Development and multimodal characterization of an elastase-induced emphysema mouse disease model for the COPD frequent bacterial exacerbator phenotype

Autor: Begoña Euba, Irene Rodríguez-Arce, Derek W. Hood, Mikel Ariz, Xabier Morales, Maider Esparza, Junkal Garmendia, Nahikari López-López, José Leiva, Carlos Ortiz-de-Solorzano
Přispěvatelé: Diputación Foral de Navarra, Ministerio de Ciencia, Innovación y Universidades (España), Agencia Estatal de Investigación (España), Ministerio de Economía y Competitividad (España), Sociedad Española de Neumología y Cirugía Torácica
Rok vydání: 2021
Předmět:
Zdroj: Virulence, Vol 12, Iss 1, Pp 1672-1688 (2021)
Virulence
article-version (VoR) Version of Record
Digital.CSIC. Repositorio Institucional del CSIC
instname
ISSN: 2150-5608
2150-5594
Popis: Chronic obstructive pulmonary disease (COPD) patients undergo infectious exacerbations whose frequency identifies a clinically meaningful phenotype. Mouse models have been mostly used to separately study both COPD and the infectious processes, but a reliable model of the COPD frequent exacerbator phenotype is still lacking. Accordingly, we first established a model of single bacterial exacerbation by nontypeable Haemophilus influenzae (NTHi) infection on mice with emphysema-like lesions. We characterized this single exacerbation model combining both noninvasive in vivo imaging and ex vivo techniques, obtaining longitudinal information about bacterial load and the extent of the developing lesions and host responses. Bacterial load disappeared 48 hours post-infection (hpi). However, lung recovery, measured using tests of pulmonary function and the disappearance of lung inflammation as revealed by micro-computed X-ray tomography, was delayed until 3 weeks post-infection (wpi). Then, to emulate the frequent exacerbator phenotype, we performed two recurrent episodes of NTHi infection on the emphysematous murine lung. Consistent with the amplified infectious insult, bacterial load reduction was now observed 96 hpi, and lung function recovery and disappearance of lesions on anatomical lung images did not happen until 12 wpi. Finally, as a proof of principle of the use of the model, we showed that azithromycin successfully cleared the recurrent infection, confirming this macrolide utility to ameliorate infectious exacerbation. In conclusion, we present a mouse model of recurrent bacterial infection of the emphysematous lung, aimed to facilitate investigating the COPD frequent exacerbator phenotype by providing complementary, dynamic information of both infectious and inflammatory processes.
This work was supported by the Departamento de Universidad, Innovación y Transformación Digital, Gobierno de Navarra [PC150-151-152]; Ministerio de Ciencia, Innovación y Universidades (MICIU), Gobierno de España [RTI2018-096369-B-I00]; MICIU, Gobierno de España [RED2018-102469-T]; MICIU , Gobierno de España [SAF2015-66520-R]; MICIU , Gobierno de España [RTI2018- 094494-B-C222]; Departamento de Salud, Gobierno de Navarra [03/2016]; Sociedad Española de Neumología y Cirugía Torácica [31/2015].
Databáze: OpenAIRE