stat3依赖性调节CFTR和纤毛发生对高ige综合征的纤毛粘液清除和先天气道防御至关重要。

IF 19.3 1区 医学 Q1 CRITICAL CARE MEDICINE
Ling Sun, Samantha A Walls, Hong Dang, Nancy L Quinney, Patrick R Sears, Taraneh Sadritabrizi, Koichi Hasegawa, Kenichi Okuda, Takanori Asakura, Xiuya Chang, Meiqi Zheng, Yu Mikami, Felicia U Dizmond, Daniela Danilova, Lynn Zhou, Anshulika Deshmukh, Deborah M Cholon, Giorgia Radicioni, Troy D Rogers, William J Kissner, Matthew R Markovetz, Tara N Guhr Lee, Mark I Gutay, Charles R Esther, Michael Chua, Barbara R Grubb, Camille Ehre, Mehmet Kesimer, David B Hill, Lawrence E Ostrowski, Brian Button, Martina Gentzsch, Chevalia Robinson, Kenneth N Olivier, Alexandra F Freeman, Scott H Randell, Eszter Vladar, Wanda K O'Neal, Richard C Boucher, Gang Chen
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Effects of STAT3 deficiency on transcriptomics, epithelial ion channel, secretory, antimicrobial, and ciliary functions were assessed.</p><p><strong>Measurements and main results: </strong>STAT3-HIES sputum showed increased mucus concentration and viscoelasticity. STAT3-HIES excised lungs exhibited mucus obstruction and elevated IL1β expression. STAT3 mutations reduced CFTR mRNA and protein levels, impaired CFTR-dependent fluid and mucin secretion, suppressed antimicrobial peptide, cytokine, and chemokine expression, and acidified airway surface liquid at baseline and post-IL1β exposure. Notably, mutant STAT3 suppressed IL1R1 expression. Furthermore, STAT3 mutations impaired multiciliogenesis by blocking commitment to ciliated cell lineages through inhibition of HES6, leading to defective mucociliary transport. 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引用次数: 0

摘要

原理:高IgE综合征(STAT3- hies),也称为Job’s综合征,是一种罕见的免疫缺陷疾病,通常由显性阴性的STAT3突变引起。STAT3-HIES以慢性肺部感染和炎症为特征,提示先天宿主防御受损。目的:确定由STAT3突变引起的气道上皮宿主防御缺陷,这些突变与免疫功能障碍一起导致STAT3- hies患者复发性肺部感染。方法:对痰液进行STAT3-HIES生化及生物物理性质分析。取STAT3-HIES切除肺进行组织学检查;收集支气管刷标本进行RNA测序和体外培养。在基础或炎症(il - 1β)刺激条件下,研究了通过慢病毒和STAT3敲除(CRISPR/Cas9)表达的STAT3- hes特异性R382W突变。评估STAT3缺乏对转录组学、上皮离子通道、分泌、抗菌和纤毛功能的影响。测量结果及主要结果:STAT3-HIES痰液黏液浓度增高,粘弹性增高。STAT3-HIES切除的肺表现为粘液阻塞和il - 1β表达升高。STAT3突变降低CFTR mRNA和蛋白水平,损害CFTR依赖的液体和粘蛋白分泌,抑制抗菌肽、细胞因子和趋化因子的表达,并在基线和il - 1β暴露后酸化气道表面液体。值得注意的是,突变体STAT3抑制了IL1R1的表达。此外,STAT3突变通过抑制HES6阻断对纤毛细胞系的承诺,从而导致纤毛粘膜运输缺陷,从而破坏多纤毛发生。在STAT3 R382W突变细胞中,γ-分泌酶抑制剂恢复HES6表达,促进纤毛发生。结论:STAT3功能障碍导致气道上皮先天防御多组分缺陷,并与免疫缺陷共同导致STAT3- hies的慢性肺部感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
STAT3-dependent Regulation of CFTR and Ciliogenesis Is Essential for Mucociliary Clearance and Innate Airway Defense in Hyper-IgE Syndrome.

Rationale: Hyper IgE syndrome (STAT3-HIES), also known as Job's syndrome, is a rare immunodeficiency disease typically caused by dominant-negative STAT3 mutations. STAT3-HIES is characterized by chronic pulmonary infection and inflammation, suggesting impaired innate host defense.

Objectives: To identify airway epithelial host defense defects caused by STAT3 mutations that, together with immune dysfunction, contribute to recurrent pulmonary infections in STAT3-HIES.

Methods: STAT3-HIES sputum was analyzed for biochemical and biophysical properties. STAT3-HIES excised lungs were harvested for histology; and bronchial brush samples were collected for RNA sequencing and in vitro culture. A STAT3-HIES-specific R382W mutation, expressed via lentivirus, and STAT3 knockout (CRISPR/Cas9), were studied in normal human bronchial epithelial cells under basal or inflammatory (IL1β)-stimulated conditions. Effects of STAT3 deficiency on transcriptomics, epithelial ion channel, secretory, antimicrobial, and ciliary functions were assessed.

Measurements and main results: STAT3-HIES sputum showed increased mucus concentration and viscoelasticity. STAT3-HIES excised lungs exhibited mucus obstruction and elevated IL1β expression. STAT3 mutations reduced CFTR mRNA and protein levels, impaired CFTR-dependent fluid and mucin secretion, suppressed antimicrobial peptide, cytokine, and chemokine expression, and acidified airway surface liquid at baseline and post-IL1β exposure. Notably, mutant STAT3 suppressed IL1R1 expression. Furthermore, STAT3 mutations impaired multiciliogenesis by blocking commitment to ciliated cell lineages through inhibition of HES6, leading to defective mucociliary transport. Administration of a γ-secretase inhibitor restored HES6 expression, improved ciliogenesis in STAT3 R382W mutant cells.

Conclusions: STAT3 dysfunction leads to multi-component defects in airway epithelial innate defense, which, in conjunction with immune deficiency, contributes to chronic pulmonary infection in STAT3-HIES.

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来源期刊
CiteScore
27.30
自引率
4.50%
发文量
1313
审稿时长
3-6 weeks
期刊介绍: The American Journal of Respiratory and Critical Care Medicine focuses on human biology and disease, as well as animal studies that contribute to the understanding of pathophysiology and treatment of diseases that affect the respiratory system and critically ill patients. Papers that are solely or predominantly based in cell and molecular biology are published in the companion journal, the American Journal of Respiratory Cell and Molecular Biology. The Journal also seeks to publish clinical trials and outstanding review articles on areas of interest in several forms. The State-of-the-Art review is a treatise usually covering a broad field that brings bench research to the bedside. Shorter reviews are published as Critical Care Perspectives or Pulmonary Perspectives. These are generally focused on a more limited area and advance a concerted opinion about care for a specific process. Concise Clinical Reviews provide an evidence-based synthesis of the literature pertaining to topics of fundamental importance to the practice of pulmonary, critical care, and sleep medicine. Images providing advances or unusual contributions to the field are published as Images in Pulmonary, Critical Care, Sleep Medicine and the Sciences. A recent trend and future direction of the Journal has been to include debates of a topical nature on issues of importance in pulmonary and critical care medicine and to the membership of the American Thoracic Society. Other recent changes have included encompassing works from the field of critical care medicine and the extension of the editorial governing of journal policy to colleagues outside of the United States of America. The focus and direction of the Journal is to establish an international forum for state-of-the-art respiratory and critical care medicine.
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