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Nature Communications | Ozone-Induced Maternal Immune Activation Drives Offspring IgG-Mediated Anaphylaxis via IgG Glycosylation Modifications

Nature Communications | Ozone-Induced Maternal Immune Activation Drives Offspring IgG-Mediated Anaphylaxis via IgG Glycosylation Modifications
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This study elucidates how environmental exposure influences offspring immunity through epigenetic and glycosylation reprogramming, providing critical experimental evidence for early intervention strategies in allergic diseases and the construction of maternal immune activation models.

 

Literature Overview

The article titled 'Elevated ozone activates maternal immunity to drive offspring IgG-mediated anaphylaxis through IgG glycosylation alterations', published in Nature Communications, systematically explores how ozone (O3) exposure induces maternal immune activation (MIA), alters IgG glycosylation modifications between mother and fetus, thereby reprogramming the offspring's immune system and increasing the risk of IgG-mediated anaphylactic shock in adulthood.

Background Knowledge

The global burden of allergic diseases is increasing, with environmental factors such as ozone-induced oxidative stress considered key drivers. However, the causal mechanisms by which ozone exposure leads to offspring susceptibility to allergies remain unclear. While maternal immune activation (MIA) is recognized as a significant risk factor disrupting offspring immune homeostasis, the specific molecular switch mechanisms remain to be elucidated. In particular, how maternal IgG glycosylation modifications during the fetal stage affect its function and offspring immune programming represents a current research bottleneck. This study bridges epidemiological cohorts with animal models, focusing on how IgG glycosylation (specifically GlcNAc modifications mediated by Mgat3 and Mgat4a) acts as a molecular bridge in ozone-induced MIA, transmitting maternal oxidative stress signals to the offspring. This leads to abnormal activation of the IL-17/TNF signaling pathways, ultimately triggering severe anaphylactic shock.

 

 

Research Methods and Experiments

The authors first utilized a retrospective cohort of 5,299 pregnant women to analyze the association between prenatal ozone exposure and maternal blood inflammatory markers (such as neutrophil and monocyte abnormalities), identifying the mid-to-late pregnancy period as a critical exposure window. Subsequently, a mouse model of MIA induced by prenatal ozone exposure (E9.5 to E18.5) was constructed. Flow cytometry, histopathology, and cytokine detection confirmed maternal pulmonary oxidative stress and systemic inflammatory responses. Key experiments included: analyzing the glycosylation profiles of maternal and offspring IgG using lectin arrays and mass spectrometry; assessing offspring allergy susceptibility in adulthood through active and passive systemic anaphylaxis models (ASA/PSA); distinguishing between intrauterine and lactational transmission pathways via cross-fostering experiments; and combining transcriptome sequencing (RNA-seq) with molecular docking techniques to elucidate how Mgat4a-mediated GlcNAc modifications enhance IgG affinity for the FcγRIII receptor.

Key Conclusions and Perspectives

  • Ozone-induced maternal immune activation (MIA) significantly increases the risk of IgG-mediated anaphylactic shock in offspring (particularly males), characterized by a sharp drop in body temperature and severe pulmonary inflammation.
  • MIA alters the transfer of IgG between mother and fetus, with specific glycosylation modifications (such as GlcNAc) significantly enriched in male offspring. This modification pattern is mediated by Mgat3 and Mgat4a and regulated by c-Jun/c-Fos transcription factors.
  • Glycosylated IgG exhibits higher affinity for the FcγRIII receptor, thereby amplifying the IL-17 and TNF signaling pathways, leading to more intense inflammatory cascades.
  • Cross-fostering experiments confirmed that glycosylated IgG transmitted via either the placenta (intrauterine) or breast milk (lactational) is sufficient to independently induce long-term allergy susceptibility in offspring, indicating this is a key mechanism of transgenerational immune programming.

Research Significance and Prospects

This discovery offers a new perspective on the prevention of allergic diseases, highlighting the critical importance of environmental quality control during pregnancy and monitoring of maternal immune status. In the field of drug development, intervention strategies targeting Mgat4a or FcγRIII could become new targets for treating severe allergic reactions. Furthermore, the MIA model and glycosylation analysis workflow established in this study provide a standardized experimental paradigm for disease modeling and evaluating the transgenerational health effects of environmental toxins.

 

 

Conclusion

By integrating epidemiological evidence with multi-omics mechanistic analysis, this study profoundly reveals how environmental ozone exposure reshapes the offspring's immune defense system through the axis of 'Maternal Immune Activation - IgG Glycosylation Reprogramming - Offspring Immune Susceptibility'. The research not only confirms that Mgat4a-mediated GlcNAc modification is the key molecular switch connecting environmental stress to severe anaphylactic shock but also clarifies the core role of the IL-17/TNF pathway. From the perspective of translation from laboratory to clinic, this finding underscores the urgency of managing prenatal environmental exposure and provides a solid theoretical foundation for early screening, risk stratification, and precise intervention in allergic diseases. Future clinical monitoring should focus on changes in maternal IgG glycosylation profiles to predict and prevent immune-related diseases in offspring, thereby refining the healthcare system across the entire lifespan.

 

Reference:
Xiaoyun Wu, Zhihua Gong, Yuchai Tian, Huifeng Yue, and Nan Sang. Elevated ozone activates maternal immunity to drive offspring IgG-mediated anaphylaxis through IgG glycosylation alterations. Nature Communications.
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