Abstract

Itaconate is produced from the mitochondrial TCA cycle enzyme aconitase decarboxylase (encoded by immune responsive gene1; Irg1) that exerts immunomodulatory function in myeloid cells. However, the role of the Irg1/itaconate pathway in dendritic cells (DC)-mediated airway inflammation and adaptive immunity to inhaled allergens, which are the primary antigen-presenting cells in allergic asthma, remains largely unknown. House dust mite (HDM)-challenged Irg1−/− mice displayed increases in eosinophilic airway inflammation, mucous cell metaplasia, and Th2 cytokine production with a mechanism involving impaired mite antigen presentations by DC. Adoptive transfer of HDM-pulsed DC from Irg1-deficient mice into naïve WT mice induced a similar phenotype of elevated type 2 airway inflammation and allergic sensitization. Untargeted metabolite analysis of HDM-pulsed DC revealed itaconate as one of the most abundant polar metabolites that potentially suppress mitochondrial oxidative damage. Furthermore, the immunomodulatory effect of itaconate was translated in vivo, where intranasal administration of 4-octyl itaconate 4-OI following antigen priming attenuated the manifestations of HDM-induced airway disease and Th2 immune response. Taken together, these data demonstrated for the first time a direct regulatory role of the Irg1/itaconate pathway in DC for the development of type 2 airway inflammation and suggest a possible therapeutic target in modulating allergic asthma.

Highlights

  • Asthma is a heterogeneous disease of upper airways with an increasing prevalence rate (>25 million in the United States), resulting in high morbidity and cost to the health care system[1,2].Multiple pathobiological subtypes of asthma patients manifest the heterogeneity of airway inflammation, complicating the response to therapy and impacting health outcomes[3,4,5]

  • We focused on immune responsive gene 1 (Irg1) amongst the upregulated genes in House dust mite (HDM) alone, or HDM and stimulator of interferon genes (STING) pathway stimulated lungs compared with PBS control lungs (Fig. 1g)

  • We found that HDM + STING stimulation markedly induced Irg[1] expression and is restricted to lung CD11c+ SiglecF− CD11b+ MHCII hi dendritic cells (DC) population compared with CD11c+ SiglecF+ CD11b− MHCII lo non-DC subset of cells (Fig. 1i)

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Summary

Introduction

Asthma is a heterogeneous disease of upper airways with an increasing prevalence rate (>25 million in the United States), resulting in high morbidity and cost to the health care system[1,2]. Multiple pathobiological subtypes of asthma patients manifest the heterogeneity of airway inflammation, complicating the response to therapy and impacting health outcomes[3,4,5]. Besides its canonical antibacterial role through isocitrate lyase inhibition[10], the Irg1/itaconate pathway regulates inflammation and infections[11,12,13,14,15,16]. The receptorinteracting protein kinase (RIPK)-dependent antiviral responses are coupled to Irg[1] as deletion of Irg[1] shows increased neuronal viral load and mortality rate in zika virus (ZIKV) and West Nile Virus (WNV) infections[17,18]. Myeloid cell-specific Irg[1] ablation increases the susceptibility to Mycobacterium tuberculosis infection and lung immunopathology[28]

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