Mast cell TNF receptors regulate responses to Mycoplasma pneumoniae in surfactant protein A (SP-A)-/- mice.

Mast cell TNF receptors regulate responses to Mycoplasma pneumoniae in surfactant protein A (SP-A)-/- mice.
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DOI:
10.1016/j.jaci.2012.03.002
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发表时间:
2012-07
期刊:
The Journal of allergy and clinical immunology
影响因子:
--
通讯作者:
Wright JR
Wright JR
中科院分区:
其他
文献类型:
--
作者:
Hsia BJ;Ledford JG;Potts-Kant EN;Nikam VS;Lugogo NL;Foster WM;Kraft M;Abraham SN;Wright JR

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肺炎支原体(Mp)经常定植于慢性哮喘患者的气道,并可能导致哮喘恶化。我们先前报道了缺乏表面活性蛋白A(SP-A)的小鼠在肺炎支原体感染期间比TNF-α介导的野生型小鼠气道高反应性(AHR)增加。肥大细胞(MC)参与哮喘模型中的AHR,并产生和应答TNF-α。确定MC/TNF相互作用对MP感染期间缺乏功能性SP-A的气道中AHR的贡献。方法:收集健康人和哮喘患者的支气管肺泡灌洗液,检测TNF-α水平和肺炎支原体(M pneumoniae)阳性率。为了确定SP-A与MCs的相互作用如何调节气道内稳态,我们产生了缺乏SP-A和MCs的小鼠(SP-A−/−KitW-sh/W-sh),并用肺炎支原体感染它们。我们的研究结果表明,高TNF-α水平与人类哮喘患者中肺炎支原体阳性相关,并且人SP-A抑制肺炎支原体刺激的MC转录和释放TNF-α,暗示SP-A的保护作用。肺炎支原体感染的肺中MC数量增加,当MC不存在时,气道反应性显著减弱。使用移植了TNF-α−/−或TNF受体(TNF-R)−/− MCs的SP-A−/−KitW-sh/W-sh小鼠,我们发现,当SP-A缺失时,TNF-α通过TNF-R而不是MC衍生的TNF-α激活MCs,导致肺炎支原体感染期间AHR增加。此外,与移植野生型MC的小鼠相比,移植TNF-α−/−或TNF-R−/− MC的肺炎支原体感染的SP-A−/−KitW-sh/W-sh小鼠的粘液产生减少,而负荷不受影响。我们的数据强调了MC在宿主对病原体感染的反应中作为TNF-α的次级应答者的一个以前未被认识但至关重要的作用。
Mycoplasma pneumoniae (Mp) frequently colonizes the airways of patients with chronic asthma and likely contributes to asthma exacerbations. We previously reported that mice lacking surfactant protein A (SP-A) have increased airway hyperresponsiveness (AHR) during M pneumoniae infection versus wild-type mice mediated by TNF-α. Mast cells (MCs) have been implicated in AHR in asthma models and produce and respond to TNF-α. Determine the contribution of MC/TNF interactions to AHR in airways lacking functional SP-A during Mp infection. Methods: Bronchoalveolar lavage fluid was collected from healthy and asthmatic subjects to examine TNF-α levels and M pneumoniae positivity. To determine how SP-A interactions with MCs regulate airway homeostasis, we generated mice lacking both SP-A and MCs (SP-A−/−KitW-sh/W-sh) and infected them with M pneumoniae. Our findings indicate that high TNF-α levels correlate with M pneumoniae positivity in human asthmatic patients and that human SP-A inhibits M pneumoniae–stimulated transcription and release of TNF-α by MCs, implicating a protective role for SP-A. MC numbers increase in M pneumoniae–infected lungs, and airway reactivity is dramatically attenuated when MCs are absent. Using SP-A−/−KitW-sh/W-sh mice engrafted with TNF-α−/− or TNF receptor (TNF-R)−/− MCs, we found that TNF-α activation of MCs through the TNF-R, but not MC-derived TNF-α, leads to augmented AHR during M pneumoniae infection when SP-A is absent. Additionally, M pneumoniae– infected SP-A−/−KitW-sh/W-sh mice engrafted with TNF-α−/− or TNF-R−/− MCs have decreased mucus production compared with that seen in mice engrafted with wild-type MCs, whereas burden was unaffected. Our data highlight a previously unappreciated but vital role for MCs as secondary responders to TNF-α during the host response to pathogen infection.
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