Abstract
Asthma is a disease whose prevalence, morbidity, mortality, and cost have increased in the past two decades worldwide. These changes have led to increased attention to the causes of asthma and asthma exacerbations; it is now appreciated that airway inflammation is central to the problem of asthma. Recent international guidelines for the management of asthma emphasize that anti-inflammatory therapies are necessary for most asthma patients, and this focus is slowly improving compliance from asthmatics and their health-care providers. Unfortunately, current anti-inflammatory treatment in asthma is non-specific. In this chapter, the Th1/Th2 paradigm of inflammation, which may govern the eosinophilic inflammation found in asthma, is described. Data are presented that demonstrate that CpG oligodeoxynucleotides (ODN) are capable of modulating the Th2-mediated inflammatory response in a murine model of asthma. These studies suggest that CpG DNA may be useful in the prevention and treatment of asthma.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ballas ZK, Rasmussen WL, Krieg AM (1996) Induction of NK activity in murine and human cells by CpG motifs in oligodeoxynucleotides and bacterial DNA. J Immunol 157: 1840–1845
Bliss J, Van Cleave V, Murray K, Wiencis A, Ketchum M, Maylor R, Haire T, Resmini C, Abbas AK, Wolf SF (1996) IL-12, as an adjuvant, promotes a T helper 1 cell, but does not suppress a T helper 2 cell recall response. J Immunol 156: 887–894
Bruijnzeel PL (1994) Eosinophil tissue mobilization in allergic disorders. Ann N Y Acad Sci 725: 259–267
Clutterbuck EJ, Hirst EMA, Sanderson CJ (1988) Human interleukin 5 (IL-5) regulates the production of eosinophils in human bone marrow cultures: comparison and interaction with IL-1, IL-3, IL-6. and GMCSF. Blood 73: 1504–1513
Corrigan CJ, Haczku A, Gemou-Eneesaeth V, Doi S, Kikuchi Y, Takatsu K, Durham SR, Kay AB (1993) CD4 T-lymphocyte activation in asthma is accompanied by increased serum concentrations of interleukin 5. Effect of glucocorticoid therapy. Am Rev Respir Dis 147: 540–547
Dalton D, Pitts-Meek S. Keshav S, Figari I, Bradley A, Stewart T (1993) Multiple defects of immune cell function in mice with disrupted interferon-gamma genes. Science 259: 1739–1745
Del Prete G, Maggi E, Parronchi P, Chretien I, Tiri A, Macchia D, Ricci M, Banchereau J, De VJ, Romagnani S (1988) IL-4 is an essential factor for the IgE synthesis induced in vitro by human T cell clones and their supernatants. J Immunol 140: 4193–4198
Del Prete GF, De Carli M, Mastromauro C, Biagiotti R, Macchia D, Falagiani P, Ricci M, Romagnani S (1991) Purified protein derivative of Mycobacterium tuberculosis and excretory-secretory antigen(s) of Toxocara Canis expand in vitro human T cells with stable and opposite (type IT helper or type 2T helper) profile of cytokine production. J Clin Invest 88: 346–350
Evans R, Mullally DI, Wilson RW, Gergen PJ, Rosenberg HM, Grauman JS, Chevarley FM, Feinleib M (1987) National trends in the morbidity and mortality of asthma in the U.S. Chest 91: 655–74S
Field EH, Noelle RJ, Rouse T, Goeken J, Waldschmidt T (1993) Evidence for excessive Th2 CD4+subset activitity in vivo. J Immunol 151: 48–59
Gajewski TF, Fitch FW (1988) Anti proliferative effect of IFN-y in immune regulation. I. IFN-y inhibits the proliferation of Th2 but not Thl murine helper T lymphocyte clones. J Immunol 140: 4245–4252
Grunig G, Warnock M, Wakil AE, Venkayya R, Brombacher F, Rennick DM, Sheppard D, Mohrs M, Donaldson DD, Locksley RM, Corry DB (1998) Requirement for IL-13 independently of IL-4 in experimental asthma. Science 282: 2261–2263
Halpern MD, Kurlander RJ, Pisetsky DS (1996) Bacterial DNA induces murine interferon-gamma production by stimulation of interleukin-12 and tumor necrosis factor-alpha. Cell Immunol 167: 72–78
