[HTML][HTML] A fungal protease allergen provokes airway hyper-responsiveness in asthma

NA Balenga, M Klichinsky, Z Xie, EC Chan… - Nature …, 2015 - nature.com
NA Balenga, M Klichinsky, Z Xie, EC Chan, M Zhao, J Jude, M Laviolette, RA Panettieri Jr
Nature communications, 2015nature.com
Asthma, a common disorder that affects> 250 million people worldwide, is defined by
exaggerated bronchoconstriction to inflammatory mediators including acetylcholine (ACh),
bradykinin and histamine—also termed airway hyper-responsiveness. Nearly 10% of people
with asthma have severe, treatment-resistant disease, which is frequently associated with
immunoglobulin-E sensitization to ubiquitous fungi, typically Aspergillus fumigatus (Af). Here
we show that a major Af allergen, Asp f13, which is a serine protease, alkaline protease 1 …
Abstract
Asthma, a common disorder that affects >250 million people worldwide, is defined by exaggerated bronchoconstriction to inflammatory mediators including acetylcholine (ACh), bradykinin and histamine—also termed airway hyper-responsiveness. Nearly 10% of people with asthma have severe, treatment-resistant disease, which is frequently associated with immunoglobulin-E sensitization to ubiquitous fungi, typically Aspergillus fumigatus (Af). Here we show that a major Af allergen, Asp f13, which is a serine protease, alkaline protease 1 (Alp 1), promotes airway hyper-responsiveness by infiltrating the bronchial submucosa and disrupting airway smooth muscle (ASM) cell-extracellular matrix (ECM) interactions. Alp 1-mediated ECM degradation evokes pathophysiological RhoA-dependent Ca2+ sensitivity and bronchoconstriction. These findings support a pathogenic mechanism in asthma and other lung diseases associated with epithelial barrier impairment, whereby ASM cells respond directly to inhaled environmental allergens to generate airway hyper-responsiveness.
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