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Airway bacteria drive a progressive COPD-like phenotype in mice with polymeric immunoglobulin receptor deficiency.

Nature communications | 2016

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.

Pubmed ID: 27046438 RIS Download

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Associated grants

  • Agency: NHLBI NIH HHS, United States
    Id: P01 HL092870
  • Agency: NHLBI NIH HHS, United States
    Id: HL085317
  • Agency: NIH HHS, United States
    Id: P40 OD010995
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL126176
  • Agency: NHLBI NIH HHS, United States
    Id: L30 HL120265
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK034987
  • Agency: NIDDK NIH HHS, United States
    Id: 5-P39-DK034987
  • Agency: NCI NIH HHS, United States
    Id: U01 CA152662
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL105479
  • Agency: NHLBI NIH HHS, United States
    Id: T32 HL094296
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL085317
  • Agency: NHLBI NIH HHS, United States
    Id: HL126176
  • Agency: NICHD NIH HHS, United States
    Id: K12 HD043483
  • Agency: NHLBI NIH HHS, United States
    Id: HL092870
  • Agency: NCRR NIH HHS, United States
    Id: UL1 RR024975
  • Agency: NHLBI NIH HHS, United States
    Id: HL088263
  • Agency: NHLBI NIH HHS, United States
    Id: HL105479
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL088263
  • Agency: NIH HHS, United States
    Id: 5-P40-OD010995
  • Agency: BLRD VA, United States
    Id: I01 BX002378

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