Abstract
Allergic asthma is characterized by airway hyperresponsiveness, inflammation, and a cellular infiltrate dominated by eosinophils. Numerous epidemiological studies have related the exacerbation of allergic asthma with an increase in ambient inhalable particulate matter from air pollutants. This is because inhalable particles efficiently deliver airborne allergens deep into the airways, where they can aggravate allergic asthma symptoms. However, the cellular mechanisms by which inhalable particulate allergens (pAgs) potentiate asthmatic symptoms remain unknown, in part because most in vivo and in vitro studies exploring the pathogenesis of allergic asthma use soluble allergens (sAgs). Using a mouse model of allergic asthma, we found that, compared with their sAg counterparts, pAgs triggered markedly heightened airway hyperresponsiveness and pulmonary eosinophilia in allergen-sensitized mice. Mast cells (MCs) were implicated in this divergent response, as the differences in airway inflammatory responses provoked by the physical nature of the allergens were attenuated in MC-deficient mice. The pAgs were found to mediate MC-dependent responses by enhancing retention of pAg/IgE/FcεRI complexes within lipid raft–enriched, CD63+ endocytic compartments, which prolonged IgE/FcεRI-initiated signaling and resulted in heightened cytokine responses. These results reveal how the physical attributes of allergens can co-opt MC endocytic circuitry and signaling responses to aggravate pathological responses of allergic asthma in mice.
Introduction
Allergic asthma is a pathological condition of the airways characterized by airway hyperresponsiveness (AHR), inflammation, and a cellular infiltrate dominated by eosinophils (1, 2). During the past decade, the incidence and severity of allergic asthma has grown sharply (3). Approximately 300 million people worldwide suffer from asthma, and its prevalence increases by 50% every decade (3). The global economic cost of treating asthma now exceeds the total cost of treating HIV/AIDS and tuberculosis combined (3). Many epidemiological studies have revealed a strong correlation between increased incidence of asthma and increasing levels of ambient inhalable particulate matter (PM; refs. 4–6), attributable in part to progressive urbanization and climate change (3, 7). Ambient inhalable PM is typically less than 10 μm in size and is commonly composed of household and traffic dust, construction debris, soot particles from gaseous industrial waste, and diesel exhaust particles from vehicle emissions. Because of their intrinsic electrostatic properties and porous surfaces, these particulates are extremely “sticky” and readily adhere to free airborne allergens released from animal dander, dust mites, mold, and pollen (7–9). Ambient inhalable PM can thereby serve as an efficient allergen delivery device, enabling the trafficking of allergens in concentrated form deep into the airways and triggering severe clinical outcomes (9, 10).
Because natural allergens gain access to the airways in particulate form, and growing epidemiological data correlate the exacerbation of allergic asthma with increasing exposure to airborne particles, we hypothesized that the physical nature of particulate allergens might be crucial to the aggravation of allergic asthma symptoms. However, much of our current knowledge about the pathogenesis of allergic asthma originates from studies that examined the nature and magnitude of host responses to soluble allergens (sAgs) in sensitized animals. Little is known about the pathological responses evoked by allergens in particulate form, particularly allergens that adhere to particulate cores. Therefore, we compared airway pathological responses to conventional sAgs and to allergens covalently conjugated to the surface of 1 μm polystyrene particles, forming particulate allergens (pAgs), in sensitized mice. This paired allergen model, in which the physical nature is the only difference between sAgs and pAgs, allows us to exclusively examine the role of pAgs in triggering allergic asthma symptoms. Importantly, this model allowed us to avoid the problems associated with the variable composition and intrinsic bioactivity of collected ambient particulate allergens.
In the present study, we reveal that pAgs provoked more potent pulmonary allergic responses than did identical amounts of sAgs in sensitized mice. Moreover, we found that mast cells (MCs) modulated this differential outcome based on their ability to discriminate between the physical nature of these allergens. We further found that the differential response of MCs to pAgs and sAgs was caused by MC internalization of pAgs into lipid raft–enriched, CD63+ intracellular compartments, where pAg/IgE/FcεRI complexes sustained their association with the lipid raft signaling platform. Consequently, this elongated harboring of pAgs in distinct endocytic MC compartments led to prolonged FcεRI signaling and elevated de novo synthesis of MC proinflammatory mediators, ultimately resulting in exacerbated host allergic responses.
Results
pAgs evoke significantly heightened pulmonary pathological responses compared with sAgs in sensitized mice.
Initially, we compared the ability of extracts from 2 natural allergens, house dust mite (HDM) and Short Ragweed pollen (RW), to induce AHR and pulmonary eosinophilia when administered into mice as sAgs or pAgs. First, we sensitized mice to either allergen using a regimen previously shown to sustain elevated amounts of allergen-specific IgE (11, 12). On day 36, sensitized mice were challenged via their airways with saline or 60 μg of either sAgs or allergen adsorbed on to 1 μM polystyrene particles (i.e., pAgs). Analysis of sAg and pAg deposition in the airways of lungs from sensitized, challenged mice confirmed that allergens, regardless of their physical nature, reached all areas of the lung (Supplemental Figure 3; supplemental material available online with this article; doi: 10.1172/JCI43584DS1). At 48 hours after airway challenge, AHR, a lung function index that reflects resistance of the lower airway, was examined in each of the groups. Compared with saline controls, mice challenged with HDM or RW allergens in sAg or pAg form evoked significantly elevated airway responses; however, the responses evoked by allergens as pAgs were significantly more enhanced than those induced as sAgs (Figure 1A). To determine whether a corresponding difference exists between the 2 forms of allergen in their ability to recruit eosinophils, a key inflammatory cell type implicated in allergic asthma (13), we obtained BAL and lung tissue from sensitized mice 48 hours after challenge with allergens. As shown in Figure 1, B and C, although both sAgs and pAgs provoked significant eosinophil influx into the BAL and lung tissue compared with the saline control, pAgs induced significantly more eosinophil infiltration than did sAgs. Consistent with this observation, histological examination of pAg-challenged lung tissue revealed greater eosinophil accumulation around bronchioles and the vasculature than in sAg-challenged lung tissue (Figure 1D). Notably, there was minimal pulmonary AHR or eosinophilia observed in sensitized mice challenged with unconjugated blank particles (no allergens; Figure 1, A–D), which indicates that the observed effects were antigen dependent and not merely due to the presence of particles. Taken together, our data demonstrate that with regard to AHR and eosinophil infiltration, the 2 primary hallmarks of allergic asthma, allergens in pAg form evoked significantly greater pathological responses than did allergens in sAg form in sensitized mice.
