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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2019.10694</article-id>
<article-id pub-id-type="publisher-id">mmr-20-05-4425</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Role of CCR7 on dendritic cell-mediated immune tolerance in the airways of allergy-induced asthmatic rats</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Yi</given-names></name>
<xref rid="af1-mmr-20-05-4425" ref-type="aff"/>
<xref rid="c1-mmr-20-05-4425" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Du</surname><given-names>Yongcheng</given-names></name>
<xref rid="af1-mmr-20-05-4425" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Aizhen</given-names></name>
<xref rid="af1-mmr-20-05-4425" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Jiang</surname><given-names>Rui</given-names></name>
<xref rid="af1-mmr-20-05-4425" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Nie</surname><given-names>Xin</given-names></name>
<xref rid="af1-mmr-20-05-4425" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Xiong</surname><given-names>Xue</given-names></name>
<xref rid="af1-mmr-20-05-4425" ref-type="aff"/></contrib>
</contrib-group>
<aff id="af1-mmr-20-05-4425">Department of Respiration Medicine, People&#x0027;s Hospital of Shanxi Province, Taiyuan, Shanxi 030001, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-20-05-4425"><italic>Correspondence to</italic>: Dr Yi Li, Department of Respiration Medicine, People&#x0027;s Hospital of Shanxi Province, 29 Shuangtasi Street, Taiyuan, Shanxi 030001, P.R. China, E-mail: <email>j.p.lee@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month><year>2019</year></pub-date>
<pub-date pub-type="epub"><day>20</day><month>09</month><year>2019</year></pub-date>
<volume>20</volume>
<issue>5</issue>
<fpage>4425</fpage>
<lpage>4432</lpage>
<history>
<date date-type="received"><day>10</day><month>04</month><year>2018</year></date>
<date date-type="accepted"><day>26</day><month>04</month><year>2019</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Li et al.</copyright-statement>
<copyright-year>2019</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.</license-p></license>
</permissions>
<abstract>
<p>Dendritic cells (DCs) have an important role in initiating and maintaining the immune inflammatory response in allergic asthma, and CC chemokine receptor 7 (CCR7) is directly involved in the pathogenesis of DC- and T cell-mediated allergic asthma. The present study aimed to investigate the effects of CCR7 on DC-mediated immune tolerance in allergic asthma. In the present study, bone marrow-derived DCs were transfected with an adenovirus encoding the rat CCR7 gene or a short hairpin RNA targeting CCR7 (sh-CCR7). Rats injected with DCs overexpressing CCR7 or presenting CCR7 knockdown were examined. After the rats were injected with DCs via the tail vein, bronchoalveolar lavage fluid was collected to assess its cellular composition. The protein expression levels of CCR7 in DCs were determined using immunohistochemistry and western blot analysis. The protein expression levels of interferon-&#x03B3; (IFN-&#x03B3;), interleukin-4 (IL-4), IL-10, IL-12, transforming growth factor-&#x03B2; (TGF-&#x03B2;) and immunoglobulin E (IgE) were determined by ELISA. Compared with the control group, the protein expression level of CCR7 was significantly higher in the CCR7 overexpression group and significantly lower in sh-CCR7 group. Similarly, the number of DCs was higher in the CCR7 overexpression group and lower in the sh-CCR7 group. The protein expression levels of IL-10 and TGF-&#x03B2; were significantly lower in the CCR7 overexpression group and higher in the sh-CCR7 group. In addition, the expression levels of IL-4, IL-12, IFN-&#x03B3; and IgE were higher in the CCR7 overexpression group and lower in the sh-CCR7 group. The present results suggested that the role of cytokines and IgE in immune inflammation and immune tolerance in allergic asthma may be associated with the expression level of CCR7 in DCs, suggesting that CCR7 may serve a role in DC-mediated immune tolerance in allergic asthma.</p>
</abstract>
<kwd-group>
<kwd>CC chemokine receptor 7</kwd>
<kwd>dendritic cells</kwd>
<kwd>allergic asthma</kwd>
<kwd>allergy-induced asthma</kwd>
<kwd>immune tolerance</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Bronchial asthma is a chronic airway inflammatory disease. As of 2008, ~300 million people worldwide have been diagnosed with asthma, with China accounting for ~10&#x0025; (~30 million) of all cases (<xref rid="b1-mmr-20-05-4425" ref-type="bibr">1</xref>). As a potential life-threating condition, asthma has become a serious health problem worldwide. Recently established treatment protocols have significantly improved asthma control rates; however, symptomatic treatment represents the primary available therapeutic option, and inhaled corticosteroids and bronchodilators are the most common medications used to treat asthma symptoms (<xref rid="b2-mmr-20-05-4425" ref-type="bibr">2</xref>). Currently, the absence of effective etiological treatments represents a limitation in improving the asthma control rate.</p>
<p>Allergic asthma is a common type of asthma, and children are twice as likely to develop this disease compared with adults (<xref rid="b3-mmr-20-05-4425" ref-type="bibr">3</xref>). Immune-mediated inflammation is the principal factor involved in allergic asthma pathogenesis, and a variety of inflammatory mediators and cytokines are involved in this process, including interferon-&#x03B3; (IFN-&#x03B3;), interleukin-4 (IL-4) and immunoglobulin E (IgE) (<xref rid="b4-mmr-20-05-4425" ref-type="bibr">4</xref>). Dendritic cells (DCs) are involved in the initiation and maintenance of the inflammatory chain reaction underlying allergic asthma (<xref rid="b5-mmr-20-05-4425" ref-type="bibr">5</xref>,<xref rid="b6-mmr-20-05-4425" ref-type="bibr">6</xref>). Previous studies have shown that DC surface molecules, including major histocompatibility complex class II (MHC-II) molecules and costimulatory proteins (<xref rid="b7-mmr-20-05-4425" ref-type="bibr">7</xref>,<xref rid="b8-mmr-20-05-4425" ref-type="bibr">8</xref>), and DC-secreted cytokines (<xref rid="b9-mmr-20-05-4425" ref-type="bibr">9</xref>) can regulate the differentiation of na&#x00EF;ve T cells into type 1 or type 2 T-helper (Th2) cells, or regulatory T cells (Tregs). DCs are associated with airway epithelial cells, mast cells and eosinophils, three types of cells that are involved in asthmatic pathology (<xref rid="b10-mmr-20-05-4425" ref-type="bibr">10</xref>&#x2013;<xref rid="b12-mmr-20-05-4425" ref-type="bibr">12</xref>). Asthma is caused by the activation and recruitment of inflammatory cells and secretion of pro-inflammatory factors following exposure to an antigen (<xref rid="b13-mmr-20-05-4425" ref-type="bibr">13</xref>), suggesting that asthma could be treated by suppressing this process.</p>
<p>CC chemokine receptor 7 (CCR7) is primarily expressed on the surface of DCs, T-lymphocytes and B-lymphocytes (<xref rid="b14-mmr-20-05-4425" ref-type="bibr">14</xref>) and it has been shown to promote the internalization of antigens by DCs, and to regulate cell survival, migration, and to induce DC maturation (<xref rid="b15-mmr-20-05-4425" ref-type="bibr">15</xref>,<xref rid="b16-mmr-20-05-4425" ref-type="bibr">16</xref>). Immune tolerance is the state of unresponsiveness of the immune system to a particular antigen (<xref rid="b17-mmr-20-05-4425" ref-type="bibr">17</xref>). A previous study has shown that the CCR7-dependent migration of DCs from the lungs to draining lymph nodes is involved in the transport of inhaled silver particles, and this process is essential to induce peripheral tolerance of T cells (<xref rid="b18-mmr-20-05-4425" ref-type="bibr">18</xref>). However, this previous study was primarily focused on the process of immune tolerance associated with antigen presentation. The mechanism underlying the role of CCR7-expressing DCs in the regulation of immune tolerance in the airways during allergic asthma remains unclear and requires further investigation. Therefore, the present study investigated the effects of CCR7 knockdown and overexpression on DC-mediated immune tolerance in the lungs of rats with allergic asthma.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Culture of bone marrow-derived immature DCs (imDCs)</title>
