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1.
Nat Immunol ; 18(12): 1310-1320, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29035391

RESUMEN

The hygiene hypothesis postulates that the recent increase in allergic diseases such as asthma and hay fever observed in Western countries is linked to reduced exposure to childhood infections. Here we investigated how infection with a gammaherpesvirus affected the subsequent development of allergic asthma. We found that murid herpesvirus 4 (MuHV-4) inhibited the development of house dust mite (HDM)-induced experimental asthma by modulating lung innate immune cells. Specifically, infection with MuHV-4 caused the replacement of resident alveolar macrophages (AMs) by monocytes with regulatory functions. Monocyte-derived AMs blocked the ability of dendritic cells to trigger a HDM-specific response by the TH2 subset of helper T cells. Our results indicate that replacement of embryonic AMs by regulatory monocytes is a major mechanism underlying the long-term training of lung immunity after infection.


Asunto(s)
Asma/terapia , Macrófagos Alveolares/inmunología , Monocitos/inmunología , Pyroglyphidae/inmunología , Rhadinovirus/inmunología , Células Th2/inmunología , Traslado Adoptivo , Animales , Asma/inmunología , Línea Celular , Cricetinae , Células Dendríticas/inmunología , Femenino , Infecciones por Herpesviridae/inmunología , Infecciones por Herpesviridae/virología , Macrófagos Alveolares/citología , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Ratones Noqueados , Células Th2/trasplante
2.
Eur J Immunol ; 50(7): 1034-1043, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32130733

RESUMEN

IL-9 is involved in various T cell-dependent inflammatory models including colitis, encepahlitis, and asthma. However, the regulation and specificity of IL-9 responsiveness by T cells during immune responses remains poorly understood. Here, we addressed this question using two different models: experimental colitis induced by transfer of naive CD4+ CD45RBhigh T cells into immunodeficient mice, and OVA-specific T cell activation. In the colitis model, constitutive IL-9 expression exacerbated inflammation upon transfer of CD4+ CD45RBhigh T cells from WT but not from Il9r-/- mice, indicating that IL-9 acts directly on T cells. Suprisingly, such naïve CD4+ CD45RBhigh T cells failed to express the Il9r or respond to IL-9 in vitro, in contrast with CD4+ CD45RBlow T cells. By using OVA-specific T cells, we observed that T cells acquired the capacity to respond to IL-9 along with CD44 upregulation, after long-lasting (5 to 12 days) in vivo antigenic stimulation. Il9r expression was associated with Th2 and Th17 phenotypes. Interestingly, in contrast to the IL-2 response, antigen restimulation downregulated IL-9 responsiveness. Taken together, our results demonstrate that IL-9 does not act on naïve T cells but that IL-9 responsiveness is acquired by CD4+ T cells after in vivo activation and acquisition of memory markers such as CD44.


Asunto(s)
Traslado Adoptivo/efectos adversos , Colitis/inmunología , Interleucina-9/inmunología , Células Th17/inmunología , Células Th2/inmunología , Animales , Colitis/etiología , Colitis/genética , Colitis/patología , Modelos Animales de Enfermedad , Receptores de Hialuranos/genética , Receptores de Hialuranos/inmunología , Interleucina-2/genética , Interleucina-2/inmunología , Interleucina-9/genética , Ratones , Ratones Noqueados , Ratones SCID , Receptores de Interleucina-9/genética , Receptores de Interleucina-9/inmunología , Células Th17/patología , Células Th17/trasplante , Células Th2/patología , Células Th2/trasplante
3.
Inflamm Res ; 70(5): 539-541, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33811487

RESUMEN

OBJECTIVE: Histamine derived from mast cells and basophils plays important roles in inducing allergic symptoms. Although T cells also produce histamine, the involvement of the histamine produced from T cells has remained enigmatic. We sought to reveal the roles of T helper 2 (Th2) cell-derived histamine in nasal allergic disorders. METHODS: The histamine production from Th2 cells was measured by EIA. The mRNA expression of histidine decarboxylase (HDC) was measured by real-time PCR. To investigate the roles of Th2 cell-derived histamine in vivo, we analyzed an antigen-specific Th2 cell transfer mouse model. RESULTS: Th2 cells produced histamine by T cell receptor stimulation, and these properties were specific for Th2 cells, but not Th1 cells and naïve CD4 T cells. The histamine produced from Th2 cells was involved in the infiltrations of Th2 cells in response to antigen exposure. CONCLUSION: These results suggest that Th2 cell-derived histamine play important roles in nasal allergic disorders.


Asunto(s)
Histamina/inmunología , Mucosa Nasal/inmunología , Rinitis Alérgica/inmunología , Células Th2/inmunología , Alérgenos/inmunología , Animales , Movimiento Celular , Histidina Descarboxilasa/genética , Ratones Endogámicos BALB C , Ratones Noqueados , Ovalbúmina/inmunología , Células Th2/fisiología , Células Th2/trasplante
4.
J Allergy Clin Immunol ; 142(2): 582-594.e10, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-29111212

RESUMEN

BACKGROUND: Asthmatic and allergic inflammation is mediated by TH2 cytokines (IL-4, IL-5, and IL-13). Although we have learned much about how TH2 cells are differentiated, the TH2 checkpoint mechanisms remain elusive. OBJECTIVES: In this study we investigate how monocyte chemotactic protein-induced protein 1 (MCPIP1; encoded by the Zc3h12a gene) regulates IL-5-producing TH2 cell differentiation and TH2-mediated inflammation. METHODS: The functions of Zc3h12a-/- CD4 T cells were evaluated by checking the expression of TH2 cytokines and transcription factors in vivo and in vitro. Allergic airway inflammation of Zc3h12a-/- mice was examined with murine asthma models. In addition, antigen-specific CD4 T cells deficient in MCPIP1 were transferred to wild-type recipient mice, challenged with ovalbumin (OVA) or house dust mite (HDM), and accessed for TH2 inflammation. RESULTS: Zc3h12a-/- mice have spontaneous severe lung inflammation, with an increase in mainly IL-5- and IL-13-producing but not IL-4-producing TH2 cells in the lung. Mechanistically, differentiation of IL-5-producing Zc3h12a-/- TH2 cells is mediated through Notch signaling and Gata3 independent of IL-4. Gata3 mRNA is stabilized in Zc3h12a-/- TH2 cells. MCPIP1 promotes Gata3 mRNA decay through the RNase domain. Furthermore, deletion of MCPIP1 in OVA- or HDM-specific T cells leads to significantly increased TH2-mediated airway inflammation in OVA or HDM murine models of asthma. CONCLUSIONS: Our study reveals that MCPIP1 regulates the development and function of IL-5-producing TH2 cells through the Notch/Gata3 pathway. MCPIP1 represents a new and promising target for the treatment of asthma and other TH2-mediated diseases.


