Cpg Oligodeoxynucleotide Inhibits Cockroach-Induced Asthma Via
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Original Article Allergy Asthma Immunol Res. 2016 May;8(3):264-275. http://dx.doi.org/10.4168/aair.2016.8.3.264 pISSN 2092-7355 • eISSN 2092-7363 CpG Oligodeoxynucleotide Inhibits Cockroach-Induced Asthma via Induction of IFN-γ+ Th1 Cells or Foxp3+ Regulatory T Cells in the Lung Do-Hyun Kim,1,2 Jung-Ho Sohn,1,2,3 Hong-Jai Park,1,2 Jae-Hyun Lee,3 Jung-Won Park,3* Je-Min Choi1,2* 1Department of Life Science, College of Natural Sciences, Hanyang University, Seoul, Korea 2Research Institute for Natural Sciences, Hanyang University, Seoul, Korea 3Division of Allergy and Immunology, Department of Internal Medicine and Institute of Allergy, Yonsei University College of Medicine, Seoul, Korea This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose: CpG oligodeoxynucleotide (CpG-ODN), a TLR9 agonist, activates innate immunity and induces Th1 response. Although the immune modu- latory effect of CpG-ODN has been extensively studied, its function in cockroach extract-induced allergic asthma has not been studied. Here, we in- vestigated the inhibitory function of CpG-ODN in cockroach extract-induced asthma in mice with different treatment schemes. Methods: Scheme 1: BALB/C mice were intra-nasally co-administered by cockroach extract and CpG-ODN twice a week for 3 weeks; Scheme 2: The mice were intra-na- sally pre-treated with CpG-ODN at day 0 and cockroach allergen challenge was performed from day 3 as in scheme 1. Scheme 3: Cockroach aller- gen challenge was performed as in scheme 1 and CpG-ODN was post-treated at day 21. Then, BAL cell count, flow cytometric analysis of alveolar macrophages, regulatory T cells, and lung tissue histology, Th1 and Th2 cytokines, serum IgE, cockroach specific IgE, IgG1/IgG2a ratio, and airway hyper-responsiveness were evaluated. Results: Mice with repeated intra-nasal exposure to CpG-ODN showed a dramatic decrease in eosinophilic inflammation, goblet cell hyperplasia, and airway hyper-responsiveness with reduction of IL-13, IL-5, and serum IgE, cockroach specific IgE and IgG1/IgG2a ratio. This inhibitory function might be related to the up-regulation of IL-10 and CD4+Foxp3+ regulatory T cells in the lung. Interestingly, one-time challenge of CpG-ODN either prior or posterior to cockroach extract exposure could modulate airway inflammation and hyper-responsive- ness via increase of Th1 response. Conclusions: Collectively, our data suggest that CpG-ODN treatment modulates Th2 inflammation in the lung by induction of regulatory T cells or Th1 response in a cockroach-induced asthma model. Key Words: CpG-ODN; cockroach allergen; Th2 inflammation; immune modulation INTRODUCTION immune responses similar to those in response to bacterial DNA.7,8 CpG-ODN treatment has been extensively studied to Asthma and allergies are the most common chronic inflam- stimulate both innate and adaptive immunity as it induces matory diseases associated with cockroach or house dust mite TNF-α expression in macrophages,9 augments IFN-γ and IL-12 (HDM) allergens characterized by airflow obstruction, airway expression and enhances the cytotoxic activity of NK cells10,11 eosinophilic inflammation, goblet cell metaplasia, airway re- and Th1 response, which can be used as immune adjuvants modeling, and airway hyper-responsiveness (AHR).1-3 Th2 cy- tokines such as IL-4, IL-5, IL-9, and IL-13 derived from helper T Correspondence to: Je-Min Choi, PhD, Department of Life Science, College cells and other cell types play a critical role in the pathophysiol- of Natural Sciences, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, ogy of asthma,4 and the balance between Th1 and Th2 cells is Seoul 04763, Korea. thought to be important in controlling disease symptoms.5 The Tel: +82-2-2220-4765; Fax: +82-2-2200-3495; E-mail: [email protected] suppression of Th2 responses by induction of Th1 response or Jung-Won Park, MD, PhD, Department of Internal Medicine, Institute of Allergy, regulatory T cells or by inhibiting Th2 inducing factors such as Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul IL-4, IL-5, and IL-13 have been extensively investigated for the 03722, Korea. Tel: +82-2-2228-1961; Fax: +82-2-362-8647; E-mail: [email protected] development of therapeutic drugs for asthma.6 Received: June 7, 2015; Revised: August 13, 2015; Accepted: August 28, 2015. CpG oligodeoxynucleotide (CpG-ODN) is a synthetic TLR9 li- •Do-Hyun Kim and Jung-Ho Sohn contributed equally to this work. gand, consisting of an unmethylated dinucleotide that activates •There are no financial or other issues that might lead to conflict of interest. 