<p>The present study was approved by The Ethics Committees of The People&#x0027;s Hospital of Shanxi Province. A total of 33 specific pathogen-free (SPF) male Wistar rats (age, 6&#x2013;8 weeks; weight, 180&#x2013;200 g) were obtained from The Laboratory Animal Center of Hangzhou Hibio Technology Co., Ltd. The animals were acclimatized to laboratory conditions (23&#x00B0;C, 12-h light/dark cycle, 50&#x0025; humidity and <italic>ad libitum</italic> access to food and water) for 2 weeks prior to experimentation. Animals were sacrificed by intravenous injection of pentobarbital sodium (150 mg/kg) and animal death was confirmed by lack of reflexes, heartbeat and breathing. Specific tissues were collected for experimentation. Bone marrow was collected from the femurs and tibiae of Wistar rats as previously described (<xref rid="b19-mmr-20-05-4425" ref-type="bibr">19</xref>). The intact femurs and tibiae were kept in 70&#x0025; ethanol for 30 min, and then rinsed with fresh RPMI medium (Gibco; Thermo Fisher Scientific, Inc.). The extremities of the femurs and tibiae were removed with scissors, and the bone marrow was flushed using 5&#x2013;10 ml medium with a 19-gauge syringe. A lysis buffer containing ammonium chloride (KHCO<sub>3</sub> 1.0 g/l; NH<sub>4</sub>CL 8.3 g/l; EDTA-Na<sub>2</sub> 0.037 g/l) was used to lyse red blood cells and the samples were washed twice to isolate the bone marrow cells. Bone marrow cells were resuspended in RPMI medium supplemented with recombinant rat IL-4 (10 ng/ml; PeproTech, Inc.) and recombinant rat granulocyte monocyte colony-stimulating factor (GM-CSF; 10 ng/ml; PeproTech, Inc.), and cultured at a density of 1&#x00D7;10<sup>6</sup> cells/ml in six-well plates with 3 ml culture medium/well at 37&#x00B0;C in a 5&#x0025; CO<sub>2</sub> humidified incubator. Fresh culture medium and cytokines were added at day 3. Cell aggregates attached to the dish surface were observed between day 3 and 4. The culture medium was removed and replaced by fresh medium with GM-CSF at day 5 and 6.</p>
<p>The phenotype of the cultured dendritic cells was examined by investigating the protein expression levels of &#x03B1; E2 integrin (OX62) and MHC-II, as assessed by flow cytometry (<xref rid="SD1-mmr-20-05-4425" ref-type="supplementary-material">Fig. S1</xref>), conducted as follows: One well of a 6-well plate was centrifuged at 300 &#x00D7; g for 5 min at 37&#x00B0;C, and the cell pellet was collected and resuspended in 5X volume of washing solution (0.01 M PBS). The cells were rinsed twice and resuspended in 200 &#x00B5;l of staining buffer (cat. no. 420201; BioLegend, Inc.) at a concentration of 1&#x00D7;10<sup>6</sup> cells/ml. The cells were equally divided into two 1.5-ml centrifuge tubes; one tube was an experimental group, whereas the other was a blank group. Phycoerythrin (PE)-conjugated anti-MHC class II (1:50; cat. no. 12-0920-82; Invitrogen; Thermo Fisher Scientific, Inc.) and PE-conjugated anti-Ox62 (1:50; cat. no. 12-1030-82; Invitrogen; Thermo Fisher Scientific, Inc.) antibodies were added separately and incubated for 30 min at room temperature in the dark; the blank group for each assay was incubated without primary antibody. MHC-II and OX62 were directly detected using an Accuri C6 flow cytometer (BD Biosciences); the blank group was used to determine the negative region. The test was repeated three times.</p>
</sec>
<sec>
<title>Transfection of imDCs with short hairpin RNA (shRNA) targeting CCR7</title>
<p>The sequences of the shRNA targeting CCR7 and the control sequences were as follows: shRNA-CCR7, 5&#x2032;-TGGATCTTTGGTGCCTACCTGTGTA-3&#x2032;; control shRNA, 5&#x2032;-TTCTCCGAACGTGTCACGTAA-3&#x2032;. shRNA-CCR7 and control shRNA was inserted into a pHBAd-U6-GFP backbone, which was packaged into an adenovirus. The 293A cells were transfected with the shCCR7 plasmid, and the adenovirus was harvested. The plasmid, shRNA and adenovirus were all supplied by Hangzhou Hibio Technology Co., Ltd. As control, an empty vector was used, and the infection efficiency was assessed by western blot analysis (<xref rid="SD1-mmr-20-05-4425" ref-type="supplementary-material">Fig. S2</xref>). Then, 1&#x00D7;10<sup>6</sup> imDCs were suspended in 1 ml adenoviral supernatant (MOI=50) with 1&#x0025; FBS (Invitrogen; Thermo Fisher Scientific, Inc.), 10 ng/ml GM-CSF and 10 ng/ml IL-4 at 37&#x00B0;C for 72 h. Subsequently, cells were centrifuged at 300 &#x00D7; g at 37&#x00B0;C for 2 h. After infection, imDCs were washed twice in PBS and incubated with RPMI-1640 medium containing 10&#x0025; fetal calf serum (FCS; Gibco; Thermo Fisher Scientific, Inc.) supplemented with 10 ng/ml GM-CSF and 10 ng/ml IL-4 at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub>. The cells were harvested for injection 48 h after infection.</p>
</sec>
<sec>
<title>Transfection of imDC with adenovirus overexpressing CCR7</title>
<p><italic>Not</italic>I and <italic>Pst</italic>I restriction sites were added to the ends of the CCR7 coding sequence, which was cloned into a pDC316-MCMV-ZsGreen backbone, which was packaged into an adenovirus. The recombinant adenoviral vector containing the rat <italic>CCR7</italic> gene was prepared as previously described by Hibio Technology Co., Ltd. (<xref rid="b20-mmr-20-05-4425" ref-type="bibr">20</xref>), and the centrifugal enhancement method was used to increase the infection efficiency (<xref rid="b21-mmr-20-05-4425" ref-type="bibr">21</xref>). Empty plasmid vector was used as negative control. Viral packaging was verified by the detection of green fluorescent protein via fluorescence microscopy (data not shown). Subsequently, 1&#x00D7;10<sup>6</sup> imDCs were suspended with 1&#x0025; FBS, 10 ng/ml GM-CSF and 10 ng/ml IL-4, adding the adenovirus at MOI=50, and cells were subsequently centrifuged at 300 &#x00D7; g at 37&#x00B0;C for 2 h. After infection, the imDCs were washed twice in PBS and incubated with RPMI-1640 medium containing 10&#x0025; FCS supplemented with 10 ng/ml GM-CSF and 10 ng/ml IL-4 at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub>. The cells were harvested for injection 48 h after transfection. The infection efficiency of CCR7 was determined by western blot analysis (<xref rid="SD1-mmr-20-05-4425" ref-type="supplementary-material">Fig. S3</xref>).</p>
</sec>
<sec>
<title>Establishment of animal models</title>
<p>Healthy SPF male Wistar rats were used to establish an animal model of allergic asthma, according to a modified previously described protocol (<xref rid="b22-mmr-20-05-4425" ref-type="bibr">22</xref>). Rats were immunized by intraperitoneal injection of 100 &#x00B5;g ovalbumin (OVA; Sigma-Aldrich; Merck KGaA) adsorbed into 400 &#x00B5;g aluminium hydroxide in 0.2 ml sterile saline (0.9&#x0025;) on day 1 and 8. After 2 weeks, rats were exposed to aerosol spray containing 1&#x0025; OVA in 0.9&#x0025; sterile saline for 30 min every day, 6 days every week, for a total of 8 weeks. The experimental rats were divided into three groups (n=10 in each group) as follows: i) Control (Con) group, rats injected with 2&#x00D7;10<sup>5</sup> cultured wild-type imDCs; ii) CCR7 overexpression (Over) group, rats injected with 2&#x00D7;10<sup>5</sup> cultured imDCs infected with adenoviral particles overexpressing CCR7; and iii) CCR7 interference (Sh) group, containing rats injected with 2&#x00D7;10<sup>5</sup> cultured imDCs infected with adenoviral particles encoding a shRNA targeting CCR7. imDCs were injected via the tail vein at day 1, 10 and 18.</p>
</sec>
<sec>
<title>Immunohistochemistry of CCR7 and OX62</title>
<p>For immunohistochemical staining, lung tissues were fixed at room temperature for 5 days using 4&#x0025; formaldehyde solution, embedded in paraffin and sectioned (4-&#x00B5;m), dewaxed in 100&#x0025; xylene (twice in total, 20 min each time), rehydrated in a graded alcohol series (100&#x0025; for 5 min, 95&#x0025; for 5 min, 80&#x0025; for 5 min), and incubated with 0.3&#x0025; H<sub>2</sub>O<sub>2</sub> in methanol to block the endogenous peroxidase activity for 15 min at 37&#x00B0;C. Mounted sections were boiled in 10 mM citrate solution (pH 6.0) for 20 min for antigen retrieval, and incubated overnight at 4&#x00B0;C with the following primary antibodies: Anti-rat CCR7 (1:50; cat. no. bs-1305R; Bioss, Inc.) and anti-rat OX62 (1:50; cat. no. sc-53085; Santa Cruz Biotechnology, Inc.). Horseradish peroxidase-conjugated secondary antibody (1:25; cat. no. PV-6001; Beijing Zhongshan Golen Bridge Biotechnology Co., Ltd.; OriGene Technologies, Inc.) was incubated with the sections at 37&#x00B0;C for 30 min. A two-step technique (SuperPicture Third Generation IHC Detection kit; Invitrogen; Thermo Fisher Scientific, Inc.) was used to visualize the stained samples, and 0.1 mg/ml 3,3&#x2032;-diaminobenzidine diluted in a 0.02&#x0025; H<sub>2</sub>O<sub>2</sub> solution (Vector Laboratories, Inc.) was used as chromogen for 2 min at room temperature. The tissue sections were counterstained with hematoxylin (1 g/ml, 2 min) and eosin (5 g/l, 30 sec) at room temperature, and observed using a light microscope (magnifications, &#x00D7;100 and &#x00D7;400; Olympus Corporation).</p>
