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1 Department of Internal Medicine, Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, Michigan, United States
2 Department of Internal Medicine, Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, Michigan, United States; Pulmonary Section, Department of Veterans Affairs Medical Center, Ann Arbor, Michigan, United States
* To whom correspondence should be addressed. E-mail: rpaine{at}umich.edu.
We have previously demonstrated that mice exposed to sublethal hyperoxia (an atmosphere of >95% oxygen for 4 days, followed by return to room air) have significantly impaired pulmonary innate immune response. Alveolar macrophages (AM) from hyperoxia exposed mice exhibit significantly diminished antimicrobial activity and markedly reduced production of inflammatory cytokines in response to stimulation with lipopolysaccharide (LPS), compared to AM from control mice in normoxia. As a consequence of these defects, mice exposed to sublethal hyperoxia are more susceptible to lethal pneumonia with Klebsiella pneumoniae than control mice. Granulocyte-macrophage colony stimulating factor (GM-CSF) is a growth factor produced by normal pulmonary alveolar epithelial cells that is critically involved in maintenance of normal AM function. We now report that sublethal hyperoxia in vivo leads to greatly reduced alveolar epithelial cell GM-CSF expression. Systemic treatment of mice with recombinant murine GM-CSF during hyperoxia exposure preserved AM function, as indicated by cell surface TLR4 expression and by inflammatory cytokine secretion following stimulation with LPS ex vivo. Treatment of hyperoxic mice with GM-CSF significantly reduced lung bacterial burden following IT inoculation with K. pneumoniae, returning lung bacterial CFU to the level of normoxic controls. These data point to a critical role for continuous GM-CSF activity in the lung in maintenance of normal AM function, and demonstrate that lung injury due to hyperoxic stress results in significant impairment in pulmonary innate immunity through suppression of alveolar epithelial cell GM-CSF expression.
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