Maternal exposure to environmental DEHP exacerbated OVA-induced asthmatic responses in rat offspring
Graphical abstract
Introduction
Di (ethylhexyl) phthalate (DEHP), as the most commonly high molecular-weight (HMW) phthalates (PAEs), is a severe environmental pollutant worldwide, added to plastics to increase the flexibility of the plastic products (Carlstedt et al., 2013, Larsson et al., 2010). Studies showed that DEHP functioned as an environmental endocrine disruptor had potential adverse effects on human. Concentrations of DEHP as great as 110 mg/L have been found in river sediments (Horn et al., 2004). Up to 2700 μg/L DEHP was found in wastewater samples collected in the United States (Jackson and Sutton, 2008). And DEHP has been widely detected in Chinese rivers and lakes, including sources of drinking water (Zhang et al., 2015). Due to polyvinyl chloride (PVC)’ widespread and growing use, there is an increasing interest and concern about these additives like DEHP have on humans and animals (Wormuth et al., 2006, Schettler, 2006). Since 1990s, a positive correlation was found between the PVC flooring and allergic diseases (Bornehag and Nanberg, 2010, Callesen et al., 2014, Larsson et al., 2010). The immune toxicity of PAEs have been studied for decades. Epidemiology studies indicated that PAEs was positively associated with allergic sensitization (Simmchen et al., 2012, Jaakkola et al., 2004, Kolarik et al., 2008). Animal experiments suggested that whether DEHP could influence the allergic responses might be associated with the exposure route (Dearman et al., 2008, Butala et al., 2004, Larsen et al., 2007, Larsen and Nielsen, 2007, Guo et al., 2012). The studies on phthalate esters' immune adjuvant or immunosuppressive mechanism more limited to in vitro studies (Fischer et al., 1998, Gourlay et al., 2003, Jepsen et al., 2004, Lee et al., 2004, Wang et al., 2012), it is difficult to clarify the mechanism of DEHP in vivo.
With the burden of children's allergic diseases, its relationship with PAEs drawn an increasing attention recently (Bornehag et al., 2004, Hsu et al., 2012, Ku et al., 2015, Lai et al., 2009). The reasons of allergic asthma in children include multiple factors, one of them is prenatal exposure. Prenatal exposure to environmental chemical contaminants might cause asthma or increase the risk of asthma symptoms throughout childhood (Smit et al., 2015, Gascon et al., 2015). Breastfeeding is also an additional means of phthalate exposure for infants. Some studies demonstrated that infants could be exposed to phthalates via breast milk (Bowman and Choudhury, 2016), indicating that exposure to DEHP during pregnancy and lactation could impact on the next generation. Various epidemiological studies of DEHP suggested a positive relation between its exposure and allergic asthma, especially in children with allergic asthma (Ait Bamai et al., 2014, Wang et al., 2014). However, the actual role of DEHP and its detailed mechanism in allergic disease of the offspring were still unclear.
The etiology of allergic asthma is the recognition of allergens or pathogenic microbial antigen by airway epithelial cells. Then a variety of cytokines were secreted, accompanied by reversible airflow obstruction, airway hyperresponsiveness (AHR), and eosinophilic and basophilic airway inflammation. And those symptoms characterized by generation of a predominant helper T cell (Th) 2-based cytokine environment (Lukacs, 2001, Lambrecht and Hammad, 2015). Th2 polarized CD4 + T cells secreting type 2 cytokines, including IL-4, IL-5 and IL-13, which stimulate the occurrence of asthma symptoms. The growing and compelling evidence indicated that airway remodeling and chronic airway epithelial injury during the first years of life facilitated the onset of asthma in childhood (Pohunek et al., 2005, Proud and Leigh, 2011). Recently, Studies had shown that the epithelial-derived cytokine thymic stromal lymphopoietin (TSLP) might play a central role in Th2 cell polarization (Gauvreau et al., 2014). TSLP, originally discovered in the supernatant of murine thymic stromal cell in 1994, was broadly defined as an epithelial-derived cytokine (Friend et al., 1994). It is overexpressed in the airways of allergic asthma patients and atopic dermatitis (AD) patients, indicating a key role in allergic inflammation (Shikotra et al., 2012, Soumelis et al., 2002). Since there is a positive correlation between DEHP and allergic diseases, whether DEHP could exacerbate allergic diseases of the next generation through maternal exposure? And how DEHP exacerbate allergic diseases of the next generation? Is this adjuvant effect of DEHP related with TSLP signal pathway?