Hamelmann E, Schwarze J. Takeda K, Oshiba A, Larsen GL, Irvin CG, Gelfand EW (1997) Noninvasive measurement of airway responsiveness in allergic mice using barometric plethysmography. Am J Resp Crit Care Med 156: 766–775
Hirai K, Yamaguchi M, Misaki Y, Takaishi T, Ohta K, Morita Y, Ito K, Miyamoto T (1990) Enhancement of human basophil histamine release by interleukin 5. J Exp Med 172: 1525–1528
Kline JN, Waldschmidt TJ, Businga TR, Lemish JE, Weinstock JV, Thorne PS, Krieg AM (1998) Modulation of airway inflammation by CpG oligodeoxynucleotides in a murine model of asthma. J Immunol 160: 2555–2559
Klinman DM, Yi AK, Beaucage SL, Conover J, Krieg AM (1996) CpG motifs present in bacteria DNA rapidly induce lymphocytes to secrete interleukin 6, interleukin 12, and interferon gamma. Proceedings of the National Academy of Sciences of the United States of America 93: 2879–2883
Krieg AM, Yi AK, Matson S, Waldschmidt TJ, Bishop GA, Teasdale R, Koretzky GA, Klinman DM (1995) CpG motifs in bacterial DNA trigger direct B-cell activation. Nature 374: 546–549
Lopez AF, Sanderson CJ, Gamble JR, Campbell HR, Young IG, Vadas MA (1988) Recombinant human interleukin 5 is a selective activator of human eosinophil function. J Exp Med 167: 219–223
Lukacs NW, Strieter RM, Chensue SW, Kunkel SL (1994) Interleukin-4-dependent pulmonary eosinophil infiltration in a murine model of asthma. Am J Respir Cell Mol Biol 10: 526–532
Magram J, Connaughton SE, Warrier RR, Carvajal DM, Wu CY, Ferrante J, Stewart C, Sarmiento U, Faherty DA, Gately MK (1996) IL-I2-deficient mice are defective in IFN gamma production and type 1 cytokine responses. Immunity 4: 471–481
Marini M, Avoni E, Hollemborg J, Nattoli S (1992) Cytokine mRNA profile and cell activation in bronchoalveolar lavage fluid from nonatopic patients with symptomatic asthma. Chest 102: 661–669
Metzger WJ, Hunninghake GW, Richerson HB (1985) Late asthmatic responses: inquiry into mechanisms and significance. Clin Rev All 3: 145–165
Metzger WJ, Richerson HB, Worden K, Monick M, Hunninghake GW (1986) Bronchoalveolar lavage of allergic asthmatic patients following allergen bronchoprovocation. Chest 89: 477–483
Metzger WJ, Zavala D, Richerson HB, Mosely P, Iwamota P, Monick MM, Sjoerdsma K, Hunninghake GW (1987) Local allergen challenge and bronchoalveolar lavage of allergic asthmatic lungs: description of the model and local airway inflammation. Am Rev Respir Dis 135: 433–440
Micallef MJ, Ohtsuki T, Kohno K, Tanabe F, Ushio S, Namba M, Tanimoto T, Torigoe K, Fujii M, Ikeda M, Fukuda S, Kurimoto M (1996) Interferon-gamma-inducing factor enhances T helper 1 cytokine production by stimulated human T cells: synergism with interleukin-12 for interferon-gamma production. Eur J Immunol 26: 1647–1651
Moore KW, Vieira P, Fiorenton DF, Trounstine ML, Khan TA, Mossmann TR (1990) Homology of cytokine synthesis inhibitory factor (IL-10) to the Epstein-Barr virus gene BCRF1. Science 248: 1230–1234
Mosmann TR, Cherwinski H, Bond MW, Giedlin MA, Coffman RL (1986) Two types of murine helper T cell clones. I. Definition according to profiles of lymphokine activities and secreted proteins. J Immunol 136: 2348–2357
National Asthma Education and Prevention Program. (1997) Expert panel report 2: guidelines for the diagnosis and management of asthma. National Institutes of Health, Bethesda, MD.
Parronchi P, De Carli M, Manetti R, Simonelli C, Sampognaro S, Piccinni M-P, Macchia D, Maggi E, Del Prete G, Romagnani S (1992) IL-4 and IFN (a and 7) exert opposite regulatory effects on the development of cytolytic potential by Thl or Th2 human T cell clones. J Immunol 149: 2977–2983
Parronchi P, Macchia D, Piccinni M-P, Biswas P, Simonelli C, Maggi E, Ricci M, Ansari AA, Romagnani S (1991) Allergen-and bacterial antigen-specific T-cell clones established from atopic donors show a different profile of cytokine production. Proc Natl Acad Sci, USA 88: 4538–4542
Robbins SL, Cotran RS (1979) Pathologic basis of disease. Saunders, Philadelphia.
