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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
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
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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