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1 Pulmonary and Critical Care Division, Department of Medicine, Duke University Medical Center and Veterans Affairs Medical Center, Durham, 27710; and 2 Pulmonary Toxicology Branch, Experimental Toxicology Division, National Health and Environmental Effects Research Laboratory, United States Environmental Protection Agency, Research Triangle Park, North Carolina 27711
We investigated the role
of neutrophils in the development of endotoxin-induced airway disease
via systemic neutrophil depletion of C3H/HeBFeJ mice and coincident
inhalation challenge with lipopolysaccharide (LPS) over a 4-wk period.
Mice were made neutropenic with intraperitoneal injections of
neutrophil antiserum before and throughout the exposure period.
Experimental conditions included LPS-exposed, antiserum-treated; LPS-exposed, control serum-treated; air-exposed, antiserum-treated; and
air-exposed, control serum-treated groups. Physiological, biological,
and morphological assessments were performed after a 4-wk exposure and
again after a 4-wk recovery period. After the 4-wk exposure,
LPS-induced inflammation of the lower airways was significantly
attenuated in the neutropenic mice, although airway responsiveness (AR)
to methacholine (MCh) remained unchanged. After the recovery period,
LPS-exposed neutrophil-replete mice had increased AR to MCh when
compared with the LPS-exposed neutropenic animals. Morphometric data
indicate that the 4-wk exposure to LPS leads to a substantial expansion
of the subepithelial area of the medium-sized airways (90-129 µm
diameter) in nonneutropenic mice but not neutropenic mice, and this
difference persisted even after the recovery period. Expression of
bronchial epithelial and subepithelial transforming growth factor-
1
(TGF-
1) was diminished in the challenged neutropenic mice compared
with the neutrophil-sufficient mice. These studies demonstrate that
neutrophils play a critical role in the development of chronic
LPS-induced airway disease.
lipopolysaccharide; polymorphonuclear leukocytes; endotoxin; subepithelial fibrosis; hyperreactivity; remodeling; transforming
growth factor-
1
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