in The Journal of allergy and clinical immunology by Jasmine Barra, Christopher R Liwski, Phoebe Phonchareon, Liliana Portales-Cervantes, Daniel Gaston, Tobias K Karakach, Ian D Haidl, Jean S Marshall
Mast cells are important sentinel cells in defense against mucosal infection. Exacerbations of allergic asthma and asthma deaths have been associated with respiratory viral infections. Elevated levels of interleukin-5 (IL-5) have been associated with the pathogenesis of severe atopic diseases, many of which respond to IL-5 blockade. This study sought to examine the impact of IL-5 signaling on mast cells infected with respiratory viruses. Cord-blood derived human mast cells were treated with IL-5 or left untreated and infected with coronavirus OC43, respiratory syncytial virus (RSV), or oncolytic reovirus. Mast cell expression of interferons (IFN) and of IFN stimulated genes was evaluated. Total RNA sequencing was performed to determine the impact of IL-5 on the transcriptome of human mast cells and related functional assays were performed. IL-5 treated mast cells produced significantly more type I and type III IFNs than non-IL-5 treated controls. Mechanistically, IL-5 treatment led to greater expression of the pro-survival factor B-cell lymphoma 2 (BCL2) and Endothelial PAS Domain Protein 1 (EPAS1), and protected mast cells from apoptosis-induced stress. IL-5 blockade was associated with a decrease in EPAS1 expression in the peripheral blood of asthmatic patients as shown by transcriptomic data from clinical trials of mepolizumab and benralizumab. IL-5 signaling selectively promotes IFN responses in mast cells and maintains mast cell populations during mucosal viral infection via a novel IL-5/EPAS1 axis.