Review and feature articleChemokines and their receptors in allergic disease
Section snippets
Chemokines
In human subjects, chemokines constitute a family of approximately 50 low-molecular-weight proteins that precisely coordinate leukocyte trafficking to lymphoid microenvironments and also regulate leukocyte recruitment to sites of inflammation.1 Four chemokine groups have been defined on the basis of the arrangement of amino-terminal cysteine residues. The majority of chemokines are members of the CC or CXC classes, where the 2 N-terminal cysteines are adjacent or have a single amino acid
Chemokine receptors
As with many biological ligands, the effects of chemokines are mediated through cell-surface receptors of the G protein–coupled receptor (GPCR) superfamily, which is thought to make up almost 5% of the coding regions of the human genome.8 Chemokine receptors fall into the subfamily of class A, rhodopsin-like receptors, being approximately 350 amino acids long and with a distinctive motif of 7 hydrophobic regions, which, by analogy to rhodopsin, are thought to form transmembrane helices, leaving
Chemokine–chemokine receptor interactions and downstream signaling
Conserved between the majority of CC chemokine receptors (and class A GPCRs in general) is a DRY (aspartate-arginine-tyrosine) motif at the cytoplasmic end of the third transmembrane α-helix. This is analogous to the ERY motif of bovine rhodopsin, to date the only GPCR the crystal structure of which has been solved.17 This motif is thought to act as an ionic lock, holding GPCRs in an inactive state before their activation by ligand.18 On ligation, a conformation change in the GPCR is believed
Chemokines and their receptors in allergic inflammation
In the following sections we will address some of the chemokines and chemokine receptors implicated in the pathogenesis of allergic disease, discussing relevant in vitro and in vivo data and, where available, translation of this research into human disease. Although the availability of animal models of allergic disease has allowed us to dissect signaling pathways involved in leukocyte recruitment (indeed allowing the identification of some chemokines, such as CCL11), the physiologic differences
Chemokines acting on dendritic cells
Dendritic cells (DCs) are perceived as sentinels of the immune system, and as the most potent APCs of the immune system, the migration of activated DCs to lymph nodes after encounter with antigen is of paramount importance to the adaptive immune response. It therefore comes as no surprise that this migration is closely regulated at the molecular level by chemokines. Recruitment of immature DCs to inflamed tissues is mediated by a repertoire of receptors, including CCR2, CCR5, and CXCR4,
Chemokines and their receptors selective for T lymphocytes
As the principal orchestrators of adaptive immune responses, T lymphocytes have a critical requirement for directed migration to and from secondary lymphoid organs in addition to sites of inflammation. As is the case with DCs, migration to the former is controlled by the CCR7 ligands CCL19 and CCL21, and their absence results in the failure of naive T cells to home to lymph nodes.60 Additionally, CCR7 appears to determine T-cell exit from peripheral tissues because T cells from mice deficient
Eosinophil-selective chemokines and their receptors
The characteristic accumulation of large numbers of eosinophils in allergic reactions suggests an important function, but the precise relationship between eosinophils and symptoms, particularly in asthma, has proved elusive. Some animal studies, in which IL-5 was neutralized with antibodies or the gene was deleted to suppress eosinophil production, suggested a strong link between activation of eosinophils in the lung and AHR.107, 108 However, IL-5 neutralization in asthmatic patients did not
Basophil-selective chemokines and their receptors
In an effort to understand the repertoire of chemokine receptors expressed by human basophils, Iikura et al138 detected mRNA transcripts for CCR1, CCR2, CCR3, and CCR5, although only CCL2 and CCL11 induced in vitro migration, with CCL11 clearly the most potent chemokine. In keeping with this, CCL11 has also been reported to be a potent inducer of basophil migration in vivo in a humanized SCID mouse model grafted with autologous human skin.139 Likewise, CCL5, a ligand for CCR1, CCR3, and CCR5
Mast cell–selective chemokines and their receptors
Mast cells characteristically express c-kit, and the ligand for this receptor, stem cell factor (SCF), induces their chemotaxis,151 in addition to other important effects, such as proliferation, differentiation, and inhibition of apoptosis. Several chemokine receptors have been identified on mast cells or mast cell lines, including CXCR2,121 CXCR3,152 CXCR4,121, 153 CCR1,154 CCR3,121, 155 CCR4,154 and CCR5,121 and their recognized chemokine ligands have been shown to be chemotactic for these
Blockade of chemokine receptors by small-molecule antagonists
A key point in turning our current understanding of leukocyte recruitment into a future therapy for the treatment of allergic disease is the question of which receptor or receptors to target. As a key effector of eosinophil migration in allergic inflammation, CCR3 was the major focus, with early in vitro and in vivo proof-of-principle studies suggesting that CCR3 blockade was feasible.160, 161, 162 Subsequent work by the pharmaceutical industry using high-throughput screens identified several
Summary
Our knowledge of the chemokine family has greatly enhanced the understanding of the mechanisms underlying allergic reactions. Small-molecule antagonists can now be designed to block particular chemokine receptors. Converting this knowledge into effective therapy for allergic diseases presents major challenges for the future. One important factor is the complexity of the chemoattraction mechanisms, particularly the number of different receptor types on a given cell and their plasticity, and the
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Korean red ginseng improves atopic dermatitis-like skin lesions by suppressing expression of proinflammatory cytokines and chemokines in Vivo and in Vitro
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2014, Middleton's Allergy: Principles and Practice: Eighth Edition
(Supported by an unrestricted educational grant from Genentech, Inc. and Novartis Pharmaceuticals Corporation)
Series editors: William T. Shearer, MD, PhD, Lanny J. Rosenwasser, MD, and Bruce S. Bochner, MD
Disclosure of potential conflict of interest: The authors have declared that they have no conflict of interest.