MCs mediate the enhanced pathological responses evoked by pAgs.
The differential pathological responses evoked by sAgs and pAgs in the respiratory tract could be attributable to divergent responses evoked by one or more immune surveillance cells (14). MCs are strategically located underneath the airway epithelium and are widely known for their contribution to the pathology induced by allergens in IgE-sensitized hosts (14, 15). To investigate the possible contribution of MCs, we first examined tissue sections of pAg-challenged lungs from sensitized mice to see if pAgs coupled to HDM or RW allergens could penetrate the epithelial barrier and directly interact with these immune surveillance cells. Samples taken 6 hours (Supplemental Figure 4A) and 24 hours (data not shown) after challenge revealed pAgs in direct contact with MCs located beneath the epithelium, which suggests that after lung challenge, pAgs can penetrate the epithelium and directly interact with MCs for prolonged periods of time. Next, to evaluate the possible contribution of MCs to the differential allergic responses evoked by sAgs and pAgs, we compared AHR and eosinophil influx in WT and MC-deficient KitW-sh/KitW-sh (Wsh) mice using the widely used model allergen OVA conjugated to the small hapten molecule trinitrophenol (TNP; ref. 16). The benefit of this allergen relative to natural allergens is that it has no intrinsic protease activity that might complicate the identification of distinct pathways specifically activated by the physical nature of pAgs. Thus, any perceived heightened pathological responses to pAgs compared with sAgs can be readily attributable to the particulate nature of the allergen. We also verified that OVA/TNP-conjugated particles can penetrate the airway epithelium and interact with MCs found underneath the epithelium (Supplemental Figure 4B). As seen with natural allergens, AHR and eosinophilia evoked by OVA/TNP in pAg form was markedly more enhanced than in sAg form in WT sensitized mice (Figure 2, A–D). Notably, challenge of sensitized mice with OVA/TNP sAg mixed with unconjugated particles induced responses comparable to those with sAgs alone (Supplemental Figure 5), which confirmed that the blank particles did not have any inherent capacity to evoke inflammatory responses. When we compared the extent of AHR and eosinophilia between sensitized WT and Wsh mice, we found that neither pAg nor sAg was able to induce AHR responses in Wsh mice comparable to those in WT mice (Figure 2A). Furthermore, examination of BAL and lung tissue revealed that eosinophil influx was substantially reduced in sensitized Wsh mice challenged by pAgs compared with that in WT mice (Figure 2, B–D). These data suggest that MCs modulate the recruitment of eosinophils into the lung. However, pAgs recruited a modest amount of eosinophils into the lungs of Wsh mice (Figure 2, B–D), which suggests that other cells may also be involved. Reconstitution of Wsh mice with WT bone marrow–derived MCs (BMMCs) completely restored sAg- and pAg-induced AHR responses and eosinophilia to levels comparable to those in WT mice (Figure 2, A–D), which suggests that MCs are required for both OVA/TNP sAg– and OVA/TNP pAg–induced increases in AHR and a dominant cell in the induction of eosinophilia. Similar to OVA/TNP pAg, HDM pAg and RW pAg failed to induce AHR and eosinophilia in sensitized Wsh mice (data not shown), which suggests that the observed defects in Wsh mice are not unique to OVA/TNP. Therefore, MCs are required for sAgs and pAgs to induce their respective profiles of elevated AHR and are largely responsible for eosinophilia in sensitized mice.
Finally, our sensitization procedure is known to provoke antigen-specific IgE and IgG1 both, which might contribute to MC activation in our model (17, 18). Consistent with this notion, challenge of nonsensitized mice with OVA/TNP sAg or OVA/TNP pAg failed to elicit AHR or eosinophilia (Supplemental Figure 6). To parse the dependence of our model on either antibody isotype, we passively transferred anti-TNP IgE or anti-TNP IgG1 into WT mice, followed by challenge with OVA/TNP in sAg or pAg form. As demonstrated in Supplemental Figure 7, challenge of mice with passively transferred IgE resulted in elevated AHR and eosinophil responses compared with saline controls. Notably, challenge of these mice with pAgs resulted in markedly elevated responses compared with sAg-challenged mice. In contrast, neither sAgs nor pAgs were able to induce a response in mice infused with OVA/TNP-specific IgG1 (Supplemental Figure 7), which suggests that the observed responses in our model are dependent upon anti-TNP IgE. Collectively, these data suggest that MC engagement of IgE/sAg or pAg complexes are required for elevated AHR and eosinophilia in the murine lung. Moreover, these data suggest that the differential responses generated by either IgE/sAg or pAg complexes requires direct interaction with MCs.
pAgs trigger a heightened cytokine and chemokine response from MCs compared with sAgs.
The results of our in vivo studies strongly suggested that IgE-sensitized MCs mediate more potent inflammatory responses to pAgs than to sAgs in the lung. To better understand this observation, we turned to an in vitro model to study the effects of sAg- and pAg-induced IgE crosslinking on the surface of cultured BMMCs. To do this, IgE-sensitized BMMCs were challenged with equal amounts of OVA/TNP sAg or OVA/TNP pAg and examined their ability to undergo degranulation and mediate cytokine/chemokine expression in vitro. As shown in Figure 3A, exposure of TNP-specific IgE–sensitized BMMCs to sAgs or pAgs resulted in the release of similar amounts of β-hexosaminidase, which suggests that degranulation responses of BMMCs to both challenges were identical. Remarkably, examination of IL-4, IL-5, IL-13, TNF-α, and eotaxin-1 responses of TNP-specific IgE–sensitized BMMCs to sAgs or pAgs by quantitative RT-PCR revealed that pAgs triggered 4- to 5-fold higher production of each cytokine or chemokine mRNA compared with sAg responses (Figure 3B). The mediators we examined have previously been implicated in triggering allergic asthma symptoms (12, 19, 20). Using IL-4 as the representative mediator, we further examined MC cytokine responses evoked by sAgs and pAgs at 1, 6, and 12 hours and observed that the differential responses were evident even at 12 hours after challenge, albeit to a much lower extent than those of the 1-hour response, which were maximal (Supplemental Figure 8A). It is also noteworthy that the heightened de novo synthesis of cytokine and chemokine mRNAs evoked by the pAg relative to its sAg counterpart occurred despite variations in the protein amount on beads, the ratio of beads to cells, and the size of beads (Supplemental Figure 8, B–D). Furthermore, when we examined BMMC culture supernatants for IL-4 secretion after exposure to sAgs and pAgs, we found that it paralleled our findings with de novo synthesis of IL4 mRNA (Supplemental Figure 8E). Taken together, these observations suggest that MCs can discriminate between pAgs and sAgs and that it evokes a markedly more enhanced response to the former.
