IgE actions on CD4+ T cells, mast cells, and macrophages participate in the pathogenesis of experimental abdominal aortic aneurysms

J Wang, JS Lindholt, GK Sukhova, MA Shi… - EMBO molecular …, 2014 - embopress.org
J Wang, JS Lindholt, GK Sukhova, MA Shi, M Xia, H Chen, M Xiang, A He, Y Wang, N Xiong
EMBO molecular medicine, 2014embopress.org
Immunoglobulin E (IgE) activates mast cells (MC s). It remains unknown whether IgE also
activates other inflammatory cells, and contributes to the pathogenesis of abdominal aortic
aneurysms (AAA s). This study demonstrates that CD 4+ T cells express IgE receptor FcεR1,
at much higher levels than do CD 8+ T cells. IgE induces CD 4+ T‐cell production of IL 6 and
IFN‐γ, but reduces their production of IL 10. FcεR1 deficiency (Fcer1a−/−) protects
apolipoprotein E‐deficient (Apoe−/−) mice from angiotensin‐II infusion‐induced AAA s and …
Abstract
Immunoglobulin E (IgE) activates mast cells (MCs). It remains unknown whether IgE also activates other inflammatory cells, and contributes to the pathogenesis of abdominal aortic aneurysms (AAAs). This study demonstrates that CD4+ T cells express IgE receptor FcεR1, at much higher levels than do CD8+ T cells. IgE induces CD4+ T‐cell production of IL6 and IFN‐γ, but reduces their production of IL10. FcεR1 deficiency (Fcer1a−/−) protects apolipoprotein E‐deficient (Apoe−/−) mice from angiotensin‐II infusion‐induced AAAs and reduces plasma IL6 levels. Adoptive transfer of CD4+ T cells (but not CD8+ T cells), MCs, and macrophages from Apoe−/− mice, but not those from Apoe−/− Fcer1a−/− mice, increases AAA size and plasma IL6 in Apoe−/− Fcer1a−/− recipient mice. Biweekly intravenous administration of an anti‐IgE monoclonal antibody ablated plasma IgE and reduced AAAs in Apoe−/− mice. Patients with AAAs had significantly higher plasma IgE levels than those without AAAs. This study establishes an important role of IgE in AAA pathogenesis by activating CD4+ T cells, MCs, and macrophages and supports consideration of neutralizing plasma IgE in the therapeutics of human AAAs.
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