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Lee RJ, Xiong G, Kofonow JM, Chen B, Lysenko A, Jiang P, Abraham V, Doghramji L, Adappa ND, Palmer JN, Kennedy DW, Beauchamp GK, Doulias PT, Ischiropoulos H, Kreindler JL, Reed DR, Cohen NA. T2R38 taste receptor polymorphisms underlie susceptibility to upper respiratory infection. J Clin Invest 2012; 122:4145-59. [PMID: 23041624 PMCID: PMC3484455 DOI: 10.1172/jci64240] [Citation(s) in RCA: 408] [Impact Index Per Article: 34.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2012] [Accepted: 08/02/2012] [Indexed: 12/13/2022] Open
Abstract
Innate and adaptive defense mechanisms protect the respiratory system from attack by microbes. Here, we present evidence that the bitter taste receptor T2R38 regulates the mucosal innate defense of the human upper airway. Utilizing immunofluorescent and live cell imaging techniques in polarized primary human sinonasal cells, we demonstrate that T2R38 is expressed in human upper respiratory epithelium and is activated in response to acyl-homoserine lactone quorum-sensing molecules secreted by Pseudomonas aeruginosa and other gram-negative bacteria. Receptor activation regulates calcium-dependent NO production, resulting in stimulation of mucociliary clearance and direct antibacterial effects. Moreover, common polymorphisms of the TAS2R38 gene were linked to significant differences in the ability of upper respiratory cells to clear and kill bacteria. Lastly, TAS2R38 genotype correlated with human sinonasal gram-negative bacterial infection. These data suggest that T2R38 is an upper airway sentinel in innate defense and that genetic variation contributes to individual differences in susceptibility to respiratory infection.
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Affiliation(s)
- Robert J. Lee
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Guoxiang Xiong
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Jennifer M. Kofonow
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Bei Chen
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Anna Lysenko
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Peihua Jiang
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Valsamma Abraham
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Laurel Doghramji
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Nithin D. Adappa
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - James N. Palmer
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - David W. Kennedy
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Gary K. Beauchamp
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Paschalis-Thomas Doulias
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Harry Ischiropoulos
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - James L. Kreindler
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Danielle R. Reed
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
| | - Noam A. Cohen
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of Neurology, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Monell Chemical Senses Center, Philadelphia, Pennsylvania, USA.
Department of Pediatrics, Children’s Hospital of Philadelphia, Pennsylvania, USA.
Department of Pharmacology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philadelphia Veterans Affairs Medical Center, Surgical Services, Philadelphia, Pennsylvania, USA
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