Jovic Sandra, Shikhagaie Medya, Mörgelin Matthias, Kjellström Sven, Erjefalt Jonas, Olin Anders I, Frick Inga-Maria, Egesten Arne
Sections for Respiratory Medicine and Allergology, Department of Clinical Sciences, Lund University, Lund, Sweden.
J Innate Immun. 2014;6(6):846-59. doi: 10.1159/000365399. Epub 2014 Aug 9.
In cystic fibrosis (CF), colonization of the airways with Pseudomonas aeruginosa is associated with disease deterioration. The mechanism behind the disease progression is not fully understood. The present work shows that the antibacterial chemokine MIG/CXCL9 is present in the airways and in sputum of CF patients. MIG/CXCL9 showed high bactericidal activity against. P. aeruginosa, including some strains from the airways of CF patients. Full-length MIG/CXCL9 was detected in sputum from healthy controls and CF patients colonized with P. aeruginosa. However, degraded MIG/CXCL9 was only found in CF sputum. In vitro, elastase of P. aeruginosa cleaved off a fragment of similar size and two additional fragments from MIG/CXCL9. The fragments showed less bactericidal activity against P. aeruginosa compared with the full-length protein. The fragments did not activate the MIG/CXCL9 receptor CXCR3 (expressed e.g. by NK cells, mast cells, and activated T cells) but instead displayed noncompetitive inhibition. In vitro, a decrease in CXCR3-bearing cells was found within and in the proximity of the bronchial epithelium of CF lung tissue compared with controls. Taken together, both bactericidal and cell-recruiting activities of MIG/CXCL9 are corrupted by P. aeruginosa through release of elastase, and this may contribute to impaired airway host defense in CF.
在囊性纤维化(CF)中,气道被铜绿假单胞菌定植与疾病恶化相关。疾病进展背后的机制尚未完全了解。目前的研究表明,抗菌趋化因子MIG/CXCL9存在于CF患者的气道和痰液中。MIG/CXCL9对铜绿假单胞菌表现出高杀菌活性,包括一些来自CF患者气道的菌株。在健康对照和被铜绿假单胞菌定植的CF患者的痰液中检测到全长MIG/CXCL9。然而,降解的MIG/CXCL9仅在CF痰液中发现。在体外,铜绿假单胞菌的弹性蛋白酶从MIG/CXCL9上切割下一个大小相似的片段和另外两个片段。与全长蛋白相比,这些片段对铜绿假单胞菌的杀菌活性较低。这些片段不会激活MIG/CXCL9受体CXCR3(例如由自然杀伤细胞、肥大细胞和活化的T细胞表达),而是表现出非竞争性抑制。在体外,与对照组相比,在CF肺组织支气管上皮内和附近发现携带CXCR3的细胞减少。综上所述,铜绿假单胞菌通过释放弹性蛋白酶破坏了MIG/CXCL9的杀菌和细胞募集活性,这可能导致CF患者气道宿主防御受损。