Abstract

BackgroundGlucocorticoid-induced tumor necrosis factor receptor family-related protein ligand (GITRL) plays an important role in tumors, autoimmunity and inflammation. However, GITRL is not known to modulate the pathogenesis of allergic asthma. In this study, we investigated whether regulating GITRL expressed on dendritic cells (DCs) can prevent asthma and to elucidate its mechanism of action.MethodsIn vivo, the role of GITRL in modulating house dust mite (HDM)-induced asthma was assessed in adeno-associated virus (AAV)-shGITRL mice. In vitro, the role of GITRL expression by DCs was evaluated in LV-shGITRL bone marrow dendritic cells (BMDCs) under HDM stimulation. And the direct effect of GITRL was observed by stimulating splenocytes with GITRL protein. The effect of regulating GITRL on CD4+ T cell differentiation was detected. Further, GITRL mRNA in the peripheral blood of asthmatic children was tested.ResultsGITRL was significantly increased in HDM-challenged mice. In GITRL knockdown mice, allergen-induced airway inflammation, serum total IgE levels and airway hyperresponsiveness (AHR) were reduced. In vitro, GITRL expression on BMDCs was increased after HDM stimulation. Further, knocking down GITRL on DCs partially restored the balance of Th1/Th2 and Th17/Treg cells. Moreover, GITRL stimulation in vitro inhibited Treg cell differentiation and promoted Th2 and Th17 cell differentiation. Similarly, GITRL mRNA expression was increased in the peripheral blood from asthmatic children.ConclusionsThis study identified a novel role for GITRL expressed by DCs as a positive regulator of CD4+ T cells responses in asthma, which implicates that GITRL inhibitors may be a potential immunotherapy for asthma.

Highlights

  • Asthma is one of the most prevalent chronic respiratory diseases and affects more than 300 million people worldwide [1]

  • We found that the percentage of ­CD11c+MHCII+GITRL+ dendritic cells (DCs) in the lung increased significantly after house dust mite (HDM) sensitization and challenge (Fig. 1g, h, P < 0.01)

  • We found that GITRL expression on bone marrow dendritic cells (BMDCs) was upregulated after HDM stimulation, which is consistent with our findings in animal model

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Summary

Introduction

Asthma is one of the most prevalent chronic respiratory diseases and affects more than 300 million people worldwide [1]. It is characterized by airway inflammation and airway hyperresponsiveness (AHR). It is caused by immune dysfunction that is predominantly affected by increased effector T cell subsets and decreased regulatory. Th1 cells mainly act as negative regulators of allergic inflammation by inhibiting Th2 responses [4]. Decreasing effector T cells while increasing Tregs may restore the immune balance of asthmatics. We investigated whether regulating GITRL expressed on dendritic cells (DCs) can prevent asthma and to elucidate its mechanism of action

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