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Publication : Postprandial parasympathetic signals promote lung type 2 immunity.

First Author  Chen H Year  2025
Journal  Neuron Volume  113
Issue  5 Pages  670-683.e7
PubMed ID  39837323 Mgi Jnum  J:365123
Mgi Id  MGI:7863086 Doi  10.1016/j.neuron.2024.12.020
Citation  Chen H, et al. (2025) Postprandial parasympathetic signals promote lung type 2 immunity. Neuron
abstractText  Lung type 2 immunity protects against pathogenic infection, but its dysregulation causes asthma. Although it has long been observed that symptoms of asthmatic patients often become exaggerated following food intake, the pathophysiological mechanism underlying this postprandial phenomenon is incompletely understood. Here, we report that lung type 2 immunity in mice is enhanced after feeding, which correlates with parasympathetic activation. Also, local parasympathetic innervations exhibit spatial engagement with such immune responses mediated by group 2 innate lymphoid cells (ILC2s). Pharmacologic or surgical blockage of parasympathetic signals diminishes lung type 2 immunity. Conversely, chemogenetic manipulation of parasympathetic inputs and their upstream neurocircuit is sufficient to modulate those immune responses. We then show that the cholinergic receptor muscarinic 4 (Chrm4) for the parasympathetic neurotransmitter acetylcholine is expressed in mouse or human lung ILC2s, and the Chrm4 deletion mitigates ILC2-mediated lung inflammation. These results have revealed a critical neuroimmune function of the gut-brain-lung reflex.
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