Effects of budesonide on toll-like receptor expression in alveolar macrophages from smokers with and without COPD

Autor: Jie Ji, Bo Billing, Lena Palmberg, Ida von Schéele, Ann-Sofie Lantz, Barbro Dahlén, Kjell Larsson
Rok vydání: 2016
Předmět:
Lipopolysaccharides
Male
0301 basic medicine
Chemokine
Lipopolysaccharide
Anti-Inflammatory Agents
Ligands
Pulmonary Disease
Chronic Obstructive

chemistry.chemical_compound
0302 clinical medicine
Budesonide
Original Research
Toll-like receptor
biology
Smoking
General Medicine
Middle Aged
Female
Tumor necrosis factor alpha
glucocorticosteroid
Signal Transduction
Adult
medicine.medical_specialty
Peptidoglycan
smokers
International Journal of Chronic Obstructive Pulmonary Disease
Proinflammatory cytokine
03 medical and health sciences
Internal medicine
Macrophages
Alveolar

medicine
Humans
Interleukin 8
Glucocorticoids
Aged
Tumor Necrosis Factor-alpha
business.industry
Interleukin-8
lipopolysaccarid
Immunity
Innate

Toll-Like Receptor 2
Toll-Like Receptor 4
TLR2
030104 developmental biology
Endocrinology
030228 respiratory system
chemistry
Case-Control Studies
Immunology
TLR4
biology.protein
business
Zdroj: International Journal of Chronic Obstructive Pulmonary Disease
ISSN: 1178-2005
DOI: 10.2147/copd.s102668
Popis: Jie Ji,1 Ida von Schéele,1 Bo Billing,2 Barbro Dahlén,2 Ann-Sofie Lantz,2 Kjell Larsson,1 Lena Palmberg1 1Lung and Airway Research, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; 2Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden Introduction: Alveolar macrophages (AMs) are equipped with innate immune receptors such as toll-like receptor 2 (TLR2) and toll-like receptor 4 (TLR4). In primary bronchial epithelial cells, exposure of toll-like receptor (TLR) ligands or tumor necrosis factor-alpha (TNF-α) increased TLR2 mRNA expression and reduced interleukin-8 (IL-8) release when coincubated with glucocorticosteroids. The aim of this study was to compare TLR2 and TLR4 expression levels and the effect of a glucocorticosteroid after stimulation with TLR ligands on AMs from smokers with and without COPD compared with the healthy controls. Subjects and methods: Bronchoalveolar lavage was performed, and AMs were isolated from smokers with (n=10) and without COPD (n=11) and healthy controls (n=10) and stimulated ex vivo with peptidoglycan (PGN), lipopolysaccharide (LPS), or TNF-α ± budesonide (Bud). Blocking antibodies to TLR2 or TLR4 were added before stimulation with LPS or PGN ± Bud, respectively. The release of proinflammatory cytokine (TNF-α), chemoattractant (CXCL8), and TLR expression was analyzed by enzyme-linked immunosorbent assay and reverse transcription polymerase chain reaction. Results: LPS, PGN, and TNF-α induced an increased release of IL-8 and TNF-α in the AMs in all the groups independent of smoking or disease. These responses were inhibited by a glucocorticosteroid (Bud) in all the three groups, except PGN-induced IL-8 secretion in smokers without COPD. Bud increased TLR2 expression in the healthy controls and smokers without COPD. Costimulation of TLR ligands and Bud significantly enhanced TLR2 mRNA expression in both groups of smokers compared with TLR ligands alone. In smokers, costimulation with PGN and Bud significantly increased TLR2 expression when compared with Bud alone. On stimulation with the TLR4 agonist, LPS downregulated TLR4 mRNA expression in all the three groups. Conclusion: The combination of glucocorticosteroids with TLR ligands can increase TLR2 expression, thereby improving host defense in smokers. Also this combination can decrease the secretion of proinflammatory cytokines and chemokines as an anti-inflammatory response. Our findings indicate that glucocorticosteroid therapy strengthens immune defense pathways, which may have implication during exacerbation caused by microorganisms. Keywords: smokers, lipopolysaccarid, peptidoglycan, glucocorticosteroid
Databáze: OpenAIRE