Asunto(s)
Asma/inmunología , Inflamación/inmunología , Hipersensibilidad Respiratoria/inmunología , Ribonucleasas/metabolismo , Células Th2/inmunología , Traslado Adoptivo , Animales , Diferenciación Celular , Células Cultivadas , Modelos Animales de Enfermedad , Factor de Transcripción GATA3/metabolismo , Humanos , Terapia de Inmunosupresión , Interleucina-13/metabolismo , Interleucina-5/metabolismo , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Receptores Notch/metabolismo , Ribonucleasas/genética , Transducción de Señal , Células Th2/trasplante
5.
Immunology ; 152(3): 451-461, 2017 11.
Artículo en Inglés | MEDLINE | ID: mdl-28653395

RESUMEN

Poly-ADP ribose polymerase-14 (PARP14 or ARTD8) was initially identified as a transcriptional co-activator for signal transducer and activator of transcription 6 (Stat6), where the presence of interleukin-4 (IL-4) and activated Stat6 induces the enzymatic activity of PARP14 that promotes T helper type 2 differentiation and allergic airway disease. To further our understanding of PARP14 in allergic disease, we studied the function of PARP14 in allergic inflammation of skin using mice that express constitutively active Stat6 in T cells (Stat6VT) and develop spontaneous inflammation of the skin. We mated Stat6VT mice to Parp14-/- mice and observed that approximately 75% of the Stat6VT × Parp14-/- mice develop severe atopic dermatitis (AD)-like lesions, compared with about 50% of Stat6VT mice, and have increased morbidity compared with Stat6VT mice. Despite this, gene expression in the skin and the cellular infiltrates was only modestly altered by the absence of PARP14. In contrast, we saw significant changes in systemic T-cell cytokine production. Moreover, adoptive transfer experiments demonstrated that decreases in IL-4 production reflected a cell intrinsic role for PARP14 in Th2 cytokine control. Hence, our data suggest that although PARP14 has similar effects on T-cell cytokine production in several allergic disease models, the outcome of those effects is distinct, depending on the target organ of disease.


Asunto(s)
Dermatitis Atópica/prevención & control , Poli(ADP-Ribosa) Polimerasas/metabolismo , Factor de Transcripción STAT6/metabolismo , Piel/enzimología , Traslado Adoptivo , Animales , Células Cultivadas , Citocinas/genética , Citocinas/inmunología , Citocinas/metabolismo , Dermatitis Atópica/enzimología , Dermatitis Atópica/inmunología , Dermatitis Atópica/patología , Modelos Animales de Enfermedad , Regulación de la Expresión Génica , Predisposición Genética a la Enfermedad , Proteínas de Homeodominio/genética , Queratinocitos/inmunología , Queratinocitos/metabolismo , Ratones Endogámicos C57BL , Ratones Noqueados , Fenotipo , Fosforilación , Poli(ADP-Ribosa) Polimerasas/deficiencia , Poli(ADP-Ribosa) Polimerasas/genética , Poli(ADP-Ribosa) Polimerasas/inmunología , Factor de Transcripción STAT6/genética , Factor de Transcripción STAT6/inmunología , Índice de Severidad de la Enfermedad , Transducción de Señal , Piel/inmunología , Piel/patología , Células Th2/inmunología , Células Th2/metabolismo , Células Th2/trasplante , Tirosina
6.
J Immunol ; 195(2): 507-18, 2015 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-26034171

RESUMEN

Neonatal immunity exhibits weak Th1 but excessive Th2 responses, and the underlying mechanisms remain elusive. In this article, we show that neonatal basophils readily produce IL-4, a cytokine that proved to be pivotal in shaping the programs of both lymphocyte subsets. Besides promoting Th2 programs, IL-4 is captured by the IL-4 heteroreceptor (IL-4Rα/IL-13Rα1) expressed on dendritic cells and instigates IL-12 downregulation. Under these circumstances, differentiating Th1 cells upregulate IL-13Rα1, leading to an unusual expression of the heteroreceptor, which will serve as a death marker for these Th1 cells during rechallenge with Ag. The resulting Th1/Th2 imbalance impacts childhood immunity culminating in sensitivity to allergic reactions, susceptibility to microbial infection and perhaps poor efficacy of pediatric vaccines.


Asunto(s)
Basófilos/inmunología , Células Dendríticas/inmunología , Regulación del Desarrollo de la Expresión Génica/inmunología , Células TH1/inmunología , Células Th2/inmunología , Traslado Adoptivo , Secuencia de Aminoácidos , Animales , Animales Recién Nacidos , Basófilos/citología , Basófilos/efectos de los fármacos , Basófilos/trasplante , Células Dendríticas/citología , Células Dendríticas/efectos de los fármacos , Células Dendríticas/trasplante , Femenino , Inmunidad Innata , Interleucina-12/genética , Interleucina-12/inmunología , Subunidad alfa1 del Receptor de Interleucina-13/genética , Subunidad alfa1 del Receptor de Interleucina-13/inmunología , Interleucina-4/genética , Interleucina-4/inmunología , Masculino , Ratones , Ratones Endogámicos BALB C , Ratones Noqueados , Datos de Secuencia Molecular , Ovalbúmina/farmacología , Receptores de Superficie Celular/genética , Receptores de Superficie Celular/inmunología , Transducción de Señal , Células TH1/citología , Células TH1/efectos de los fármacos , Células TH1/trasplante , Células Th2/citología , Células Th2/efectos de los fármacos , Células Th2/trasplante
7.
Eur J Immunol ; 45(4): 1129-40, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25501767

