AI Article Synopsis

  • Asthma exhibits various inflammatory phenotypes, each with unique biological mechanisms, but lacks direct in vivo comparisons.
  • Researchers created mouse models for different allergic asthma types and analyzed lung tissues to understand these mechanisms better.
  • Findings reveal that specific genes related to tight junctions, mucins, and inflammasomes vary across asthma phenotypes, suggesting these differences may explain the diverse clinical presentations of the disease.

Article Abstract

Background: Asthma is a chronic respiratory disease with marked clinical and pathophysiological heterogeneity. Specific pathways are thought to be involved in the pathomechanisms of different inflammatory phenotypes of asthma; however, direct in vivo comparison has not been performed.

Methods: We developed mouse models representing three different phenotypes of allergic airway inflammation-eosinophilic, mixed, and neutrophilic asthma via different methods of house dust mite sensitization and challenge. Transcriptomic analysis of the lungs, followed by the RT-PCR, western blot, and confocal microscopy, was performed. Primary human bronchial epithelial cells cultured in air-liquid interface were used to study the mechanisms revealed in the in vivo models.

Results: By whole-genome transcriptome profiling of the lung, we found that airway tight junction (TJ), mucin, and inflammasome-related genes are differentially expressed in these distinct phenotypes. Further analysis of proteins from these families revealed that Zo-1 and Cldn18 were downregulated in all phenotypes, while increased Cldn4 expression was characteristic for neutrophilic airway inflammation. Mucins Clca1 (Gob5) and Muc5ac were upregulated in eosinophilic and even more in neutrophilic phenotype. Increased expression of inflammasome-related molecules such as Nlrp3, Nlrc4, Casp-1, and IL-1β was characteristic for neutrophilic asthma. In addition, we showed that inflammasome/Th17/neutrophilic axis cytokine-IL-1β-may transiently impair epithelial barrier function, while IL-1β and IL-17 increase mucin expressions in primary human bronchial epithelial cells.

Conclusion: Our findings suggest that differential expression of TJ, mucin, and inflammasome-related molecules in distinct inflammatory phenotypes of asthma may be linked to pathophysiology and might reflect the differences observed in the clinic.

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http://dx.doi.org/10.1111/all.13619DOI Listing

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Article Synopsis
  • Asthma exhibits various inflammatory phenotypes, each with unique biological mechanisms, but lacks direct in vivo comparisons.
  • Researchers created mouse models for different allergic asthma types and analyzed lung tissues to understand these mechanisms better.
  • Findings reveal that specific genes related to tight junctions, mucins, and inflammasomes vary across asthma phenotypes, suggesting these differences may explain the diverse clinical presentations of the disease.
View Article and Find Full Text PDF

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