Nature Communications · 2016 · 101 citations · 27 references
Life SciencesImmunologyPathologyImmunopathologyInflammationInnate ImmunityChronic Obstructive Pulmonary DiseasePulmonary InflammationRespiratory DiseaseRespiratory PathologyRespiratory PathophysiologySecretory Immunoglobulin AChronic Lung InflammationChronic Obstructive Pulmonary Disease PathophysiologyCopd PhenotypesInnate Immune EffectorsLung MicrobiomePolymeric Immunoglobulin ReceptorSecretory Immunoglobulin A DeficiencySmall Airway Dysfunction
Mechanisms driving persistent airway inflammation in chronic obstructive pulmonary disease (COPD) are incompletely understood. As secretory immunoglobulin A (SIgA) deficiency in small airways has been reported in COPD patients, we hypothesized that immunobarrier dysfunction resulting from reduced SIgA contributes to chronic airway inflammation and disease progression. Here we show that polymeric immunoglobulin receptor-deficient (pIgR(-/-)) mice, which lack SIgA, spontaneously develop COPD-like pathology as they age. Progressive airway wall remodelling and emphysema in pIgR(-/-) mice are associated with an altered lung microbiome, bacterial invasion of the airway epithelium, NF-κB activation, leukocyte infiltration and increased expression of matrix metalloproteinase-12 and neutrophil elastase. Re-derivation of pIgR(-/-) mice in germ-free conditions or treatment with the anti-inflammatory phosphodiesterase-4 inhibitor roflumilast prevents COPD-like lung inflammation and remodelling. These findings show that pIgR/SIgA deficiency in the airways leads to persistent activation of innate immune responses to resident lung microbiota, driving progressive small airway remodelling and emphysema.
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The Nature of Small-Airway Obstruction in Chronic Obstructive Pulmonary Disease
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Small-Airway Obstruction and Emphysema in Chronic Obstructive Pulmonary Disease
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