RESUMEN

Via the histamine H4 -receptor (H4 R), histamine promotes the pathogenesis of experimental allergic asthma in mice. Application of H4 R antagonists during sensitization as well as during provocation reduces the severity of the disease. However, the specific cell types functionally expressing H4 R in experimental allergic asthma have not been well characterized in vivo. In this study, we identified the cell type(s) responsible for H4 R activity in experimental asthma and related physiological mechanisms. Using H4 R-deficient mice, we studied the role of H4 R in the sensitization and effector phase. DCs lacking H4 R expression during the in vitro sensitization reaction resulted in effector T cells unable to induce an entire eosinophilic inflammation in the lung upon adoptive transfer in vivo. Recipient mice lacking H4 R expression, which were adoptively transferred with H4 R(+/+) T cells polarized in the presence of H4 R(+/+) DCs, showed reduced signs of inflammation and ameliorated lung function. Here, we provide in vivo evidence that in experimental asthma in mice the H4 R specifically regulates activation of DCs during sensitization, while in the effector phase the H4 R is active in cells involved in the activation of eosinophils, and possibly other cells. A putative therapy targeting the H4 R may be an option for asthma patients developing IL-5-dependent eosinophilia.


Asunto(s)
Asma/inmunología , Células Dendríticas/inmunología , Eosinófilos/inmunología , Inflamación/inmunología , Receptores Acoplados a Proteínas G/inmunología , Receptores Histamínicos/inmunología , Traslado Adoptivo , Alérgenos/inmunología , Animales , Asma/inducido químicamente , Asma/patología , Líquido del Lavado Bronquioalveolar/citología , Antígeno CD11c/metabolismo , Citocinas/inmunología , Modelos Animales de Enfermedad , Histamina/metabolismo , Interleucina-5/inmunología , Pulmón/inmunología , Mastocitos/inmunología , Ratones , Ratones Endogámicos BALB C , Ratones Noqueados , Ovalbúmina , Receptores Acoplados a Proteínas G/antagonistas & inhibidores , Receptores Acoplados a Proteínas G/genética , Receptores Histamínicos/genética , Receptores Histamínicos H4 , Células Th2/inmunología , Células Th2/trasplante
8.
J Immunol ; 193(3): 1353-63, 2014 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-24973442

RESUMEN

Mycoplasmas are a common cause of pneumonia in humans and animals, and attempts to create vaccines have not only failed to generate protective host responses, but they have exacerbated the disease. Mycoplasma pulmonis causes a chronic inflammatory lung disease resulting from a persistent infection, similar to other mycoplasma respiratory diseases. Using this model, Th1 subsets promote resistance to mycoplasma disease and infection, whereas Th2 responses contribute to immunopathology. The purpose of the present study was to evaluate the capacity of cytokine-differentiated dendritic cell (DC) populations to influence the generation of protective and/or pathologic immune responses during M. pulmonis respiratory disease in BALB/c mice. We hypothesized that intratracheal inoculation of mycoplasma Ag-pulsed bone marrow-derived DCs could result in the generation of protective T cell responses during mycoplasma infection. However, intratracheal inoculation (priming) of mice with Ag-pulsed DCs resulted in enhanced pathology in the recipient mice when challenged with mycoplasma. Inoculation of immunodeficient SCID mice with Ag-pulsed DCs demonstrated that this effect was dependent on lymphocyte responses. Similar results were observed when mice were primed with Ag-pulsed pulmonary, but not splenic, DCs. Lymphocytes generated in uninfected mice after the transfer of either Ag-pulsed bone marrow-derived DCs or pulmonary DCs were shown to be IL-13(+) Th2 cells, known to be associated with immunopathology. Thus, resident pulmonary DCs most likely promote the development of immunopathology in mycoplasma disease through the generation of mycoplasma-specific Th2 responses. Vaccination strategies that disrupt or bypass this process could potentially result in a more effective vaccination.


Asunto(s)
Antígenos Bacterianos/administración & dosificación , Células de la Médula Ósea/inmunología , Células Dendríticas/inmunología , Pulmón/inmunología , Mycoplasma pulmonis/inmunología , Neumonía por Mycoplasma/inmunología , Células Th2/inmunología , Administración Intranasal , Animales , Células de la Médula Ósea/microbiología , Células de la Médula Ósea/patología , Células Dendríticas/patología , Células Dendríticas/trasplante , Femenino , Intubación Intratraqueal , Pulmón/microbiología , Pulmón/patología , Ratones , Ratones Endogámicos BALB C , Ratones SCID , Mycoplasma pulmonis/patogenicidad , Neumonía por Mycoplasma/microbiología , Neumonía por Mycoplasma/patología , Células Th2/patología , Células Th2/trasplante
9.
J Allergy Clin Immunol ; 135(3): 781-91.e3, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25441291

RESUMEN

BACKGROUND: Thymic stromal lymphopoietin (TSLP) is a key factor in the development of allergic asthma. Numbers of TH2 memory cells gradually increase in allergic patients with the progression of disease and persist in the lungs during remission, although the mechanism is not clear. OBJECTIVE: We sought to define the role of TSLP in TH2 memory cell generation and maintenance in vivo. METHODS: Adoptive transfer of wild-type and thymic stromal lymphopoietin receptor (TSLPR)-deficient ovalbumin-specific CD4(+) T cells before TH2 sensitization was used to define T cell-specific TSLP effects. Atopic dermatitis and increased serum TSLP concentrations were induced by topical application of the vitamin D3 analog MC903. Memory cells in peripheral blood were monitored weekly with flow cytometry. Memory recall was tested after intranasal ovalbumin challenge. RESULTS: TSLP signaling in CD4(+) T cells is required for the generation/maintenance of memory cells after in vivo priming. TSLPR-deficient CD4(+) T cells have no defects in proliferation but do not survive 1 week after sensitization, and increased TSLP expression during sensitization significantly increased the frequency of memory cells. Although in vitro-differentiated TSLPR-deficient TH2 cells develop into memory cells with equal efficiency to wild-type cells, the recall response to airway antigen challenge is impaired. Moreover, after antigen challenge of mice with established TH2 memory, TSLP signaling in CD4(+) T cells significantly affects memory cell generation/maintenance from secondary effector cells. CONCLUSION: TSLP signaling in CD4(+) T cells is required for not only TH2 memory cell formation in vivo but also the recall response of the memory cells to local antigen challenge.


