2015
DOI: 10.1007/s12026-015-8717-2
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Obesity shifts house dust mite-induced airway cellular infiltration from eosinophils to macrophages: effects of glucocorticoid treatment

Abstract: Although classically characterized by chronic airway inflammation with eosinophil infiltration, asthma is a complex and multifactorial condition with numerous clinical phenotypes. Epidemiological studies strongly support the link between obesity and asthma and suggest that obesity precedes and promotes asthma development, increases asthma severity, and reduces steroid responsivity. Using a house dust mite (HDM) model of airway hyperresponsiveness in C57BL/6 mice, we examined the effects of diet-induced obesity… Show more

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Cited by 28 publications
(24 citation statements)
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References 66 publications
(70 reference statements)
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“…We found that short‐term HFD feeding in OVA mice reduced neither airway nor tissue eosinophil numbers. In contrast, in obese mice (>35 g body weight), experimental allergen‐ or diesel particulate‐induced allergic asthma was associated with a lower airway eosinophilia, but a higher recruitment of tissue‐associated eosinophils as compared to lean mice . In addition, HFD‐driven increases in leptin concentration impaired the recruitment of eosinophils into the airways .…”
Section: Discussionmentioning
confidence: 87%
“…We found that short‐term HFD feeding in OVA mice reduced neither airway nor tissue eosinophil numbers. In contrast, in obese mice (>35 g body weight), experimental allergen‐ or diesel particulate‐induced allergic asthma was associated with a lower airway eosinophilia, but a higher recruitment of tissue‐associated eosinophils as compared to lean mice . In addition, HFD‐driven increases in leptin concentration impaired the recruitment of eosinophils into the airways .…”
Section: Discussionmentioning
confidence: 87%
“…In humans with severe asthma, classically activated macrophages are associated with corticosteroid resistance [45,46]. According to previous studies, obesity can induce a switch from an M2 macrophage phenotype towards a more M1 macrophage phenotype in obese allergic mice [20,47]. Furthermore, the enhanced and continuous influx of macrophages into the airways of obese allergic mice suggests the persistent activation of innate immunity and a potential role of M1 polarized macrophages in maintaining inflammation in the lungs by releasing IL-1b, IL-6 and TNF-a.…”
Section: Discussionmentioning
confidence: 95%
“…Studies involving animal models support the association between obesity and asthma; however, these studies have provided conflicting results, due probably to the use of different protocols and mouse strains for inducing both diseases . A study employing obesity‐prone C57BL/6 mice indicated that obesity exacerbates the asthma pathology via a Th2 immune response mechanism , which was not supported by other studies . BALB/c mice represent an intermediate phenotype between the obesity‐prone and resistant strain.…”
Section: Introductionmentioning
confidence: 99%
“…Regarding the allergic diseases, obesity can affect lung function, in clinical asthma assessment and experimental models. In this context, obese asthmatics display a peculiar phenotype, with an immune response shift, usually associated with worsening of symptoms and resistance to conventional therapy . However, there is a lack of studies involving the EoE‐obesity association.…”
Section: Introductionmentioning
confidence: 99%