</sec>
<sec>
<title>Western blot assay</title>
<p>Lung tissues were homogenized in RIPA buffer (Pierce; Thermo Fisher Scientific, Inc.) and the protein concentration was determined using the bicinchoninic acid protein assay (Pierce; Thermo Fisher Scientific, Inc.). Total protein was separated by SDS-PAGE on 10&#x0025; gels. In total, 30 &#x00B5;g protein was loaded in each lane. Proteins were then transferred to PVDF membranes (EMD Millipore). Membranes were blocked for 2 h at room temperature in 5&#x0025; non-fat dry milk and incubated with a primary antibody anti-rat CCR7 (1:1,000; cat. no. ab32527; Abcam) or anti-OX62 (1:1,000; cat. no. bs-1274R; Bioss, Inc.) at 4&#x00B0;C overnight. Membranes were then incubated with the appropriate horseradish peroxidase-labeled anti-mouse [1:1,000; cat. no. GAM007; MultiSciences (Lianke) Biotech Co., Ltd.] or anti-rabbit IgG [1:1,000; cat. no. GAR0072; MultiSciences (Lianke) Biotech Co., Ltd.] secondary antibodies at room temperature for 50 min. Anti-&#x03B2;-actin (1:1,000; cat. no. sc-47778; Santa Cruz Biotechnology Inc.) or GAPDH (1:1,000; cat. no. sc-32233; Santa Cruz Biotechnology Inc.) was used as the loading control. Bands were visualized by autoradiography (ChemiDoc XR&#x002B;System; Bio-Rad Laboratories, Inc.) and quantified by densitometry (ImageJ V1.46; National Institutes of Health). The results were normalized to GAPDH or to &#x03B2;-actin. All experiments were performed in triplicate.</p>
</sec>
<sec>
<title>Bronchoalveolar lavage fluid (BALF) collection and cell counting</title>
<p>After the animal model was successfully established (8 weeks), the animals were anesthetized and the lungs were exposed. The right principal bronchus was occluded using a hemostat clamp. A total of 4 ml saline was used for the bronchoalveolar lavage in the left lung, and 3&#x2013;4 ml of fluid was collected after flushing twice. The alveolar lavage fluid was centrifuged at 300 &#x00D7; g for 10 min at room temperature, and the supernatant was used for ELISA. Next, 0.5 ml saline was added to 0.5 ml BALF containing sediment and mixed. Then, the samples were smeared and the cells were counted using the Wright-Giemsa staining technique [Wright&#x0027;s dyeing powder (1 g), Jimsa dyeing powder (0.5 g), 20 min incubation, room temperature] and observed with a CX21 light microscope (Olympus Corporation). Cells were counted under a microscope using a hemocytometer and a counting place (25&#x00D7;16 grid cells); the number of cells in each corner of the plate was calculated.</p>
</sec>
<sec>
<title>ELISA</title>
<p>After the animal model was successfully established, blood (4 ml) was extracted from the vena cava, anticoagulated with heparin and centrifuged (500 &#x00D7; g for 10 min at room temperature), and serum was collected. ELISA kits were used for measuring IFN-&#x03B3; (cat. no. EK0374), IL-4 (cat. no. EK0406), IL-12 (cat. no. A01152-2), IL-10 (cat. no. EK0418), TGF-&#x03B2; (cat. no. EK0514; all Boster Biological Technology) and IgE (cat. no. E-EL-R0517c; Elabscience Biotechnology, Inc.) concentrations in serum and BALF supernatant, according to the manufacturer&#x0027;s protocol.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All assays were repeated three times. The data are presented as the mean &#x00B1; SD. Statistical analysis was performed using SPSS 11.5 software (SPSS, Inc.). One-way ANOVA was performed to compare multiple groups, followed by Student-Newman-Keuls-Q post-hoc test. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Expression of CCR7 in lung tissues following CCR7-overexpressing DC injection in vivo</title>
<p>Immunohistochemical analysis suggested that the protein expression level of CCR7 was increased in the airways of rats in the CCR7-overexpressing group (<xref rid="f1-mmr-20-05-4425" ref-type="fig">Fig. 1</xref>). In addition, the cell membranes were stained yellow and brown, indicating the localization of CCR7 in the peribronchial stroma (<xref rid="f1-mmr-20-05-4425" ref-type="fig">Fig. 1C</xref>). Compared with the control group, the protein expression of CCR7 was significantly higher in the airways of rats in the overexpression adenovirus-infected (Over) group and lower in the shRNA adenovirus-infected (Sh) group (P&#x003C;0.01; <xref rid="f1-mmr-20-05-4425" ref-type="fig">Fig. 1B</xref>). The protein expression levels of CCR7 in various groups detected by western blotting was consistent with the immunohistochemical results (<xref rid="f1-mmr-20-05-4425" ref-type="fig">Fig. 1A</xref>).</p>
</sec>
<sec>
<title>CCR7-overexpressing DCs promote inflammatory cell infiltration in the lungs of rats with allergic asthma</title>
<p>HE staining suggested the presence of numerous inflammatory cells in the lung tissues in the control group (<xref rid="f2-mmr-20-05-4425" ref-type="fig">Fig. 2</xref>). Additionally, the number of infiltrated inflammatory cells, including lymphocytes, eosinophils and neutrophils (as determined by cell morphology following H&#x0026;E staining), was increased in the airway and lung tissues in the Over group compared with the Con group, and the airway wall was markedly thicker in the CCR7 overexpression group (<xref rid="SD1-mmr-20-05-4425" ref-type="supplementary-material">Fig. S4</xref>). In the Sh group, the bronchiole structure was normal and the number of inflammatory cells infiltrating the lung tissue was reduced.</p>
</sec>
<sec>
<title>Expression of DC-specific antigens in lung tissues is positively associated with the expression level of CCR7</title>
<p>OX62 was used a marker for DC detection in the airways as it is specifically expressed by DCs (<xref rid="b23-mmr-20-05-4425" ref-type="bibr">23</xref>). The CCR7 Over group exhibited higher expression levels of OX62 compared with the Con and Sh groups (<xref rid="f3-mmr-20-05-4425" ref-type="fig">Fig. 3</xref>). In addition, the protein expression level of OX62 was lower in the CCR7 interference group compared with the control group (P&#x003C;0.05).</p>
</sec>
<sec>
<title>Positive correlation between the expression levels of CCR7 and the presence of leukocytes, neutrophils and lymphocytes in BALF</title>
<p>The numbers of leukocytes (P&#x003C;0.01), neutrophils (P&#x003C;0.05) and lymphocytes (P&#x003C;0.01) were higher in the CCR7 Over group compared with the Con group and the Sh group (<xref rid="f4-mmr-20-05-4425" ref-type="fig">Fig. 4</xref>). Conversely, the expression of eosinophils was not affected by CCR7 overexpression. The present data suggested that CCR7 expression could affect the number and types of immune cells recruited to the airways and infiltrating the lung tissues.</p>
</sec>
<sec>
<title>Expression levels of cytokines and IgE in the BALF and serum are associated with the expression level of CCR7</title>
<p>Compared with the control group, the protein expression levels of IL-12, IL-4, IFN-&#x03B3; and IgE, in both the BALF supernatant (<xref rid="f5-mmr-20-05-4425" ref-type="fig">Fig. 5</xref>) and serum (<xref rid="f6-mmr-20-05-4425" ref-type="fig">Fig. 6</xref>), were increased in the CCR7 Over group compared with the Con and the Sh groups (P&#x003C;0.01). Compared with the control group, the protein expression levels of IL-10 and TGF-&#x03B2; in the BALF supernatant (<xref rid="f5-mmr-20-05-4425" ref-type="fig">Fig. 5</xref>) and serum (<xref rid="f6-mmr-20-05-4425" ref-type="fig">Fig. 6</xref>) were significantly lower in the CCR7 Over group, and higher in the Sh group (P&#x003C;0.01).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>One of the most important functions of the immune system is to prevent pathogen-associated damage, which is limited through effective recognition of the exogenous antigens and initiation of the immune response (<xref rid="b24-mmr-20-05-4425" ref-type="bibr">24</xref>). The immune system allows the body to maintain its internal environment via the immune tolerance mechanism (<xref rid="b25-mmr-20-05-4425" ref-type="bibr">25</xref>). Both immune response and immune tolerance mechanisms serve important roles in allergy-induced asthma (<xref rid="b26-mmr-20-05-4425" ref-type="bibr">26</xref>). Therefore, in the present study, the effects of CCR7 overexpression and knockdown in DCs on the mechanisms of immune tolerance were investigated in an animal model of allergic asthma.</p>
