Abstract

BackgroundWhile the importance of the Th2 cytokine IL-13 as a central mediator of airway hyperreactivity (AHR) has been described in allergic protein-induced asthma, this has never been investigated in chemical-induced asthma.ObjectiveWe examined the importance of IL-13 in a mouse model of chemical-induced AHR, using toluene-2,4-diisocyanate (TDI).MethodsIn a first set-up, wild type (WT) and IL-13 knockout (KO) C57Bl/6 mice were dermally treated on days 1 and 8 with 1% TDI or vehicle (acetone/olive oil) on both ears. On day 15, mice received an intranasal instillation with 0.1% TDI or vehicle. In a second set-up, WT mice sensitized with 1% TDI or vehicle, received i.v. either anti-IL-13 or control antibody prior to the intranasal challenge.ResultsTDI-sensitized and TDI-challenged WT mice showed AHR to methacholine, in contrast to TDI-sensitized and TDI-challenged IL-13 KO mice, which also showed lower levels of total serum IgE. TDI-sensitized and TDI-challenged IL-13 KO mice had lower numbers of T-cells in the auricular lymph nodes. TDI-treated WT mice, receiving anti-IL-13, showed no AHR, in contrast to those receiving control antibody, despite increased levels of IgE. Anti-IL-13 treatment in TDI-treated WT mice resulted in lower levels of serum IL-13, but did not induce changes in T- and B-cell numbers, and in the cytokine production profile.Conclusion and clinical relevanceWe conclude that IL-13 plays a critical role in the effector phase of chemical-induced, immune-mediated AHR. This implicates that anti-IL-13 treatment could have a beneficial effect in patients with this asthma phenotype.

Highlights

  • Asthma is a chronic airway disease, that encompasses many diverse phenotypes [1]

  • We conclude that IL-13 plays a critical role in the effector phase of chemical-induced, immune-mediated airway hyperreactivity (AHR)

  • This implicates that anti-IL-13 treatment could have a beneficial effect in patients with this asthma phenotype

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Summary

Introduction

The most common and well-characterized phenotype is allergic (atopic) asthma [2] This form of asthma is associated with T-helper (Th) 2-biased immune responses, resulting in the formation of allergen-specific IgE antibodies and release of Th2 cytokines [3,4]. Abundant evidence from both human and animal studies has shown that the Th2 cytokine IL-13 plays a central role in directing the immune response to an allergic asthma phenotype [5]. While the importance of the Th2 cytokine IL-13 as a central mediator of airway hyperreactivity (AHR) has been described in allergic protein-induced asthma, this has never been investigated in chemical-induced asthma

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