Mucosal Immunol. 2023 Jul 26. pii: S1933-0219(23)00054-5. [Epub ahead of print]
Bodie Curren,
Tufael Ahmed,
Daniel R Howard,
Md Ashik Ullah,
Ismail Sebina,
Ridwan B Rashid,
Md Al Amin Sikder,
Patricia Namubiru,
Alec Bissell,
Sylvia Ngo,
David J Jackson,
Marie Toussaint,
Michael R Edwards,
Sebastian L Johnston,
Henry J McSorley,
Simon Phipps.
Rhinovirus-induced neutrophil extracellular traps (NETs) contribute to acute asthma exacerbations, however the molecular factors that trigger NETosis in this context remain ill-defined. Here, we sought to implicate a role for IL-33, an epithelial cell-derived alarmin rapidly released in response to infection. In mice with chronic experimental asthma (CEA), but not naïve controls, rhinovirus inoculation induced an early (1 day post infection; dpi) inflammatory response dominated by neutrophils, neutrophil-associated cytokines (IL-1α, IL-1β, CXCL1) and NETosis, followed by a later, type-2 inflammatory phase (3-7 dpi), characterized by eosinophils, elevated IL-4 levels, and goblet cell hyperplasia. Notably, both phases were ablated by HpARI (Heligmosomoides polygyrus Alarmin Release Inhibitor), which blocks IL-33 release and signalling. Instillation of exogenous IL-33 recapitulated the rhinovirus-induced early phase, including the increased presence of NETs in the airway mucosa, in a PAD4-dependent manner. Ex vivo IL-33-stimulated neutrophils from mice with CEA, but not naïve mice, underwent NETosis, and produced greater amounts of IL-1α/β IL-4, and IL-5. In nasal samples from rhinovirus-infected people with asthma, but not healthy controls, IL-33 levels correlated with neutrophil elastase and dsDNA. Our findings suggest that IL-33 blockade ameliorates the severity of an asthma exacerbation by attenuating neutrophil recruitment and the downstream generation of NETs.
Keywords: Asthma; HpARI; IL-33; NETosis; PAD4; ST2; dsDNA; eosinophil; neutrophil; rhinovirus