To elucidate the molecular basis for the enhanced MC de novo synthesis evoked by pAgs relative to sAgs, we compared FcεRI-mediated tyrosine phosphorylation signaling in TNP-specific IgE–sensitized BMMCs challenged with either sAgs or pAgs. As shown in Figure 3C, both allergens elicited comparable phosphorylation patterns. However, the most obvious difference observed between sAg- and pAg-mediated signaling was that the phosphorylation levels of most prominent proteins were significantly more sustained after pAgs challenge than after sAg challenge (Figure 3C). In good agreement with this observation, evaluation of 3 separate tyrosine residues on the critical IgE signaling intermediate Syk demonstrated that pAgs elicited prolonged phosphorylation patterns compared with those elicited by sAgs (Supplemental Figure 9). Conceivably, the heightened and sustained cytokine and chemokine production elicited by pAgs from BMMCs is related to prolonged FcεRI signaling rather than to any specific difference in the signaling circuitry.
pAgs are internalized via an endocytic pathway in MCs distinct from that of sAgs.
Although our data showed that pAgs evoke markedly greater IL-4, IL-5, IL-13, TNF-α, and eotaxin-1 responses from MCs than sAgs, the early MC signaling events as well as the degranulation response to pAgs and sAgs were comparable. Indeed, the major difference thus far identified was that FcεRI signaling events initiated by pAgs were more sustained than those initiated by sAgs. Therefore, we reasoned that the enhanced cytokine and chemokine response to pAgs is attributable to differences in the rapidity of FcεRI signal termination. Endocytosis is a principal mechanism for receptor downregulation and termination of signal transduction including FcεRI (21, 22). Therefore, we initially characterized the endocytic routes the IgE/FcεRI/antigen complexes took after challenge of TNP-specific IgE–sensitized BMMCs with pAgs or sAgs. To do this, we created BMMCs expressing specific GFP fusion proteins that specifically identify the vesicular membranes of secretory granule compartments (CD63), early endosomes (Rab5), or late endosomes/lysosomes (Rab7; refs. 23–25). GFP-transfected BMMCs were passively sensitized and exposed to fluorescent sAgs or pAgs. Confocal microscopic analysis revealed that sAgs and pAgs followed markedly different endocytic trafficking pathways. Within 5 minutes of engaging IgE/FcεRI, sAgs localized in CD63+ compartments (Figure 4). Note that since CD63 is a secretory granule membrane component, internalized sAgs were visualized encased within CD63+ compartments. Thereafter, the sAgs moved from the peripheral areas toward the center of the cell. In so doing, sAgs transited from CD63+ compartments into Rab5+ and Rab7+ vesicles. Indeed, by 1 hour, most sAgs were located in either Rab5+ or Rab7+ vesicles. In contrast, pAgs remained encased in CD63+ compartments. These compartments did not become positive for Rab5 or Rab7 markers for the duration of the experiment (Figure 4). These data suggest that whereas sAg/IgE/FcεRI complexes follow a traditional endocytic trafficking pathway ending in the lysosome, pAg/IgE/FcεRI complexes are retained in CD63+ secretory compartments and fail to traffic further. This unique location of pAg/IgE/FcεRI complexes in nondegradative compartments may result in sustained FcεRI signaling and elevated de novo synthesis of cytokine and chemokines by MCs.
pAg/IgE/FcεRI complexes are retained in lipid raft–enriched compartments.
Our previous study revealed that the FcεRI-mediated phagocytosis of pollen into MCs is lipid raft dependent (26). Lipid rafts are specialized membrane domains that are dynamic assemblies of proteins, lipids and signaling substrates (27–29). Recent studies showed that lipid rafts promote many critical signaling activities of MCs, including recruitment of signaling molecules that mediate FcεRI signaling (30–33) as well as endocytosis of IgE/FcεRI complexes (26, 34, 35). To investigate the spatial localization of lipid raft microdomains and compartments housing allergens, we examined resting BMMCs for lipid rafts. Many of the lipid raft–enriched microdomains, stained by fluorescent cholera toxin subunit B, a probe for lipid rafts (28), appeared encased in membranes that stained for CD63 (Supplemental Figure 10). To explain the sustained signaling associated with pAg-mediated MC activation, we hypothesized that the internalization of pAg/IgE/FcεRI complexes into nondegradative, lipid raft–enriched CD63+ compartments allows the pAg/IgE/FcεRI complex to avoid degradation and maintain sustained signaling. To investigate whether the sustained signaling evoked by pAgs is related to retention of internalized pAg/IgE/FcεRI complexes within lipid raft–enriched compartments, we compared pAg- and sAg-induced duration of IgE/FcεRI complex association with lipid rafts. We used fluorescently labeled IgE to sensitize BMMCs before exposure to pAgs or sAgs, and at various time points after challenge, BMMCs were fixed and stained by fluorescent cholera toxin subunit B (28). For both sAgs and pAgs, as early as 30 seconds after exposure to allergen, IgE/FcεRI complexes entered and associated with lipid raft domains (Figure 5A). However, 10 minutes thereafter, sAg-crosslinked IgE/FcεRI complexes rapidly separated from lipid raft area and transitioned into compartments that were not enriched in lipid rafts. In contrast, pAg-crosslinked IgE/FcεRI complexes remained in lipid raft–enriched compartments for the duration of the experiment (Figure 5A). Our microscopy data suggest that the time course of lipid raft colocalization varies greatly, depending on whether the allergen is delivered in soluble or particulate form.