In the present study, we investigated the changes of OVA-induced asthmatic responses in rats' offspring after DEHP exposure during pregnancy and lactation period. The regulatory effect of TSLP on OVA-induced Th2 responses was investigated. The mechanism of DEHP aggravated the offspring asthmatic responses through the TSLP pathway was studied. Our results suggested that maternal exposure to DEHP during pregnancy and lactation aggravated the OVA-induced asthmatic responses in offspring of rats. These adjuvant effects of DEHP were considered to be closely related to the enhanced TSLP expression and the changes of JAK signals.
Section snippets
Animals
Female Wistar rats (130–150 g) were obtained from the Center for Experimental Animals at China Medical University (Shenyang, China) with a National Animal Use License number of SCXK-LN2013-0007. Animal use was approved by the Animal Use and Care Committee at China Medical University with a protocol number of CMU2100014008. All experiments and surgical procedures were approved by the Animal Use and Care Committee at China Medical University, which complied with the National Institutes of Health
Maternal exposure to DEHP during pregnancy and lactation aggravated pulmonary inflammation of the rat offspring
The inflammatory response was usually observed in allergic disorders. The total inflammatory cells in bronchoalveolar lavage fluid (BALF) showed no obvious difference among three DEHP + saline groups on PND14, PND21 and PND28 (Fig. 1B–D). The total inflammatory cells increased significantly in offspring after OVA challenged compared with that of the saline control groups with the same DEHP dose. What's more, the total inflammatory cells in DEHP30 + OVA group and the DEHP300 + OVA group increased
Discussion
In this study, the inflammatory response of the lung was observed, the number of total inflammatory cells and eosinophils in the BALF were increased at multiple time points after birth. This result was consistent with some previous studies, animals injected with DEHP were more susceptible to OVA challenge, which demonstrated the potent adjuvant effect of DEHP (Han et al., 2014, Larsen and Nielsen, 2007, Win-Shwe et al., 2013). Our study further demonstrated that mother exposed to DEHP during
Conclusion
Our study suggested that maternal exposure to DEHP during pregnancy and lactation might aggravate the OVA-induced asthmatic responses in offspring of rats. These adjuvant effects of DEHP were considered to be closely related to the enhanced TSLP expression and the changes of JAK signals.
The following are the supplementary data related to this article.
Compliance with ethical standards
The manuscript does not contain clinical studies or patient data.
Conflicts of interest
The authors declare that there are no conflicts of interest.
Acknowledgments
This study was supported by the National Natural Science Foundation of China (No. 81472943).
References (67)
- et al.
Exposure to house dust phthalates in relation to asthma and allergies in both children and adults
Sci. Total Environ.
(2014) - et al.
Phthalate treatment does not influence levels of IgE or Th2 cytokines in B6C3F1 mice
Toxicology
(2004) - et al.
Phthalate metabolites in urine and asthma, allergic rhinoconjunctivitis and atopic dermatitis in preschool children
Int. J. Hyg. Environ. Health
(2014) - et al.
Di-(2-ethylhexyl) phthalate is without adjuvant effect in mice on ovalbumin
Toxicology
(2008) Maternal and childhood asthma: risk factors, interactions, and ramifications
Reprod. Toxicol.
(2011)- et al.
