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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 3

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Quantitation of ASM mass. (A) An increase of ASM mass was induced in the...
Quantitation of ASM mass. (A) An increase of ASM mass was induced in the group receiving CD4+ T cells purified from OVA-sensitized donors followed by repeated airway challenge with aerosolized OVA (OVA/OVA group) compared with BSA-challenged controls (OVA/BSA group) or controls that received CD4+ T cells from sham-sensitized donors and were challenged with OVA (sham/OVA group). (B) The CD4+ T cell–driven increase in ASM mass affected small (PBM < 1 mm), medium, and large (PBM ≥ 2 mm) airways. *P < 0.05. Error bars represent SE. (C) Illustrative examples of ASM, once subtracted by confocal microscopy. Airways of 2 different sizes are shown for each group. The numbers below each panel correspond to basement membrane length and ASM mass (dimensionless index, ×10–3).

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