Dept. of Medicine, Univ. of Alabama at Birmingham, Birmingham, AL 35294, USA.
Am J Physiol Lung Cell Mol Physiol. 2012 Sep;303(5):L469-75. doi: 10.1152/ajplung.00158.2012. Epub 2012 Jul 6.
Among several bacterial and viral pathogens, the atypical fungal organism Pneumocystis jirovecii has been implicated as a contributor to the pathogenesis of chronic obstructive pulmonary disease (COPD). In a previous study, we reported that Pneumocystis-colonized HIV-positive subjects had worse obstruction of airways and higher sputum levels of macrophage elastase/matrix metalloproteinase 12 (MMP12), a protease strongly associated with the development of COPD. Here, we examined parameters of Pneumocystis-induced MMP12 in the lungs of mice and its role in the lung immune response to murine Pneumocystis. Initial studies demonstrated that P. murina exposure induced Mmp12 mRNA expression in whole lungs and alveolar macrophages (AMs), which was dependent on the presence of CD4+ T cells as well as signal transducer and activator of transcription 6. Mmp12 mRNA expression was upregulated in AMs by interleukin (IL)-4 treatment, but downregulated by interferon (IFN)-γ, indicating preferential expression in alternatively activated (M2a) macrophages. IL-4 treatment induced the 54-kDa proenzyme form of MMP12 and the 22-kDa fully processed and active form, whereas IFN-γ failed to induce either. Despite a reported antimicrobial role in macrophage phagolysosomes, mice deficient in MMP12 were not found to be more susceptible to lung infection with P. murina. Collectively, our data indicate that MMP12 induction is a component of the P. murina-induced M2 response and thus provides insight into the link between Pneumocystis colonization/infection and exacerbations in COPD.
在几种细菌和病毒病原体中,不典型真菌病原体肺孢子菌被认为是慢性阻塞性肺疾病(COPD)发病机制的一个因素。在之前的一项研究中,我们报告称,肺孢子菌定植的 HIV 阳性患者气道阻塞更严重,痰液中巨噬细胞弹性蛋白酶/基质金属蛋白酶 12(MMP12)水平更高,MMP12 与 COPD 的发展密切相关。在这里,我们检查了小鼠肺部肺孢子菌诱导的 MMP12 的参数及其在肺对鼠肺孢子菌免疫反应中的作用。初步研究表明,P. murina 暴露诱导整个肺和肺泡巨噬细胞(AMs)中的 Mmp12 mRNA 表达,这依赖于 CD4+T 细胞以及信号转导和转录激活因子 6 的存在。IL-4 处理可上调 AMs 中的 Mmp12 mRNA 表达,但 IFN-γ 下调其表达,表明其在选择性激活(M2a)巨噬细胞中优先表达。IL-4 处理诱导 MMP12 的 54-kDa 前酶形式和 22-kDa 完全加工和活性形式,而 IFN-γ 不能诱导任何一种形式。尽管有报道称 MMP12 在巨噬细胞吞噬体中有抗微生物作用,但缺乏 MMP12 的小鼠并未发现对 P. murina 肺部感染更易感性。总的来说,我们的数据表明 MMP12 诱导是肺孢子菌诱导的 M2 反应的一个组成部分,因此为肺孢子菌定植/感染与 COPD 恶化之间的联系提供了深入了解。