Abstract

Alternaria alternata is a ubiquitous fungus and a major allergen associated with the development of asthma. Inhalation of intact spores is the primary cause of human exposure to fungal allergen. However, allergen-rich cultured fungal filtrates are oftentimes used in the current models of fungal sensitization that do not fully reflect real-life exposures. Thus, establishing novel spore exposure models is imperative. In this study, we established novel fungal exposure models of both adult and neonate to live spores. We examined pathophysiological changes in the spore models as compared to the non-exposure controls and also to the conventional filtrate models. While both Alternaria filtrate- and spore-exposed adult BALB/c mice developed elevated airway hyperresponsiveness (AHR), filtrates induced a greater IgE mediated response and higher broncholavage eosinophils than spores. In contrast, the mice exposed to Alternaria spores had higher numbers of neutrophils. Both exposures induced comparable levels of lung tissue inflammation and mucous cell metaplasia (MCM). In the neonatal model, exposure to Alternaria spores resulted in a significant increase of AHR in both adult and neonatal mice. Increased levels of IgE in both neonatal and adult mice exposed to spores was associated with increased eosinophilia in the treatment groups. Adult demonstrated increased numbers of lymphocytes that was paralleled by increased IgG1 production. Both adults and neonates demonstrated similarly increased eosinophilia, IgE, tissue inflammation and MCM.

Highlights

  • The prevalence of asthma has significantly increased in United States and in other industrialized countries (Sunyer et al, 1999)

  • Asthma is a T2IR-mediated disease characterized by lower airway chronic inflammation, mucous cell metaplasia (MCM), and airway hyperresponsiveness (AHR) (Lambrecht and Hammad, 2015)

  • “Severe Asthma with Fungal Sensitization” or SAFS has been coined for a type of severe asthma with the sensitization to Alternaria, Aspergillus, Cladosporium or Penicillium (Denning et al, 2006)

Read more

Summary

Introduction

The prevalence of asthma has significantly increased in United States and in other industrialized countries (Sunyer et al, 1999). The prelude of asthma development is usually a repeated environmental allergen exposure and sensitization leading to type 2 immune response (or T2IR) (Nelson et al, 1999; Busse and Mitchell, 2007). Asthma is a T2IR-mediated disease characterized by lower airway chronic inflammation, MCM, and AHR (Lambrecht and Hammad, 2015). Fungal exposure has long been recognized as a significant risk factor for asthma. Being the major components of indoor molds, fungal sensitization during the first 2 years of life was found to be associated with an increased risk of developing asthma in the meta-analysis of 8 birth cohorts in Europe. “Severe Asthma with Fungal Sensitization” or SAFS has been coined for a type of severe asthma with the sensitization to Alternaria, Aspergillus, Cladosporium or Penicillium (Denning et al, 2006)

Methods
Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call