Allen-Gipson D S, Romberger D J, Forget M A, May K L, Sisson J H, Wyatt T A
Pulmonary, Critical Care, and Sleep Medicine Section, Department of Internal Medicine, University of Nebraska Medical Center, and Research Service, Department of Veterans Affairs Medical Center, Omaha, 68198, USA.
J Aerosol Med. 2004 Summer;17(2):107-15. doi: 10.1089/0894268041457138.
Mucociliary clearance is a critical host defense that protects the lung. The mechanisms by which mucociliary function is altered by inflammation are poorly defined. Chronic exposure to cigarette smoke decreases ciliary beating and interferes with proper airway clearance. Bronchoalveolar lavage (BAL) fluid from smokers and ex-smokers has increased amounts of IL-8, which has played a critical role in airway inflammation. We hypothesized that IL-8 might interfere with stimulated ciliary beating in airway epithelium. To test this hypothesis, we stimulated bovine ciliated bronchial epithelial cells (BBECs) with a known activator of ciliary beat frequency (CBF), isoproterenol (ISO; 100 microM), in the presence or absence of IL-8 (100 pg/mL). We measured CBF digitally using the Sisson-Ammons Video Analysis (SAVA) system. CBF increased in untreated cells exposed to ISO (approximately 3 Hz) over baseline. In contrast, cells pre-incubated with IL-8 failed to respond to ISO. Pretreatment with IL-8 also blocked ISO-stimulated cAMP-dependent kinase (PKA) activation, which is known to control ISO-stimulated CBF. In addition, IL-8 pretreated cells revealed a marked decrease in PKA activity when cells were stimulated with forskolin (FSK; 10 microM). Cells were assayed specifically for cAMP-phosphodiesterase (PDE) activity. ISO-stimulated cells demonstrated an increase in PDE activity as compared to control. Pretreatment with IL-8 had no effect on ISO-stimulated PDE activity. Collectively, these data suggest that IL-8 appears to mediate its effect at the level of adenylyl cyclase. It is also possible that IL-8 may not only act as a chemotactic agent, but also as a potential autocrine/paracrine inhibitor of PKA-mediated stimulation of ciliary motility. In conclusion, IL-8 inhibits beta-agonist dependent ciliostimulation and such inhibition of stimulated ciliary activity may contribute to the impaired mucociliary clearance seen in airway diseases. Furthermore, since IL-8 levels are increased in the airway of cigarette smokers, it is likely they may be more resistant to the cilio and muco-ciliostimulating effects of beta-agonists.
黏液纤毛清除是一种保护肺部的关键宿主防御机制。炎症改变黏液纤毛功能的机制尚不清楚。长期接触香烟烟雾会降低纤毛摆动并干扰气道的正常清除功能。吸烟者和戒烟者的支气管肺泡灌洗(BAL)液中白细胞介素-8(IL-8)含量增加,IL-8在气道炎症中起关键作用。我们推测IL-8可能会干扰气道上皮细胞中受刺激的纤毛摆动。为了验证这一假设,我们在存在或不存在IL-8(100 pg/mL)的情况下,用已知的纤毛摆动频率(CBF)激活剂异丙肾上腺素(ISO;100 microM)刺激牛纤毛支气管上皮细胞(BBECs)。我们使用西森-安蒙斯视频分析(SAVA)系统以数字方式测量CBF。暴露于ISO的未处理细胞的CBF比基线增加(约3 Hz)。相比之下,预先用IL-8孵育的细胞对ISO无反应。用IL-8预处理还阻断了ISO刺激的环磷酸腺苷依赖性蛋白激酶(PKA)激活,已知PKA可控制ISO刺激的CBF。此外,当用福斯可林(FSK;10 microM)刺激细胞时,经IL-8预处理的细胞显示PKA活性明显降低。对细胞进行了环磷酸腺苷磷酸二酯酶(PDE)活性的特异性测定。与对照相比,ISO刺激的细胞显示PDE活性增加。用IL-8预处理对ISO刺激的PDE活性没有影响。总体而言,这些数据表明IL-8似乎在腺苷酸环化酶水平介导其作用。也有可能IL-8不仅作为趋化剂起作用,还可能作为PKA介导的纤毛运动刺激的潜在自分泌/旁分泌抑制剂。总之,IL-8抑制β-激动剂依赖性纤毛刺激,这种对受刺激纤毛活动的抑制可能导致气道疾病中所见的黏液纤毛清除受损。此外,由于吸烟者气道中IL-8水平升高,他们可能对β-激动剂的纤毛和黏液纤毛刺激作用更具抗性。