Pulmonary, Critical Care, Sleep and Allergy Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska 68198-5910, USA.
Am J Respir Crit Care Med. 2010 Oct 15;182(8):1020-9. doi: 10.1164/rccm.201001-0055OC. Epub 2010 Jun 3.
Persistent inflammation plays a major role in chronic obstructive pulmonary disease (COPD) pathogenesis, but its mechanisms are incompletely defined. Overproduction of the inflammatory mediator prostaglandin (PG) E₂ by COPD fibroblasts contributes to reduced repair function.
The present study determined if fibroblasts from subjects with COPD overproduce PGE₂ after stimulation with the inflammatory cytokines IL-1β and tumor necrosis factor-α, and further defined the mechanism for overproduction.
Fibroblasts were isolated from parenchymal tissue obtained from smokers with and without COPD undergoing lung surgery. PGE₂, cyclooxygenases (COX), and miR-146a in these cells were evaluated by in vitro studies.
After stimulation with inflammatory cytokines, COPD fibroblasts produced 2.7-fold more PGE₂ compared with controls with similar smoking history. The increase in PGE₂ depended on induction of COX-2, which increased to a greater degree in fibroblasts from subjects with COPD. Cytokines also induced microRNA miR-146a expression in both fibroblasts, but significantly less in COPD fibroblasts. miR-146a caused degradation of COX-2 mRNA; reduced expression prolonged COX-2 mRNA half-life in fibroblasts from subjects with COPD. Cytokine-stimulated PGE₂ production and miR-146a expression in cultured fibroblasts correlated with clinical severity assessed by expiratory airflow and diffusion capacity.
miR-146a seems to play a pathogenetic role in the abnormal inflammatory response in COPD. Increased half-life of inflammatory mRNAs is a mechanism of abnormal inflammation in this disease.
持续性炎症在慢性阻塞性肺疾病(COPD)发病机制中起着重要作用,但其机制尚未完全阐明。COPD 成纤维细胞中炎症介质前列腺素(PG)E₂的过度产生导致修复功能降低。
本研究旨在确定 COPD 患者的成纤维细胞在受到炎症细胞因子白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)刺激后是否过度产生 PGE₂,并进一步确定过度产生的机制。
通过肺手术从吸烟者和 COPD 患者的实质组织中分离成纤维细胞。通过体外研究评估这些细胞中的 PGE₂、环氧化酶(COX)和 miR-146a。
与具有相似吸烟史的对照组相比,炎性细胞因子刺激后的 COPD 成纤维细胞产生了 2.7 倍的 PGE₂。PGE₂的增加取决于 COX-2 的诱导,COX-2 在 COPD 患者的成纤维细胞中增加的程度更大。细胞因子也诱导了两种成纤维细胞中 microRNA miR-146a 的表达,但在 COPD 成纤维细胞中表达显著减少。miR-146a 导致 COX-2 mRNA 的降解;在 COPD 患者的成纤维细胞中,表达减少延长了 COX-2 mRNA 的半衰期。培养的成纤维细胞中细胞因子刺激的 PGE₂产生和 miR-146a 表达与呼气流量和扩散能力评估的临床严重程度相关。
miR-146a 似乎在 COPD 异常炎症反应中发挥致病作用。炎症 mRNAs 的半衰期延长是该疾病异常炎症的一种机制。