Asunto(s)
Inmunidad Adaptativa , Citocinas/inmunología , Dermatitis Atópica/inmunología , Inmunidad Innata , Células Th2/inmunología , Animales , Antígenos CD/genética , Antígenos CD/inmunología , Líquido del Lavado Bronquioalveolar/citología , Calcitriol/análogos & derivados , Diferenciación Celular , Citocinas/deficiencia , Citocinas/genética , Células Dendríticas/inmunología , Células Dendríticas/patología , Dermatitis Atópica/inducido químicamente , Dermatitis Atópica/genética , Dermatitis Atópica/patología , Femenino , Regulación de la Expresión Génica , Memoria Inmunológica , Pulmón/inmunología , Pulmón/patología , Ratones , Ratones Endogámicos BALB C , Ratones Transgénicos , Ovalbúmina/administración & dosificación , Transducción de Señal , Células Th2/patología , Células Th2/trasplante , Linfopoyetina del Estroma Tímico
10.
J Allergy Clin Immunol ; 136(2): 433-40.e1, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25746972

RESUMEN

BACKGROUND: IL-9 is important for the growth and survival of mast cells. IL-9 is produced by T cells, natural killer T cells, mast cells, eosinophils, and innate lymphoid cells, although the cells required for mast cell accumulation during allergic inflammation remain undefined. OBJECTIVE: We sought to elucidate the role of TH9 cells in promoting mast cell accumulation in models of allergic lung inflammation. METHODS: Adoptive transfer of ovalbumin-specific TH2 and TH9 cells was used to assess the ability of each subset to mediate mast cell accumulation in tissues. Mast cell accumulation was assessed in wild-type mice and mice with PU.1-deficient T cells subjected to acute and chronic models of allergic inflammation. RESULTS: Adoptive transfer experiments demonstrated that recipients of TH9 cells had significantly higher mast cell accumulation and expression of mast cell proteases compared with control or TH2 recipients. Mast cell accumulation was dependent on IL-9, but not IL-13, a cytokine required for many aspects of allergic inflammation. In models of acute and chronic allergic inflammation, decreased IL-9 levels in mice with PU.1-deficient T cells corresponded to diminished tissue mast cell numbers and expression of mast cell proteases. Mice with PU.1-deficient T cells have defects in IL-9 production from CD4(+) T cells, but not natural killer T cells or innate lymphoid cells, suggesting a TH cell-dependent phenotype. Rag1(-/-) mice subjected to a chronic model of allergic inflammation displayed reduced mast cell infiltration comparable with accumulation in mice with PU.1-deficient T cells, emphasizing the importance of IL-9 produced by T cells in mast cell recruitment. CONCLUSION: TH9 cells are a major source of IL-9 in models of allergic inflammation and play an important role in mast cell accumulation and activation.


Asunto(s)
Hipersensibilidad al Huevo/inmunología , Interleucina-9/inmunología , Mastocitos/inmunología , Linfocitos T Colaboradores-Inductores/inmunología , Células Th2/inmunología , Traslado Adoptivo , Animales , Linaje de la Célula/inmunología , Movimiento Celular , Hipersensibilidad al Huevo/genética , Hipersensibilidad al Huevo/patología , Femenino , Eliminación de Gen , Regulación de la Expresión Génica , Genotipo , Proteínas de Homeodominio/genética , Proteínas de Homeodominio/inmunología , Interleucina-13/genética , Interleucina-13/inmunología , Interleucina-9/genética , Células Asesinas Naturales/inmunología , Células Asesinas Naturales/patología , Mastocitos/patología , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Ovalbúmina , Fenotipo , Proteínas Proto-Oncogénicas/deficiencia , Proteínas Proto-Oncogénicas/genética , Proteínas Proto-Oncogénicas/inmunología , Transducción de Señal , Linfocitos T Colaboradores-Inductores/patología , Linfocitos T Colaboradores-Inductores/trasplante , Células Th2/patología , Células Th2/trasplante , Transactivadores/deficiencia , Transactivadores/genética , Transactivadores/inmunología
11.
Blood ; 121(15): 2864-74, 2013 Apr 11.
Artículo en Inglés | MEDLINE | ID: mdl-23426943

RESUMEN

In experimental models, ex vivo induced T-cell rapamycin resistance occurred independent of T helper 1 (Th1)/T helper 2 (Th2) differentiation and yielded allogeneic CD4(+) T cells of increased in vivo efficacy that facilitated engraftment and permitted graft-versus-tumor effects while minimizing graft-versus-host disease (GVHD). To translate these findings, we performed a phase 2 multicenter clinical trial of rapamycin-resistant donor CD4(+) Th2/Th1 (T-Rapa) cells after allogeneic-matched sibling donor hematopoietic cell transplantation (HCT) for therapy of refractory hematologic malignancy. T-Rapa cell products, which expressed a balanced Th2/Th1 phenotype, were administered as a preemptive donor lymphocyte infusion at day 14 post-HCT. After T-Rapa cell infusion, mixed donor/host chimerism rapidly converted, and there was preferential immune reconstitution with donor CD4(+) Th2 and Th1 cells relative to regulatory T cells and CD8(+) T cells. The cumulative incidence probability of acute GVHD was 20% and 40% at days 100 and 180 post-HCT, respectively. There was no transplant-related mortality. Eighteen of 40 patients (45%) remain in sustained complete remission (range of follow-up: 42-84 months). These results demonstrate the safety of this low-intensity transplant approach and the feasibility of subsequent randomized studies to compare T-Rapa cell-based therapy with standard transplantation regimens.