Robinson DS, Hamid Q, Bentley A, Ying S, Kay AB, Durham SR (1993a) Activation of CD4+ T cells, increased TH2-type cytokine mRNA expression, and eosinophil recruitment in bronchoalveolar lavage after allergen inhalation challenge in patients with atopic asthma. J All Clin Immunol 92: 313–324
Robinson DS, Hamid Q, Ying S, Tsicopoulos A, Barkans J, Bentley AM, Corrigan C, Durham SR, Kay AB (1992) Predominant TH2-like bronchoalveolar T-lymphocyte population in atopic asthma. N Engl J Med 326: 298–304
Robinson DS, Ying S, Bentley AM, Meng Q, North J, Durham SR, Kay AB, Hamid Q (1993b) Relationships among numbers of bronchoalveolar lavage cells expressing messenger ribonucleic acid for cytokines, asthma symptoms, and airway methacholine responsiveness in atopic asthma. J All Clin Immunol 92: 397–403
Romagnani S (1991) Human Th1 and Th2 subsets: doubt no more. Immunol Today 12: 256–257
Saito H, Hatake K, Dvorak AM, Leiferman KM, Donnenberg AD, Arai N, Ishizaka K, Ishizaka T (1988) Selective differentiation and proliferation of hematopoietic cells induced by recombinant human interleukins. Proc Natl Acad Sci, USA 85: 2288–2292
Salgame P, Abrams JS, Clayberger C, Goldstein H, Convit J, Modlin RL, Bloom BR (1991) Differing lymphokine profiles of functional subsets of human CD4 and CD8 T cell clones. Science 254: 279–282
Shaheen SO, Aaby P, Hall AJ, Barker DJ, Heyes CB, Shiell AW, Goudiaby A (1996) Measles and atopy in Guinea-Bissau. Lancet 347: 1792–1796
Shirakawa T, Enomoto T, Shimazu S, Hopkin JM (1997) The inverse association between tuberculin responses and atopic disorder. Science 275. 77–79
Smith DH, Malone DC, Lawson KA, Okamdto LJ, Battista C, Saunders WB (1997) A national estimate of the economic costs of asthma. Am J Respir Crit Care Med 156: 787–793
Spitalny G, Havell E (1984) Monoclonal antibody to murine gamma interferon inhibits lymphokineinduced antiviral and macrophage tumoricidal activities. J Exp Med 159: 1560–1565
Swain SL, Weinberg AD, English M, Huston G (1990) IL-4 directs the development of Th2-like helpere ffectors. J Immunol 145: 3796–3806
Takatsu K, Tanaka K, Tuminaga A, Hamaoka T (1980) Antigen-induced T cell-replacing factor. J Immunol 124: 2646–2653
von Mutius E, Fritzsch C, Weiland SK, Roll G, Magnussen H (1992) Prevalence of asthma and allergic disorders among children in united Germany: a descriptive comparison. Br Med J 305: 1395–1399
von Mutius E, Martinez FD, Fritzsch C, Nicolai T, Reitmeir P, Thiemann HH (1994) Skin test reactivity and number of siblings. Br Med J 308:692–695
Walker C, Bode E, Boer L, Hansel TT, Blaser K, Virchow J-C (1992) Allergic and nonallergic asthmatics have distinct patterns of T-cell activation and cytokine production in peripheral blood and bronchoalveolar lavage. Am Rev Respir Dis 146: 109–115
Walsh GM, Hartnell A, Wardlaw AJ, Kurihara K, Sanderson CJ, Kay AB (1990) IL-5 enhances the in vitro adhesion of human eosinophils but not neutrophils, in a leucocyte integrin (CD11/18)dependent manner. Immunol 71: 258–265
Wenner CA, Guler ML, Macatonia SE, O’Garra A, Murphy KM (1996) Roles of IFN-gamma and IFNalpha in IL-12-induced T helper cell-1 development. J Immunol 156: 1442–1447
Wierenga EA, Snoek M, de Groot C, Chretien I, Bos JD, Jansen HM, Kapsenberg ML (1990) Evidence for compartmentalization of functional subsets of CD4+ T lymphocytes in atopic patients. J Immunol 144: 4651–4656
Wills-Karp M, Luyimbazi J, Xu X, Schofield B, Neben TY, Karp CL, Donaldson DD (1998) Interleukin13: central mediator of allergic asthma [see comments]. Science 282: 2258–2261
Yi AK, Krieg AM (1998) CpG DNA rescue from anti-IgM-induced WEHI-231 B lymphoma apoptosis via modulation of I kappa B alpha and I kappa B beta and sustained activation of nuclear factor-kappa B/c-Rel. J Immunol 160: 1240–1245
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Kline, J.N. (2000). Effects of CpG DNA on Th1/Th2 Balance in Asthma. In: Wagner, H. (eds) Immunobiology of Bacterial CpG-DNA. Current Topics in Microbiology and Immunology, vol 247. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59672-8_15
Download citation
DOI: https://doi.org/10.1007/978-3-642-59672-8_15
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-64077-3
Online ISBN: 978-3-642-59672-8
eBook Packages: Springer Book Archive