To confirm the dynamics for the association of IgE/FcεRI complexes with lipid raft domains in MCs, we isolated lipid raft fractions from sensitized BMMCs at various time points after exposure to sAgs or pAgs. Each lipid raft fraction was then probed for the presence of the FcεRI-γ chain on Western blots. Although some of the FcεRI-γ chain was found associated with lipid raft fractions at baseline (defined by the localization of flotillin, an integral component of lipid rafts; ref. 27), substantial recruitment of FcεRI-γ was observed immediately after exposure to either allergen. However, 5 minutes after exposure, the amount of FcεRI-γ chain in the sAg-induced lipid raft fractions was greatly reduced (Figure 5B), suggestive of their movement out of the lipid raft–enriched domains into a non–lipid raft compartment. By 10 minutes, almost all FcεRI-γ had left the lipid raft fractions. In contrast, the high amounts of recruited FcεRI-γ chain triggered by pAgs remained in the lipid raft fractions for at least 1 hour (Figure 5B). To determine whether the prolonged presence of FcεRI-γ in the lipid rafts was accompanied by sustained signal transduction, we probed the lipid raft fractions (fractions 4 and 5) derived from pAg- or sAg-challenged BMMCs for tyrosine-phosphorylated proteins as a general marker of FcεRI signaling. Compared with sAg lipid fractions, pAg lipid fractions contained markedly greater amounts of phosphorylated proteins for a longer period of time (Figure 5C). Collectively, these data suggest that after engagement of IgE/FcεRI complexes by sAgs, the signaling complex moves within seconds into lipid raft compartments where signaling is initiated. The sequential transition out of lipid rafts and into classical endocytic compartments of sAg/IgE/FcεRI complexes is accompanied by the termination of signaling responses. In the case of pAgs, the pAg/IgE/FcεRI signaling complexes move into lipid raft–enriched compartments, where they remain for prolonged periods of time, accompanied by a sustained signaling response.
Inhibition of IgE-mediated endocytosis of sAgs results in enhanced MC mediator responses comparable to those evoked by pAgs.
Based on the evidence that the endocytic route used by pAgs was distinct from that followed by sAgs and that retention of pAgs in lipid raft–enriched compartments resulted in augmented MC responses, we hypothesized that it would be possible to enhance the signaling capabilities of sAgs to levels seen with pAgs merely by prolonging the association of sAg/IgE/FcεRI complexes within lipid raft–enriched compartments. We evaluated 2 methods of prolonging this association: use of the pharmacological agent latrunculin B and selective knockout of caveolin-1, a protein involved in lipid raft–mediated endocytosis. Latrunculin B is an actin depolymerizing agent that disrupts endocytic activities of FcεRI but does not influence crosslinking of FcεRI by allergens (36–39). By pretreating sensitized BMMCs with latrunculin B, we expected to retard the endocytosis of sAg/IgE/FcεRI complexes and the accompanying disassociation of these complexes from lipid raft fractions. IgE-sensitized BMMCs were pretreated with 4 μM latrunculin B for 15 minutes before challenge with sAgs. Latrunculin B treatment enhanced colocalization of sAg/IgE/FcεRI complexes within lipid raft components for up to 1 hour (Figure 6A). A prolonged association of sAg/IgE/FcεRI complexes within CD63+ compartments lasting at least 1 hour was also observed with treatment of the actin depolymerizing agent (Figure 6B). Latrunculin B treatment also prolonged and enhanced sAg-induced localization of the FcεRI-γ chain and phosphorylated proteins in the lipid raft fractions of BMMCs, to levels nearly comparable to those induced by pAgs (Figure 6C). As predicted, latrunculin B treatment enhanced the expression of IL-4 in IgE-sensitized BMMCs exposed to sAgs, to the same levels induced by pAgs (Figure 6D).
Next, we examined the effect of knocking out a cellular component involved in the uptake of allergens in MCs. Caveolin-1 is a 22-kDa membrane protein integral to lipid rafts that has been implicated in lipid raft–mediated endocytic trafficking (37, 40–42). We hypothesized that endocytosis of sAgs and subsequent trafficking out of lipid raft domains in caveolin-1–deficient (Cav–/–) BMMCs would be severely retarded, and as a result, the FcεRI signaling and mediator responses seen in these cells would be enhanced and comparable to those normally observed in pAg-exposed sensitized WT (Cav+/+) BMMCs. Consistent with this hypothesis, exposure of sensitized Cav–/– BMMCs to sAgs resulted in prolonged retention of the IgE/FcεRI complex in lipid raft domains within the MC (Figure 7A). Interestingly, when we examined for the presence of the FcεRI-γ chain and tyrosine phosphorylation of signaling proteins in the lipid raft fractions in Cav–/– BMMCs following exposure to sAgs, we found that although the levels were not the same as seen with Cav+/+ BMMCs treated with pAgs, the association was nevertheless stronger and more prolonged than that of sAg-exposed Cav+/+ BMMCs (Figure 7B). In addition, exposure of IgE-sensitized Cav–/– BMMCs to sAgs resulted in heightened expression of IL-4, to levels comparable to those observed in IgE-sensitized Cav+/+ BMMCs following exposure to pAgs (Figure 7C). Notably, compared with the response of Cav+/+ BMMCs exposed to pAgs, the IL-4 responses of Cav–/– BMMCs to pAgs was also heightened (Figure 7C), and this parallels the prolonged association of key signaling components with lipid rafts in these Cav–/– cells (Figure 7B).
Finally, to confirm that the sAg-induced signaling in Cav–/– BMMCs was functionally identical to that induced by pAgs in Cav+/+ BMMCs, we reconstituted MC-deficient Wsh mice with either Cav–/– or Cav+/+ BMMCs. The reconstituted mice were sensitized with OVA/TNP and airway challenged with either sAgs or pAgs as described above, and AHR and eosinophil influx were examined 48 hours after challenge. As demonstrated in Figure 7, D–F, challenge of Cav–/– BMMC–reconstituted Wsh mice with sAgs resulted in robust AHR response and eosinophil influx much higher than that seen in Cav+/+ BMMC–reconstituted Wsh mice challenged with sAgs. The intensity of these enhanced responses were comparable to levels observed in pAg-challenged Cav+/+ BMMC–reconstituted Wsh mice. Histological examination showed a response pattern similar to that of the AHR and BAL data (Figure 7G). Collectively, these observations suggest that the heightened AHR and eosinophilia evoked by pAgs compared with sAgs is attributable to impairment in the endocytic trafficking of the pAg/IgE/FcεRI complexes in MCs. The result is enhanced retention in lipid raft–enriched compartments that leads to sustained signaling reactions and enhanced mediator release from MCs as well as elevated pathological responses.
