We have analyzed the importance of proteases for the induction of allergic responses against the mold Alternaria alternata. Responses induced in vivo with untreated or heat treated (protease inactivated) extracts were compared in BALB/c, C57BL/6, TLR4 KO, and MyD88 KO mice. In BALB/c mice, both extracts induced similar lung inflammation, upregulation of inflammatory mediators, Th2 cytokines, and Alternaria-specific antibodies. However heat inactivation abrogated polyclonal IgE production. Similar results were obtained in C57BL/6 albeit lung expression of some Th2 mediators was decreased in mice stimulated with the heat-treated extract. Treatment of the extract with protease inhibitors did not affect the induction of the allergic response either, except again for the polyclonal IgE response. Th2 responses and lung inflammation were readily induced in TLR4 knockout mice. In contrast, lung inflammation, Th2 responses, cytokine productions, and antibody synthesis were strongly suppressed in MyD88-deficient mice. Early lung IL-33 and IL-1-α expression were also suppressed. In conclusion, albeit some heat labile proteases are required for the stimulation of the polyclonal IgE secretion, fungal proteases, and TLR4 signaling are not required while MyD88 is essential for triggering the systemic immune response and for the development of lung allergic inflammation in response to Alternaria extracts.
Keywords:Alternaria alternata r Animal models r Asthma r Eosinophils r proteases Additional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionAllergy is the clinical manifestation of a dysregulated immune response characterized by the production of IgE directed against foreign molecules. In this context, allergic asthma has become Correspondence: Dr. Olivier Denis e-mail: odenis@wiv-isp.be a major public healthcare problem. Asthma patients suffer from repeated attacks of breathlessness, cough, and wheeze occurring secondary to bronchoconstriction in the setting of airway hyper-responsiveness, mucus hypersecretion, and airway remodeling. Their airways are infiltrated by Th2 cells, which predominantly secrete IL-4, IL-5, and IL-13. These cytokines induce IgE production, cause eosinophilia, stimulate mast cells, promote leukocytosis, provoke airway hyper-reactivity, and may also participate in the characteristic airway remodeling of asthma [1,2].C 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim www.eji-journal.eu
908Olivier Denis et al. Eur. J. Immunol. 2013. 43: 907-917 In allergic asthma, these responses are initially triggered by aeroallergens entering into the lungs. Obviously the respiratory mucosa is continuously exposed to a wide variety of environmental, nonreplicating, nonpathogenic antigens. Usually these encounters induce a state of peripheral tolerance or hyporesponsiveness rather than active immunity. This T-cell tolerance induced by respiratory exposure is partially mediated by pulmonary DCs secreting .Respiratory allergens, however, have the striki...