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1 Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States
2 Pulmonary and Critical Care Medicine, University of Utah, Salt Lake City, Utah, United States
* To whom correspondence should be addressed. E-mail: bmoore{at}umich.edu.
Impaired host defense post-bone marrow transplant (BMT) is related to overproduction of prostaglandin E2 (PGE2) by alveolar macrophages (AMs). We show AMs post-BMT overproduce granulocyte-macrophage colony stimulating factor (GM-CSF) whereas GM-CSF in lung homogenates is impaired both at baseline and in response to infection post-BMT. Homeostatic regulation of GM-CSF may occur by hematopoietic/structural cell crosstalk. To determine whether AM overproduction of GM-CSF influenced immunosuppression post-BMT, we compared mice which received BMT from wild-type donors (control BMT) or mice that received BMT from GM-CSF-/- donors (GM-CSF-/- BMT) to untransplanted mice. GM-CSF-/- BMT mice were less susceptible to pneumonia with Pseudomonas aeruginosa compared to control BMT mice and showed anti-bacterial responses equal or better than untransplanted mice. GM-CSF-/- BMT AMs displayed normal phagocytosis and a trend towards enhanced bacterial killing. Surprisingly, AMs from GM-CSF-/- BMT mice overproduced PGE2, but expression of the inhibitory EP2 receptor was diminished. As a consequence of decreased EP2 receptor expression, we found diminished accumulation of cyclic adenosine monophosphate (cAMP) in response to PGE2 stimulation in GM-CSF-/-BMT AMs compared to control BMT AMs. In addition, GM-CSF-/- BMT AMs retained cysteinyl leukotriene production and normal tumor necrosis factor (TNF)-
response compared to AMs from control BMT mice. GM-CSF-/- BMT neutrophils also showed improved bacterial killing. While genetic ablation of GM-CSF in hematopoietic cells post-BMT improved host defense, transplantation of wild-type BM into GM-CSF-/- recipients demonstrated that parenchymal cell-derived GM-CSF is necessary for effective innate immune responses post-BMT. These results highlight the complex regulation of GM-CSF and innate immunity post-BMT.
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