Discussion
The growing epidemic of exacerbated bronchial asthmatic symptoms has been associated with airborne particles (3–5, 7, 8, 43). Despite the particulate nature of many inhaled allergens, most in vivo and in vitro studies exploring the pathogenesis of allergic asthma continue to exclusively use soluble allergens in experimental models. Although there have been several studies aimed at investigating the health impact of ambient particles, they were either epidemiological studies to establish correlations of clinical asthma symptoms with certain types and amounts of environmental particulate pollutants, or toxicological studies to test host responses when exposed to collected environmental particles, such as diesel exhaust particles, road traffic particles, indoor particles, or pollens (6, 44–48). By using natural airborne particles with various compositions and bioactivities, these studies overlooked the potential pathologic effects of their common particulate attributes. Here, for the first time to our knowledge, we compared responses to sAgs and to the same amount of allergen associated on unisized polystyrene particles and found that AHR and eosinophilia induced by pAgs, regardless of the allergen type, resulted in significantly higher responses than those induced by sAgs in a mouse model of allergic asthma. Therefore, studies that exclusively use sAgs may not accurately model the development of the asthmatic phenotype. In our studies, we also elucidated a cellular basis for how pAgs evoke more robust inflammatory changes in the lung. We found that sensitized MC-sufficient mice responded differently to the physical nature of the allergen, with pAgs evoking significantly more robust AHR and eosinophilia responses than those induced by sAgs. Comparatively, challenge of sensitized MC-deficient mice with either sAgs or pAgs resulted in minimal AHR responses, which suggests that MCs are the critical effector cell responsible for pAg- and sAg-induced AHR responses. pAg- and sAg-induced eosinophilia was also reduced in MC-deficient mice, which suggests that MCs are required for the full induction of eosinophilia. However, the presence of eosinophils in the BAL of these mice suggests that additional lung resident cell types may also contribute to the recruitment of these cells. Although MCs are well-known effectors in allergic disease, these findings suggested that MCs can differentially respond to the physical nature of an allergen and greatly augmented our understanding of the pathogenesis of asthma.
The differential responses of MCs to sAgs and pAgs was not attributable to qualitative differences in FcεRI-mediated signaling following allergen engagement, an inference supported by the finding of similar signaling profiles of tyrosine-phosphorylated proteins and the observation that the degranulation responses to both sAgs and pAgs were comparable in magnitude. Instead, the almost 5-fold greater MC mediator responses to pAgs compared with sAgs was linked mechanistically to temporal and spatial aspects of IgE receptor–mediated signaling. After engagement of IgE/FcεRI complexes by sAgs, signal transduction was short-lived and associated with the movement of the allergen-receptor complex through an endocytic route that sequentially involved CD63+ compartments and the early Rab5+ endosome, followed by the late Rab7+ endosome and perhaps a degradative endosome/lysosome (23, 24, 49). In contrast, after engagement of IgE/FcεRI complexes by pAgs, signal transduction remained sustained and was related to the retention of these complexes in CD63+ compartments without further movement in the endocytic pathway. Because CD63+ compartments are highly enriched in lipid rafts, which serve as an efficient platform for signal transduction, sustained signaling by pAg/IgE/FcεRI complexes could occur. In contrast, sAg-induced signaling was short-lived because sAg/IgE/FcεRI complexes transited out of the CD63+ compartments into the endosomal/lysosomal pathways, where signaling was terminated as a result of degradation. It is noteworthy that sustained IgE signaling comparable to that evoked by pAgs could be induced by sAgs if its movement out of CD63+ compartments was purposely impeded, either through pharmacological agents that block endocytosis or by deletion of specific molecules required for this process. Several models have previously reported that retarding endocytosis of IgE/FcεRI complexes — through deletion of RabGEF1/Rabex-5, a guanosine nucleotide exchange factor (50), or by using cytochalasin D or latrunculin to block actin polymerization (39, 51) — resulted in elevated FcεRI signaling and production of specific cytokines by MCs. Similarly, accelerating the sorting of IgE/FcεRI complexes into early endosome/lysosomes by overexpression of CIN85, a molecule that regulates IgE/FcεRI endocytosis, resulted in attenuated FcεRI signaling (22, 52). These prior studies, together with our current findings, highlight the largely overlooked role of MC endocytic circuitry and the intracellular location of these activities in regulating duration of mediator responses to allergens.
Recent studies have shown that the endosomal system can serve not only as a conduit for the degradation and recycling of cell surface receptors, but also as an essential site where receptor signaling can be initiated, sustained, and terminated (53). In our studies, we demonstrated that whereas sAgs were rapidly trafficked through the degradative endocytic pathway, and IgE/FcεRI complex–mediated signaling was quickly terminated, retention of IgE/FcεRI complexes in the nondegradative lipid raft–containing compartment by pAgs vastly enhanced IgE/FcεRI complex–mediated signaling, proinflammatory cytokine production, and airway allergic responses. The robust interferon responses of plasmacytoid dendritic cells to CpG have similarly been linked to selective retention of TLR9/MyD88/IRF-7 signaling complexes for long periods within endosomes (54). Our present data give additional evidence that the signaling emanating from early endocytic structures can control key functional aspects of cells and lead to critical physiological outcomes. The molecular mechanisms of how pAg/IgE/FcεRI complexes avoid rapid degradative fate and signaling termination are currently unknown. They may be regulated by the rate of ligand dissociation, as suggested by the studies on EGFR- and GPCR-mediated endosomal signaling. Alternatively, this effect may be related to differential activation of specific signaling components, including Cbl-b or RabGEF1, which contribute to the ubiquitination process and degradation of FcεRI (50, 55).
