Elicitation of allergic asthma by immunoglobulin free light chains

AD Kraneveld, M Kool… - Proceedings of the …, 2005 - National Acad Sciences
AD Kraneveld, M Kool, AH van Houwelingen, P Roholl, A Solomon, DS Postma, FP Nijkamp…
Proceedings of the National Academy of Sciences, 2005National Acad Sciences
The observation that only 50% of patients with adult asthma manifest atopy indicates that
other inflammatory mechanisms are likely involved in producing the characteristic features of
this disorder; namely reversible airway obstruction, hyperresponsiveness, and pulmonary
inflammation. Our recent discovery that antigen-specific Ig free light chains (LCs) mediate
hypersensitivity-like responses suggests that these molecules may be of import in the
pathophysiology of asthma. Using a murine experimental model of nonatopic asthma, we …
The observation that only 50% of patients with adult asthma manifest atopy indicates that other inflammatory mechanisms are likely involved in producing the characteristic features of this disorder; namely reversible airway obstruction, hyperresponsiveness, and pulmonary inflammation. Our recent discovery that antigen-specific Ig free light chains (LCs) mediate hypersensitivity-like responses suggests that these molecules may be of import in the pathophysiology of asthma. Using a murine experimental model of nonatopic asthma, we now have shown that an LC antagonist, the 9-mer peptide F991, can abrogate the development of airway obstruction, hyperresponsiveness, and pulmonary inflammation. Further, passive immunization with antigen-specific LCs and subsequent airway challenge can elicit a mast cell-dependent reaction leading to acute bronchoconstriction. These findings, and the demonstration that the concentration of free κ LCs in the sera of patients with adult asthma were significantly increased (as compared with age-matched nonasthmatic individuals), provide previously undescribed insight into the pathogenesis of asthma. In addition, the ability to inhibit pharmacologically LC-induced mast cell activation provides a therapeutic means to prevent or ameliorate the adverse bronchopulmonary manifestations of this incapacitating disorder.
National Acad Sciences
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