Bisphenol A Exacerbates Allergic Inflammation in an Ovalbumin-Induced Mouse Model of Allergic Rhinitis

Comparative analysis of the bioaccumulation of bisphenol A in the blood serum and follicular fluid of women living in two areas with different environmental impacts

Introduction

Bisphenol A (BPA) is a common contaminant widely used in many industrial sectors. Because of its wide use and dispersion, it can be accumulated in living human bodies through both oral assumption and nondietary routes. BPA exhibits hormone-like properties, falling under the class of endocrine disruptors; therefore, it can alter relevant physiological functions. In particular, in women, it can affect folliculogenesis and therefore reproduction, contributing not only to infertility, but also to endometriosis and premature puberty.

Methods

We conducted a multicenter study on 91 women undergoing a first in vitro fertilization (IVF) treatment in the Campania region (Southern Italy). We investigated the presence and concentration of BPA in serum and follicular fluids to assess the effects of airborne BPA contamination. The analysis was conducted on 32 women living in a low environmental impact (LEI) area, from the Sele Valley River and Cilento region, and 59 women living in a high environmental impact (HEI) area, the so-called "Land of Fires", a highly contaminated territory widely exposed to illegal waste practices.

Results

A higher average BPA content in both blood serum and follicular fluid was revealed in the HEI group when compared with the LEI group. In addition, we revealed higher average BPA content in blood serum than in folliclular fluid in the HEI area, with opposite average content in the two fluids in the LEI zone. In addition, our results also showed a lack of correlation between BPA content in follicular and serum fluids both in the overall population and in the HEI and LEI groups, with peculiar trends in different subsets of women.

Conclusion

From our results, we revealed a heterogeneity in the distribution of BPA content between serum and follicular fluid. Further studies are needed to unravel the bioaccumulation mechanisms of BPA in highly polluted and nonpolluted areas.

Recent advances in understanding the effects of T lymphocytes on mucosal barrier function in allergic rhinitis

Allergic rhinitis is a non-infectious chronic inflammatory disease of the nasal mucosa that affects T cells and their cytokines. T cells play significant roles in the development of allergic inflammatory diseases by orchestrating mechanisms underlying innate and adaptive immunity. Although many studies on allergic rhinitis have focused on helper T cells, molecular makeup, and pathogenesis-related transduction pathways, pathological mechanisms have not yet been completely explored. Recent studies have suggested that T cell status may play an important role in the interaction between T cells and the nasal mucosal barrier in allergic rhinitis. This study aimed to explore the interactions between T cells and nasal mucosal barriers in allergic rhinitis and to review the therapeutic modalities of pertinent biological agents involving T cells.

Immunologic, genetic, and ecological interplay of factors involved in allergic diseases

An allergic or type I hypersensitivity reaction involves a misdirected immune overreaction to innocuous environmental and dietary antigens called allergens. The genetic predisposition to allergic disease, referred to as atopy, can be expressed as a variety of manifestations-e.g., allergic rhinitis, allergic conjunctivitis, atopic dermatitis, allergic asthma, anaphylaxis. Globally, allergic diseases are one the most common types of chronic conditions. Several factors have been identified to contribute to the pathogenesis and progression of the disease, leading to distinctively variable clinical symptoms. The factors which can attenuate or exacerbate allergic reactions can range from genetic heterozygosity, the prominence of various comorbid infections, and other factors such as pollution, climate, and interactions with other organisms and organism-derived products, and the surrounding environment. As a result, the effective prevention and control of allergies remains to be one of the most prominent public health problems. Therefore, to contextualize the current knowledge about allergic reactions, this review paper attempts to synthesize different aspects of an allergic response to describe its significance in the global health scheme. Specifically, the review shall characterize the biomolecular mechanisms of the pathophysiology of the disease based on underlying disease theories and current findings on ecologic interactions and describe prevention and control strategies being utilized. An integrated perspective that considers the underlying genetic, immunologic, and ecologic aspects of the disease would enable the development of more effective and targeted diagnostic tools and therapeutic strategies for the management and control of allergic diseases.

The toxic effect of bisphenol AF and nanoplastic coexposure in parental and offspring generation zebrafish

Microplastics (MPs) and bisphenol AF (BPAF) are two environmental pollutants that usually coexist in the natural environment. Studies of MPs or BPAF have gradually increased in recent years, but few studies have focused on the combination toxic effects. In this study, the subchronic model of adult zebrafish was exposed to 1 mg/L nanolevel microplastics and 200 μg/L BPAF for 45 days; the parental zebrafish were spawning every 3 days during exposure, and the effects of continuous poisoning were examined on the offspring after 1-9 spawns. The results showed that single BPAF exposure or BPAF and nanoplastic coexposure can both decrease the number of eggs laid and the locomotor behavior of parental zebrafish and impact the hatching rate, mortality, body length and locomotor behavior of offspring zebrafish, especially in 7-9 spawn. BPAF were accumulated in parental zebrafish intestinal in 334.62 ng/g in BPAF group and 594.52 ng/g in nm+BPAF group, and accumulated in whole offspring zebrafish for 281.6 ng/g in BPAF group and 321.46 ng/g in nm+BPAF group. Neurodevelopmental, inflammation, apoptosis and oxidative stress-related genes were also significantly increased after 7-9 spawn. In addition, the exacerbated accumulation in the BPAF+nm group in parental and offspring zebrafish may be the reason for the accelerated toxic effect in the present research. In this study, we investigated the combined effects of nanoplastics and BPAF on parental and offspring zebrafish in the aquatic environment to identify the accumulative toxic effects and provide new experimental support for assessing the effects of coexposure on aquatic organisms.

