Abstract

Asthma is an inflammatory disease associated with variable airflow obstruction and airway inflammation. This study aimed to explore the role and mechanism of extracellular adenosine diphosphate (ADP) in the occurrence of airway inflammation in asthma. The expression of ADP in broncho-alveolar lavage fluid (BALF) of asthmatic patients was determined by enzyme linked immunosorbent assay (ELISA) and the expression of P2Y1 receptor in lung tissues was determined by reverse transcription-quantitative polymerase chain reaction. Asthmatic mouse model was induced using ovalbumin and the mice were treated with ADP to assess its effects on the airway inflammation and infiltration of mast cells (MCs). Additionally, alveolar epithelial cells were stimulated with ADP, and the levels of interleukin-13 (IL-13) and C-X-C motif chemokine ligand 10 (CXCL10) were measured by ELISA. We finally analyzed involvement of NF-κB signaling pathway in the release of CXCL10 in ADP-stimulated alveolar epithelial cells. The extracellular ADP was enriched in BALF of asthmatic patients, and P2Y1 receptor is highly expressed in lung tissues of asthmatic patients. In the OVA-induced asthma model, extracellular ADP aggravated airway inflammation and induced MC infiltration. Furthermore, ADP stimulated alveolar epithelial cells to secrete chemokine CXCL10 by activating P2Y1 receptor, whereby promoting asthma airway inflammation. Additionally, ADP activated the NF-κB signaling pathway to promote CXCL10 release. As a “danger signal” extracellular ADP could trigger and maintain airway inflammation in asthma by activating P2Y1 receptor. This study highlights the extracellular ADP as a promising anti-inflammatory target for the treatment of asthma.

Highlights

  • Asthma has been recognized as one of the common non-communicable chronic diseases in children and adults, clinically manifested with airway inflammation and remodeling (Christiansen and Zuraw, 2019)

  • According to the differential analysis of microarray GSE64913, P2Y1 was found to be differentially expressed in asthma (Figure 1A), and P2Y1 is listed as P2RY1 in National Center for Biotechnology Information (NCBI)

  • It was speculated that extracellular adenosine diphosphate (ADP) can regulate CXCL10-mediated infiltration of mast cells (MCs) through P2Y1, thereby aggravating airway inflammation of asthmatic patients

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Summary

Introduction

Asthma has been recognized as one of the common non-communicable chronic diseases in children and adults, clinically manifested with airway inflammation and remodeling (Christiansen and Zuraw, 2019). The presence of airway inflammation in asthma is commonly induced by either viruses or allergen and related to secretion of inflammatory cytokines from epithelia cells and a diversity of lung resident cells such as mast cells (MCs), and macrophages, Extracellular ADP in Asthma as well as recruited cells including eosinophils, T cells, and neutrophils (Chen et al, 2018; Nakagome and Nagata, 2018). Exploring the mechanism underlying the pathogenesis of airway inflammation in asthma may lay a theoretical foundation for the development of novel targeted therapies

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