Single-cell transcriptomic analysis reveals the immune landscape of lung in steroid-resistant asthma exacerbation

Significance Asthma exacerbation is not prevented by standard corticosteroid-based therapy and is the major burden in terms of morbidity, mortality, and health care costs associated with asthma. Etiology of disease exacerbation is highly heterogeneous. Using single-cell RNA deep sequencing, we undertook a large-scale, high-dimensional analysis of the immune landscape in lung following dexamethasone treatments in a mouse model of asthma exacerbation. We found multicellular signaling pathways closely associated with disease progression during the exacerbation. IL-13 produced by CD8 + memory T cells, ILC2, and basophils is key a cytokine in driving the pathogenesis of asthma exacerbation in this model. These data provide important insights into how the immune landscape in lung during asthma exacerbation can shape the progress of disease.