Bronchoalveolar lavage fluid exosomes contribute to cytokine and leukotriene production in allergic asthma

Abstract Background Leukotrienes ( LT s) are potent pro‐inflammatory mediators involved in asthma. Exosomes, nanosized vesicles released from various cells, can stimulate or down‐regulate immune responses, depending on the state and nature of the originating cell. We have recently shown an altered exosome profile in bronchoalveolar lavage fluid ( BALF ) of patients with sarcoidosis, but their role in asthma is unknown. Our aims were to investigate whether exosomes from BALF have LT biosynthetic capacity and to explore phenotypic and functional characteristics of BALF exosomes in asthma. Methods Bronchoalveolar lavage fluid exosomes were collected from healthy individuals ( n = 13) and patients with mild allergic asthma to birch pollen ( n = 12) before and after birch allergen provocation. Exosomes were characterized by flow cytometry and Western blot. Their capacity to induce IL ‐8 and LT production in the human bronchial epithelial cell ( BEC ) line 16 HB 14o‐ was measured by ELISA and reverse‐phase HPLC , respectively. Results Compared to BALF exosomes from healthy individuals, BALF exosomes from asthmatics displayed higher levels of exosome‐associated markers, such as the tetraspanins CD 63 and CD 81 and the scavenger receptor CD 36. No major differences were observed between BALF exosomes from before and after allergen provocation. Furthermore, we show that BALF exosomes contain enzymes for LT biosynthesis. The effect of exosomes to promote LTC 4 and IL ‐8 release in BEC was significantly increased for exosomes from asthmatics, and the Cys LT 1 receptor antagonist Montelukast reduced exosome‐induced IL ‐8 secretion. Conclusions Bronchoalveolar lavage fluid exosomes from asthmatic and healthy individuals exhibit distinct phenotypes and functions. BALF exosomes from asthmatics might contribute to subclinical inflammation by increasing cytokine and LTC 4 generation in airway epithelium.