关键词: Anaphylaxis IL-4 histamine transcription vascular endothelium

来  源:   DOI:10.1016/j.jaci.2024.05.009

Abstract:
BACKGROUND: Mast cell-derived mediators induce vasodilatation and fluid extravasation, leading to cardiovascular failure in severe anaphylaxis. We previously revealed a synergistic interaction between the cytokine IL-4 and the mast cell-derived mediator histamine in modulating vascular endothelial (VE) dysfunction and severe anaphylaxis. The mechanism by which IL-4 exacerbates histamine-induced VE dysfunction and severe anaphylaxis is unknown.
OBJECTIVE: We sought to identify the IL-4-induced molecular processes regulating the amplification of histamine-induced VE barrier dysfunction and the severity of IgE-mediated anaphylactic reactions.
METHODS: RNA sequencing, Western blot, Ca2+ imaging, and barrier functional analyses were performed on the VE cell line (EA.hy926). Pharmacologic degraders (selective proteolysis-targeting chimera) and genetic (lentiviral short hairpin RNA) inhibitors were used to determine the roles of signal transducer and activator of transcription 3 (STAT3) and STAT6 in conjunction with in vivo model systems of histamine-induced hypovolemic shock.
RESULTS: IL-4 enhancement of histamine-induced VE barrier dysfunction was associated with increased VE-cadherin degradation, intracellular calcium flux, and phosphorylated Src levels and required transcription and de novo protein synthesis. RNA sequencing analyses of IL-4-stimulated VE cells identified dysregulation of genes involved in cell proliferation, cell development, and cell growth, and transcription factor motif analyses revealed a significant enrichment of differential expressed genes with putative STAT3 and STAT6 motif. IL-4 stimulation in EA.hy926 cells induced both serine residue 727 and tyrosine residue 705 phosphorylation of STAT3. Genetic and pharmacologic ablation of VE STAT3 activity revealed a role for STAT3 in basal VE barrier function; however, IL-4 enhancement and histamine-induced VE barrier dysfunction was predominantly STAT3 independent. In contrast, IL-4 enhancement and histamine-induced VE barrier dysfunction was STAT6 dependent. Consistent with this finding, pharmacologic knockdown of STAT6 abrogated IL-4-mediated amplification of histamine-induced hypovolemia.
CONCLUSIONS: These studies unveil a novel role of the IL-4/STAT6 signaling axis in the priming of VE cells predisposing to exacerbation of histamine-induced anaphylaxis.
摘要:
背景:肥大细胞(MC)衍生的介体诱导血管舒张和液体外渗,导致严重过敏反应的心血管衰竭。我们先前已经揭示了细胞因子IL-4与MC衍生的介质组胺之间在调节血管内皮(VE)功能障碍和严重过敏反应中的协同相互作用。IL-4加剧组胺诱导的VE功能障碍和严重过敏反应的机制尚不清楚。
目的:确定IL-4诱导的分子过程调节组胺诱导的VE屏障功能障碍的扩增和IgE介导的过敏反应的严重程度。
方法:RNAseq,蛋白质印迹,血管内皮细胞系的Ca2成像和屏障功能分析(EA。hy926)。药理学降解剂(选择性PROTAC(蛋白水解靶向嵌合体)和遗传(慢病毒shRNA)抑制剂用于确定STAT3和STAT6与组胺诱导的低血容量性休克的体内模型系统的联合作用。
结果:IL-4增强组胺诱导的VE屏障功能障碍与VE-Cadherin降解增加有关,细胞内钙通量,磷酸-Src水平和需要转录和从头蛋白合成。对IL-4刺激的VE细胞的RNAseq分析确定了与细胞增殖有关的基因失调,细胞发育,细胞生长和转录因子基序分析表明,差异表达基因(DEG)显着富集,具有推定的STAT3和STAT6基序。EA中的IL-4刺激。hy926细胞诱导STAT3Y705和STAT3S727磷酸化。VESTAT3活性的遗传和药理消融揭示了STAT3在基础VE屏障功能中的作用,然而,IL-4增强和组胺诱导的VE屏障功能障碍主要是不依赖STAT3的.相比之下,IL-4增强和组胺诱导的VE屏障功能障碍是STAT6依赖性的。与这一发现一致,STAT6的药理学敲除消除了IL-4介导的组胺诱导的低血容量的扩增。
结论:这些研究揭示了IL-4/STAT6信号轴在VE细胞引发组胺诱导的过敏反应恶化中的新作用。
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