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Am J Physiol Lung Cell Mol Physiol (November 14, 2003). doi:10.1152/ajplung.00275.2003
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Submitted on August 14, 2003
Accepted on November 12, 2003

Innate immune responses to lipopolysaccharide in mouse lung are suppressed and reversed by neutralization of GM-CSF via repression of TLR-4

Steven Bozinovski1, Jessica Jones1, Sarah-Jane Beavitt1, Andrew D. Cook1, John A. Hamilton2, and Gary P. Anderson1*

1 Department of Pharmacology and Medicine, University of Melbourne, Parkville, Victoria, Australia
2 Department of Medicine, Arthritis and Inflammation Research Center, Royal Melbourne Hospital, Parkville, Victoria, Australia

* To whom correspondence should be addressed. E-mail: gpa{at}unimelb.edu.au.

The innate immune inflammatory response to lipopolysaccharide (LPS, endotoxin) is essential for lung host defense against infection by Gram-negative bacteria, but is also implicated in the pathogenesis of some lung diseases. Studies in genetically altered mice implicate GM-CSF in lung responses to LPS; however the physiological effects of GM-CSF neutralization are poorly characterized. We performed detailed kinetic and dose-response analyses of the lung inflammation response to LPS in the presence of a specific GM-CSF neutralizing antibody, 22E9. LPS instilled into the lungs of Balb/c mice induced a dose-dependent inflammation comprising of intense neutrophilia, macrophage infiltration and proliferation, TNF{alpha} and matrix metalloproteinase release, and MIP2 induction. Neutralizing anti-GM-CSF dose-dependently suppressed these inflammatory indices by up to 85% whether given before or after LPS, or following repeat LPS challenges. Here, we report for the first time that the physiological expression of TLR4 in lung is reduced by anti-GM-CSF . We observed that lower TLR4 expression correlated with a similar decline in peak TNF{alpha} levels in response to endotoxin. Consequently, sustained expression of key inflammatory mediators over 24h was reduced. These data expand the understanding of the contribution of GM-CSF to innate immune responses in the lung and suggest that blocking GM-CSF might benefit some lung diseases where LPS has been implicated in etiology.




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