An Unexpected Role for Uric Acid as an Inducer of T Helper 2 Cell Immunity to Inhaled Antigens and Inflammatory Mediator of Allergic Asthma

Mirjam Kool, MAM Willart, Menno van Nimwegen, Ingrid Bergen, P Pouliot, JC Virchow, N Rogers, F Osorio, C Reis e Sousa, H (Hamida) Hammad, Bart Lambrecht

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Although deposition of uric acid (UA) crystals is known as the cause of gout, it is unclear whether UA plays a role in other inflammatory diseases. We here have shown that UA is released in the airways of allergen-challenged asthmatic patients and mice, where it was necessary for mounting T helper 2 (Th2) cell immunity, airway eosinophilia, and bronchial hyperreactivity to inhaled harmless proteins and clinically relevant house dust mite allergen. Conversely, administration of UA crystals together with protein antigen was sufficient to promote Th2 cell immunity and features of asthma. The adjuvant effects of UA did not require the inflammasome (NIrp3, Pycard) or the interleukin-1 (Myd88, IL-1r) axis. UA crystals promoted Th2 cell immunity by activating dendritic cells through spleen tyrosine kinase and PI3-kinase delta signaling. These findings provide further molecular insight into Th2 cell development and identify UA as an essential initiator and amplifier of allergic inflammation.
Original languageUndefined/Unknown
Pages (from-to)527-540
Number of pages14
JournalImmunity
Volume34
Issue number4
Publication statusPublished - 2011

Research programs

  • EMC MM-04-42-02

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