Asunto(s)
Linfocitos T CD4-Positivos/trasplante , Neoplasias Hematológicas/terapia , Trasplante de Células Madre Hematopoyéticas/métodos , Transfusión de Linfocitos/métodos , Adulto , Anciano , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD4-Positivos/metabolismo , Citocinas/inmunología , Citocinas/metabolismo , Resistencia a Medicamentos/inmunología , Femenino , Perfilación de la Expresión Génica , Enfermedad Injerto contra Huésped/etiología , Enfermedad Injerto contra Huésped/inmunología , Neoplasias Hematológicas/inmunología , Trasplante de Células Madre Hematopoyéticas/efectos adversos , Humanos , Inmunosupresores/administración & dosificación , Inmunosupresores/farmacología , Masculino , Persona de Mediana Edad , Análisis de Secuencia por Matrices de Oligonucleótidos , Inducción de Remisión , Sirolimus/administración & dosificación , Sirolimus/farmacología , Células TH1/inmunología , Células TH1/metabolismo , Células TH1/trasplante , Células Th2/inmunología , Células Th2/metabolismo , Células Th2/trasplante , Factores de Tiempo , Trasplante Homólogo , Resultado del Tratamiento , Adulto Joven
12.
Scand J Immunol ; 82(2): 125-34, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25998164

RESUMEN

In atopic dermatitis (AD), the inflammatory response between skin-infiltrating T cells and keratinocytes is fundamental to the development of chronic lesional eczema. The aim of this study was to investigate whether skin-derived T cells from AD patients could induce an inflammatory response in mice through keratinocyte activation and consequently cause the development of eczematous lesions. Punch biopsies of the lesional skin from AD patients were used to establish skin-derived T cell cultures, which were transferred to NOD.Cg-Prkd(scid) Il2rg(tm1Sug) /JicTac (NOG) mice. We found that the subcutaneous injection of the human AD skin-derived T cells resulted in the migration of the human T cells from subcutis to the papillary dermis followed by the development of erythema and oedema in the mouse skin. Furthermore, the human T cells induced a transient proliferative response in the mouse keratinocytes shown as increased numbers of Ki-67(+) keratinocytes and increased epidermal thickness. Out of six established AD skin-derived T cell cultures, two were superior at inducing a skin reaction in the mice, and these cultures were found to contain >10% CCR10(+) T cells compared to <2% for the other cultures. In comparison, blood-derived in vitro-differentiated Th2 cells only induced a weak response in a few of the mice. Thus, we conclude that human AD skin-derived T cells can induce a reaction in the mouse skin through the induction of a proliferative response in the mouse keratinocytes.


Asunto(s)
Dermatitis Atópica/inmunología , Queratinocitos/inmunología , Piel/inmunología , Células Th2/inmunología , Células Th2/trasplante , Adulto , Animales , Relación CD4-CD8 , Calgranulina A/biosíntesis , Movimiento Celular/inmunología , Proliferación Celular , Eccema/inmunología , Femenino , Humanos , Inflamación/inmunología , Interleucina-2/farmacología , Interleucina-4/farmacología , Recuento de Linfocitos , Masculino , Ratones , Ratones Endogámicos NOD , Ratones SCID , Persona de Mediana Edad , Piel/citología , Trasplante Heterólogo , Adulto Joven
13.
J Immunol ; 190(5): 2241-51, 2013 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-23365075

RESUMEN

Alzheimer's disease (AD) is characterized by the presence of amyloid-ß (Aß)-containing plaques, neurofibrillary tangles, and neuronal loss in the brain. Inflammatory changes, typified by activated microglia, particularly adjacent to Aß plaques, are also a characteristic of the disease, but it is unclear whether these contribute to the pathogenesis of AD or are a consequence of the progressive neurodegenerative processes. Furthermore, the factors that drive the inflammation and neurodegeneration remain poorly understood. CNS-infiltrating T cells play a pivotal role in the pathogenesis of multiple sclerosis, but their role in the progression of AD is still unclear. In this study, we examined the role of Aß-specific T cells on Aß accumulation in transgenic mice that overexpress amyloid precursor protein and presenilin 1 (APP/PS1). We found significant infiltration of T cells in the brains of APP/PS1 mice, and a proportion of these cells secreted IFN-γ or IL-17. Aß-specific CD4 T cells generated by immunization with Aß and a TLR agonist and polarized in vitro to Th1-, Th2-, or IL-17-producing CD4(+) T cells, were adoptively transferred to APP/PS1 mice at 6 to 7 mo of age. Assessment of animals 5 wk later revealed that Th1 cells, but not Th2 or IL-17-producing CD4(+) T cells, increased microglial activation and Aß deposition, and that these changes were associated with impaired cognitive function. The effects of Th1 cells were attenuated by treatment of the APP/PS1 mice with an anti-IFN-γ Ab. Our study suggests that release of IFN-γ from infiltrating Th1 cells significantly accelerates markers of diseases in an animal model of AD.


Asunto(s)
Enfermedad de Alzheimer/inmunología , Péptidos beta-Amiloides/genética , Encéfalo/inmunología , Interferón gamma/inmunología , Microglía/inmunología , Placa Amiloide/patología , Células TH1/inmunología , Traslado Adoptivo , Enfermedad de Alzheimer/patología , Péptidos beta-Amiloides/inmunología , Precursor de Proteína beta-Amiloide/genética , Precursor de Proteína beta-Amiloide/inmunología , Animales , Anticuerpos/farmacología , Encéfalo/efectos de los fármacos , Encéfalo/patología , Movimiento Celular/efectos de los fármacos , Modelos Animales de Enfermedad , Expresión Génica , Interferón gamma/antagonistas & inhibidores , Interferón gamma/metabolismo , Interleucina-17/genética , Interleucina-17/inmunología , Ratones , Ratones Transgénicos , Microglía/efectos de los fármacos , Microglía/patología , Placa Amiloide/inmunología , Presenilina-1/genética , Presenilina-1/inmunología , Células TH1/patología , Células TH1/trasplante , Células Th17/inmunología , Células Th17/patología , Células Th17/trasplante , Células Th2/inmunología , Células Th2/patología , Células Th2/trasplante
14.
Gastroenterology ; 142(1): 96-108, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-21983080

