The receptor for advanced glycation end products is a critical mediator of type 2 cytokine signaling in the lungs

Asthma is estimated to effect more than 300 million persons worldwide, leading to nearly 250,000 deaths annually. The majority of patients with mild-to-severe asthma have what is deemed “type–2 high” asthma, which is driven by the prototypical type 2 cytokines IL-4, IL-5, and IL-13. Studies have ind...

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Veröffentlicht in:Journal of allergy and clinical immunology 2019-09, Vol.144 (3), p.796-808.e12
Hauptverfasser: Perkins, Timothy N., Oczypok, Elizabeth A., Dutz, Regina E., Donnell, Mason L., Myerburg, Michael M., Oury, Tim D.
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container_issue 3
container_start_page 796
container_title Journal of allergy and clinical immunology
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creator Perkins, Timothy N.
Oczypok, Elizabeth A.
Dutz, Regina E.
Donnell, Mason L.
Myerburg, Michael M.
Oury, Tim D.
description Asthma is estimated to effect more than 300 million persons worldwide, leading to nearly 250,000 deaths annually. The majority of patients with mild-to-severe asthma have what is deemed “type–2 high” asthma, which is driven by the prototypical type 2 cytokines IL-4, IL-5, and IL-13. Studies have indicated that the receptor for advanced glycation end products (RAGE) is a critical molecule in the pathogenesis of experimental asthma/allergic airway inflammation. More specifically, RAGE expressed on stromal cells, rather than hematopoietic cells, is critical to induction of asthma/allergic airway inflammation by driving type 2 inflammatory responses. However, the role of RAGE in directly mediating type 2 cytokine signaling has never been investigated. The goal of this study was to test the hypothesis that RAGE mediates type 2 cytokine–induced signal transduction, airway inflammation, and mucus metaplasia in the lungs. Wild-type (WT) and RAGE knockout (RAGE−/−) mice, were intranasally administered rIL-5/rIL-13 or rIL-4 alone, and signal transducer and activator of transcription 6 (STAT6) signaling, airway inflammation, and mucus metaplasia were assessed. A RAGE small-molecule antagonist was used to determine the effects of pharmacologically inhibiting RAGE on type 2 cytokine–induced effects. Administration of type 2 cytokines induced pronounced airway inflammation and mucus metaplasia in WT mice, which was nearly completely abrogated in RAGE−/− mice. In addition, treatment with a RAGE-specific antagonist diminished the effects of type 2 cytokines in WT mice and in primary human bronchial epithelial cell cultures. Genetic ablation or pharmacologic inhibition of RAGE blocks the effects of IL-13 and IL-4 by inhibiting sustained STAT6 activation and downstream target gene expression in mice and in human bronchial epithelial cells. This study is the first to indicate that RAGE is a critical component of type 2 cytokine signal transduction mechanisms, which is a driving force behind type 2–high asthma.
doi_str_mv 10.1016/j.jaci.2019.03.019
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subjects Ablation
Advanced glycosylation end products
Allergies
allergy
Animals
Asthma
Asthma - immunology
Biotechnology
Bronchoalveolar Lavage Fluid - immunology
Cells, Cultured
Chemokines
Cytokines
Cytokines - immunology
Dehydrogenases
Epithelial cells
Epithelial Cells - immunology
Gene expression
Glycosylation
Humans
Inflammation
Interleukin 13
Interleukin 4
Interleukin 5
Laboratory animals
Lung - immunology
Lungs
Metaplasia
Mice
Mice, Inbred C57BL
Mice, Knockout
Mucus
Mucus - immunology
Proteins
Receptor for advanced glycation end products
Receptor for Advanced Glycation End Products - genetics
Receptor for Advanced Glycation End Products - immunology
Respiratory tract
Respiratory tract diseases
Signal Transduction
Stat6 protein
Statistical analysis
Stromal cells
TH2
Transcription
Transcription factors
title The receptor for advanced glycation end products is a critical mediator of type 2 cytokine signaling in the lungs
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