<p>In the present study, DC markers were examined, and the expression levels of OX62 were decreased following shRNA-mediated CCR7 knockdown in DCs. The present results suggested that CCR7 may serve an important role in the regulation of the immune response in DC-induced asthma. Previous studies have demonstrated that imDCs can internalize, process and deliver antigens, and it is also associated with the induction of immune tolerance (<xref rid="b9-mmr-20-05-4425" ref-type="bibr">9</xref>); however, mature DCs exhibit immune stimulating abilities (<xref rid="b9-mmr-20-05-4425" ref-type="bibr">9</xref>). Interestingly, CCR7 expression is limited to mature DCs (<xref rid="b27-mmr-20-05-4425" ref-type="bibr">27</xref>). imDCs have been used as a model to study the association between changes in the expression level of cytokines and the immune inflammatory response in allergic asthma (<xref rid="b28-mmr-20-05-4425" ref-type="bibr">28</xref>). In the present study, HE and Wright-Giemsa staining of lung tissues and BALF showed an increased number of infiltrating inflammatory cell in the CCR7 overexpression group. The present findings suggested that CCR7 may promote immune inflammation. Conversely, there was no significant association between eosinophils and CCR7 expression; the increase and aggregation of eosinophils may be related to other factors, such as IL-5 (<xref rid="b29-mmr-20-05-4425" ref-type="bibr">29</xref>). However, a previous study showed that CCR7-deficient animals fail to induce tolerance to inhaled environmental innocuous antigens (<xref rid="b17-mmr-20-05-4425" ref-type="bibr">17</xref>). The reasons underlying the differences between the present and this previous study may be multifactorial. Notably, the animal model is different; in the present study, continuous inhalation of OVA was used to induce bronchial asthma in rats, whereas the previous study established an immune tolerance model via the inhalation of increasing doses of the antigens. Moreover, the present study used a rat allergy model, whereas the previous study was performed in mice. In addition, the CCR7-deficient animals in the previous study may exhibit additional defects, such as impaired T cell recirculation, that may influence the immune system in these animals.</p>
<p>CCR7 possesses a variety of functions and properties in DCs. A previous study has shown that knockdown of CCR7 increases the expression levels of CD80, CD86, IFN-&#x03B3;, IL-12/23 and IL-1&#x03B1; in DC (<xref rid="b30-mmr-20-05-4425" ref-type="bibr">30</xref>). CCR7 silencing also increases the resistance to infection by increasing the number of neutrophils in the lung airways (<xref rid="b31-mmr-20-05-4425" ref-type="bibr">31</xref>). In the present study, various cytokines, including IgE, were found to be involved in allergy-induced asthma and their expression level decreased following knockdown of CCR7. The present results suggested that a decrease in the expression level of CCR7 may suppress the immune response in patients with allergy-induced asthma. Accumulating evidence demonstrated that the mucosa in asthmatic airways contains a large number of activated Th cells, as well as higher levels of IL-4 and IL-5. <italic>In vitro</italic> studies have shown that IL-4 can induce B lymphocytes to synthesize IgE, promoting airway hyper-responsiveness (<xref rid="b32-mmr-20-05-4425" ref-type="bibr">32</xref>&#x2013;<xref rid="b34-mmr-20-05-4425" ref-type="bibr">34</xref>), although IFN-&#x03B3; inhibits this effect (<xref rid="b35-mmr-20-05-4425" ref-type="bibr">35</xref>). IL-12 is a major cytokine that regulates immune balance by promoting the expression of certain cytokines, such as IFN-&#x03B3;, and inhibiting the secretion of other cytokines, such as IL-4 and IL-5 (<xref rid="b36-mmr-20-05-4425" ref-type="bibr">36</xref>). Therefore, IFN-&#x03B3;, IL-4, IL-12 and IgE serve important roles in the pathogenesis of allergy-induced asthma. Overall, decreased CCR7 expression not only reduced inflammatory cell infiltration, but also decreased the expression levels of various inflammatory factors.</p>
<p>IL-10 and TGF-&#x03B2; are cytokines involved in the process of immune tolerance (<xref rid="b37-mmr-20-05-4425" ref-type="bibr">37</xref>,<xref rid="b38-mmr-20-05-4425" ref-type="bibr">38</xref>). IL-10 exhibits a wide range of functions, including the inhibition of Th2 cytokine and IgE production and it is involved in decreasing mast cell and eosinophil function (<xref rid="b39-mmr-20-05-4425" ref-type="bibr">39</xref>). In addition, IL-10 increases the secretion of IgG4 and regulates the IgG4/IgE ratio (<xref rid="b40-mmr-20-05-4425" ref-type="bibr">40</xref>). TGF-&#x03B2; is a pro-inflammatory cytokine that regulates lymphocyte homeostasis, suppresses Th2 cell activation and promotes Treg cell differentiation (<xref rid="b41-mmr-20-05-4425" ref-type="bibr">41</xref>). In the present study, CCR7 knockdown increased the protein expression levels of IL-10 and TGF-&#x03B2; in allergy-induced asthma, suggesting that CCR7 may serve an important role in immune tolerance in allergy-induced asthma. The induction of T cell antigen-specific immune tolerance may represent a novel strategy for the treatment of various immune inflammatory diseases, including allergy-induced asthma.</p>
<p>The immune tolerance to allergens in asthmatic patients is due to the activation and proliferation of Th cells (<xref rid="b26-mmr-20-05-4425" ref-type="bibr">26</xref>). Therefore, mechanisms underlying immune tolerance defects may be important for the pathogenesis of allergy-induced asthma. Knockdown of CCR7 in DCs caused the cells to remain in an immature state, promoting immune tolerance. This effect may further reduce the activity of DCs, leading to decreases in the expression levels of cytokines involved in the immune response in allergy-induced asthma, and increases in the expression levels of cytokines involved in immune tolerance.</p>
<p>CCR7 has important roles in DC-mediated immune inflammation and immune tolerance in patients with allergy-induced asthma (<xref rid="b17-mmr-20-05-4425" ref-type="bibr">17</xref>). Notably, the present study presents certain limitations, since the expression level of CCR7 in DCs was investigated only in the lungs. In the future, it may be useful to examine the role of CCR7-expressing DCs in other tissues prone to allergic inflammation. Moreover, further studies are required to examine the CCR7-dependent chemotaxis and CCR7-mediated signal transduction pathways, which may provide insights into novel therapeutic approaches for the treatment of patients with allergic asthma.</p>
</sec>
<sec sec-type="supplementary-material">
<title>Supplementary Material</title>
<supplementary-material id="SD1-mmr-20-05-4425" content-type="local-data">
<caption>
<title>Supporting Data</title>
</caption>
<media mimetype="application" mime-subtype="pdf" xlink:href="Supplementary_Data.pdf"/>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by The Shanxi Scholarship Council of China (grant no. 2014-Focus 8).</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the present study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>YL designed and performed the majority of the study and data analysis, and drafted the manuscript. YD contributed to the conception and design of the study. AZ provided pathological assistance, and was involved in the data analysis and interpretation. RJ, XN and XX contributed to interpretation of the data and analyses. All of the authors have read and approved the manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>The present study was approved by The Ethics Committees of The People&#x0027;s Hospital of Shanxi Province.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="b1-mmr-20-05-4425"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bateman</surname><given-names>ED</given-names></name><name><surname>Hurd</surname><given-names>SS</given-names></name><name><surname>Barnes</surname><given-names>PJ</given-names></name><name><surname>Bousquet</surname><given-names>J</given-names></name><name><surname>Drazen</surname><given-names>JM</given-names></name><name><surname>FitzGerald</surname><given-names>JM</given-names></name><name><surname>Gibson</surname><given-names>P</given-names></name><name><surname>Ohta</surname><given-names>K</given-names></name><name><surname>O&#x0027;Byrne</surname><given-names>P</given-names></name><name><surname>Pedersen</surname><given-names>SE</given-names></name><etal/></person-group><article-title>Global strategy for asthma management and prevention: GINA executive summary</article-title><source>Eur Respir J</source><volume>31</volume><fpage>143</fpage><lpage>178</lpage><year>2008</year><pub-id pub-id-type="doi">10.1183/09031936.00138707</pub-id><pub-id pub-id-type="pmid">18166595</pub-id></element-citation></ref>
