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Hochgerner, M; Sturm, EM; Schnoegl, D; Kwapiszewska, G; Olschewski, H; Marsh, LM.
Low oxygen levels decrease adaptive immune responses and ameliorate experimental asthma in mice.
Allergy. 2022; 77(3):870-882 Doi: 10.1111/all.15020 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Marsh Leigh
Co-Autor*innen der Med Uni Graz
Böhm Eva
Kwapiszewska-Marsh Grazyna
Olschewski Horst
Schnögl Diana
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Abstract:
BACKGROUND: High-altitude therapy has been used as add-on treatment for allergic asthma with considerable success. However, the underlying mechanisms remain unclear. In order to investigate the possible therapeutic effects of high-altitude therapy on allergic asthma, we utilized a new in vivo mouse model. METHODS: Mice were treated with house dust mite (HDM) extract over 4 weeks and co-exposed to 10% oxygen (Hyp) or room air for the final 2 weeks. Experimental asthma was assessed by airway hyper-responsiveness, mucus hypersecretion and inflammatory cell recruitment. Isolated immune cells from mouse and allergic patients were stimulated in vitro with HDM under Hyp and normoxia in different co-culture systems to analyse the adaptive immune response. RESULTS: Compared to HDM-treated mice in room air, HDM-treated Hyp-mice displayed ameliorated mucosal hypersecretion and airway hyper-responsiveness. The attenuated asthma phenotype was associated with strongly reduced activation of antigen-presenting cells (APCs), effector cell infiltration and cytokine secretion. In vitro, hypoxia almost completely suppressed the HDM-induced adaptive immune response in both mouse and human immune cells. While hypoxia did not affect effector T-cell responses per-se, it interfered with antigen-presenting cell (APC) differentiation and APC/effector cell crosstalk. CONCLUSIONS: Hypoxia-induced reduction in the Th2-response to HDM ameliorates allergic asthma in vivo. Hypoxia interferes with APC/T-cell crosstalk and confers an unresponsive phenotype to APCs.

Find related publications in this database (Keywords)
allergy
asthma
dendritic cells
hypoxia
MHC-II
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