Mechanisms of asthma and allergic inflammation
Adiponectin attenuates allergen-induced airway inflammation and hyperresponsiveness in mice

https://doi.org/10.1016/j.jaci.2006.04.021Get rights and content

Background

Epidemiologic data indicate an increased incidence of asthma in the obese.

Objective

Because serum levels of the insulin-sensitizing and anti-inflammatory adipokine adiponectin are reduced in obese individuals, we sought to determine whether exogenous adiponectin can attenuate allergic airway responses.

Methods

We sensitized and challenged BALB/cJ mice with ovalbumin (OVA). Alzet micro-osmotic pumps were implanted in the mice to deliver continuous infusions of buffer or adiponectin (1.0 Ī¼g/g/d), which resulted in an approximate 60% increase in serum adiponectin levels. Two days later, mice were challenged with aerosolized saline or OVA once per day for 3 days. Mice were examined 24 hours after the last challenge.

Results

OVA challenge increased airway responsiveness to intravenous methacholine, bronchoalveolar lavage fluid cells, and TH2 cytokine levels. Importantly, each of these responses to OVA was reduced in adiponectin- versus buffer-treated mice. OVA challenge caused a 30% reduction in serum adiponectin levels and a corresponding decrease in adipose tissue adiponectin mRNA expression. OVA challenge also decreased pulmonary mRNA expression of each of 3 proposed adiponectin-binding proteins, adiponectin receptor 1, adiponectin receptor 2, and T-cadherin.

Conclusion

Our results indicate that serum adiponectin is reduced during pulmonary allergic reactions and that adiponectin attenuates allergic airway inflammation and airway hyperresponsiveness in mice.

Clinical implications

The data suggest that adiponectin might play a role in the relationship between obesity and asthma.

Section snippets

Allergen sensitization and challenge

This study was approved by the Harvard Medical Area Standing Committee on Animals. Male and female 4-week-old BALB/cJ mice were purchased from The Jackson Laboratory (Bar Harbor, Me). Mice were sensitized to chicken egg albumin (ovalbumin [OVA]; Grade V, Sigma-Aldrich, St Louis, Mo) on day 0 by means of an intraperitoneal injection of 20 Ī¼g of OVA and adjuvant and 2 mg of aluminum hydroxide (Al[OH]3; J. T. Baker, Phillipsburg, NJ) dispersed in 0.2 mL of PBS, as previously described.44 The mice

Body weight

There was a small reduction in body weight the day after implantation of the mini-Alzet pumps that averaged 2.3% Ā± 0.6% of the initial body weight. Body weight recovered to baseline values by the day of the first OVA/PBS aerosol challenge in both TBS- and adiponectin-treated mice. There was no significant effect of either OVA/PBS challenge or adiponectin versus TBS treatment on body weight.

BAL cells and cytokines

Compared with PBS challenge, OVA challenge caused a significant increase in BAL macrophages (P < .05),

Discussion

Our results indicate for the first time that treatment of mice with full-length adiponectin at a dose sufficient to induce an approximate 60% increase in serum adiponectin levels virtually abolishes OVA-induced changes in inflammatory cell influx (Fig 1) and TH2 cytokine expression in the lungs (Fig 2), as well as OVA-induced airway hyperresponsiveness (Fig 3). Obesity is associated with decreases in serum adiponectin levels that are on the same order of magnitude as the increase in serum

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    Supported by National Institutes of Health grants HL33009 and HL077499, National Institute of Environmental Health Sciences grants ES013307 and ES00002, a generous gift from Paul and Mary Finnegan, and a Charles H. Hood Foundation grant.

    Disclosure of potential conflict of interest: The authors have declared that they have no conflict of interest.

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