Serum amyloid A is a soluble pattern recognition receptor that drives type 2 immunity

Nat Immunol. 2020 Jul;21(7):756-765. doi: 10.1038/s41590-020-0698-1. Epub 2020 Jun 22.

Abstract

The molecular basis for the propensity of a small number of environmental proteins to provoke allergic responses is largely unknown. Herein, we report that mite group 13 allergens of the fatty acid-binding protein (FABP) family are sensed by an evolutionarily conserved acute-phase protein, serum amyloid A1 (SAA1), that promotes pulmonary type 2 immunity. Mechanistically, SAA1 interacted directly with allergenic mite FABPs (Der p 13 and Blo t 13). The interaction between mite FABPs and SAA1 activated the SAA1-binding receptor, formyl peptide receptor 2 (FPR2), which drove the epithelial release of the type-2-promoting cytokine interleukin (IL)-33 in a SAA1-dependent manner. Importantly, the SAA1-FPR2-IL-33 axis was upregulated in nasal epithelial cells from patients with chronic rhinosinusitis. These findings identify an unrecognized role for SAA1 as a soluble pattern recognition receptor for conserved FABPs found in common mite allergens that initiate type 2 immunity at mucosal surfaces.

Publication types

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

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Allergens / immunology
  • Animals
  • Antigens, Dermatophagoides / immunology
  • Asthma / immunology*
  • Asthma / pathology
  • Cells, Cultured
  • Disease Models, Animal
  • Epithelial Cells
  • Fatty Acid-Binding Proteins / immunology
  • Female
  • Humans
  • Immunity, Humoral
  • Immunity, Innate
  • Interleukin-33 / metabolism
  • Lung / cytology
  • Lung / immunology
  • Lung / pathology
  • Male
  • Mice
  • Mice, Knockout
  • Middle Aged
  • Primary Cell Culture
  • Receptors, Formyl Peptide / metabolism
  • Receptors, Lipoxin / metabolism
  • Respiratory Mucosa / immunology
  • Respiratory Mucosa / metabolism
  • Rhinitis, Allergic / immunology*
  • Rhinitis, Allergic / pathology
  • Serum Amyloid A Protein / genetics
  • Serum Amyloid A Protein / metabolism*
  • Signal Transduction / immunology*
  • Up-Regulation
  • Young Adult

Substances

  • Allergens
  • Antigens, Dermatophagoides
  • FPR2 protein, human
  • Fatty Acid-Binding Proteins
  • IL33 protein, human
  • Il33 protein, mouse
  • Interleukin-33
  • Receptors, Formyl Peptide
  • Receptors, Lipoxin
  • SAA1 protein, human
  • Saa2 protein, mouse
  • Serum Amyloid A Protein
  • formyl peptide receptor 2, mouse