Knockdown of Cadherin 26 Prevents the Inflammatory Responses of Allergic Rhinitis

OBJECTIVES

Allergic rhinitis (AR) is an inflammatory autoimmune disease with disorder of the nasal mucosa. Cadherin 26 (CDH26), an alpha integrin-binding epithelial receptor, is regulated during allergic inflammation. This study aimed to investigate whether CDH26 contributes to the severity of AR.

STUDY DESIGN

In vivo and in vitro.

METHODS

We investigated the effects of CDH26 knockdown by lentivirus (LV)-mediated shRNA on ovalbumin (OVA)-induced AR mice and IL-13-stimulated human nasal epithelial cells (NECs).

RESULTS

CDH26 mRNA and protein expression was significantly increased in the nasal mucosa of AR patients and mice. Intranasal instillation of LV-shCDH26 alleviated allergic symptoms and decreased the histological changes of nasal mucosa in AR mice. Furthermore, the serum levels of OVA-specific IgE, IgG, pro-inflammatory factors IL-25, IL-33, and TSLP were decreased in AR mice with CDH26 knockdown. With regard to AR-induced Th2 inflammation, LV-shCDH26 intervention effectively decreased the distribution of CD4⁺ /GATA3⁺ Th2 cells, and the mRNA expression of IL-4, IL-5, and IL-13 in the nasal mucosa. CDH26 knockdown down-regulated the expression of β-catenin but not for E-cadherin and ZO-1 in nasal mucosa induced by AR. In vitro, CDH26 knockdown inhibited the protein expression of TSLP, GM-CSF and eotaxin in NECs, and CDH26 overexpression remarkably promoted the production of these inflammatory factors in IL-13-induced NECs.

CONCLUSIONS

CDH26 knockdown attenuates the AR-induced inflammatory response both in vivo and in vitro.

LEVEL OF EVIDENCE

NA Laryngoscope, 2022.

Bisphenol A attenuates the therapeutic effect of the selective G protein-coupled estrogen receptor agonist G-1 on allergic rhinitis inflammation in mice

BACKGROUND

Bisphenol A (BPA) is found in many plastics widely used in everyday life and affects the immune system. Previous studies found that the selective G protein coupled estrogen receptor (GPER) agonist G-1 can reduce the inflammation associated with asthma and allergic rhinitis (AR). BPA also interferes with the protective effect of estradiol against myocardial ischemia-reperfusion injury.

OBJECTIVE

We explored whether BPA attenuates the effect of G-1 on inflammation in a mouse AR model.

METHODS

The AR model was established by sensitizing and stimulating female BALB/c mice with ovalbumin (OVA) and G-1/BPA. Eosinophils, neutrophils, and lymphocyte subsets (including T and B cells) in nasal mucosa and Th2 and Treg cells in the spleen were detected by flow cytometry. Cytokines and transcription factors characteristic of Th2 and Treg cells in nasal mucosa were detected using cytometric bead arrays and quantitative PCR, respectively.

RESULTS

G-1 reduced OVA-induced nasal mucosal inflammation in mice. The proportions of eosinophils, neutrophils, Siglec-F⁺ neutrophils, lymphocytes, and T cell subsets were reduced by G-1, and this effect was attenuated by BPA. G-1 significantly decreased the Th2 population and levels of IL-4, IL-5, IL-13 and GATA-3; these effects were attenuated by BPA. The enhanced Treg response (as evidenced by an increased Treg population and higher IL-10 and Foxp3 levels) mediated by G-1 tended to be reduced by BPA.

DISCUSSION

We found that G-1 reduced OVA-induced nasal mucosal inflammation and significantly decreased the Th2 response, while increasing the Treg response. These effects were attenuated by BPA.

Urinary levels of phthalate, bisphenol, and paraben and allergic outcomes in children: Korean National Environmental Health Survey 2015-2017

BACKGROUND

Phthalates, bisphenols and parabens have been widely used in household and personal-care products. Their endocrine disrupting, sensitizing and antimicrobial properties might play a role in the occurrence of allergic diseases. However, the effects of these chemicals, particularly on humans, are relatively underexplored.

OBJECTIVES

This study aimed to report the concentrations of phthalate, bisphenol and paraben in urine of Korean children, and assess their relationship with allergic outcomes.

METHODS

Data obtained from nationally representative Korean children, a total of 1458 children between 3 and 11 years of age recruited in the Korean National Environmental Health Survey (3 rd round of KoNEHS 2015-2017), were analyzed. Associations of urinary phthalate metabolites, bisphenols, and parabens levels with atopic dermatitis and allergic rhinitis was examined by grouped into preschool (aged 3-5 years) and school children (aged 6-11 years). Allergic outcomes were obtained through questionnaires answered by their caregivers.

