Prevention of IL-6 signaling ameliorates toluene diisocyanate-induced steroid-resistant asthma

Background: Accumulating evidence indicated the crucial role for interleukin 6 (IL-6) signaling in the development of allergic asthma. Yet, the role of IL-6 signaling in toluene diisocyanate (TDI)-induced mixed granulocytic airway inflammation still remains unclear. Thus, the aims of this study were...

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Main Authors: Shuyu Chen, Zhuoyu Chen, Yao Deng, Shanshan Zha, Li Yu, Difei Li, Zhenyu Liang, Kai Yang, Shengming Liu, Rongchang Chen
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Allergology International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1323893021000800
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author Shuyu Chen
Zhuoyu Chen
Yao Deng
Shanshan Zha
Li Yu
Difei Li
Zhenyu Liang
Kai Yang
Shengming Liu
Rongchang Chen
author_facet Shuyu Chen
Zhuoyu Chen
Yao Deng
Shanshan Zha
Li Yu
Difei Li
Zhenyu Liang
Kai Yang
Shengming Liu
Rongchang Chen
author_sort Shuyu Chen
collection DOAJ
description Background: Accumulating evidence indicated the crucial role for interleukin 6 (IL-6) signaling in the development of allergic asthma. Yet, the role of IL-6 signaling in toluene diisocyanate (TDI)-induced mixed granulocytic airway inflammation still remains unclear. Thus, the aims of this study were to dissect the role of IL-6 signaling and to evaluate the effect of tocilizumab on TDI-induced steroid-resistant asthma. Methods: TDI-induced asthma model was prepared and asthmatic mice were respectively given IL-6 monoclonal antibody, IL-6R monoclonal antibody (tocilizumab, 5 mg/kg, i.p. after each challenge) for therapeutic purposes or isotype IgG as control. Results: TDI exposure just elevated IL-6R expression in the infiltrated inflammatory cells around the airway, but increased glycoprotein 130 expression in the whole lung, especially in bronchial epithelium. Moreover, TDI inhalation increased airway hyperresponsiveness (AHR) to methacholine, coupled with mixed granulocytic inflammation, exaggerated epithelial denudation, airway smooth muscle thickening, goblet cell metaplasia, extensive submucosal collagen deposition, dysregulated Th2/Th17 responses, as well as innate immune responses and raised serum IgE. And almost all these responses except for raised serum IgE were markedly ameliorated by the administration of IL-6 neutralizing antibody or tocilizumab, but exhibited poor response to systemic steroid treatment. Also, TDI challenge induced nucleocytoplasm translocation of HMGB1 and promoted its release in the BALF, as well as elevated lung level of STAT3 phosphorylation, which were inhibited by anti-IL-6 and anti-IL-6R treatment. Conclusions: Our data suggested that IL-6 monoclonal antibody and tocilizumab might effectively abrogate TDI-induced airway inflammation and remodeling, which could be used as a clinical potential therapy for patients with severe asthma.
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spelling doaj.art-25397ac636b84b3ab3d0058a886ca93c2022-12-21T19:48:25ZengElsevierAllergology International1323-89302022-01-017117382Prevention of IL-6 signaling ameliorates toluene diisocyanate-induced steroid-resistant asthmaShuyu Chen0Zhuoyu Chen1Yao Deng2Shanshan Zha3Li Yu4Difei Li5Zhenyu Liang6Kai Yang7Shengming Liu8Rongchang Chen9Department of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Diseases, The Second Clinical Medical College, Jinan University (Shenzhen People's Hospital), The First Affiliated Hospital of Southern University of Science and Technology (Shenzhen People's Hospital), Shenzhen, China; Department of Pulmonary and Critical Care Medicine, First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Clinical Laboratory, Shenzhen Hospital, Beijing University of Chinese Medicine, Shenzhen, ChinaDepartment of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Diseases, The Second Clinical Medical College, Jinan University (Shenzhen People's Hospital), The First Affiliated Hospital of Southern University of Science and Technology (Shenzhen People's Hospital), Shenzhen, ChinaDepartment of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Diseases, The Second Clinical Medical College, Jinan University (Shenzhen People's Hospital), The First Affiliated Hospital of Southern University of Science and Technology (Shenzhen People's Hospital), Shenzhen, ChinaDepartment of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Diseases, The Second Clinical Medical College, Jinan University (Shenzhen People's Hospital), The First Affiliated Hospital of Southern University of Science and Technology (Shenzhen People's Hospital), Shenzhen, ChinaDepartment of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Diseases, The