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  5. Modulation of dendritic cell phenotype and function in asthma
 
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Modulation of dendritic cell phenotype and function in asthma
File(s)
Cameron-A-2016-PhD-Thesis.pdf (3.91 MB)
Thesis
Author(s)
Cameron, Aoife
Type
Thesis
Abstract
Rhinoviruses (RV) are the major cause of asthma exacerbations, with evidence supporting a synergistic relationship between viruses and allergen. Dendritic cells (DCs) mediate airway recognition of both viruses and allergens and instruct downstream immune responses. However, nothing is known about the role of DCs in viral exacerbations of asthma. We hypothesised that following viral infection, asthmatic patients have reduced airway recruitment of anti-viral type II mDCs and pDCs, in addition, these patients exhibited impaired DC anti-viral functionality. To address these hypotheses, moderate atopic asthmatic patients and healthy controls were experimentally infected with RV-16. Bronchoalveolar lavage (BAL) was collected at baseline, day 3 and day 8 post infection and DC populations were isolated and analysed using fluorescence activated cell sorting (FACS). At baseline, the number of type II mDCs, which cross prime CD8+ T cells and induce type I anti-viral responses, was significantly reduced in asthmatic patients. Following RV-16 infection, their recruitment to the airways was delayed compared to healthy controls. No difference in the recruitment of type I mDCs and pDCs was observed. Furthermore, we identified reduced anti-viral interferon reponses in purified peripheral pDCs from asthmatic patients in response to ex vivo RV-16 stimulation. IFN-α production was significantly reduced in asthma patients compared to healthy controls (p=0.028). IFN-λ production was lower in a sub group of asthmatics, although not significantly reduced compared to healthy controls. Deficient IFN-β production was identified in BAL cells from asthmatic patients following ex vivo RV-16 stimulation, compared to healthy controls (p=0.016), with a trend towards reduced IFN- λ. We aim to correlate these findings with clinical parameters, to determine whether deficient cellular recruitment and innate IFN responses have an impact on viral clearance, lung function and both upper and lower airway symptoms. This work will aid our understanding of the pathogenesis of asthma and the role of DCs in viral induced exacerbations.
Version
Open Access
Date Issued
2015-10
Date Awarded
2016-03
URI
http://hdl.handle.net/10044/1/58192
DOI
https://doi.org/10.25560/58192
Copyright Statement
Attribution NoDerivatives 4.0 International Licence (CC BY-ND)
License URL
Attribution-NonCommercial-NoDerivatives 4.0 International
Advisor
Johnston, Sebastian
Walton, Ross
Sponsor
Asthma UK
Medical Research Council (Great Britain)
GlaxoSmithKline
Grant Number
WHRRS P41413
WHRRS P43258
Publisher Department
National Heart & Lung Institute
Publisher Institution
Imperial College London
Qualification Level
Doctoral
Qualification Name
Doctor of Philosophy (PhD)
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