RESUMEN

BACKGROUND & AIMS: Induction of colitis in mice by administration of oxazolone is mediated by T-helper (Th) 2 cells and has features of human ulcerative colitis. We investigated whether activation of interleukin (IL)-4Rα on T and B cells determines their effector functions and mediates oxazolone-induced colitis. METHODS: We studied induction of colitis with oxazolone in wild-type mice and those with CD4(+) T cells that did not express IL-4Rα (Lck(cre)IL-4Rα(-/lox)). We also generated mice with B cells that did not express IL-4Rα (mb1(cre)IL-4Rα(-/lox)) and studied induction of colitis. RESULTS: Lck(cre)IL-4Rα(-/lox) mice did not develop colitis in response to oxazolone, and their levels of IL-4, IL-13, and immunoglobulin (Ig) E were reduced. Adoptive transfer of naïve, wild-type CD4(+) Th cells depleted of natural killer T cells to Lck(cre)IL-4Rα(-/lox) mice restored their susceptibility to colitis. In contrast, Lck(cre)IL-4Rα(-/lox) mice maintained their protection against colitis when IL-13-deficient CD4(+) T cells were transferred. These findings indicate that development of colitis involves not only natural killer T-cell functions, but also requires IL-13 production by CD4(+) T helper cells. Mb1(cre)IL-4Rα(-/lox) mice, which cannot produce IgE, were also protected against oxazolone-induced colitis. Blocking IgE binding significantly reduced mast cell numbers in colons and protected wild-type BALB/c mice from the onset of colitis. CONCLUSIONS: IL-4 appears to induce CD4(+) Th2 cells to produce IL-13 and B cells to produce IgE, which together mediate oxazolone-induced colitis in mice.


Asunto(s)
Linfocitos B/inmunología , Colitis/inmunología , Colon/inmunología , Inmunoglobulina E/metabolismo , Traslado Adoptivo , Animales , Anticuerpos Neutralizantes/administración & dosificación , Células Cultivadas , Colitis/inducido químicamente , Colitis/genética , Colitis/patología , Colitis/prevención & control , Colon/patología , Modelos Animales de Enfermedad , Susceptibilidad a Enfermedades , Interleucina-13/metabolismo , Interleucina-4/metabolismo , Masculino , Mastocitos/inmunología , Ratones , Ratones Endogámicos BALB C , Ratones Noqueados , Células T Asesinas Naturales/inmunología , Oxazolona , Receptores de Superficie Celular/deficiencia , Receptores de Superficie Celular/genética , Transducción de Señal , Células Th2/inmunología , Células Th2/trasplante , Factores de Tiempo
15.
J Immunol ; 187(12): 6197-207, 2011 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-22075698

RESUMEN

CARMA1 is a lymphocyte-specific scaffold protein necessary for T cell activation. Deletion of CARMA1 prevents the development of allergic airway inflammation in a mouse model of asthma due to a defect in naive T cell activation. However, it is unknown if CARMA1 is important for effector and memory T cell responses after the initial establishment of inflammation, findings that would be more relevant to asthma therapies targeted to CARMA1. In the current study, we sought to elucidate the role of CARMA1 in T cells that have been previously activated. Using mice in which floxed CARMA1 exons can be selectively deleted in T cells by OX40-driven Cre recombinase (OX40(+/Cre)CARMA1(F/F)), we report that CD4(+) T cells from these mice have impaired T cell reactivation responses and NF-κB signaling in vitro. Furthermore, in an in vivo recall model of allergic airway inflammation that is dependent on memory T cell function, OX40(+/Cre)CARMA1(F/F) mice have attenuated eosinophilic airway inflammation, T cell activation, and Th2 cytokine production. Using MHC class II tetramers, we demonstrate that the development and maintenance of Ag-specific memory T cells is not affected in OX40(+/Cre)CARMA1(F/F) mice. In addition, adoptive transfer of Th2-polarized OX40(+/Cre)CARMA1(F/F) Ag-specific CD4(+) T cells into wild-type mice induces markedly less airway inflammation in response to Ag challenge than transfer of wild-type Th2 cells. These data demonstrate a novel role for CARMA1 in effector and memory T cell responses and suggest that therapeutic strategies targeting CARMA1 could help treat chronic inflammatory disorders such as asthma.


Asunto(s)
Asma/inmunología , Proteínas Adaptadoras de Señalización CARD/fisiología , Células Th2/inmunología , Enfermedad Aguda , Traslado Adoptivo , Animales , Asma/genética , Asma/patología , Proteínas Adaptadoras de Señalización CARD/deficiencia , Proteínas Adaptadoras de Señalización CARD/genética , Polaridad Celular/genética , Polaridad Celular/inmunología , Células Cultivadas , Enfermedad Crónica , Modelos Animales de Enfermedad , Memoria Inmunológica/genética , Memoria Inmunológica/inmunología , Mediadores de Inflamación/antagonistas & inhibidores , Mediadores de Inflamación/fisiología , Integrasas/genética , Activación de Linfocitos/genética , Activación de Linfocitos/inmunología , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Ratones Transgénicos , Receptores de Antígenos de Linfocitos T/genética , Receptores de Antígenos de Linfocitos T/fisiología , Receptores OX40/biosíntesis , Receptores OX40/genética , Hipersensibilidad Respiratoria/genética , Hipersensibilidad Respiratoria/inmunología , Hipersensibilidad Respiratoria/prevención & control , Células Th2/citología , Células Th2/trasplante
16.
J Immunol ; 186(4): 2571-83, 2011 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-21242523

RESUMEN

Th2 cells induce asthma through the secretion of cytokines. Two such cytokines, IL-4 and IL-13, are critical mediators of many features of this disease. They both share a common receptor subunit, IL-4Rα, and signal through the STAT6 pathway. STAT6(-/-) mice have impaired Th2 differentiation and reduced airway response to allergen. Transferred Th2 cells were not able to elicit eosinophilia in response to OVA in STAT6(-/-) mice. To clarify the role of STAT6 in allergic airway inflammation, we generated mouse bone marrow (BM) chimeras. We observed little to no eosinophilia in OVA-treated STAT6(-/-) mice even when STAT6(+/+) BM or Th2 cells were provided. However, when Th2 cells were transferred to STAT6×Rag2(-/-) mice, we observed an eosinophilic response to OVA. Nevertheless, the expression of STAT6 on either BM-derived cells or lung resident cells enhanced the severity of OVA-induced eosinophilia. Moreover, when both the BM donor and recipient lacked lymphocytes, transferred Th2 cells were sufficient to induce the level of eosinophilia comparable with that of wild-type (WT) mice. The expression of STAT6 in BM-derived cells was more critical for the enhanced eosinophilic response. Furthermore, we found a significantly higher number of CD4(+)CD25(+)Foxp3(+) T cells (regulatory T cells [Tregs]) in PBS- and OVA-treated STAT6(-/-) mouse lungs compared with that in WT animals suggesting that STAT6 limits both naturally occurring and Ag-induced Tregs. Tregs obtained from either WT or STAT6(-/-) mice were equally efficient in suppressing CD4(+) T cell proliferation in vitro. Taken together, our studies demonstrate multiple STAT6-dependent and -independent features of allergic inflammation, which may impact treatments targeting STAT6.