Second Clinical Medical College, Jinan University (Shenzhen People's Hospital), The First Affiliated Hospital of Southern University of Science and Technology (Shenzhen People's Hospital), Shenzhen, ChinaThe First Affiliated Hospital, Guangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Diseases, Guangzhou Medical University, Guangzhou, ChinaDepartment of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Diseases, The Second Clinical Medical College, Jinan University (Shenzhen People's Hospital), The First Affiliated Hospital of Southern University of Science and Technology (Shenzhen People's Hospital), Shenzhen, China; Department of Pulmonary and Critical Care Medicine, First Affiliated Hospital of Jinan University, Guangzhou, ChinaDepartment of Pulmonary and Critical Care Medicine, First Affiliated Hospital of Jinan University, Guangzhou, China; Corresponding author.Department of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Diseases, The Second Clinical Medical College, Jinan University (Shenzhen People's Hospital), The First Affiliated Hospital of Southern University of Science and Technology (Shenzhen People's Hospital), Shenzhen, China; Corresponding author. Department of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Diseases, The Second Clinical Medical College, Jinan University (Shenzhen People's Hospital), The First Affiliated Hospital of Southern University of Science and Technology (Shenzhen People's Hospital), Shenzhen, 518020, China.Background: Accumulating evidence indicated the crucial role for interleukin 6 (IL-6) signaling in the development of allergic asthma. Yet, the role of IL-6 signaling in toluene diisocyanate (TDI)-induced mixed granulocytic airway inflammation still remains unclear. Thus, the aims of this study were to dissect the role of IL-6 signaling and to evaluate the effect of tocilizumab on TDI-induced steroid-resistant asthma. Methods: TDI-induced asthma model was prepared and asthmatic mice were respectively given IL-6 monoclonal antibody, IL-6R monoclonal antibody (tocilizumab, 5 mg/kg, i.p. after each challenge) for therapeutic purposes or isotype IgG as control. Results: TDI exposure just elevated IL-6R expression in the infiltrated inflammatory cells around the airway, but increased glycoprotein 130 expression in the whole lung, especially in bronchial epithelium. Moreover, TDI inhalation increased airway hyperresponsiveness (AHR) to methacholine, coupled with mixed granulocytic inflammation, exaggerated epithelial denudation, airway smooth muscle thickening, goblet cell metaplasia, extensive submucosal collagen deposition, dysregulated Th2/Th17 responses, as well as innate immune responses and raised serum IgE. And almost all these responses except for raised serum IgE were markedly ameliorated by the administration of IL-6 neutralizing antibody or tocilizumab, but exhibited poor response to systemic steroid treatment. Also, TDI challenge induced nucleocytoplasm translocation of HMGB1 and promoted its release in the BALF, as well as elevated lung level of STAT3 phosphorylation, which were inhibited by anti-IL-6 and anti-IL-6R treatment. Conclusions: Our data suggested that IL-6 monoclonal antibody and tocilizumab might effectively abrogate TDI-induced airway inflammation and remodeling, which could be used as a clinical potential therapy for patients with severe asthma.http://www.sciencedirect.com/science/article/pii/S1323893021000800Airway inflammationIL-6 signalingSteroid-resistant asthmaNeutralizing antibodyToluene diisocyanate
spellingShingle Shuyu Chen
Zhuoyu Chen
Yao Deng
Shanshan Zha
Li Yu
Difei Li
Zhenyu Liang
Kai Yang
Shengming Liu
Rongchang Chen
Prevention of IL-6 signaling ameliorates toluene diisocyanate-induced steroid-resistant asthma
Allergology International
Airway inflammation
IL-6 signaling
Steroid-resistant asthma
Neutralizing antibody
Toluene diisocyanate
title Prevention of IL-6 signaling ameliorates toluene diisocyanate-induced steroid-resistant asthma
title_full Prevention of IL-6 signaling ameliorates toluene diisocyanate-induced steroid-resistant asthma
title_fullStr Prevention of IL-6 signaling ameliorates toluene diisocyanate-induced steroid-resistant asthma
title_full_unstemmed Prevention of IL-6 signaling ameliorates toluene diisocyanate-induced steroid-resistant asthma
title_short Prevention of IL-6 signaling ameliorates toluene diisocyanate-induced steroid-resistant asthma
title_sort prevention of il 6 signaling ameliorates toluene diisocyanate induced steroid resistant asthma
topic Airway inflammation
IL-6 signaling
Steroid-resistant asthma
Neutralizing antibody
Toluene diisocyanate
url http://www.sciencedirect.com/science/article/pii/S1323893021000800
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