Published ahead of print on May 4, 2006, doi:10.1164/rccm.200507-1175OC Am. J. Respir. Crit. Care Med., Volume 174, Number 2, July 2006, 152-160 A more recent version of this article appeared on July 15, 2006
Submitted on July 29, 2005 Macrophage Reprogramming by Mycolic Acid Promotes a Tolerogenic Response in Experimental AsthmaJohanna E Korf1,1 Flanders Institute for Biotechnology, Molecular Immunology Unit, Department of Molecular Biomedical Research, Ghent University, Ghent, Belgium; Unit of Cellular and Molecular Immunology, Department of Molecular and Cellular Interactions, Vrije Universiteit Brussel, Brussels, Belgium, 2 Flanders Institute for Biotechnology, Molecular Immunology Unit, Department of Molecular Biomedical Research, Ghent University, Ghent, Belgium, 3 Department of Respiratory Diseases, Ghent University Hospital, Ghent, Belgium, 4 University Medical Center Groningen, Laboratory of Allergology and Pulmonary Diseases, University of Groningen, Groningen, The Netherlands, 5 Department of Biochemistry, University of Pretoria, South Africa, 6 Unit of Cellular and Molecular Immunology, Department of Molecular and Cellular Interactions, Vrije Universiteit Brussel, Brussels, Belgium * To whom correspondence should be addressed. E-mail: johan.grooten{at}dmbr.UGent.be.
Rationale: Mycolic acid (MA) constitutes a major and distinguishing cell wall biolipid from Mycobacterium tuberculosis. MA interferes with the lipid homeostasis of alveolar macrophages, inducing differentiation into foamy macrophages exhibiting increased proinflammatory function.
Objectives: We verified the interference of this altered macrophage function with inhaled antigen-triggered allergic airway inflammation and underlying Th2 lymphocyte reactivity.
Methods: Using ovalbumin (OVA) as model allergen, C57BL/6 or BALB/C mice were sensitized by OVA-alum immunization. Experimental asthma, triggered subsequently by repetitive nebulized OVA inhalation, was assessed using as readout parameters eosinophilia, peribronchial inflammation and Th2 cytokine function.
Measurements and Main Results: A single intratracheal treatment of sensitized mice with MA, inserted into liposomes as carriers, prevented the onset of OVA-triggered allergic airway inflammation and promoted unresponsiveness to a secondary set of allergen exposures. The development of this tolerant condition required an 8-day lapse following MA-instillation, coinciding with the appearance of foamy alveolar macrophages. MA-conditioned CD11b+F4/80+ macrophages, transferred to the airways, mimicked the tolerogenic function of instilled MA, however without the 8-day lapse requirement. Indicative for a macrophage-mediated tolerogenic antigen-presenting function, MHC-mismatched donor macrophages failed to promote tolerance. Furthermore, Treg markers were strongly increased and established tolerance was lost following in situ depletion of CD25+ Treg cells. Contrarily to the IL-10-dependence of tolerogenic dendritic cells, IFN- Key words: Allergic airway inflammation, mycolic acid, Mycobacterium tuberculosis, tolerance, foamy macrophages
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