Lung defense through interleukin-8 carries a cost of chronic lung remodeling and impaired function
File(s)
Author(s)
Type
Journal Article
Abstract
RATIONALE: IL-8 dependent inflammation is a hallmark of host lung innate immunity to bacterial pathogens, yet in many human lung diseases including COPD, bronchiectasis, and pulmonary fibrosis, there are progressive, irreversible pathologic, changes associated with elevated levels of IL-8 in the lung. OBJECTIVES: To better understand the duality of IL-8 dependent host immunity to bacterial infection and lung pathology, we targeted human IL-8 to express transgenically in murine bronchial epithelium, investigating the impact of over-expression on lung bacterial clearance, host immunity, lung pathology and function. MEASUREMENTS AND MAIN RESULTS: Persistent IL-8 expression in bronchial epithelium resulted in neutrophilia, neutrophil maturation, activation and chemtoaxis. There was enhanced protection from challenge with Pseudomonas aeruginosa and significant changes in baseline expression of innate and adaptive immunity transcripts for Ccl5, Tlr6, IL2 and Tlr1. There was increased expression of Tbet and Foxp3 in response to the Pseudomonas antigen, OprF, indicating a regulatory T cell phenotype. However, this enhanced bacterial immunity comes at the high price of progressive lung remodelling, with increased inflammation, mucus hyper-secretion, and fibrosis. There is increased expression of Ccl3 and reduced expressioh of Claudin 18 and F11r, with damage to epithelial organization leading to leaky tight junctions, all resulting in impaired lung function with reduced compliance, increased resistance and bronchial hyperreactivity measured by whole body plethysmography. CONCLUSIONS: IL-8 over-expression in the bronchial epithelium benefits lung immunity to bacterial infection, but specifically drives lung damage through persistent inflammation, lung remodelling and damaged tight junctions, leading to impaired lung function.
Date Issued
2018-11-01
Date Acceptance
2018-06-12
Citation
American Journal of Respiratory Cell and Molecular Biology, 2018, 59 (5), pp.557-571
ISSN
1044-1549
Publisher
American Thoracic Society
Start Page
557
End Page
571
Journal / Book Title
American Journal of Respiratory Cell and Molecular Biology
Volume
59
Issue
5
Copyright Statement
© 2018 by the American Thoracic Society.
Sponsor
Welton Foundation
Medical Research Council (MRC)
Asthma UK
Welton Foundation
Medical Research Council (MRC)
National Institutes of Health
Wellcome Trust
Wellcome Trust
Imperial College Healthcare NHS Trust- BRC Funding
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29894204
Grant Number
PC3015TWF
G108/495
05/045
N/A
MRC Ref G0400503
HHSN272200900046C
095472/Z/11/Z
100046/Z/12/Z
RDF01 79560
Subjects
bacterial infection
host immunity
interleukin 8
lung function
lung remodelling
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2018-06-12