title: Elicitation of allergic asthma by immunoglobulin free light chains.
abstract: The observation that only 50% of patients with adult asthma manifest atopy indicates that other inflammatory mechanisms are likely involved in producing the characteristic features of this disorder; namely reversible airway obstruction, hyperresponsiveness, and pulmonary inflammation. Our recent discovery that antigen-specific Ig free light chains (LCs) mediate hypersensitivity-like responses suggests that these molecules may be of import in the pathophysiology of asthma. Using a murine experimental model of nonatopic asthma, we now have shown that an LC antagonist, the 9-mer peptide F991, can abrogate the development of airway obstruction, hyperresponsiveness, and pulmonary inflammation. Further, passive immunization with antigen-specific LCs and subsequent airway challenge can elicit a mast cell-dependent reaction leading to acute bronchoconstriction. These findings, and the demonstration that the concentration of free kappa LCs in the sera of patients with adult asthma were significantly increased (as compared with age-matched nonasthmatic individuals), provide previously undescribed insight into the pathogenesis of asthma. In addition, the ability to inhibit pharmacologically LC-induced mast cell activation provides a therapeutic means to prevent or ameliorate the adverse bronchopulmonary manifestations of this incapacitating disorder.
authors.affiliation: Department of Pharmacology and Pathophysiology, Faculty of Pharmaceutical Sciences, Utrecht University, 3508 TB Utrecht, The Netherlands. a.d.kraneveld@pharm.uu.nl
authors.forename: Aletta D
authors.initials: AD
authors.lastname: Kraneveld
authors.forename: Mirjam
authors.initials: M
authors.lastname: Kool
authors.forename: Anneke H
authors.initials: AH
authors.lastname: van Houwelingen
authors.forename: Paul
authors.initials: P
authors.lastname: Roholl
authors.forename: Alan
authors.initials: A
authors.lastname: Solomon
authors.forename: Dirkje S
authors.initials: DS
authors.lastname: Postma
authors.forename: Frans P
authors.initials: FP
authors.lastname: Nijkamp
authors.forename: Frank A
authors.initials: FA
authors.lastname: Redegeld
mesh_terms: D000818:Animals; D001249:Asthma / Q000276:immunology* / Q000503:physiopathology; D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology; D016084:Bronchoconstriction; D004139:Dinitrofluorobenzene; D005541:Forced Expiratory Volume; D007147:Immunoglobulin Light Chains / Q000276:immunology*; D051379:Mice; D008807:Mice, Inbred BALB C
chemical_list: D007147:Immunoglobulin Light Chains; D004139:Dinitrofluorobenzene