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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 6

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Regression analysis of the increase in ASM mass as a dual function of in...
Regression analysis of the increase in ASM mass as a dual function of increased proliferation and decreased apoptosis of ASM cells. (A) Tri-variable projections and 3D reconstruction (a detailed split is shown in Supplemental Figure S1). The control groups were pooled and are represented as blue spheres for clarity. (B) Scatter plot of ASM mass (×10–3) versus airway size. The relative amount of ASM is approximately constant along the tracheobronchial tree (green and blue, OVA/BSA and sham/OVA groups, respectively). The CD4+ T cell–driven effect on ASM mass lifts and distorts this relationship (red, OVA/OVA group). The increase in ASM mass is greater the smaller the airways. The airway size also influences the effect on regulation of apoptosis; the size of the decrements in myocyte apoptosis frequency is greater the smaller the airways (TUNEL differential, right y axis, violet regression curve). The influence of the airway size on apoptosis inhibition and ASM mass followed similar regression trends, whereas there was no relationship between airway size and PCNA+ cell frequency (data not shown). BM, basement membrane.

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