Di-(2-ethylhexyl) phthalate adjuvantly induces imbalanced humoral immunity in ovalbumin-sensitized BALB/c mice ascribing to T follicular helper cells hyperfunction
Toxicology
(2014) - et al.
Plasticizer metabolites in the environment
Water Res.
(2004) - et al.
Sources of endocrine-disrupting chemicals in urban wastewater, Oakland, CA
Sci. Total Environ.
(2008) - et al.
Monophthalates promote IL-6 and IL-8 production in the human epithelial cell line A549
Toxicol. in Vitro
(2004) - et al.
OX40/OX40 ligand interactions in T-cell regulation and asthma
Chest
(2012)
The interplay of dendritic cells, Th2 cells and regulatory T cells in asthma
Curr. Opin. Immunol.
The adjuvant effect of di-(2-ethylhexyl) phthalate is mediated through a PPARalpha-independent mechanism
Toxicol. Lett.
Airway inflammation and adjuvant effect after repeated airborne exposures to di-(2-ethylhexyl)phthalate and ovalbumin in BALB/c mice
Toxicology
Biologics and the lung: TSLP and other epithelial cell-derived cytokines in asthma
Pharmacol. Ther.
Progress in the removal of di-[2-ethylhexyl]-phthalate as plasticizer in blood bags
Transfus. Med. Rev.
Immune dysregulation in asthma
Curr. Opin. Immunol.
Early life phthalate exposure and atopic disorders in children: a prospective birth cohort study
Environ. Int.
Transcription Factors GATA-3 and ROR t are important for determining the phenotype of allergic airway inflammation in a murine model of asthma
J. Immunol.
Phthalate exposure and asthma in children
Int. J. Androl.
The association between asthma and allergic symptoms in children and phthalates in house dust: a nested case-control study
Environ. Health Perspect.
Phthalates in neonatal health: friend or foe?
J. Dev. Orig. Health Dis.
PVC flooring is related to human uptake of phthalates in infants
Indoor Air
Fetal and infant origins of asthma
Eur. J. Epidemiol.
Plasticizers and inhibition of leukocyte function in vitro
Perit. Dial. Int.
A thymic stromal cell line supports in vitro development of surface IgM + B cells and produces a novel growth factor affecting B and T lineage cells
Exp. Hematol.
Prenatal exposure to bisphenol A and phthalates and childhood respiratory tract infections and allergy
J. Allergy Clin. Immunol.
Effects of an anti-TSLP antibody on allergen-induced asthmatic responses
N. Engl. J. Med.
Inflammatory response of rat and human neutrophils exposed to di-(2-ethyl-hexyl)-phthalate-plasticized polyvinyl chloride
Artif. Organs
Pulmonary toxicity and adjuvant effect of di-(2-exylhexyl) phthalate in ovalbumin-immunized BALB/c mice
PLoS One
Allergic diseases among children: nutritional prevention and intervention
Ther. Clin. Risk Manag.
Predicted risk of childhood allergy, asthma, and reported symptoms using measured phthalate exposure in dust and urine
Indoor Air
TSLP-activated dendritic cells induce an inflammatory T helper type 2 cell response through OX40 ligand
J. Exp. Med.
IL-4 and IL-13: their pathological roles in allergic diseases and their potential in developing new therapies
Curr. Drug Targets Inflamm. Allergy
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2022, Environmental PollutionCitation Excerpt :In human studies, PAEs have been shown to induce oxidative stress by interfering with the activity of oxidative stress-related enzymes and increasing the level of ROS (Zhang et al., 2019; Gao et al., 2017; Gu et al., 2017). Other studies have also shown that these substances play a key role in inducing oxidative stress in a variety of organisms (Cheng et al., 2019; Spoel and Dong, 2012; Lee et al., 2006; Wang et al., 2018a; Yin et al., 2018). Sicińska et al. incubated red blood cells with DBP, BBP, and their metabolites (MBP and MBzP) for 6 or 24 h.
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Bohan Wang and Fangwei Liu contributed equally to this work.