<ref id="b2-mmr-20-05-4425"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tesse</surname><given-names>R</given-names></name><name><surname>Borrelli</surname><given-names>G</given-names></name><name><surname>Mongelli</surname><given-names>G</given-names></name><name><surname>Mastrorilli</surname><given-names>V</given-names></name><name><surname>Cardinale</surname><given-names>F</given-names></name></person-group><article-title>Treating pediatric asthma according guidelines</article-title><source>Front Pediatr</source><volume>6</volume><fpage>234</fpage><year>2018</year><pub-id pub-id-type="doi">10.3389/fped.2018.00234</pub-id><pub-id pub-id-type="pmid">30191146</pub-id><pub-id pub-id-type="pmcid">6115494</pub-id></element-citation></ref>
<ref id="b3-mmr-20-05-4425"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schatz</surname><given-names>M</given-names></name><name><surname>Rosenwasser</surname><given-names>L</given-names></name></person-group><article-title>The allergic asthma phenotype</article-title><source>J Allergy Clin Immunol Pract</source><volume>2</volume><fpage>645</fpage><lpage>648</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.jaip.2014.09.004</pub-id><pub-id pub-id-type="pmid">25439351</pub-id></element-citation></ref>
<ref id="b4-mmr-20-05-4425"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lambrecht</surname><given-names>BN</given-names></name><name><surname>Hammad</surname><given-names>H</given-names></name></person-group><article-title>The immunology of asthma</article-title><source>Nat Immunol</source><volume>16</volume><fpage>45</fpage><lpage>56</lpage><year>2015</year><pub-id pub-id-type="doi">10.1038/ni.3049</pub-id><pub-id pub-id-type="pmid">25521684</pub-id></element-citation></ref>
<ref id="b5-mmr-20-05-4425"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chairakaki</surname><given-names>AD</given-names></name><name><surname>Saridaki</surname><given-names>MI</given-names></name><name><surname>Pyrillou</surname><given-names>K</given-names></name><name><surname>Mouratis</surname><given-names>MA</given-names></name><name><surname>Koltsida</surname><given-names>O</given-names></name><name><surname>Walton</surname><given-names>RP</given-names></name><name><surname>Bartlett</surname><given-names>NW</given-names></name><name><surname>Stavropoulos</surname><given-names>A</given-names></name><name><surname>Boon</surname><given-names>L</given-names></name><name><surname>Rovina</surname><given-names>N</given-names></name><etal/></person-group><article-title>Plasmacytoid dendritic cells drive acute asthma exacerbations</article-title><source>J Allergy Clin Immunol</source><volume>142</volume><fpage>542</fpage><lpage>556.e12</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.jaci.2017.08.032</pub-id><pub-id pub-id-type="pmid">29054692</pub-id></element-citation></ref>
<ref id="b6-mmr-20-05-4425"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lambrecht</surname><given-names>BN</given-names></name><name><surname>Hammad</surname><given-names>H</given-names></name></person-group><article-title>The role of dendritic and epithelial cells as master regulators of allergic airway inflammation</article-title><source>Lancet</source><volume>376</volume><fpage>835</fpage><lpage>843</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/S0140-6736(10)61226-3</pub-id><pub-id pub-id-type="pmid">20816550</pub-id></element-citation></ref>
<ref id="b7-mmr-20-05-4425"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lombardi</surname><given-names>V</given-names></name><name><surname>Singh</surname><given-names>AK</given-names></name><name><surname>Akbari</surname><given-names>O</given-names></name></person-group><article-title>The role of costimulatory molecules in allergic disease and asthma</article-title><source>Int Arch Allergy Immunol</source><volume>151</volume><fpage>179</fpage><lpage>189</lpage><year>2010</year><pub-id pub-id-type="doi">10.1159/000242355</pub-id><pub-id pub-id-type="pmid">19786798</pub-id></element-citation></ref>
<ref id="b8-mmr-20-05-4425"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kuchroo</surname><given-names>VK</given-names></name><name><surname>Das</surname><given-names>MP</given-names></name><name><surname>Brown</surname><given-names>JA</given-names></name><name><surname>Ranger</surname><given-names>AM</given-names></name><name><surname>Zamvil</surname><given-names>SS</given-names></name><name><surname>Sobel</surname><given-names>RA</given-names></name><name><surname>Weiner</surname><given-names>HL</given-names></name><name><surname>Nabavi</surname><given-names>N</given-names></name><name><surname>Glimcher</surname><given-names>LH</given-names></name></person-group><article-title>B7-1 and B7-2 costimulatory molecules activate differentially the Th1/Th2 developmental pathways: Application to autoimmune disease therapy</article-title><source>Cell</source><volume>80</volume><fpage>707</fpage><lpage>718</lpage><year>1995</year><pub-id pub-id-type="doi">10.1016/0092-8674(95)90349-6</pub-id><pub-id pub-id-type="pmid">7534215</pub-id></element-citation></ref>
<ref id="b9-mmr-20-05-4425"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kadowaki</surname><given-names>N</given-names></name></person-group><article-title>Dendritic cells: A conductor of T cell differentiation</article-title><source>Allergol Int</source><volume>56</volume><fpage>193</fpage><lpage>199</lpage><year>2007</year><pub-id pub-id-type="doi">10.2332/allergolint.R-07-146</pub-id><pub-id pub-id-type="pmid">17646736</pub-id></element-citation></ref>
<ref id="b10-mmr-20-05-4425"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Webb</surname><given-names>LM</given-names></name><name><surname>Tait Wojno</surname><given-names>ED</given-names></name></person-group><article-title>The role of rare innate immune cells in Type 2 immune activation against parasitic helminths</article-title><source>Parasitology</source><volume>144</volume><fpage>1288</fpage><lpage>1301</lpage><year>2017</year><pub-id pub-id-type="doi">10.1017/S0031182017000488</pub-id><pub-id pub-id-type="pmid">28583216</pub-id><pub-id pub-id-type="pmcid">5962964</pub-id></element-citation></ref>
<ref id="b11-mmr-20-05-4425"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lambrecht</surname><given-names>BN</given-names></name><name><surname>Persson</surname><given-names>EK</given-names></name><name><surname>Hammad</surname><given-names>H</given-names></name></person-group><article-title>Myeloid cells in Asthma</article-title><source>Microbiol Spectr</source><volume>5</volume><fpage>MCHD</fpage><lpage>0053-2016</lpage><year>2017</year><pub-id pub-id-type="doi">10.1128/microbiolspec.MCHD-0053-2016</pub-id></element-citation></ref>
<ref id="b12-mmr-20-05-4425"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thomas</surname><given-names>SY</given-names></name><name><surname>Whitehead</surname><given-names>GS</given-names></name><name><surname>Takaku</surname><given-names>M</given-names></name><name><surname>Ward</surname><given-names>JM</given-names></name><name><surname>Xu</surname><given-names>X</given-names></name><name><surname>Nakano</surname><given-names>K</given-names></name><name><surname>Lyons-Cohen</surname><given-names>MR</given-names></name><name><surname>Nakano</surname><given-names>H</given-names></name><name><surname>Gowdy</surname><given-names>KM</given-names></name><name><surname>Wade</surname><given-names>PA</given-names></name><name><surname>Cook</surname><given-names>DN</given-names></name></person-group><article-title>MyD88-dependent dendritic and epithelial cell crosstalk orchestrates immune responses to allergens</article-title><source>Mucosal Immunol</source><volume>11</volume><fpage>796</fpage><lpage>810</lpage><year>2018</year><pub-id pub-id-type="doi">10.1038/mi.2017.84</pub-id><pub-id pub-id-type="pmid">29067999</pub-id></element-citation></ref>
<ref id="b13-mmr-20-05-4425"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mims</surname><given-names>JW</given-names></name></person-group><article-title>Asthma: Definitions and pathophysiology</article-title><source>Int Forum Allergy Rhinol</source><volume>1</volume><supplement>(Suppl 5)</supplement><fpage>S2</fpage><lpage>S6</lpage><year>2015</year><pub-id pub-id-type="doi">10.1002/alr.21609</pub-id></element-citation></ref>
