# Asthma susceptibility due to environmental programming of innate immunity in utero

> **NIH NIH R01** · NATIONAL JEWISH HEALTH · 2021 · $612,486

## Abstract

Project Summary/Abstract
A growing number of epidemiological studies link childhood asthma with maternal environmental exposures
with the strongest evidence provided for cigarette smoke and diesel exhaust. Mechanisms how maternal
exposures lead to asthma in offspring are unknown. To address this, we developed a mouse model, inducing
asthma susceptibility in young mice by exposing their mothers to diesel exhaust particles (DEP). We then
discovered that asthma in this model was driven in part by natural killer (NK) cells. This finding was surprising
because it did not fit into the traditional paradigm of NK cells serving as a body’s defense instrument designed
to KILL. Our new data indicate, that instead, NK cells are part of a homeostatic response to REPAIR (NOT kill)
fetal tissues that are metabolically-impaired by diesel exhaust, and that metabolic impairment is the primordial
cause of asthma predisposition in our model. Metabolic impairment of DEP pups manifests itself in their
reduced weight. The body’s first response to growth-limiting insults is induction of pro-survival factors.
Accordingly, hematopoietic tissues of DEP fetuses and pups over-produce growth arrest-specific protein 6
(Gas6), a cytokine known to be induced under conditions of reduced metabolism and impaired growth to
protect tissues from death and promote their repair. Tissue repair has long been linked to type-2 immune
responses. Consistent with this, injections of Gas6 promote type-2 innate lymphoid cell (ILC2) activation and
asthma in normal pups. We hypothesize that Gas6 effects are at least in part due to induction of a type-2
program in developing NK cells, and that this program endows NK cells with a capacity to orchestrate
responses of type-2 lymphocytes. Gas6 is a recognized enhancer of NK cell development. It is also a known
activator of STAT6, a transcriptional factor linked to type-2 differentiation. Accordingly, NK cell development is
enhanced in DEP offspring and their mature NK cells produce the type-2 cytokine IL13. We further show that in
DEP pups, NK cells drive production of epithelial IL25 and activation of ILC2 and Th2 cells. In addition to
producing IL13, DEP NK cells have enhanced ability to degranulate. We propose that these two traits underlie
the unique capacity of DEP NK cells to activate type-2 immunity. We show that the granule protease granzyme
B (Gzmb) potently synergizes with IL13 to induce IL25 from airway epithelial cells. Our overarching hypothesis
is that maternal exposure to DEP promotes asthma susceptibility in offspring by impairing their metabolism and
growth; this provokes a repair response, part of which is induction of Gas6 that programs NK cells for
enhanced secretion of IL13 and granzyme B, leading to production of IL25 and activation of ILC2 and Th2
cells. In Aim 1, we will study NK cell-driven mechanisms of prenatally-programmed asthma, focusing on NK
cell mediators (Gzmb and IL13) and IL25. In Aim 2, we will study importance of G...

## Key facts

- **NIH application ID:** 10087545
- **Project number:** 5R01HL122995-07
- **Recipient organization:** NATIONAL JEWISH HEALTH
- **Principal Investigator:** Magdalena Maria Gorska
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $612,486
- **Award type:** 5
- **Project period:** 2015-01-01 → 2024-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10087545

## Citation

> US National Institutes of Health, RePORTER application 10087545, Asthma susceptibility due to environmental programming of innate immunity in utero (5R01HL122995-07). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10087545. Licensed CC0.

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