endothelial growth factor, and reduced airway collagen deposition and inhibited goblet cell hyperplasia in OVA-induced asthma in mice. Mechanistically, integrin 3 contributes to the protective effect of MFG-E8 in inhibiting airway inflammation and remodeling in OVA-driven features of allergic asthma. Overall, MFG-E8, as a candidate molecule to evaluate airway inflammation and remodeling, could be a potential target for the management and prevention of asthma exacerbations, suggesting that MFG-E8/integrin β3 signaling may serve as a promising therapeutic agent for childhood asthma.
哮喘是全球最常见的儿童慢性疾病,其特征为气道重塑和慢性炎症,主要由 Th2 细胞因子协调。本研究旨在探讨参与哮喘气道炎症和重塑的乳脂肪球表皮生长因子 8(MFG-E8)/整合素β3 信号的影响。通过腹腔注射卵清蛋白(OVA)致敏 BALB/c 小鼠,然后进行 OVA 雾化。在 OVA 诱导的过敏小鼠模型中,MFG-E8 的表达水平明显下降。此外,MFG-E8 的给药强烈减少了 T 辅助型 2(Th2)相关细胞因子(如白细胞介素-4、-5 和-13)以及趋化因子 CCL11(嗜酸性粒细胞趋化因子)在 OVA 致敏小鼠的支气管肺泡灌洗液和组织中的积聚。此外,MFG-E8 显著抑制了 OVA 挑战小鼠血清中的总免疫球蛋白 E 和 OVA 特异性免疫球蛋白 E。同时,重组鼠 MFG-E8 的治疗显著防止了炎症细胞浸润到气道中,表现为 OVA 刺激后总免疫细胞、嗜酸性粒细胞、中性粒细胞、巨噬细胞和淋巴细胞在支气管肺泡灌洗液中的数量明显减少。重要的是,MFG-E8 明显缓解了 OVA 驱动的气道重塑,这表现为气道重塑的重要介质分泌减少,包括转化生长因子-β1、基质金属蛋白酶 9、ADAM8 和血管内皮生长因子,以及气道胶原沉积减少,并抑制了 OVA 诱导的哮喘小鼠中的杯状细胞增生。在机制上,整合素β3 促进了 MFG-E8 在抑制 OVA 驱动的过敏性哮喘中气道炎症和重塑的保护作用。总的来说,MFG-E8 作为评估气道炎症和重塑的候选分子,可能成为管理和预防哮喘加重的潜在靶点,提示 MFG-E8/整合素β3 信号可能成为治疗儿童哮喘的有前途的治疗剂。