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Publication : Eosinophil extracellular traps drive asthma progression through neuro-immune signals.

First Author  Lu Y Year  2021
Journal  Nat Cell Biol Volume  23
Issue  10 Pages  1060-1072
PubMed ID  34616019 Mgi Jnum  J:318598
Mgi Id  MGI:6860483 Doi  10.1038/s41556-021-00762-2
Citation  Lu Y, et al. (2021) Eosinophil extracellular traps drive asthma progression through neuro-immune signals. Nat Cell Biol 23(10):1060-1072
abstractText  Eosinophilic inflammation is a feature of allergic asthma. Despite mounting evidence showing that chromatin filaments released from neutrophils mediate various diseases, the understanding of extracellular DNA from eosinophils is limited. Here we show that eosinophil extracellular traps (EETs) in bronchoalveolar lavage fluid are associated with the severity of asthma in patients. Functionally, we find that EETs augment goblet-cell hyperplasia, mucus production, infiltration of inflammatory cells and expressions of type 2 cytokines in experimental non-infection-related asthma using both pharmaceutical and genetic approaches. Multiple clinically relevant allergens trigger EET formation at least partially via thymic stromal lymphopoietin in vivo. Mechanically, EETs activate pulmonary neuroendocrine cells via the CCDC25-ILK-PKCalpha-CRTC1 pathway, which is potentiated by eosinophil peroxidase. Subsequently, the pulmonary neuroendocrine cells amplify allergic immune responses via neuropeptides and neurotransmitters. Therapeutically, inhibition of CCDC25 alleviates allergic inflammation. Together, our findings demonstrate a previously unknown role of EETs in integrating immunological and neurological cues to drive asthma progression.
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