264 http://e-aair.org © Copyright The Korean Academy of Asthma, Allergy and Clinical Immunology • The Korean Academy of Pediatric Allergy and Respiratory Disease AAIR CpG Treatment Ameliorates Cockroach-Induced Asthma and to modulate Th2 responses.12,13 In addition, CpG-ODN has TCC ATG ACG TTC CTG ACG TT-3´). The control ODNs had been shown to enhance type I IFN production from plasmacy- equivalent lengths without functional CpG motifs (5´-TCG ATG toid dendritic cells (pDCs),14,15 and induce IL-10 producing reg- AGC TTC CTG AGT CT-3´). The ODNs were synthesized and ulatory T cells by indoleamine 2,3-dioxygenase (IDO) 1 pro- purified using a HPLC by Genotech, Inc. (Daejon, Korea). duction.16,17 Thus, CpG-ODN has been investigated as a potent preventive as well as a therapeutic immune modulator in aller- Cockroach-induced asthma model gic inflammatory diseases.18,19 For the co-treatment scheme, 6- to 8-week old BALB/C mice Cockroaches are known to be a significant environmental al- were intra-nasally co-sensitized by 120 μg cockroach extract lergen resulting in atopic asthma,20,21 and among the various and 3 μg of control ODN or CpG-ODN, twice a week for 3 environmental factors, cockroach allergen is recognized as a weeks. For the pre-treatment scheme, mice were administered major risk factor for pathogenesis of allergic asthma in hu- 3 μg of the control ODN or of CpG-ODN intra-nasally once on mans.22-24 Children who are exposed to high bedroom levels of day 0, and then 120 μg intra-nasal cockroach allergen challenge cockroach allergens showed an increased incidence of allergic was performed twice a week for 3 weeks. Four days after the last asthma, compared to other children.25,26 Also, among the many challenge, the mice were sacrificed and pathological changes of indoor allergens, only cockroaches were significantly related to the lungs were examined. For the post-treatment scheme, mice recurrent asthmatic wheezing.23 Previous preventive and thera- were sensitized by intra-nasal administration of 120 μg cock- peutic CpG-ODN treatment has been shown to suppress eosin- roach extract twice a week for 3 weeks. Two days after the last ophilic inflammation and hyper-responsiveness in the OVA/Al- challenge, 3 μg of control ODN or CpG-ODN was intra-nasally um-induced asthma model.27 More recently, CpG-ODN treat- administrated, and then the mice were sacrificed and analyzed ment also suppressed airway inflammation and hyper-respon- at 2 days later of CpG-ODN treatment. siveness in the HDM-induced asthma model.28 However, the immune modulatory effects of CpG-ODN in Measurements of airway hyper-responsiveness cockroach-induced asthma have not been investigated. The aim Four days after the last challenge, airway hyper-responsive- of the present study is to investigate the immune modulatory ef- ness (AHR) was measured with a flexiVent 5.1® small animal fect of intra-nasally administered CpG-ODN in a cockroach-in- ventilator (SCIREQ, PQ, Canada). In detail, mice were chal- duced asthma model with different treatment schemes. lenged with a saline control aerosol followed by increasing con- centrations of methacholine (MeCh) (Sigma-Aldrich, MO, USA; MATERIALS AND METHODS 3.1, 6.25, 12.5, 25, and 50 mg/mL). Aerosols were generated with an ultrasonic nebulizer and delivered to the inspiratory Animals line of the flexiVent using a bias flow of medical air. Each aero- Female BALB/C mice, 6 to 8 weeks old, were purchased from sol was delivered for 10 seconds during which time regular ven- Orient Bio (Daejeon, Korea). All mice were housed under spe- tilation was maintained. Two measurements were made at cific pathogen-free conditions, and maintained on a 12 hours 1-minute intervals following each aerosol.30 light-dark cycle with regular chow and autoclaved water ad libi- tum. All experiments described in this study were approved by Bronchoalveolar lavage fluid and lung homogenate the Animal Research Ethics Board of Yonsei University. To collect bronchoalveolar lavage (BAL) fluid, the lungs were lavaged with 1 mL of Hank’s balanced salt solution through an Cockroach allergen preparations intubation tube. Total cell numbers were counted with a hemo- Crude cockroach extract was prepared as previously de- cytometer. BAL fluid was centrifuged at 1,500 rpm for 3 minutes scribed.29 Briefly, 30 g of live or frozen Blattela germanica were at 4°C, and then smears of BAL cells were prepared by cytocen- pulverized in liquid nitrogen. The sample was then defatted in trifugation (Thermo, MA, USA) at 1,000 rpm for 3 minutes. All 200 mL of 1:1 ethyl ether/ethyl acetate and extracted overnight smears were stained with a Hemacolor staining kit (Merck, with slow stirring at 4°C in phosphate-buffered saline (pH 7.4) Darmstadt, Germany). Differential cell counts in BAL cells were containing 6 mM β-mercaptoethanol and 1 mg/mL 1-phenyl- done for at least 200 leukocytes, using standard hemocytologic 3-(2-thiazolyl)-2-thiourea to prevent melanization.