Exposure to
ozone, which is a major component of air pollution, induces a form of
asthma that occurs in the absence of adaptive immunity. Although
ozone-induced
asthma is characterized by airway neutrophilia, and not
eosinophilia, it is nevertheless associated with airway hyperreactivity (AHR), which is a cardinal feature of
asthma. Because AHR induced by
allergens requires the presence of natural killer T (NKT) cells, we asked whether
ozone-induced AHR had similar requirements. We found that repeated exposure of wild-type (WT) mice to
ozone induced severe AHR associated with an increase in airway NKT cells, neutrophils, and macrophages. Surprisingly, NKT cell-deficient (CD1d(-/-) and Jalpha18(-/-)) mice failed to develop
ozone-induced AHR. Further, treatment of WT mice with an anti-CD1d mAb blocked NKT cell activation and prevented
ozone-induced AHR. Moreover,
ozone-induced, but not
allergen-induced, AHR was associated with NKT cells producing
interleukin (IL)-17, and failed to occur in IL-17(-/-) mice nor in WT mice treated with anti-IL-17 mAb. Thus,
ozone exposure induces AHR that requires the presence of NKT cells and
IL-17 production. Because NKT cells are required for the development of two very disparate forms of AHR (
ozone- and
allergen-induced), our results strongly suggest that NKT cells mediate a unifying pathogenic mechanism for several distinct forms of
asthma, and represent a unique target for effective
asthma therapy.