Asunto(s)
Regulación de la Expresión Génica/inmunología , Ovalbúmina/inmunología , Hipersensibilidad Respiratoria/inmunología , Hipersensibilidad Respiratoria/patología , Factor de Transcripción STAT6/fisiología , Animales , Células de la Médula Ósea/inmunología , Células de la Médula Ósea/patología , Células Cultivadas , Técnicas de Cocultivo , Inmunofenotipificación , Inflamación/inmunología , Inflamación/metabolismo , Inflamación/patología , Pulmón/inmunología , Pulmón/patología , Cooperación Linfocítica/genética , Cooperación Linfocítica/inmunología , Macrófagos/inmunología , Macrófagos/patología , Ratones , Ratones Endogámicos BALB C , Ratones Noqueados , Ratones Transgénicos , Ovalbúmina/administración & dosificación , Hipersensibilidad Respiratoria/genética , Mucosa Respiratoria/inmunología , Mucosa Respiratoria/metabolismo , Mucosa Respiratoria/patología , Factor de Transcripción STAT6/deficiencia , Factor de Transcripción STAT6/genética , Bazo/inmunología , Bazo/patología , Linfocitos T Reguladores/inmunología , Linfocitos T Reguladores/patología , Células Th2/inmunología , Células Th2/patología , Células Th2/trasplante
17.
J Allergy Clin Immunol ; 130(5): 1159-1166.e6, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22738676

RESUMEN

BACKGROUND: The IL-1 family cytokine IL-33 is involved in the induction of airway inflammation in allergic patients and after viral infection. Several cell types, including CD4(+) T(H)2 cells and the recently described type 2 innate lymphoid cells (ILCs), are targets for IL-33, yet the mechanisms by which this cytokine modulates their activation are not clear. OBJECTIVES: Our goal was to investigate a role for mammalian target of rapamycin (mTOR) signaling in the activation of T(H)2 and ILC responses and the induction of airway inflammation by IL-33. METHODS: We biochemically determined the effect of IL-33 on mTOR activation in T(H)2 cells and ILCs and examined the effect of this signaling pathway in vivo using a murine model of IL-33-induced lung inflammation. RESULTS: We found that IL-33 induces mTOR activation through p110δ phosphoinositide 3-kinase and that blockade of the mTOR pathway inhibited IL-33-induced IL-5 and IL-13 production by T(H)2 cells and ILCs. Furthermore, use of a ribosomal protein S6 kinase 1 inhibitor implicated a role for ribosomal protein S6 kinase 1 in IL-33-induced mTOR-dependent cytokine production. Intranasal administration of IL-33 to wild-type mice induced airway inflammation, whereas adoptive transfer of wild-type ILCs to IL-33 receptor-deficient (St2(-/-)) mice recapitulated this response. Importantly, coadministration of the mTOR inhibitor rapamycin reduced IL-33-dependent ILC, macrophage, and eosinophil accumulation; cytokine secretion; and mucus deposition in the airways. CONCLUSION: These data reveal a hitherto unrecognized role of mTOR signaling in IL-33-driven, ILC-dependent inflammation in vivo and suggest that manipulation of this pathway might represent a target for therapeutic intervention for airway inflammation.


Asunto(s)
Interleucinas/administración & dosificación , Neumonía/tratamiento farmacológico , Neumonía/inmunología , Serina-Treonina Quinasas TOR/metabolismo , Células Th2/efectos de los fármacos , Animales , Células Cultivadas , Fosfatidilinositol 3-Quinasa Clase Ia/metabolismo , Humanos , Inmunidad Celular/efectos de los fármacos , Inmunidad Celular/genética , Inmunidad Innata/efectos de los fármacos , Inmunidad Innata/genética , Proteína 1 Similar al Receptor de Interleucina-1 , Interleucina-13/metabolismo , Interleucina-33 , Interleucina-5/metabolismo , Ratones , Ratones Endogámicos BALB C , Ratones Noqueados , Neumonía/inducido químicamente , Receptores de Interleucina/genética , Proteínas Quinasas S6 Ribosómicas/metabolismo , Transducción de Señal/efectos de los fármacos , Células Th2/inmunología , Células Th2/trasplante
18.
Gastroenterology ; 141(1): 249-58, 258.e1-2, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21569774

RESUMEN

BACKGROUND & AIMS: Oral tolerance is an important component of gastrointestinal homeostasis, but mechanisms of its development are not fully understood. Loss of oral tolerance occurs during food allergen-related inflammation in the gastrointestinal tract. Interferon (IFN)-λ regulates immunity, but its role in oral tolerance is not clear. We investigated the role and the mechanism of IFN-λ in the development of oral tolerance and its effect on antigen-induced, T-helper (Th)-2 cell-mediated inflammation in the intestine. METHODS: Expression of IFN-λ and its receptor were analyzed by immunohistochemical, flow cytometric, or immunoblot analyses. Tolerogenic dendritic cells (DCs) and regulatory T cells were examined in vitro and in vivo. A mouse model of antigen-induced, Th2 cell-mediated intestinal inflammation was used to examine the role of IFN-λ and T cells in oral tolerance in the intestine. RESULTS: CD3+ cells expressed the IFN-λ receptor, which was up-regulated following antigen-specific or nonspecific activation. Interaction between IFN-λ and its receptor induced apoptosis of T cells and their subsequent phagocytosis by DCs. This led to the generation of tolerogenic DCs and T regulatory cells in vitro and in vivo. Passive transfer of IFN-λ-primed CD3+ cells inhibited Th2 cell-mediated inflammation in the intestine. CONCLUSIONS: IFN-λ is involved in development and maintenance of oral tolerance in the intestines of mice; it might be used to suppress antigen-specific Th2 cell-mediated inflammation in patients.