RESULTS

Atopic dermatitis was associated with urinary metabolites of DEHP, BzBP, DINP, and DIDP, and MeP and PrP in preschool children, BPA and PrP in school children. Allergic rhinitis was associated with MeP and PrP in preschool children, and metabolites of DEHP, MeP and PrP in school children. The association of urinary chemicals with atopic dermatitis and allergic rhinitis were different by gender, especially in preschool children.

CONCLUSION

Urinary phthalates, BPA and parabens levels in the Korean children were related with atopic dermatitis and allergic rhinitis. Considering the importance of allergic diseases in children, the public health implications of exposure to these chemicals warrant further studies. Given the cross-sectional design and confounding variables, the results of this study should be interpreted with caution.

EDC-induced mechanisms of immunotoxicity: a systematic review

Endocrine-disrupting chemicals (EDCs) refer to a group of chemicals that cause adverse effects in human health, impairing hormone production and regulation, resulting in alteration of homeostasis, reproductive, and developmental, and immune system impairments. The immunotoxicity of EDCs involves many mechanisms altering gene expression that depend on the activation of nuclear receptors such as the aryl hydrocarbon receptor (AHR), the estrogen receptor (ER), and the peroxisome proliferator-activated receptor (PPAR), which also results in skin and intestinal disorders, microbiota alterations and inflammatory diseases. This systematic review aims to review different mechanisms of immunotoxicity and immunomodulation of T cells, focusing on T regulatory (Treg) and Th17 subsets, B cells, and dendritic cells (DCs) caused by specific EDCs such as 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD), bisphenols (BPs) and polyfluoroalkyl substances (PFASs). To achieve this objective, a systematic study was conducted searching various databases including PubMed and Scopus to find in-vitro, in-vivo, and biomonitoring studies that examine EDC-dependent mechanisms of immunotoxicity. While doing the systematic review, we found species- and cell-specific outcomes and a translational gap between in-vitro and in-vivo experiments. Finally, an adverse outcome pathway (AOP) framework is proposed, which explains mechanistically toxicity endpoints emerging from different EDCs having similar key events and can help to improve our understanding of EDCs mechanisms of immunotoxicity. In conclusion, this review provides insights into the mechanisms of immunotoxicity mediated by EDCs and will help to improve human health risk assessment.

Ajwain oil attenuates allergic response of ovalbumin-induced allergic rhinitis via alteration of inflammatory, oxidative stress, and Th1/Th2 responses

BACKGROUND

Allergic rhinitis (AR) is an immune inflammatory-related disorder that affects the nasal mucosa. Free radicals play a crucial role in the expansion of allergic reaction and the researcher used the antioxidant therapy to treat the disease. Trachyspermum ammi L. (Ajwain oil) is popular traditional medicine. It has been proved their potential effect on various diseases. Ajwain oil showed anti-tumor, antioxidant, antidiabetic, anti-inflammatory, and anti-bacterial properties. Yet, the anti-allergic effect of Ajwain oil is still not explored. In this experimental study, an ovalbumin (OVX)-induced AR model was used to scrutinize the anti-allergic, antioxidant and anti-inflammatory effects of Ajwain oil.

MATERIALS AND METHODS

OVX was used to establish the AR model (sensitization days 1, 8, and 15) and given the oral treatment of Ajwain oil and Montelukast for 13 days. The spleen, lungs, and body weight were estimated. Sneezing, nasal discharge and rubbing are also estimated. Immunoglobin-E (IgE), histamine, malondialdehyde (MDA), superoxide dismutase (SOD), heme oxygenase-1 (HO-1), nuclear factor erythroid 2-related factor 2 (Nrf2), and inflammatory cytokines were scrutinized.

RESULTS

Ajwain oil significantly (p < .001) suppressed sneezing, nasal discharge and nasal rubbing along with increasing the spleen, lung and body weight. Ajwain oil significantly (p < .001) decreased the level of IgE, histamine, MDA, Nrf2, HO-1, and increased the level of SOD. Ajwain oil significantly (p < .001) suppressed the number of eosinophils, neutrophils, macrophages, and epithelial cells. Ajwain oil significantly prevented the activation of the NF-κBp65 and STAT3 signaling pathways that led to enhancing the synthesis of anti-inflammatory cytokines and reducing the inflammatory, allergen-specific type 2T helper cells (Th2), Th17 cytokines.

CONCLUSION

The obtained data suggests that Ajwain oil has a promising anti-allergic against allergic rhinitis in mice via anti-allergic, antioxidant, and anti-inflammatory effects.

PRACTICAL APPLICATIONS

Allergic rhinitis is a serious life-threatening disease. Inflammatory reaction plays an important role in the expansion of AR diseases. Ajwain oil considerably increased the spleen weight and reduced lung weight. Ajwain oil suppressed the nasal rubbing, sneezing, and nasal discharge. Ajwain oil considerably suppressed the immunoglobin and inflammatory cytokines. The result suggests that Ajwain oil having the potential effect against the allergic rhinitis.