<ref id="b14-mmr-20-05-4425"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hauser</surname><given-names>MA</given-names></name><name><surname>Legler</surname><given-names>DF</given-names></name></person-group><article-title>Common and biased signaling pathways of the chemokine receptor CCR7 elicited by its ligands CCL19 and CCL21 in leukocytes</article-title><source>J Leukoc Biol</source><volume>99</volume><fpage>869</fpage><lpage>882</lpage><year>2016</year><pub-id pub-id-type="doi">10.1189/jlb.2MR0815-380R</pub-id><pub-id pub-id-type="pmid">26729814</pub-id></element-citation></ref>
<ref id="b15-mmr-20-05-4425"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>F&#x00F6;rster</surname><given-names>R</given-names></name><name><surname>Davalos-Misslitz</surname><given-names>AC</given-names></name><name><surname>Rot</surname><given-names>A</given-names></name></person-group><article-title>CCR7 and its ligands: Balancing immunity and tolerance</article-title><source>Nat Rev Immunol</source><volume>8</volume><fpage>362</fpage><lpage>371</lpage><year>2008</year><pub-id pub-id-type="doi">10.1038/nri2297</pub-id><pub-id pub-id-type="pmid">18379575</pub-id></element-citation></ref>
<ref id="b16-mmr-20-05-4425"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wei</surname><given-names>G</given-names></name><name><surname>Jie</surname><given-names>Y</given-names></name><name><surname>Haibo</surname><given-names>L</given-names></name><name><surname>Chaoneng</surname><given-names>W</given-names></name><name><surname>Dong</surname><given-names>H</given-names></name><name><surname>Jianbing</surname><given-names>Z</given-names></name><name><surname>Junjie</surname><given-names>G</given-names></name><name><surname>Leilei</surname><given-names>M</given-names></name><name><surname>Hongtao</surname><given-names>S</given-names></name><name><surname>Yunzeng</surname><given-names>Z</given-names></name><name><surname>Junbo</surname><given-names>G</given-names></name></person-group><article-title>Dendritic cells derived exosomes migration to spleen and induction of inflammation are regulated by CCR7</article-title><source>Sci Rep</source><volume>7</volume><fpage>42996</fpage><year>2017</year><pub-id pub-id-type="doi">10.1038/srep42996</pub-id><pub-id pub-id-type="pmid">28223684</pub-id><pub-id pub-id-type="pmcid">5320445</pub-id></element-citation></ref>
<ref id="b17-mmr-20-05-4425"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Akdis</surname><given-names>CA</given-names></name><name><surname>Akdis</surname><given-names>M</given-names></name></person-group><article-title>Mechanisms of allergen-specific immunotherapy and immune tolerance to allergens</article-title><source>World Allergy Organ J</source><volume>8</volume><fpage>17</fpage><year>2015</year><pub-id pub-id-type="doi">10.1186/s40413-015-0063-2</pub-id><pub-id pub-id-type="pmid">26023323</pub-id></element-citation></ref>
<ref id="b18-mmr-20-05-4425"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hintzen</surname><given-names>G</given-names></name><name><surname>Ohl</surname><given-names>L</given-names></name><name><surname>del Rio</surname><given-names>ML</given-names></name><name><surname>Rodriguez-Barbosa</surname><given-names>JI</given-names></name><name><surname>Pabst</surname><given-names>O</given-names></name><name><surname>Kocks</surname><given-names>JR</given-names></name><name><surname>Krege</surname><given-names>J</given-names></name><name><surname>Hardtke</surname><given-names>S</given-names></name><name><surname>F&#x00F6;rster</surname><given-names>R</given-names></name></person-group><article-title>Induction of tolerance to innocuous inhaled antigen relies on a CCR7-dependent dendritic cell-mediated antigen transport to the bronchial lymph node</article-title><source>J Immunol</source><volume>177</volume><fpage>7346</fpage><lpage>7354</lpage><year>2006</year><pub-id pub-id-type="doi">10.4049/jimmunol.177.10.7346</pub-id><pub-id pub-id-type="pmid">17082654</pub-id></element-citation></ref>
<ref id="b19-mmr-20-05-4425"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tiurbe</surname><given-names>G</given-names></name><name><surname>Matuschek</surname><given-names>A</given-names></name><name><surname>K&#x00E4;mmerer</surname><given-names>U</given-names></name><name><surname>Schneider</surname><given-names>M</given-names></name><name><surname>Thiede</surname><given-names>A</given-names></name><name><surname>Ulrichs</surname><given-names>K</given-names></name><name><surname>Otto</surname><given-names>C</given-names></name></person-group><article-title>Inhibitory effects of rat bone marrow-derived dendritic cells on na&#x00EF;ve and alloantigen-specific CD4<sup>&#x002B;</sup> T cells: A comparison between dendritic cells generated with GM-CSF plus IL-4 and dendritic cells generated with GM-CSF plus IL-10</article-title><source>BMC Res Notes</source><volume>2</volume><fpage>12</fpage><year>2009</year><pub-id pub-id-type="doi">10.1186/1756-0500-2-12</pub-id><pub-id pub-id-type="pmid">19166583</pub-id><pub-id pub-id-type="pmcid">2639598</pub-id></element-citation></ref>
<ref id="b20-mmr-20-05-4425"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xin</surname><given-names>HM</given-names></name><name><surname>Peng</surname><given-names>YZ</given-names></name><name><surname>Yuan</surname><given-names>ZQ</given-names></name><name><surname>Guo</surname><given-names>H</given-names></name></person-group><article-title>In vitro maturation and migration of immature dendritic cells after chemokine receptor 7 transfection</article-title><source>Can J Microbiol</source><volume>55</volume><fpage>859</fpage><lpage>866</lpage><year>2009</year><pub-id pub-id-type="doi">10.1139/W09-041</pub-id><pub-id pub-id-type="pmid">19767858</pub-id></element-citation></ref>
<ref id="b21-mmr-20-05-4425"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vaysse</surname><given-names>L</given-names></name><name><surname>Arveiler</surname><given-names>B</given-names></name></person-group><article-title>Transfection using synthetic peptides: Comparison of three DNA-compacting peptides and effect of centrifugation</article-title><source>Biochim Biophys Acta</source><volume>1474</volume><fpage>244</fpage><lpage>250</lpage><year>2000</year><pub-id pub-id-type="doi">10.1016/S0304-4165(00)00007-6</pub-id><pub-id pub-id-type="pmid">10742605</pub-id></element-citation></ref>
<ref id="b22-mmr-20-05-4425"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Martin</surname><given-names>JG</given-names></name><name><surname>Tamaoka</surname><given-names>M</given-names></name></person-group><article-title>Rat models of asthma and chronic obstructive lung disease</article-title><source>Pulm Pharmacol Ther</source><volume>19</volume><fpage>377</fpage><lpage>385</lpage><year>2006</year><pub-id pub-id-type="doi">10.1016/j.pupt.2005.10.005</pub-id><pub-id pub-id-type="pmid">16337418</pub-id></element-citation></ref>
<ref id="b23-mmr-20-05-4425"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brenan</surname><given-names>M</given-names></name><name><surname>Puklavec</surname><given-names>M</given-names></name></person-group><article-title>The MRC OX62 antigen: A useful marker in the purification of rat veiled cellswith the biochemical properties of an integrin</article-title><source>J Exp Med</source><volume>175</volume><fpage>1457</fpage><lpage>1465</lpage><year>1992</year><pub-id pub-id-type="doi">10.1084/jem.175.6.1457</pub-id><pub-id pub-id-type="pmid">1588275</pub-id><pub-id pub-id-type="pmcid">2119258</pub-id></element-citation></ref>
<ref id="b24-mmr-20-05-4425"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Delgado</surname><given-names>M</given-names></name><name><surname>Gonzalez-Rey</surname><given-names>E</given-names></name></person-group><article-title>Role of cortistatin in the stressed immune system</article-title><source>Front Horm Res</source><volume>48</volume><fpage>110</fpage><lpage>120</lpage><year>2017</year><pub-id pub-id-type="doi">10.1159/000452910</pub-id><pub-id pub-id-type="pmid">28245456</pub-id></element-citation></ref>
<ref id="b25-mmr-20-05-4425"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>L&#x00FC;bbers</surname><given-names>J</given-names></name><name><surname>Rodr&#x00ED;guez</surname><given-names>E</given-names></name><name><surname>van Kooyk</surname><given-names>Y</given-names></name></person-group><article-title>Modulation of immune tolerance via siglec-sialic acid interactions</article-title><source>Front Immunol</source><volume>9</volume><fpage>2807</fpage><year>2018</year><pub-id pub-id-type="doi">10.3389/fimmu.2018.02807</pub-id><pub-id pub-id-type="pmid">30581432</pub-id><pub-id pub-id-type="pmcid">6293876</pub-id></element-citation></ref>
