Inhibition of CD23-mediated IgE transcytosis suppresses the initiation and development of allergic airway inflammation

Mucosal Immunol. 2015 Nov;8(6):1262-74. doi: 10.1038/mi.2015.16. Epub 2015 Mar 18.

Abstract

The epithelial lining of the airway tract and allergen-specific IgE are considered essential controllers of inflammatory responses to allergens. The human low affinity IgE receptor, CD23 (FcɛRII), is capable of transporting IgE or IgE-allergen complexes across the polarized human airway epithelial cell (AEC) monolayer in vitro. However, it remains unknown whether the CD23-dependent IgE transfer pathway in AECs initiates and facilitates allergic inflammation in vivo, and whether inhibition of this pathway attenuates allergic inflammation. To this end, we show that in wild-type (WT) mice, epithelial CD23 transcytosed both IgE and ovalbumin (OVA)-IgE complexes across the airway epithelial barrier, whereas neither type of transcytosis was observed in CD23 knockout (KO) mice. In chimeric mice, OVA sensitization and aerosol challenge of WT/WT (bone-marrow transfer from the WT to WT) or CD23KO/WT (CD23KO to WT) chimeric mice, which express CD23 on radioresistant airway structural cells (mainly epithelial cells) resulted in airway eosinophilia, including collagen deposition and a significant increase in goblet cells, and increased airway hyperreactivity. In contrast, the absence of CD23 expression on airway structural or epithelial cells, but not on hematopoietic cells, in WT/CD23KO (the WT to CD23KO) chimeric mice significantly reduced OVA-driven allergic airway inflammation. In addition, inhalation of the CD23-blocking B3B4 antibody in sensitized WT mice before or during airway challenge suppressed the salient features of asthma, including bronchial hyperreactivity. Taken together, these results identify a previously unproven mechanism in which epithelial CD23 plays a central role in the development of allergic inflammation. Further, our study suggests that functional inhibition of CD23 in the airway is a potential therapeutic approach to inhibit the development of asthma.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Asthma / immunology*
  • Asthma / metabolism
  • Blotting, Western
  • Enzyme-Linked Immunosorbent Assay
  • Flow Cytometry
  • Hypersensitivity / immunology*
  • Hypersensitivity / metabolism
  • Immunoglobulin E / immunology
  • Immunoglobulin E / metabolism*
  • Immunohistochemistry
  • Inflammation / immunology
  • Inflammation / metabolism
  • Mice
  • Mice, Inbred BALB C
  • Mice, Knockout
  • Receptors, IgE / immunology*
  • Receptors, IgE / metabolism
  • Reverse Transcriptase Polymerase Chain Reaction
  • Transcytosis / immunology*

Substances

  • Receptors, IgE
  • Immunoglobulin E