There is still no explanation of why pAgs escape degradation and are harbored in specialized lipid raft–enriched secretory granule–like compartments for prolonged periods of time. Perhaps the disassociation rate of allergen with IgE/FcεRI complexes in these distinct compartments influences their sorting into the endosome/lysosome pathway. Although both sAgs and pAgs consist of the same allergen protein with the same affinity to IgE/FcεRI complexes, the physical nature of pAgs might enable them to bind more receptors, resulting in higher antigen avidity and a slower disassociation rate. As previously reported, the disassociation rate of ligand and receptor can influence the sorting of the receptor into the endocytic system (53). In this respect, the slower disassociation rate of pAgs with IgE/FcεRI complexes might result in markedly delayed passage into degradative endosomal networks. A second possibility might be that large clustered regions of lipid rafts aggregated around pAgs may exclude certain important molecules to trigger the sorting process, such as ubiquitin ligases or other adaptor molecules responsible for ubiquitination of FcεRI (22, 55), or molecules to connect or coordinate the movement of actin or microtubule cytoskeletons (38, 51). The last possible explanation for the prolonged presence of particulate allergens in granules may be the inherent incapability of MCs to exocytose and process particulate cargo. Unlike macrophages or neutrophils, which are functionally specialized to phagocytose various agents, including particulate pathogens, MCs are primarily secretory cells.
Another potential explanation for prolonged signaling by pAgs from within MCs involves lipid rafts. These structures are unique plasma membrane microdomains enriched in cholesterol and sphingolipids and have been demonstrated to be important in initiation of FcεRI signaling (30, 56) in MCs. A recent study showed that lipid rafts create a protective environment that maintains the activity of the FcεRI-activated kinase Lyn (57). In this study, we examined the dynamics of FcεRI-initiated signaling in lipid rafts and found that sAg-induced localization of FcεRI and its downstream phosphorylated signal molecules within lipid rafts only lasted for a short time of 10 minutes. This finding is identical to that of a previous study showing that sAg-induced coalescence of crosslinked FcεRI within lipid rafts was transient and markedly decreased 10 minutes after activation (58). Moreover, by comparing the dynamic location of FcεRI and downstream tyrosine phosphorylation events within lipid rafts after exposure to sAgs or pAgs, we found that, in contrast to sAgs, pAgs induced prolonged colocalization of crosslinked FcεRI and phosphorylated signaling events within lipid rafts of MCs. This may be because interactions among FcεRI and its downstream tyrosine kinases were better preserved in pAg-induced lipid raft clusters, and therefore the activated signaling was maintained for longer lengths of time. In summary, our observations suggest that the coalescence of FcεRI in lipid rafts is not only important for initiation of signaling, but also crucial for maintenance of activated signaling.
Our findings reaffirmed the central role of MCs as effector cells in a mouse model of allergic asthma and revealed a powerful mechanism for how particulate environmental allergens exacerbate pulmonary function and inflammatory responses. These findings, in concert with recent observations that IgE-sensitized MCs retain naturally particulate allergens without degradation for extended periods of time (26), suggest a scenario in which pulmonary MCs mediate sustained signaling for extended periods of time after exposure to pAgs. This model may be supported by observations in asthmatic patients, in which MCs exhibit a chronically activated phenotype, even after exposure of the patient to the offending allergen has been eliminated (15). Given our present demonstration that prolongation of MC signaling by pAgs occurred through delayed endocytosis of IgE/FcεRI complexes, pharmacological agents that target and destabilize endosomes or accelerate MC endocytotic activity may be promising new therapies for allergic asthma.
Methods
Animals and MC reconstitutions.
Male 6- to 8-week-old C57BL/6 mice were purchased from the NCI-Frederick Animal Production Area. Male MC-deficient Wsh mice (KitW-sh/KitW-sh) on a C57BL/6 background (Jackson Laboratories) were bred at the Duke University vivarium. Caveolin-deficient Cav1tm1M1s/J mice (Cav–/–) and congenic littermate control B6129SF2/J mice (Cav+/+) were a gift from J.R. Wright (Duke University). All strains were housed in the Duke University vivarium and provided food and water ad libitum. BMMCs were obtained by culturing bone marrow from the indicated mice for 4 weeks in RPMI medium containing 10% FBS, 100 U/ml penicillin/streptomycin, 25 mM HEPES, 2 mM l-glutamine, 1 mM sodium pyruvate, 1 mM nonessential amino acids, 1 mM MEM amino acids (all from Invitrogen), 5 ng/ml IL-3, and 5 ng/ml SCF (R&D Systems). BMMC phenotype was confirmed by flow cytometry (Kit+, FcεRI+) and histochemical staining with Toluidine Blue (EM Science). To reconstitute Wsh mice with MCs, 6-week-old Wsh mice were replenished with 1 × 107 BMMCs per mouse through retro-orbital injection and allowed to recover for 6–8 weeks prior to experimentation. Analysis of reconstitution efficiency revealed that BMMCs were efficiently reconstituted in lungs of Wsh mice and were found in the bronchial and alveolar regions of the lung (Supplemental Figure 1 and Supplemental Table 1). Comparable numbers of MCs were found in the lungs of Wsh mice reconstituted with Cav–/– and Cav+/+ BMMCs (Supplemental Table 1). However, as previously reported (59, 60), the total number of MCs in reconstituted lungs of Wsh mice was elevated relative to the number in WT mouse lungs. This elevated number might be explained by the observation that there were more MCs deposited throughout the alveolar sites as a result of the enriched blood supply in this area (data not shown). All experiments were performed with protocols approved by the Duke Division of Laboratory Animal Resources and the Duke University Institutional Animal Care and Use Committee.
sAg and pAg preparation.
HDM extract (Greer Lab), RW extract (Greer Lab), and OVA/TNP (Biosearch Technologies) sAgs were purchased with accurate protein quantification. pAgs were prepared by covalently conjugating 1 μm Polybead carboxylate polystyrene microspheres (Polysciences) to natural allergen extracts or OVA/TNP using the Polylink protein coupling kit for carboxylate microspheres (Polysciences). The amount of natural allergens or OVA/TNP conjugated on beads was directly quantified by BCA protein assay kit (Pierce) on NanoDrop Spectrophotometer. Unless otherwise indicated, the concentration of OVA/TNP conjugated on microsphere cores was 1 μg per 107 beads. Both sAg and pAg preparations contained very little LPS, as determined by Limulus assay. The amounts were approximately 0.7 EU per μg (approximately 0.7 pg LPS) of each allergen preparation, levels well below the amounts required to activate MCs or trigger primary allergic responses in the lung (refs. 61–63 and data not shown). Analysis of pAg characteristics showed that pAg prepared by the covalent conjugation of OVA/TNP on particles was very stable, as OVA/TNP pAg did not release detectable amounts of protein in either acidic or physiological neutral environments (ref. 64 and data not shown).
