IL-17 Aggravates Pseudomonas aeruginosa Airway Infection in Acute Exacerbations of Chronic Obstructive Pulmonary Disease.

IL-17 Aggravates Pseudomonas aeruginosa Airway Infection in Acute Exacerbations of Chronic Obstructive Pulmonary Disease.
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IL-17 在慢性阻塞性肺疾病急性加重中加重铜绿假单胞菌气道感染

DOI:
10.3389/fimmu.2021.811803
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发表时间:
2021
影响因子:
7.3
通讯作者:
Zhang M
Zhang M
中科院分区:
医学2区
文献类型:
--
作者:
Ding F;Han L;Fu Q;Fan X;Tang R;Lv C;Xue Y;Tian X;Zhang M

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铜绿假单胞菌气道感染会增加慢性阻塞性肺疾病(COPD)急性加重及死亡风险。我们旨在阐明白细胞介素 - 17(IL - 17)在其发病机制中的作用。我们检测了稳定期COPD患者(n = 33)以及因铜绿假单胞菌感染导致COPD急性加重患者(n = 34)体内IL - 23/IL - 17A的表达情况及其影响。利用COPD小鼠模型(C57BL / 6),通过应用IL - 17A中和抗体或重组IL - 17A,研究IL - 17A在宿主针对铜绿假单胞菌感染的炎症反应中的作用。我们发现,铜绿假单胞菌感染会增强COPD患者及COPD小鼠模型肺部的IL - 23/17A信号传导。当使用针对IL - 17A的中和抗体处理COPD小鼠模型时,与未处理的对照组相比,铜绿假单胞菌诱导的肺部多形核白细胞浸润显著减少,细菌载量也降低。中和抗体还改善了肺功能。此外,阻断IL - 17A信号传导可显著降低促炎细胞因子IL - 1β、IL - 18、肿瘤坏死因子 - α(TNF - α)、趋化因子CXCL1、CXCL15和基质金属蛋白酶 - 9(MMP - 9)的表达,并增加抗炎细胞因子IL - 10和IL - 1受体拮抗剂(IL - 1Ra)的表达。在COPD小鼠模型中应用小鼠重组IL - 17A会加剧铜绿假单胞菌介导的炎症反应和肺功能障碍。细胞因子蛋白芯片显示,IL - 17A可下调视黄醇结合蛋白4(RBP4)的表达,而外源性RBP4重组蛋白可减轻铜绿假单胞菌诱导的气道功能障碍的严重程度。在COPD小鼠模型接种铜绿假单胞菌后,同时应用IL - 17A中和抗体和环丙沙星可减轻气道炎症和改善通气。我们的研究结果表明,IL - 17在COPD急性加重期铜绿假单胞菌气道感染的发病机制中起有害作用。靶向IL - 17A是控制COPD患者铜绿假单胞菌感染结局的一种潜在治疗策略。
Pseudomonas aeruginosa airway infection increases risks of exacerbations and mortality in chronic obstructive pulmonary disease (COPD). We aimed to elucidate the role of IL-17 in the pathogenesis. We examined the expression and influences of IL-23/IL-17A in patients with stable COPD (n = 33) or acute COPD exacerbations with P. aeruginosa infection (n = 34). A mouse model of COPD (C57BL/6) was used to investigate the role of IL-17A in host inflammatory responses against P. aeruginosa infection through the application of IL-17A–neutralizing antibody or recombinant IL-17A. We found that P. aeruginosa infection increased IL-23/17A signaling in lungs of both COPD patients and COPD mouse models. When COPD mouse models were treated with neutralizing antibody targeting IL-17A, P. aeruginosa induced a significantly less polymorphonuclear leukocyte infiltration and less bacterial burden in their lungs compared to those of untreated counterparts. The lung function was also improved by neutralizing antibody. Furthermore, IL-17A-signaling blockade significantly reduced the expression of pro-inflammatory cytokine IL-1β, IL-18, TNF-α, CXCL1, CXCL15 and MMP-9, and increased the expression of anti-inflammatory cytokine IL-10 and IL-1Ra. The application of mouse recombinant IL-17A exacerbated P. aeruginosa-mediated inflammatory responses and pulmonary dysfunction in COPD mouse models. A cytokine protein array revealed that the expression of retinol binding protein 4 (RBP4) was down-regulated by IL-17A, and exogenous RBP4-recombinant protein resulted in a decrease in the severity of P. aeruginosa-induced airway dysfunction. Concurrent application of IL-17A-neutralizing antibody and ciprofloxacin attenuated airway inflammation and ventilation after inoculation of P. aeruginosa in COPD mouse models. Our results revealed that IL-17 plays a detrimental role in the pathogenesis of P. aeruginosa airway infection during acute exacerbations of COPD. Targeting IL-17A is a potential therapeutic strategy in controlling the outcomes of P. aeruginosa infection in COPD patients.
DOI: 10.1038/emi.2013.58
发表时间: 2013-09
影响因子: 13.2
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