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Choy, David F; Hart, Kevin M; Borthwick, Lee A; Shikotra, Aarti; Nagarkar, Deepti R; Siddiqui, Salman; Jia, Guiquan; Ohri, Chandra M; Doran, Emma; Vannella, Kevin M; Butler, Claire A; Hargadon, Beverley; Sciurba, Joshua C; Gieseck, Richard L; Thompson, Robert W; White, Sandra; Abbas, Alexander R; Jackman, Janet; Wu, Lawren C; Egen, Jackson G; Heaney, Liam G; Ramalingam, Thirumalai R; Arron, Joseph R; Wynn, Thomas A; Bradding, Peter
Science translational medicine, 2015-Aug-19, Letnik: 7, Številka: 301Journal Article
Increasing evidence suggests that asthma is a heterogeneous disorder regulated by distinct molecular mechanisms. In a cross-sectional study of asthmatics of varying severity (n = 51), endobronchial tissue gene expression analysis revealed three major patient clusters: TH2-high, TH17-high, and TH2/17-low. TH2-high and TH17-high patterns were mutually exclusive in individual patient samples, and their gene signatures were inversely correlated and differentially regulated by interleukin-13 (IL-13) and IL-17A. To understand this dichotomous pattern of T helper 2 (TH2) and TH17 signatures, we investigated the potential of type 2 cytokine suppression in promoting TH17 responses in a preclinical model of allergen-induced asthma. Neutralization of IL-4 and/or IL-13 resulted in increased TH17 cells and neutrophilic inflammation in the lung. However, neutralization of IL-13 and IL-17 protected mice from eosinophilia, mucus hyperplasia, and airway hyperreactivity and abolished the neutrophilic inflammation, suggesting that combination therapies targeting both pathways may maximize therapeutic efficacy across a patient population comprising both TH2 and TH17 endotypes.
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in: SICRIS
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