Active sensitization and airway challenge of mice.
To induce allergen-specific IgE, mice were injected with 50 μg allergen protein into the peritoneal cavity 7 times on alternate days. This procedure was found to induce total and antigen-specific IgE and IgG1 levels that were comparable in all strains of mice, including MC-deficient and -sufficient mice (data not shown). On day 36, mice were challenged with saline, sAgs, pAgs, or blank particles. To perform the airway challenge, mice were anesthetized with ketamine mixed with xylaxine and hung against an angled stand. Allergens were then instilled through the trachea and nares in 60 μl and 20 μl saline, respectively. For HDM and RW sAgs or pAgs, 50 μg and 10 μg of allergens were instilled into trachea and nares, respectively. For challenges with OVA/TNP sAgs or pAgs, 160 μg and 40 μg of either allergen was instilled into trachea and nares, respectively. At 48 hours after the challenge, mice were subjected to subsequent analysis of lung function and pathology.
AHR.
AHR was measured by evaluating the airway resistance to increasing dose of methacholine. To perform lung function tests, mice were anesthetized, and their tracheas were cannulated. Mice were then placed onto a computer-controlled ventilator (flexiVent; SCIREQ) at a constant tidal volume of 6–8 ml/kg, with a peak expiratory end pressure of 3 cm H2O. The animals were then given a neuromuscular blocker (0.8 mg/kg pancuronium bromide; Sigma-Aldrich) and given 5 minutes to adjust to the ventilator. Airway resistance was induced with increasing concentrations of methacholine in 0.9% NaCl through an ultrasonic nebulizer (DeVilbiss UltraNeb 2000) placed in-line with the ventilator and delivered to the airway cannula for 30 seconds at a rate of 130 breaths per minute. Airway resistance measurements were acquired at baseline and every 20 seconds for 5 minutes after each methacholine aerosol challenge. The resistance measurements were then averaged at each dose and linearly graphed along with the initial baseline measurement.
BAL and lung histology.
To perform lavage, mice were sacrificed, and the tracheas were cannulated. To obtain BAL cells, 1 ml HBSS (Gibco; Invitrogen) with 10 mM EDTA (Sigma-Aldrich) was instilled into the lung 3 times. BAL cells were then cytospun onto slides, fixed in 1:1 mixed acetone and methanol, and stained with H&E. Total cells were counted by hemocytometer. Differential cell populations in BAL fluids were evaluated based on their morphology, and eosinophils were the only cells specifically elevated by pAgs (Supplemental Figure 2). For lung histology, 5-μM-thick paraffin-embedded lung tissues were cut and stained with H&E. Eosinophils in lungs were quantified according to area in square millimeters. NIH Image J software was used to scale tissue area in the captured images. Eosinophil number was expressed as the total number of eosinophils counted per tissue area.
In vitro sensitization and challenge of BMMCs.
Sensitization of BMMCs in vitro was performed by incubating 1 × 106 cells with 0.5 μg mouse anti-TNP IgE (BD Biosciences — Pharmingen). After incubation for 18 hours, cells were washed 3 times with RPMI to remove unbound IgE. After washing, cells were incubated in growth media at 37°C for 2 hours to allow recovering from washing stimulus. The sensitized BMMCs were then challenged with 1 μg OVA/TNP in sAg form or 1 μg OVA/TNP pAg (associated on particles). Cells were collected at the indicated times for analysis.
Hexosaminidase assay.
1 hour after the allergen exposure to BMMCs, the enzymatic activities of β-hexosaminidase in supernatants and cell pellets of 1 × 106 cells were detected. The enzyme activity in Tyrode’s buffer was measured with p-nitrophenol-N-acetyl-α-D-glucosaminide in 0.1 M sodium citrate (pH 4.5) for 1 hour at 37°C. The reaction was stopped by the addition of 0.1 M carbonate buffer (pH 10.0). The release of the product 4-p-nitrophenol was detected by absorbance at 405 nm. The extent of degranulation was calculated by dividing 4-p-nitrophenol absorbance in the supernatant by the sum of absorbance in the supernatant and in the cell pellet solubilized in 0.1% Triton X-100.
RNA isolation and real-time PCR to test mRNA of cytokines and chemokines.
At the indicated times, total RNA was isolated from 1 × 106 BMMCs using the RNeasy Kit (Qiagen). cDNA was synthesized using the iScript cDNA synthesis kit (BioRad). Real-time PCR was performed using the iQ SYBR Green Supermix (BioRad), and data were acquired on an iCycler real-time PCR machine (BioRad). The expression of cytokines and chemokines was normalized to actin expression. The expression in each challenging group was further standardized to the untreated control group. Primers were synthesized by Integrated DNA Technologies. Primer sequences are as follows: actin, forward 5′-GATTACTGCTCTGGCTCCTAGC-3′, reverse 5′-GACTCATCGTACTCCTGCTTGC-3′; IL-4, forward 5′-TCCTCACAGCAACGAAGAACACCA-3′, reverse 5′-GCAGCTTATCGATGAATCCAGGCA-3′; IL-5, forward 5′-CTCTGTTGACAAGCAATGAGACG-3′, reverse 5′-TCTTCAGTATGTCTAGCCCCTG-3′; IL-13, forward 5′-AGACCAGACTCCCCTGTGCA-3′, reverse 5′-TGGGTCCTGTAGATGGCATTG-3′; TNF-α, forward 5′-TCTCATGCACCACCATCAAGGACT-3′, reverse 5′-ACCACTCTCCCTTTGCAGAACTCA-3′; eotaxin-1, forward 5′-TCAAGACCAGGTTGGGCAAAGAGA-3′, reverse 5′-TCAAGCAGTTCTTAGGCTCTGGGT-3′.
Western blots of total cellular tyrosine phosphorylation.
