The aim of the present study was to determine whether systemic sensitisation and chronic aeroallergen challenge in macaques replicate the classical and emerging immunology and molecular pathology of human asthma.Macaques were immunised and periodically challenged over 2 yrs with house dust mite allergen. At key time-points, serum, bronchoalveolar lavage (BAL) and bronchial biopsies were assayed for genes, proteins and lymphocyte subpopulations relevant to clinical asthma.Immunisation and periodic airway challenge induced changes in immunoglobulin E, airway physiology and eosinophilia consistent with chronic, dual-phase asthma. Sensitisation increased interleukin (IL)-1b and -6 concentrations in serum, and IL-13 expression in BAL cells. Airway challenge increased: early expression of IL-5, -6, -13 and -19, and eotaxin; and variable late-phase expression of IL-4, -5 and -13, and thymus-and activation-regulated chemokine in BAL cells. CD4+ lymphocytes comprised 30% of the CD3+ cells in BAL, increasing to 50% in the late phase. Natural killer T-cells represented ,3% of the CD3+ cells. Corticosteroid treatment reduced serum histamine levels, percentage of CD4+ cells and monocyte-derived chemokine expression, while increasing CD3+ and CD8+ cells in BAL.Sensitisation and periodic aeroallergen challenge of cynomolgus macaques results in physiological, cellular, molecular and protein phenotypes, and therapeutic responses observed in human asthma, providing a model system useful in target and biomarker discovery, and translational asthma research.KEYWORDS: Asthma, corticosteroid treatment, natural killer T-cell, primate model A sthma continues to present a significant unmet medical need [1] and the search for effective asthma drugs with novel mechanisms of action continues. Nonhuman primate models most closely replicate the genetics, physiology, immunology and pathology of the human disease [2][3][4]. The availability of these models uniquely allows examination of both induction of chronic allergy-driven airway inflammation and bronchoconstriction in a controlled setting, as well as identification of key mediators for the maintenance of chronic asthma. Additionally, these models provide a platform to assess pre-clinical safety, and proof of activity and efficacy for novel asthma therapeutics, under conditions that are observed in human patients.Models of asthma have been developed in a variety of common laboratory animals, including guinea pigs, rabbits, rats, mice, sheep, cats, dogs and macaques (see review by BICE et al.[5]).However, there are significant differences in airway architecture and immune responses to chronic allergen between species. Few species develop spontaneous allergic sensitivity to allergens, chronic or prolonged immune and inflammatory responses following pulmonary allergen exposure, progressive worsening of airway responses with repeated antigen challenge, and significant accumulation of lymphoid cells outside the bronchial-associated lymphoid tissue. Murine models have been instrumental ...