TABLE 2

Allergy-related biologic actions and effects evoked by HDM protease allergens

Sphere of ActionAction or EffectAllergen or ExtractReferences
Mucosal defenseCleavage of tight junctions/reduced epithelial barrier function/allergen deliveryHDM fecal pellet extract, Der p 1, Der f 1, Der p 3, Der p 6Herbert et al. (1990, 1995), Winton et al. (1998), Wan et al. (1999, 2000, 2001), Nakamura et al. (2006); ADI program—data on file
Disruption of epithelial adherens junctionsDer p 1 (directly and indirectly via ADAM 10)Wan et al. (1999); ADI program—data on file
Inactivation of airway antiproteasesDer p 1Kalsheker et al. (1996), Brown et al. (2003)
Epithelial-mesenchymal transitionHDM extractHeijink et al. (2010a), Frisella et al. (2011)
Inactivation of surfactant proteinsDer p 1, Der f 1Deb et al. (2007)
IgE-independent mast cell stimulationDer p 1, HDM extractMachado et al. (1996)
Activation of NLRP3 inflammasome and apoptosisHDM extract, Der p 1Winton et al. (1998), Baker et al. (2003), Frisella et al. (2011)
Cell signalingProthrombinase activityHDM fecal pellet extract, Der p 1Zhang et al. (2016, 2018)
PAR-1 and PAR-4 activationDer p 1 (indirectly as prothrombinase)Zhang et al. (2016); ADI program—data on file
PAR-2 activationHDM fecal pellet extract, Der p 1, Der p 3, Der p 9Sun et al. (2001), Asokananthan et al. (2002), Jeong et al. (2008), Kato et al. (2009), Cho et al. (2012), de Boer et al. (2014), Post et al. (2014), Zhang et al. (2016), Reddy and Lerner (2017)
PAR-1 inactivationDer p 1Asokananthan et al. (2002)
PAR-2 inactivationDer p 1Adam et al. (2006), Kato et al. (2009)
PAR-1 and PAR-2 upregulated expressionDer p 1Shi et al. (2010)
Mas-related G-protein–coupled receptor activationDer p 1Reddy and Lerner (2017)
EGFR activation in epithelial cellsDer p 1 (indirectly as prothrombinase)Zhang et al. (2016, 2018); ADI program—data on file
Pannexon gating in epithelial cellsDer p 1 (indirectly as prothrombinase)Zhang et al. (2016, 2018); ADI program—data on file
ATP release from epithelial cellsDer p 1 (indirectly as prothrombinase)Zhang et al. (2016, 2018); ADI program—data on file
ADAM 17 activation in epithelial cellsDer p 1 (indirectly as prothrombinase)Chen et al. (2017), Zhang et al. (2018)
ADAM 10 activation in epithelial cellsDer p 1 (indirectly as prothrombinase)Chen et al. (2017); ADI program—data on file
ADAM 8 activation in epithelial cellsDer p 1 (indirectly as prothrombinase)ADI program—data on file
Cleavage of low-affinity IgE receptor (CD23)Der p 1 (directly and indirectly via ADAM 10)Schulz et al. (1995); ADI program—data on file
Activation of endogenous interstitial prothrombinaseHDM extract (due to Der p 1)Zhang et al. (2016); ADI program—data on file
Regulation of gene expression and exploitation of antioxidant deficitsROS generationIntracellular ROS by HDM fecal pellet extract, Der p 1 in epithelial cells, Der f 1 in neutrophilsFukunaga et al. (2011), Zhang et al. (2016, 2018), Chen et al. (2017)
Immune activation and allergic polarizationBreaking of immune toleranceHDM extract, Der p 1Gough et al. (1999, 2001, 2003); ADI program—data on file
Suppression of indoleamine 2,3-dioxygenaseDer p 1Maneechotesuwan et al. (2009)
TLR4 ligationHDM extract, Der p 1 (indirectly as prothrombinase)Zhang et al. (2018); ADI program—data on file
Bioactivating cleavage of IL-33Der p 1Cayrol et al. (2018)
Cytokine/chemokine expression and release (e.g., IL-33, TSLP, CCL2, CCL20, GM-CSF, IL-8, IL-13, etc.)HDM extract, Der p 1, Der p 3, Der p 6, Der p 9King et al. (1998), Pichavant et al. (2005), Adam et al. (2006), Kauffman et al. (2006), Ogawa et al. (2008), Kato et al. (2009), Shi et al. (2010), Arlian and Morgan (2011); ADI program—data on file
Cleavage of IL-2R (CD25)Der p 1Schulz et al. (1998)
Antigen-presenting cell recruitment and activationDendritic antigen-presenting cell recruitmentHDM extract, Der p 1Pichavant et al. (2005), Robinson et al. (2012); ADI Program—data on file
Cleavage of DC-SIGN/DC-SIGNRDer p 1Furmonaviciene et al. (2007)
Interaction with viral RNA sensorsTransductional convergence with signaling from TLR3 and TLR7HDM fecal pellet extract, Der p 1Zhang et al. (2018); ADI Program—data on file
Effector mechanismsLeukocyte recruitmentDer p 1, HDM extractRobinson et al. (2012), Newton et al. (2014); ADI program—data on file
Kinin generation from low- and high-molecular-weight kininogensDer f 3Takahashi et al. (1990), Maruo et al. (1991), Maruo et al. (1993)
Decreased cysteine protease inhibitory activity of kininogensDer f 3Maruo et al. (1993)
Anaphylatoxin generationDer f 3Maruo et al. (1997)
IgE-independent “pseudoallergic” bronchoconstrictionDer p 1, HDM extractADI program—data on file
  • DC-SIGNR, DC-SIGN receptor; EGFR, epidermal growth factor receptor; GM-CSF, granulocyte macrophage-colony stimulating factor.