Abstract

Asthma is one of the most common noncommunicable diseases, affecting over 200 million people. A large number of drugs control asthma attacks, but there is no effective therapy. Identification of reasons for asthma and preventing this disease is a relevant task. The influence of bacterial components is necessary for the normal development of the immune system and the formation of an adequate immune response to antigens. In the absence of microorganisms or their insufficient exposure, the prerequisites are formed for excessive reactivity to harmless antigens. In the present study, we analyzed cellular and humoral factors in a standard mouse model of OVA-induced asthma modified by 5-fold intraperitoneal injection of bacterial cell wall fragments of glucosaminylmuramyl dipeptide (GMDP) 5 μg/animal or 1 μg lipopolysaccharide (LPS) per animal for 5 days before sensitization by ovalbumin (OVA). Preliminary administration of LPS or GMDP to animals significantly reduced goblet cells as well as the number of neutrophils, lymphocytes, and eosinophils in bronchoalveolar lavage, wherein GMDP corrected neutrophilia to a 2-fold degree, and LPS reduced the severity of eosinophilia by 1.9 times. With OVA administration of GMDP or LPS at the sensitization stage, an increase in the total number of bronchoalveolar lavage cells due to neutrophils, macrophages, lymphocytes, and eosinophils in relation to the group with asthma without GMDP or LPS was observed. The administration of GMDP or LPS to normal mice without asthma for 5 days had no statistically significant effect on the change in the number and population composition of cells in bronchoalveolar lavage in comparison with the control group receiving PBS. As a result of a study in a mouse model of asthma, a dual effect of LPS and GMDP was established: the introduction of LPS or GMDP before sensitization reduces neutrophilia and eosinophilia, while the introduction of LPS or GMDP together with an allergen significantly increases neutrophilia and eosinophilia. The study of the immunoglobulin status shows that in normal-asthma mice, GMDP and LPS slightly increase IgA in bronchoalveolar lavage; at the same time, in the asthma model, injections of GMDP or LPS before sensitization contribute to a significant decrease in IgA (2.6 times and 2.1 times, respectively) in BALF and IgE (2.2 times and 2.0 times, respectively) in blood serum. In an experimental model of asthma, the effect of GMDP and LPS was multidirectional: when they are repeatedly administered before sensitization, the bacterial components significantly reduce the severity of the allergic process, while in the case of a joint injection with an allergen, they increase the influx of macrophages, lymphocytes, and neutrophils into the lungs, which can aggravate the course of pathological process. Thus, the insufficient effect of antigens of a bacterial nature, in particular, with prolonged use of antibiotics can be compensated for by substances based on low-molecular-weight bioregulators of bacterial origin to establish the missing signals for innate immunity receptors, whose constant activation at a certain level is necessary to maintain homeostasis.

Highlights

  • Asthma is one of the main noncommunicable diseases that affects both children and adults: in 2019, the number of asthma patients was 262 million, and there were 461,000 deaths from the disease [1]

  • In the present study, based on an OVA-induced mouse model of asthma, we studied the effect of TLR4 and NOD2 receptor agonists, lipopolysaccharide, and glucosaminylmuramyl dipeptide (GMDP) on humoral and cellular factors of allergic inflammation

  • Preliminary administration of LPS or GMDP to animals with asthma significantly reduced the number of neutrophils, lymphocytes, and eosinophils, and GMDP significantly corrected neutrophilia (a 2-fold decrease), and LPS reduced the severity of eosinophilia by 1.9 times

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Summary

Introduction

Asthma is one of the main noncommunicable diseases that affects both children and adults: in 2019, the number of asthma patients was 262 million, and there were 461,000 deaths from the disease [1]. More than 40 million new cases are registered annually, while a statistically significant inverse correlation was found between the sociodemographic index and the incidence of asthma [2]. Bacterial communities characteristic of patients with asthma have been identified; the bacteria Fusobacterium, Lachnospira, Veillonella, and Rothia are more common in patients with bronchial asthma than in healthy people [4]. The host’s organism affects microorganisms, regulating the production of immunoglobulin IgA; antimicrobial components, such as defensins; and providing tolerance, contributing to the preservation of commensal microflora on the mucosal surface [6,7,8]

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