At the indicated times, 1 × 106 BMMCs were pelleted and lysed in RIPA lysis buffer (Upstate Biotechnology) with 1 mM phenylmethylsulfonyl fluoride (Sigma-Aldrich), 1% protease inhibitor cocktail (Sigma-Aldrich), and 1% phosphatase inhibitor cocktail (Sigma-Aldrich). Cell lysates were incubated on ice for 30 minutes and then centrifuged at 17,000 g for 10 minutes. Supernatant was collected, and total protein was quantified using a BCA protein assay kit. Cell lysates were normalized for protein amount and volume. Proteins were denatured by boiling for 5 minutes in 2× Lammeli sample buffer (Bio-Rad) with 0.05% β-mercaptoethanol (Sigma-Aldrich). Protein samples were resolved by SDS-PAGE and transferred to nitrocellulose membranes. Tyrosine-phosphorylated proteins were probed using primary anti-phosphotyrosine monoclonal antibody 4G10 (gift of W. Zhang, Duke University) and detected with a secondary HRP-linked anti-mouse antibody and the Super Signal West Pico Chemiluminescent kit (Pierce). The intensity of phosphorylation of prominent protein bands was assessed with Image J software. The normalized density of the bands was determined using actin as the internal quantitative control.
Construction of GFP fusion protein–transfected BMMCs.
Total RNA was prepared from BMMCs. cDNA for CD63, Rab5, and Rab7 genes were generated by RT-PCR using the following primer sequences: CD63, forward 5′-CTCAGATCTCATGGCGGTGGAAGGAGGAATGA-3′, reverse 5′-CTCGGGCCCGCATTACTTCATAGCCACTTCGA-3′; Rab5, forward 5′-CTCAGATCTATGGCTAATCGAGGAGCAACAAGA-3′, reverse 5′-CTCGGATCCTCAGTTACTACAACACTGGCTTC-3′; Rab7, forward 5′-GATCTCGAGCTATGACCTCTAGGAAGAAAGTGTTG-3′, reverse 5′-GTCGGGCCCGCTCAACAACTGCAGCTTTCTGCG-3′. The PCR product of CD63 was restriction enzyme digested and ligated in-frame into the pLEGFP-N1 vector (BD Biosciences) to generate pGFP-CD63. The PCR products of Rab5 and Rab7 were restriction enzyme digested and ligated in-frame into the pLEGFP-C1 vector (BD Biosciences) to generate pGFP-R5 and pGFP-R7, respectively. Sequence accuracy was confirmed by sequencing. Generation of infectious viral particles, viral transfection, and selection of transfected BMMCs were performed as recommended by the vendor (BD Biosciences).
Fluorescent prelabeling of allergens and IgE.
sAg (OVA/TNP) was prelabeled with an Alexa Fluor protein labeling kit (Invitrogen). pAg (OVA/TNP conjugated beads) was prelabeled with the Alexa Fluor carboxylic acid succinimidyl ester (Invitrogen). Anti-TNP IgE (BD Biosciences — Pharmingen) was prelabeled with an Alexa Fluor monoclonal antibody labeling kit (Invitrogen).
Confocal microscopy to examine localization within lipid raft compartments.
BMMCs were sensitized by Alexa Fluor 546–prelabeled IgE and then challenged by Alexa Fluor 488–prelabeled pAgs or sAgs as described above. At the indicated times, cells were collected and fixed in 4% paraformaldehyde (Sigma-Aldrich). Cells were then permeated in 0.15% saponin (Sigma-Aldrich) in PBS containing 1% FBS (Invitrogen) and probed with Alexa Fluor 647–conjugated cholera toxin subunit B (Invitrogen) for 30 minutes on ice to detect lipid rafts. Cells were washed 3 times with saponin buffer, followed by a wash in PBS, and then placed onto slides and air dried. Slides were sealed with Pro-Long antifade reagent (Invitrogen). Confocal images of cells were obtained using a Plan Fluor 100× oil objective and Nikon ECLIPSE TE200 microscope (Nikon). EZ-C1 Nikon software (Silver Version 2.01) with a channel-series approach was used to prevent spectral overlap between fluorescent signals.
Lipid raft fractionation.
For each challenge group, 1 × 107 BMMCs were pelleted and resuspended in 2 ml of ice-cold 2-[N-morpholino]ethanesulfonic acid (MES) buffer (25 mM MES, 150 mM NaCl, pH 6.5) with 0.2% Triton X-100, 1% protease inhibitor cocktail, 1% phosphatase inhibitor cocktail, 1 mM PMSF, and 5 mM EDTA (all from Sigma-Aldrich) for 30 minutes on ice. Each sample was then mixed with an equal volume of 90% sucrose in MES to bring to 4 ml of 45% sucrose solution, and then overlaid with 4 ml each of 35% and 5% sucrose in MES. The gradients were centrifuged for 18 hours at 187,000 g in a SW41Ti rotor (Beckman Instruments). 12 1-ml cell fractions were collected from the top of the gradient, diluted in 2× Laemmli sample buffer (Bio-Rad) with 0.05% β-mercaptoethanol (Sigma-Aldrich), and boiled for 5 minutes. Western blot was performed to detect the distribution of the FcεRI-γ chain in cell fractions using polyclonal anti–FcεRI-γ subunit (Upstate). Flotillin, a lipid raft marker, was detected by anti-flotillin (clone H-104; Santa Cruz). In some assays, lipid raft fractions 4 and 5 were pooled to exclusively test the FcεRI-γ chain and tyrosine phosphorylation signaling in lipid rafts.
Statistics.
Data were analyzed for statistical significance using 1-way ANOVA (GraphPad Prism). Data were presented as mean ± SD, and a P value less than 0.05 was considered significant.
Supplementary Material
Acknowledgments
We thank J.R. Wright for Cav–/– and Cav+/+ mice; W.G. Zhang for the 4G10 antibody; M.E. Sunday for the use of microscopes; J.Y. Ning for pathology assistance and helpful discussion; and A.L. St. John, A.M. Hofmann, S.E. Bowen, and W.X.G. Ang for critical comments relating to the manuscript. IVIS animal imaging was performed in the NIAID Regional Biocontainment Laboratory at Duke University (UC6-AI058607, U54-AI057157, and P30-AI051445) by the Duke Human Vaccine Institute Biocontainment Animal Imaging Shared Resource Facility. This work was funded by NIH grants AI081672, ES016347, AI056101, AI150021, AI074751, DK077307, DK077159, and DK050814. S.N. Abraham was supported by a Senior Fellowship from the American Asthma Foundation.
Footnotes
Conflict of interest: The authors have declared that no conflict of interest exists.
Citation for this article: J Clin Invest. 2011;121(3):941–955. doi:10.1172/JCI43584.
Cong Jin’s present address is: Institute for Viral Disease Control and Prevention, Center for Disease Control, Beijing, China.
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