<ref id="b26-mmr-20-05-4425"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>G&#x0142;obi&#x0144;ska</surname><given-names>A</given-names></name><name><surname>Boonpiyathad</surname><given-names>T</given-names></name><name><surname>Satitsuksanoa</surname><given-names>P</given-names></name><name><surname>Kleuskens</surname><given-names>M</given-names></name><name><surname>van de Veen</surname><given-names>W</given-names></name><name><surname>Sokolowska</surname><given-names>M</given-names></name><name><surname>Akdis</surname><given-names>M</given-names></name></person-group><article-title>Mechanisms of allergen-specific immunotherapy: Diverse mechanisms of immune tolerance to allergens</article-title><source>Ann Allergy Asthma Immunol</source><volume>121</volume><fpage>306</fpage><lpage>312</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.anai.2018.06.026</pub-id><pub-id pub-id-type="pmid">29966703</pub-id></element-citation></ref>
<ref id="b27-mmr-20-05-4425"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dieu</surname><given-names>MC</given-names></name><name><surname>Vanbervliet</surname><given-names>B</given-names></name><name><surname>Vicari</surname><given-names>A</given-names></name><name><surname>Bridon</surname><given-names>JM</given-names></name><name><surname>Oldham</surname><given-names>E</given-names></name><name><surname>A&#x00EF;t-Yahia</surname><given-names>S</given-names></name><name><surname>Bri&#x00E8;re</surname><given-names>F</given-names></name><name><surname>Zlotnik</surname><given-names>A</given-names></name><name><surname>Lebecque</surname><given-names>S</given-names></name><name><surname>Caux</surname><given-names>C</given-names></name></person-group><article-title>Selective recruitment of immature and mature dendritic cells by distinct chemokines expressed in different anatomic sites</article-title><source>J Exp Med</source><volume>188</volume><fpage>373</fpage><lpage>386</lpage><year>1998</year><pub-id pub-id-type="doi">10.1084/jem.188.2.373</pub-id><pub-id pub-id-type="pmid">9670049</pub-id><pub-id pub-id-type="pmcid">2212459</pub-id></element-citation></ref>
<ref id="b28-mmr-20-05-4425"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Saeidi</surname><given-names>M</given-names></name><name><surname>Masoud</surname><given-names>A</given-names></name><name><surname>Shakiba</surname><given-names>Y</given-names></name><name><surname>Hadjati</surname><given-names>J</given-names></name><name><surname>Mohyeddin Bonab</surname><given-names>M</given-names></name><name><surname>Nicknam</surname><given-names>MH</given-names></name><name><surname>Latifpour</surname><given-names>M</given-names></name><name><surname>Nikbin</surname><given-names>B</given-names></name></person-group><article-title>Immunomodulatory effects of human umbilical cord Wharton&#x0027;s jelly-derived mesenchymal stem cells on differentiation, maturation and endocytosis of monocyte-derived dendritic cells</article-title><source>Iran J Allergy Asthma Immunol</source><volume>12</volume><fpage>37</fpage><lpage>49</lpage><year>2013</year><pub-id pub-id-type="pmid">23454777</pub-id></element-citation></ref>
<ref id="b29-mmr-20-05-4425"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Furuta</surname><given-names>GT</given-names></name><name><surname>Atkins</surname><given-names>FD</given-names></name><name><surname>Lee</surname><given-names>NA</given-names></name><name><surname>Lee</surname><given-names>JJ</given-names></name></person-group><article-title>Changing roles of eosinophils in health and disease</article-title><source>Ann Allergy Asthma Immunol</source><volume>113</volume><fpage>3</fpage><lpage>8</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.anai.2014.04.002</pub-id><pub-id pub-id-type="pmid">24795292</pub-id><pub-id pub-id-type="pmcid">4065823</pub-id></element-citation></ref>
<ref id="b30-mmr-20-05-4425"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qian</surname><given-names>J</given-names></name><name><surname>Xu</surname><given-names>X</given-names></name><name><surname>Ding</surname><given-names>J</given-names></name><name><surname>Yin</surname><given-names>R</given-names></name><name><surname>Sun</surname><given-names>Y</given-names></name><name><surname>Xue</surname><given-names>C</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Ding</surname><given-names>C</given-names></name><name><surname>Yu</surname><given-names>S</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><etal/></person-group><article-title>Newcastle disease virus-like particles induce DC maturation through TLR4/NF-&#x03BA;B pathway and facilitate DC migration by CCR7-CCL19/CCL21 axis</article-title><source>Vet Microbiol</source><volume>203</volume><fpage>158</fpage><lpage>166</lpage><year>2017</year><pub-id pub-id-type="doi">10.1016/j.vetmic.2017.03.002</pub-id><pub-id pub-id-type="pmid">28619138</pub-id></element-citation></ref>
<ref id="b31-mmr-20-05-4425"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kling</surname><given-names>JC</given-names></name><name><surname>Mack</surname><given-names>M</given-names></name><name><surname>K&#x00F6;rner</surname><given-names>H</given-names></name></person-group><article-title>The absence of CCR7 results in dysregulated monocyte migration and immunosuppression facilitating chronic cutaneous leishmaniasis</article-title><source>PLoS One</source><volume>8</volume><fpage>e79098</fpage><year>2013</year><pub-id pub-id-type="doi">10.1371/journal.pone.0079098</pub-id><pub-id pub-id-type="pmid">24205367</pub-id><pub-id pub-id-type="pmcid">3813618</pub-id></element-citation></ref>
<ref id="b32-mmr-20-05-4425"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Robinson</surname><given-names>DS</given-names></name><name><surname>Hamid</surname><given-names>Q</given-names></name><name><surname>Ying</surname><given-names>S</given-names></name><name><surname>Tsicopoulos</surname><given-names>A</given-names></name><name><surname>Barkans</surname><given-names>J</given-names></name><name><surname>Bentley</surname><given-names>AM</given-names></name><name><surname>Corrigan</surname><given-names>C</given-names></name><name><surname>Durham</surname><given-names>SR</given-names></name><name><surname>Kay</surname><given-names>AB</given-names></name></person-group><article-title>Predominant TH2-like bronchoalveolar T-lymphocyte population in atopic asthma</article-title><source>N Engl J Med</source><volume>326</volume><fpage>298</fpage><lpage>304</lpage><year>1992</year><pub-id pub-id-type="doi">10.1056/NEJM199201303260504</pub-id><pub-id pub-id-type="pmid">1530827</pub-id></element-citation></ref>
<ref id="b33-mmr-20-05-4425"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Oh</surname><given-names>CK</given-names></name><name><surname>Geba</surname><given-names>GP</given-names></name><name><surname>Molfino</surname><given-names>N</given-names></name></person-group><article-title>Investigational therapeutics targeting the IL-4/IL-13/STAT-6 pathway for the treatment of asthma</article-title><source>Eur Respir Rev</source><volume>19</volume><fpage>46</fpage><lpage>54</lpage><year>2010</year><pub-id pub-id-type="doi">10.1183/09059180.00007609</pub-id><pub-id pub-id-type="pmid">20956165</pub-id></element-citation></ref>
<ref id="b34-mmr-20-05-4425"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schoenborn</surname><given-names>JR</given-names></name><name><surname>Wilson</surname><given-names>CB</given-names></name></person-group><article-title>Regulation of interferon-gamma during innate and adaptive immune responses</article-title><source>Adv Immunol</source><volume>96</volume><fpage>41</fpage><lpage>101</lpage><year>2007</year><pub-id pub-id-type="doi">10.1016/S0065-2776(07)96002-2</pub-id><pub-id pub-id-type="pmid">17981204</pub-id></element-citation></ref>
<ref id="b35-mmr-20-05-4425"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gouveia</surname><given-names>ACC</given-names></name><name><surname>Braga</surname><given-names>FG</given-names></name><name><surname>Mota</surname><given-names>M</given-names></name><name><surname>Silva</surname><given-names>FMC</given-names></name><name><surname>Brugiolo</surname><given-names>ASS</given-names></name><name><surname>Oliveira</surname><given-names>EE</given-names></name><name><surname>Ayupe</surname><given-names>MC</given-names></name><name><surname>Teixeira</surname><given-names>HC</given-names></name><name><surname>Ferreira</surname><given-names>AP</given-names></name></person-group><article-title>Enhanced expression of PD-L1 and IFN-&#x03B3; on dendritic cells is associated with BCG-induced Th2 inhibition</article-title><source>Cytokine</source><volume>99</volume><fpage>163</fpage><lpage>172</lpage><year>2017</year><pub-id pub-id-type="doi">10.1016/j.cyto.2017.09.005</pub-id><pub-id pub-id-type="pmid">28917991</pub-id></element-citation></ref>
