PMID- 34995358 OWN - NLM STAT- MEDLINE DCOM- 20220701 LR - 20220830 IS - 1398-9995 (Electronic) IS - 0105-4538 (Linking) VI - 77 IP - 7 DP - 2022 Jul TI - Thrombin cleaves IL-33 and modulates IL-33-activated allergic lung inflammation. PG - 2104-2120 LID - 10.1111/all.15210 [doi] AB - BACKGROUND: Organisms have orchestrated coagulation and immune systems. Although a link between inflammation and haemostasis has been reported in asthma, the interaction mechanism has not been completely elucidated. Here, we investigated the direct link between the mammalian immune and coagulation systems. METHODS: Mice were administered protease or antigens intranasally to induce airway inflammation with or without thrombin inhibitors treatment. The effects of thrombin and its inhibitors on interleukin (IL)-33 were investigated both in vivo and in vitro. Peripheral blood mononuclear cells (PBMCs) and plasma from asthma patients are collected to verify the correlation between thrombin and group 2 innate lymphocytes (ILC2s). RESULTS: Low-molecular-weight heparin (LMWH, an indirect inhibitor of thrombin) restrained both papain- and fungus-induced type 2 immune responses in mice by inhibiting IL-33 cleavage. Upon examining the potential thrombin protease consensus sites, we found that IL-33 was directly cleaved by thrombin at specific amino acids (R48 and R106) to generate a mature form of IL-33 with potent biological activity. In addition, we found that bivalirudin TFA (a direct inhibitor of thrombin) inhibited a variety of type 2 inflammatory responses, such as those in house dust mite (HDM)- and ovalbumin (OVA)-mediated pulmonary inflammation models. We found that plasma thrombin-antithrombin complex (TATc) levels in asthma patients were positively associated with the number and function of IL-33-responder group 2 innate lymphocytes (ILC2s) among peripheral blood mononuclear cells (PBMCs) from asthma patients. CONCLUSION: The data suggested that thrombin inhibitors administration could be effective in treating lung inflammation by regulating ILC2s via IL-33 maturation, indicating that targeting thrombin is a potential way to treat allergic diseases. CI - (c) 2022 European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd. FAU - Huang, Yuying AU - Huang Y AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Li, Xuezhen AU - Li X AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Zhu, Lin AU - Zhu L AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Huang, Chunrong AU - Huang C AD - Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Chen, Wen AU - Chen W AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Ling, Zhiyang AU - Ling Z AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Zhu, SongLing AU - Zhu S AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Feng, Xintong AU - Feng X AD - Unit of Respiratory Infection and Immunity, Chinese Academy of Sciences, Institute Pasteur of Shanghai, Shanghai, China. FAU - Yi, Chunyan AU - Yi C AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Gu, Wangpeng AU - Gu W AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Yan, Chenghua AU - Yan C AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Wang, Jing AU - Wang J AD - Department of Respiratory Medicine, First Affiliated Hospital of Xinjiang Medical University, Wulumuqi, China. FAU - Ma, Liyan AU - Ma L AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Su, Xiao AU - Su X AD - Unit of Respiratory Infection and Immunity, Chinese Academy of Sciences, Institute Pasteur of Shanghai, Shanghai, China. FAU - Dai, Ranran AU - Dai R AD - Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Shi, Guochao AU - Shi G AD - Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Sun, Bing AU - Sun B AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. FAU - Zhang, Yaguang AU - Zhang Y AUID- ORCID: 0000-0002-2417-6516 AD - State Key Laboratory of Cell Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220112 PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 0 (Cytokines) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Interleukin-33) RN - EC 3.4.21.5 (Thrombin) SB - IM MH - *Alveolitis, Extrinsic Allergic MH - Animals MH - *Asthma MH - Cytokines/metabolism MH - Heparin, Low-Molecular-Weight/metabolism/pharmacology MH - Immunity, Innate MH - Inflammation/metabolism MH - Interleukin-33/metabolism MH - Leukocytes, Mononuclear/metabolism MH - Lung MH - Lymphocytes MH - Mice MH - *Pulmonary Eosinophilia MH - Thrombin/metabolism/pharmacology OTO - NOTNLM OT - IL-33 OT - asthma OT - group 2 innate lymphoid cell OT - thrombin EDAT- 2022/01/08 06:00 MHDA- 2022/07/02 06:00 CRDT- 2022/01/07 17:24 PHST- 2021/11/19 00:00 [revised] PHST- 2021/10/05 00:00 [received] PHST- 2021/12/11 00:00 [accepted] PHST- 2022/01/08 06:00 [pubmed] PHST- 2022/07/02 06:00 [medline] PHST- 2022/01/07 17:24 [entrez] AID - 10.1111/all.15210 [doi] PST - ppublish SO - Allergy. 2022 Jul;77(7):2104-2120. doi: 10.1111/all.15210. Epub 2022 Jan 12.