Title
Diesel exhaust alters the response of cultured primary bronchial epithelial cells from patients with chronic obstructive pulmonary disease (COPD) to non-typeable Haemophilus influenzae
Author
Zarcone, M.C.
van Schadewijk, A.
Duistermaat, E.
Hiemstra, P.S.
Kooter, I.M.
Publication year
2017
Abstract
Background: Exacerbations constitute a major cause of morbidity and mortality in patients suffering from chronic obstructive pulmonary disease (COPD). Both bacterial infections, such as those with non-typeable Haemophilus influenzae (NTHi), and exposures to diesel engine emissions are known to contribute to exacerbations in COPD patients. However, the effect of diesel exhaust (DE) exposure on the epithelial response to microbial stimulation is incompletely understood, and possible differences in the response to DE of epithelial cells from COPD patients and controls have not been studied. Methods: Primary bronchial epithelial cells (PBEC) were obtained from age-matched COPD patients (n = 7) and controls (n = 5). PBEC were cultured at the air-liquid interface (ALI) to achieve mucociliary differentiation. ALI-PBECs were apically exposed for 1 h to a stream of freshly generated whole DE or air. Exposure was followed by 3 h incubation in presence or absence of UV-inactivated NTHi before analysis of epithelial gene expression. Results: DE alone induced an increase in markers of oxidative stress (HMOX1, 50-100-fold) and of the integrated stress response (CHOP, 1.5-2-fold and GADD34, 1.5-fold) in cells from both COPD patients and controls. Exposure of COPD cultures to DE followed by NTHi caused an additive increase in GADD34 expression (up to 3-fold). Importantly, DE caused an inhibition of the NTHi-induced expression of the antimicrobial peptide S100A7, and of the chaperone protein HSP5A/BiP. Conclusions: Our findings show that DE exposure of differentiated primary airway epithelial cells causes activation of the gene expression of HMOX1 and markers of integrated stress response to a similar extent in cells from COPD donors and controls. Furthermore, DE further increased the NTHi-induced expression of GADD34, indicating a possible enhancement of the integrated stress response. DE reduced the NTHi-induced expression of S100A7. These data suggest that DE exposure may cause adverse health effects in part by decreasing host defense against infection and by modulating stress responses. © 2017 The Author(s).
Subject
Air pollution
Airway epithelial cells
Antimicrobial peptides
Antimicrobial response
COPD
Diesel exhaust
Integrated stress response
Non-typeable Haemophilus influenzae
Environment & Sustainability
Urbanisation
Urban Mobility & Environment
EMS - Environmental Modelling, Sensing & Analysis
ELSS - Earth, Life and Social Sciences
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http://resolver.tudelft.nl/uuid:7949d101-8bf3-4389-a094-7ead162088f4
DOI
https://doi.org/10.1186/s12931-017-0510-4
TNO identifier
745607
Publisher
BioMed Central Ltd.
ISSN
1465-9921
Source
Respiratory Research, 18 (18), 1-11
Document type
article