<ref id="b36-mmr-20-05-4425"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname><given-names>H</given-names></name><name><surname>Ban</surname><given-names>Y</given-names></name><name><surname>Wei</surname><given-names>F</given-names></name><name><surname>Ma</surname><given-names>X</given-names></name></person-group><article-title>Regulation of interleukin-12 production in antigen-presenting cells</article-title><source>Adv Exp Med Biol</source><volume>941</volume><fpage>117</fpage><lpage>138</lpage><year>2016</year><pub-id pub-id-type="doi">10.1007/978-94-024-0921-5_6</pub-id><pub-id pub-id-type="pmid">27734411</pub-id></element-citation></ref>
<ref id="b37-mmr-20-05-4425"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Carrier</surname><given-names>Y</given-names></name><name><surname>Yuan</surname><given-names>J</given-names></name><name><surname>Kuchroo</surname><given-names>VK</given-names></name><name><surname>Weiner</surname><given-names>HL</given-names></name></person-group><article-title>Th3 cells in peripheral tolerance. I. Induction of Foxp3-positive regulatory T cells by Th3 cells derived from TGF-beta T cell-transgenic mice</article-title><source>J Immunol</source><volume>178</volume><fpage>179</fpage><lpage>185</lpage><year>2007</year><pub-id pub-id-type="doi">10.4049/jimmunol.178.1.172</pub-id><pub-id pub-id-type="pmid">17182553</pub-id></element-citation></ref>
<ref id="b38-mmr-20-05-4425"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ng</surname><given-names>TH</given-names></name><name><surname>Britton</surname><given-names>GJ</given-names></name><name><surname>Hill</surname><given-names>EV</given-names></name><name><surname>Verhagen</surname><given-names>J</given-names></name><name><surname>Burton</surname><given-names>BR</given-names></name><name><surname>Wraith</surname><given-names>DC</given-names></name></person-group><article-title>Regulation of adaptive immunity; the role of interleukin-10</article-title><source>Front Immunol</source><volume>4</volume><fpage>129</fpage><year>2013</year><pub-id pub-id-type="doi">10.3389/fimmu.2013.00129</pub-id><pub-id pub-id-type="pmid">23755052</pub-id><pub-id pub-id-type="pmcid">3668291</pub-id></element-citation></ref>
<ref id="b39-mmr-20-05-4425"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jutel</surname><given-names>M</given-names></name><name><surname>Akdis</surname><given-names>M</given-names></name><name><surname>Budak</surname><given-names>F</given-names></name><name><surname>Aebischer-Casaulta</surname><given-names>C</given-names></name><name><surname>Wrzyszcz</surname><given-names>M</given-names></name><name><surname>Blaser</surname><given-names>K</given-names></name><name><surname>Akdis</surname><given-names>CA</given-names></name></person-group><article-title>IL-10 and TGF-beta cooperate in the regulatory T cell response to mucosal allergens in normal immunity and specific immunotherapy</article-title><source>Eur J Immunol</source><volume>33</volume><fpage>1205</fpage><lpage>1214</lpage><year>2003</year><pub-id pub-id-type="doi">10.1002/eji.200322919</pub-id><pub-id pub-id-type="pmid">12731045</pub-id></element-citation></ref>
<ref id="b40-mmr-20-05-4425"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Soyer</surname><given-names>OU</given-names></name><name><surname>Akdis</surname><given-names>M</given-names></name><name><surname>Akdis</surname><given-names>CA</given-names></name></person-group><article-title>Mechanisms of subcutaneous allergen immunotherapy</article-title><source>Immunol Allergy Clin North Am</source><volume>31</volume><fpage>175</fpage><lpage>190</lpage><comment>vii-viii</comment><year>2011</year><pub-id pub-id-type="doi">10.1016/j.iac.2011.02.006</pub-id><pub-id pub-id-type="pmid">21530813</pub-id></element-citation></ref>
<ref id="b41-mmr-20-05-4425"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mart&#x00ED;n-Orozco</surname><given-names>E</given-names></name><name><surname>Norte-Mu&#x00F1;oz</surname><given-names>M</given-names></name><name><surname>Mart&#x00ED;nez-Garc&#x00ED;a</surname><given-names>J</given-names></name></person-group><article-title>Regulatory T cells in allergy and Asthma</article-title><source>Front Pediatr</source><volume>5</volume><fpage>117</fpage><year>2017</year><pub-id pub-id-type="doi">10.3389/fped.2017.00117</pub-id><pub-id pub-id-type="pmid">28589115</pub-id><pub-id pub-id-type="pmcid">5440567</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-mmr-20-05-4425" position="float">
<label>Figure 1.</label>
<caption><p>Expression of CCR7 in lung tissue. (A) CCR7 protein expression levels in the three experimental groups were assessed using western blot analysis. GAPDH was used as loading control. (B) Densitometric analysis of the western blot. (C) CCR7 expression examined by immunohistochemical analysis in the airway of rats. Magnification, &#x00D7;100. &#x002A;&#x002A;P&#x003C;0.01 vs. Con. Con, control group; Over, CCR7 overexpression group; Sh, CCR7 knockdown group; CCR7, CC chemokine receptor 7.</p></caption>
<graphic xlink:href="MMR-20-05-4425-g00.tif"/>
</fig>
<fig id="f2-mmr-20-05-4425" position="float">
<label>Figure 2.</label>
<caption><p>Pathological examination of lung tissues as assessed by hematoxylin and eosin staining. Inflammatory cells were labeled with blue arrows. (A) Con group: Smooth muscle cell proliferation and inflammatory cell infiltration. (B) Over group: Increased number of infiltrating inflammatory cells in the airway and lung tissue, and the airway wall was markedly thicker compared with the Con group. (C) Sh group: Bronchiole structure was normal, and a small number of infiltrating inflammatory cell was observed in the lung tissue. Magnification, &#x00D7;100. CCR7, CC chemokine receptor 7; Con, control group; Over, CC chemokine receptor 7 overexpression group; Sh, CCR7 knockdown group.</p></caption>
<graphic xlink:href="MMR-20-05-4425-g01.tif"/>
</fig>
<fig id="f3-mmr-20-05-4425" position="float">
<label>Figure 3.</label>
<caption><p>Increased expression of OX62 in lung tissue. (A) OX62 expression was assessed using western blot analysis. GAPDH was used as loading control. (B) Densitometric analysis. (C) OX62 expression examined by immunohistochemical analysis in the rat airways. Magnification, &#x00D7;400. &#x002A;P&#x003C;0.05 vs. Con. OX62, &#x03B1; E2 integrin; CCR7, CC chemokine receptor 7; Con, control group; Over, CCR7 overexpression group; Sh, CCR7 knockdown group.</p></caption>
<graphic xlink:href="MMR-20-05-4425-g02.tif"/>
</fig>
<fig id="f4-mmr-20-05-4425" position="float">
<label>Figure 4.</label>
<caption><p>Cell count and classification of immune cells in bronchoalveolar lavage fluid. Numbers of WBC, NEU, EOS and LYM in each group. &#x002A;P&#x003C;0.05 vs. Con; &#x002A;&#x002A;P&#x003C;0.01 vs. Con. CCR7, CC chemokine receptor 7; Con, control group; Over, CCR7 overexpression group; Sh, CCR7 knockdown group; WBC, leukocytes; EOS, eosinophil; NEU, neutrophils; LYM, lymphocytes.</p></caption>
<graphic xlink:href="MMR-20-05-4425-g03.tif"/>
</fig>
<fig id="f5-mmr-20-05-4425" position="float">
<label>Figure 5.</label>
<caption><p>Protein expression levels of (A) IFN-&#x03B3; and IL-4, (B) IL-12 and IL-10, (C) TGF-&#x03B2; and (D) IgE in bronchoalveolar lavage fluid. Protein expression levels of various cytokines were assessed by ELISA. &#x002A;&#x002A;P&#x003C;0.01 vs. Con. CCR7, CC chemokine receptor 7; IFN-&#x03B3;, interferon-&#x03B3;; IL, interleukin; Con, control group; Over, CCR7 overexpression group; Sh, CCR7 knockdown group; TGF-&#x03B2;, transforming growth factor-&#x03B2;; IgE, immunoglobulin E.</p></caption>
<graphic xlink:href="MMR-20-05-4425-g04.tif"/>
</fig>
<fig id="f6-mmr-20-05-4425" position="float">
<label>Figure 6.</label>
<caption><p>Protein expressions of (A) IFN-&#x03B3; and IL-4, (B) IL-12 and IL-10, (C) TGF-&#x03B2; and (D) IgE in serum. Protein expression levels of various cytokines were assessed by ELISA. &#x002A;&#x002A;P&#x003C;0.01 vs. control group. CCR7, CC chemokine receptor 7; IFN-&#x03B3;, interferon-&#x03B3;; IL, interleukin; Con, control group; Over, CCR7 overexpression group; Sh, CCR7 knockdown group; TGF-&#x03B2;, transforming growth factor-&#x03B2;; IgE, immunoglobulin E.</p></caption>
<graphic xlink:href="MMR-20-05-4425-g05.tif"/>
</fig>
</floats-group>
</article>