Abstract

The incidence of obesity has risen to epidemic proportions in recent decades, most commonly attributed to an increasingly sedentary lifestyle, and a ‘western’ diet high in fat and low in fibre. Although non-allergic asthma is a well-established co-morbidity of obesity, the influence of obesity on allergic asthma is still under debate. Allergic asthma is thought to result from impaired tolerance to airborne antigens, so-called respiratory tolerance. We sought to investigate whether a diet high in fats affects the development of respiratory tolerance. Mice fed a high fat diet (HFD) for 8 weeks showed weight gain, metabolic disease, and alteration in gut microbiota, metabolites and glucose metabolism compared to age-matched mice fed normal chow diet (ND). Respiratory tolerance was induced by repeated intranasal (i.n.) administration of ovalbumin (OVA), prior to induction of allergic airway inflammation (AAI) by sensitization with OVA in alum i.p. and subsequent i.n. OVA challenge. Surprisingly, respiratory tolerance was induced equally well in HFD and ND mice, as evidenced by decreased lung eosinophilia and serum OVA-specific IgE production. However, in a pilot study, HFD mice showed a tendency for impaired activation of airway dendritic cells and regulatory T cells compared with ND mice after induction of respiratory tolerance. Moreover, the capacity of lymph node cells to produce IL-5 and IL-13 after AAI was drastically diminished in HFD mice compared to ND mice. These results indicate that HFD does not affect the inflammatory or B cell response to an allergen, but inhibits priming of Th2 cells and possibly dendritic cell and regulatory T cell activation.

Highlights

  • The incidence of obesity has risen in recent decades to reach epidemic proportions worldwide [1]

  • In this report we show that a high fat diet (HFD) can inhibit the activation of dendritic cells (DC) and T cells after the induction of respiratory tolerance and airway inflammation (AAI)

  • Mice fed a HFD had a marked decrease in Th2 cytokine production following induction of AAI, corroborating previous reports [29], and supporting the hypothesis that obesity skews the immune response away from the allergic Th2 type response [30]

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Summary

Introduction

The incidence of obesity has risen in recent decades to reach epidemic proportions worldwide [1]. Co-morbidities associated with obesity include metabolic diseases, type II diabetes mellitus, cardiovascular disease, cancer and chronic inflammatory diseases like non-allergic asthma [2]. Asthma is a chronic inflammation of the airways characterized by reversible airway constriction and bronchospasm, which can be broadly divided into allergic or non-allergic, depending on the nature of the asthmatic trigger. Obesity is a recognized risk factor for non-allergic asthma [3,4], but the link with allergic asthma is less clear, with several studies failing to observe a correlation between obesity and allergic asthma/atopy [5,6]. Some studies have identified obesity as a risk factor for atopy [7], raising the possibility that being overweight plays a role in the establishment of an allergic response

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