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Antigen-specific CD4+ T cells drive airway smooth muscle remodeling in experimental asthma
David Ramos-Barbón, … , Elizabeth D. Fixman, James G. Martin
David Ramos-Barbón, … , Elizabeth D. Fixman, James G. Martin
Published June 1, 2005
Citation Information: J Clin Invest. 2005;115(6):1580-1589. https://doi.org/10.1172/JCI19711.
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Research Article Pulmonology

Antigen-specific CD4+ T cells drive airway smooth muscle remodeling in experimental asthma

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Abstract

Airway smooth muscle (ASM) growth contributes to the mechanism of airway hyperresponsiveness in asthma. Here we demonstrate that CD4+ T cells, central to chronic airway inflammation, drive ASM remodeling in experimental asthma. Adoptive transfer of CD4+ T cells from sensitized rats induced an increase in proliferation and inhibition of apoptosis of airway myocytes in naive recipients upon repeated antigen challenge, which resulted in an increase in ASM mass. Genetically modified CD4+ T cells expressing enhanced GFP (EGFP) were localized by confocal microscopy in juxtaposition to ASM cells, which suggests that CD4+ T cells may modulate ASM cell function through direct cell-cell interaction in vivo. Coculture of antigen-stimulated CD4+ T cells with cell cycle–arrested ASM cells induced myocyte proliferation, dependent on T cell activation and direct T cell–myocyte contact. Reciprocally, direct cell contact prevented postactivation T cell apoptosis, which suggests receptor-mediated T cell–myocyte crosstalk. Overall, our data demonstrate that activated CD4+ T cells drive ASM remodeling in experimental asthma and suggest that a direct cell-cell interaction participates in CD4+ T cell regulation of myocyte turnover and induction of remodeling.

Authors

David Ramos-Barbón, John F. Presley, Qutayba A. Hamid, Elizabeth D. Fixman, James G. Martin

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Figure 2

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Confocal microscopy. (A–E) Distribution of EGFP+ (A–C), OX-40+ (D), and ...
Confocal microscopy. (A–E) Distribution of EGFP+ (A–C), OX-40+ (D), and CD25+ (E) cells (red signal) relative to α-SMA (green signal). Insets in A and B show an overlay of the confocal sections over transmission histological images. (A) Example of an EGFP+ cell inside vascular smooth muscle (Vsm), likely exiting a small vessel (L, lumen). (B–D) Confocal colocalization in 0.6-μm-thick optical sections suggesting direct contact between EGFP+ (B and C) or OX-40+ (D) cells and ASM (Asm). adv, adventitia; alv, alveolar walls; E, bronchial epithelium. (E) A CD25+ cell likely migrating between a vessel and a neighboring airway. (F–H) Confocal extraction of ASM for quantitation. (F) In an airway, the smooth muscle bundles are identified by α-SMA immunostaining (red). The green signal corresponds to pan-actin (all actin isoforms), which was used as a general counterstain. (G) A high-magnification field (corresponding to the square in F) illustrates the airway epithelium, smooth muscle, adventitia, alveolar walls, and alveolar macrophages (mac). (H) The ASM bundles were isolated by confocal subtraction, to measure their surface area corrected by airway size. Scale bars: 100 μm (F and H); 50 μm (G); 20 μm (A and B); 10 μm (D and E); and 5 μm (C).

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