Imbalance between IL-36 receptor agonist and antagonist drives neutrophilic inflammation in COPD
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Supporting information
Author(s)
Type
Journal Article
Abstract
Current treatments fail to modify the underlying pathophysiology and disease progression of chronic obstructive pulmonary disease (COPD), necessitating alternative therapies. Here, we show that COPD subjects have increased IL-36γ and decreased IL-36 receptor antagonist (IL-36Ra) in bronchoalveolar and nasal fluid compared to control subjects. IL-36γ is derived from small airway epithelial cells (SAEC) and further induced by a viral mimetic, whereas IL-36RA is derived from macrophages. IL-36γ stimulates release of the neutrophil chemoattractants CXCL1 and CXCL8, as well as elastolytic matrix metalloproteinases (MMPs) from small airway fibroblasts (SAF). Proteases released from COPD neutrophils cleave and activate IL-36γ thereby perpetuating IL-36 inflammation. Transfer of culture media from SAEC to SAF stimulated release of CXCL1, that was inhibited by exogenous IL-36RA. The use of a therapeutic antibody that inhibits binding to the IL-36 receptor (IL-36R) attenuated IL-36γ driven inflammation and cellular cross talk. We have demonstrated a mechanism for the amplification and propagation of neutrophilic inflammation in COPD and that blocking this cytokine family via a IL-36R neutralizing antibody could be a promising new therapeutic strategy in the treatment of COPD.
Date Issued
2022-08-08
Date Acceptance
2022-06-01
Citation
JCI Insight, 2022, 7 (15)
ISSN
2379-3708
Publisher
American Society for Clinical Investigation
Journal / Book Title
JCI Insight
Volume
7
Issue
15
Copyright Statement
© 2022 The Author(s). This article is published under CC BY 4.0 International licence (http://creativecommons.org/licenses/by/4.0/)
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/35763349
PII: 155581
Subjects
COPD
Cell Biology
Cellular immune response
Cytokines
Pulmonology
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2022-06-28