Background
Rhinovirus (RV) infection during an early age has been associated with development of asthma, but how RV influences the immune response is not clear.
Objective
Tolerance to inhaled antigen is mediated via the induction of regulatory T cells (Treg), and we asked whether RV infection of the respiratory tract might block airway tolerance by modulating Treg cells.
Methods
The immune response to intranasal ovalbumin (OVA) in mice was assessed with concomitant infection with RV1B, and the factors induced in vivo were compared to factors made by human lung epithelial cells infected in vitro with RV16.
Results
RV1B infection of mice abrogated tolerance induced by inhalation of soluble OVA, suppressing the normal generation of Foxp3+ Treg cells while promoting Th2 cells. Furthermore, RV1B infection led to susceptibility to develop asthmatic lung disease when mice subsequently reencountered aeroantigen. RV1B promoted early in vivo expression of the TNF family protein, OX40L, on lung dendritic cells that was dependent on the innate cytokine thymic stromal lymphopoietin (TSLP), and also induced another innate cytokine IL-33. Inhibiting each of these pathways allowed the natural development of Treg cells while minimizing Th2 differentiation, and restored tolerance in the face of RV1B infection. In accordance, RV16 infection of human lung epithelial cells upregulated TSLP and IL-33 expression.
Conclusions
These results suggest that infection of the respiratory epithelium with RV can antagonize tolerance to inhaled antigen through a combined induction of TSLP, IL-33 and OX40L, and this may lead to susceptibility to developing asthmatic lung inflammation.