Asthma-related environmental fungus, Alternaria, activates dendritic cells and produces potent Th2 adjuvant activity

Takao Kobayashi1, Koji Iijima, Suresh Radhakrishnan

  • 1Division of Allergic Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.

Insights

Environmental fungi like Alternaria can worsen asthma by boosting Th2-like immune responses. This study shows Alternaria acts as an adjuvant, enhancing airway inflammation and allergic reactions in mice.

Area of Science:

  • Immunology
  • Environmental Health
  • Allergy Research

Background:

  • Asthma pathogenesis involves dysregulated T helper 2 (Th2)-like airway inflammation.
  • Environmental fungi, particularly Alternaria, are increasingly linked to asthma development and exacerbation.
  • The precise mechanisms by which fungi influence allergic airway responses remain incompletely understood.

Purpose of the Study:

  • To investigate the immunomodulatory mechanisms of environmental fungi, using Alternaria as a model.
  • To determine if Alternaria can act as a Th2 adjuvant in airway allergic responses.
  • To elucidate the role of Alternaria-exposed dendritic cells (DCs) in T cell polarization.

Main Methods:

  • Mice were exposed to allergens (OVA, ragweed) with or without fungal extracts (Alternaria, Aspergillus, Candida).
  • Bone marrow-derived dendritic cells (DCs) were stimulated with Alternaria in vitro to assess surface molecule expression and cytokine production (IL-12).
  • OVA-pulsed DCs, pre-treated with Alternaria, were adoptively transferred to recipient mice to evaluate airway immune responses.

Main Results:

  • Alternaria extract significantly enhanced Th2-like immune responses to allergens in mice, unlike other fungi tested.
  • Alternaria stimulated DCs to upregulate MHC class II and costimulatory molecules (OX40 ligand) and inhibited IL-12 production.
  • DCs exposed to Alternaria promoted Th2 polarization of CD4(+) T cells and led to increased IgE antibody production in recipient mice.

Conclusions:

  • The environmental fungus Alternaria exhibits potent Th2-like adjuvant properties in the airways.
  • Alternaria's ability to modulate DC function and promote Th2 responses contributes to its association with asthma.
  • These findings highlight the immunogenic potential of environmental fungi in allergic airway diseases.

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