Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (31): 5044-5051.doi: 10.3969/j.issn.2095-4344.2114

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Th-17 regulatory cytokines promote interleukins-17A and 17F production by neutrophils during asthma

Wei Jianghong1, Jia Aijun1, Ma Libing1, Wang Yueling2, Qiu Lulu3, Xiao Bing4   

  1. 1Affiliated Hospital of Guilin Medical University, Guilin 541001, Guangxi Zhuang Autonomous Region, China; 2Central South University, Changsha 410008, Hunan Province, China; 3Xiangxi Autonomous Prefecture People’s Hospital, Jishou 416000, Hunan Province, China; 4The Second Xiangya Hospital of Central South University, Changsha 410012, Hunan Province, China
  • Received:2019-01-02 Revised:2019-01-10 Accepted:2019-03-18 Online:2020-11-08 Published:2020-09-04
  • About author:Wei Jianghong, Master, Associate chief physician, Affiliated Hospital of Guilin Medical University, Guilin 541001, Guangxi Zhuang Autonomous Region, China
  • Supported by:
    Guangxi Medical and Health Appropriate Technology Research and Development Project, No. S201316-04 ; Chinese Medicine Science and Technology Project of the Department of Health of Guangxi Zhuang Autonomous Region, No. GZPT1247

Abstract:

BACKGROUND: Th-17 cells and their derived cytokines (interleukins 17, 21, and 22) show an increasing trend in patients with severe asthma, but the specific regulatory mechanism has not yet been determined.

OBJECTIVE: To investigate the effect of Th-17 regulatory cytokines on the expression of interleukin 17 in neutrophils in patients with severe asthma.

METHODS: There were 28 patients with asthma and 28 healthy controls in the study. Peripheral blood neutrophils isolated from all the subjects were stimulated with interleukins 21, 23, and 6 cytokines and their ability to produce interleukin 17A and 17F was determined relative to healthy controls. Signal transducer and activator of transcription 3 (STAT3) phosphorylation levels were measured in stimulated neutrophils using flow cytometry. The requirement for STAT3 phosphorylation was determined by blocking its activation using a specific chemical inhibitor. The study protocol was reviewed and approved by the Ethics Committee of the Affiliated Hospital of Guilin Medical University, with an approval No. 2017-013.

RESULTS AND CONCLUSION: Stimulating asthmatic neutrophils with interleukins 21, 23, and 6 significantly enhanced the production of interleukins-17A and 17F in neutrophils, and increased STAT3 phosphorylation in all the patients compared with the healthy controls. Interestingly, inhibiting STAT3 phosphorylation using a specific chemical inhibitor dramatically blocked the ability of neutrophils to produce interleukin 17, demonstrating that STAT3 activation is the major approach to mediate the expression of interleukin 17 gene. To conclude, neutrophil infiltration in lungs of severe asthmatics may represent an important source of pro-inflammatory interleukins 17A and 17F. STAT3 pathway may be a potential target for regulating neutrophilic inflammation during severe asthma.

Key words: asthma,  cytokines,  inflammatory response,  neutrophils,  Th-17 cells,  STAT3

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