Asunto(s)
Complejo CD3/inmunología , Citocinas/inmunología , Enteritis/inmunología , Tolerancia Inmunológica , Inmunidad Mucosa , Intestinos/inmunología , Mucosa Bucal/inmunología , Células Th2/inmunología , Animales , Apoptosis , Western Blotting , Células Cultivadas , Células Dendríticas/inmunología , Modelos Animales de Enfermedad , Enteritis/genética , Enteritis/patología , Enteritis/prevención & control , Citometría de Flujo , Genes Codificadores de los Receptores de Linfocitos T , Inmunohistoquímica , Intestinos/patología , Ratones , Ratones Endogámicos BALB C , Ratones Transgénicos , Ovalbúmina , Fagocitosis , Receptores de Citocinas/inmunología , Células Th2/patología , Células Th2/trasplante
19.
Eur J Immunol ; 41(2): 514-26, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-21268020

RESUMEN

The aim of this study was to investigate the effects of IL-17-producing T cells, including Th17 and Tc17 cells, on acute graft-versus-host disease (aGVHD) in patients who had undergone granulocyte colony-stimulating factor (G-CSF)-mobilised peripheral blood progenitor cell (PBPC) and G-CSF-primed bone marrow (G-BM) transplantation. Allografts from forty-one patients were analysed for IL-17-producing T cells with respect to aGVHD. Furthermore, ten patients with aGVHD onset were monitored for the presence of Th17 cells in the peripheral blood by flow cytometry. Patients who received a higher dose of Th17 cells in the G-BM (>8.5 × 10(4) /kg, p=0.005) or a higher dose of Tc17 cells in PBPC (>16.8 × 10(4) /kg, p=0.001) exhibited a higher incidence of aGVHD. An increased Th17 population (up to 4.99% CD4(+) T lymphocytes) was observed in patients with aGVHD onset. In contrast, the percentage of Th17 population decreased drastically in aGVHD patients following treatment to achieve partial and complete remission (p=0.013 and p=0.008, respectively). All percentages of Th17 and Tc17 cells were significantly reduced after in vivo G-CSF application. Our results suggested that IL-17-producing T cells contributed to aGVHD. The application of G-CSF in vivo aided in reducing the occurrence of aGVHD through a decrease in IL-17 secretion by T cells.


Asunto(s)
Linfocitos T CD8-positivos/inmunología , Enfermedad Injerto contra Huésped/inmunología , Trasplante de Células Madre Hematopoyéticas/métodos , Interleucina-17/metabolismo , Células Th17/inmunología , Adolescente , Adulto , Sangre/efectos de los fármacos , Linfocitos T CD8-positivos/citología , Linfocitos T CD8-positivos/metabolismo , Linfocitos T CD8-positivos/trasplante , Recuento de Células , Niño , Femenino , Enfermedad Injerto contra Huésped/diagnóstico , Enfermedad Injerto contra Huésped/tratamiento farmacológico , Enfermedad Injerto contra Huésped/epidemiología , Enfermedad Injerto contra Huésped/patología , Factor Estimulante de Colonias de Granulocitos/farmacología , Antígenos HLA/inmunología , Neoplasias Hematológicas/terapia , Movilización de Célula Madre Hematopoyética/métodos , Histocompatibilidad/inmunología , Humanos , Donadores Vivos , Recuento de Linfocitos , Masculino , Persona de Mediana Edad , Análisis Multivariante , Valor Predictivo de las Pruebas , Inducción de Remisión , Células TH1/citología , Células TH1/trasplante , Células Th17/citología , Células Th17/trasplante , Células Th2/citología , Células Th2/trasplante , Trasplante Homólogo/inmunología , Adulto Joven
20.
J Exp Med ; 201(6): 981-91, 2005 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-15781587

RESUMEN

Although dendritic cells (DCs) play an important role in sensitization to inhaled allergens, their function in ongoing T helper (Th)2 cell-mediated eosinophilic airway inflammation underlying bronchial asthma is currently unknown. Here, we show in an ovalbumin (OVA)-driven murine asthma model that airway DCs acquire a mature phenotype and interact with CD4(+) T cells within sites of peribronchial and perivascular inflammation. To study whether DCs contributed to inflammation, we depleted DCs from the airways of CD11c-diphtheria toxin (DT) receptor transgenic mice during the OVA aerosol challenge. Airway administration of DT depleted CD11c(+) DCs and alveolar macrophages and abolished the characteristic features of asthma, including eosinophilic inflammation, goblet cell hyperplasia, and bronchial hyperreactivity. In the absence of CD11c(+) cells, endogenous or adoptively transferred CD4(+) Th2 cells did not produce interleukin (IL)-4, IL-5, and IL-13 in response to OVA aerosol. In CD11c-depleted mice, eosinophilic inflammation and Th2 cytokine secretion were restored by adoptive transfer of CD11c(+) DCs, but not alveolar macrophages. These findings identify lung DCs as key proinflammatory cells that are necessary and sufficient for Th2 cell stimulation during ongoing airway inflammation.


Asunto(s)
Asma/inmunología , Antígeno CD11c/inmunología , Células Dendríticas/inmunología , Pulmón/inmunología , Células Th2/inmunología , Traslado Adoptivo , Aerosoles/administración & dosificación , Alérgenos/administración & dosificación , Alérgenos/inmunología , Animales , Asma/inducido químicamente , Asma/genética , Antígeno CD11c/genética , Citocinas/inmunología , Toxina Diftérica/genética , Toxina Diftérica/inmunología , Eosinófilos/inmunología , Inflamación/inducido químicamente , Inflamación/genética , Inflamación/inmunología , Pulmón/citología , Macrófagos Alveolares/inmunología , Ratones , Ratones Endogámicos BALB C , Ratones Transgénicos , Ovalbúmina/administración & dosificación , Células Th2/trasplante
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