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Allergology International
Article . 2022 . Peer-reviewed
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Allergology International
Article . 2022
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Decreased expression of airway epithelial Axl is associated with eosinophilic inflammation in severe asthma

Authors: Itakura, Koji; Fujino, Naoya; Kamide, Yosuke; Saito, Ikuo; Yamada, Mitsuhiro; Okutomo, Koji; Tsukita, Yoko; +11 Authors

Decreased expression of airway epithelial Axl is associated with eosinophilic inflammation in severe asthma

Abstract

Airway epithelium-derived cytokines are critical to provoke and perpetuate type 2 inflammation in asthma. Yet it is poorly understood how this epithelial cell-driven inflammatory response is negatively regulated. We previously reported that Axl receptor tyrosine kinase was expressed by basal cells in the airway epithelium and had a role in defining their stem cell identity. However, whether and how Axl regulates airway type 2 inflammation remains unknown.We performed immunofluorescence staining to compare Axl expression in airway epithelium between non-asthmatic subjects, mild-moderate asthma and severe asthma. We confirmed this result by interrogating public databases of global gene expression in endobronchial biopsies. We then quantified eosinophil numbers infiltrating into the trachea of wild-type or Axl-knockout mice that were intranasally treated with house dust mite extracts (HDM). Cell-based assays using siRNA targeting Axl were further performed to identify molecules involved in Axl-mediated regulation of inflammation.Histological assessments and transcriptome analyses revealed decreases in protein and mRNA of Axl in airway basal cells of severe asthmatics. This reduction of Axl expression was correlated with infiltration of eosinophils and mast cells in severe asthmatics. Eosinophil infiltration was more evident in the trachea of Axl-knockout mice in response to repetitive HDM administration. siRNA-mediated knockdown of Axl increased mRNA and protein expression of granulocyte macrophage-colony stimulating factor (GM-CSF) in human bronchial epithelial cells.Axl kinase expressed by basal cells may suppress excessive eosinophilic inflammation via inhibition of GM-CSF in the airway. Axl reduction has clinical implications for the pathogenesis of severe asthma.

Keywords

Axl receptor tyrosine kinase, RNA, Messenger/metabolism, Messenger/metabolism, Small Interfering, Mice, Proto-Oncogene Proteins, Granulocyte-Macrophage Colony-Stimulating Factor/genetics, Animals, Humans, RNA, Messenger, RNA, Small Interfering, Granulocyte-macrophage colony-stimulating factor, Inflammation, Asthma/drug therapy, Eosinophils/metabolism, Receptor Protein-Tyrosine Kinases/genetics, Inflammation/metabolism, Granulocyte-Macrophage Colony-Stimulating Factor, Receptor Protein-Tyrosine Kinases, RC581-607, Eosinophilic inflammation, Axl Receptor Tyrosine Kinase, Asthma, Eosinophils, Proto-Oncogene Proteins/genetics, Airway, RNA, Immunologic diseases. Allergy

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    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Top 10%
Average
Average
Green
gold