Eldredge Laurie C, Treuting Piper M, Manicone Anne M, Ziegler Steven F, Parks William C, McGuire John K
1 Center for Lung Biology, and Department of Pediatrics, Divisions of.
2 Pulmonary Medicine and.
Am J Respir Cell Mol Biol. 2016 Feb;54(2):273-83. doi: 10.1165/rcmb.2014-0395OC.
Bronchopulmonary dysplasia (BPD) is a common consequence of life-saving interventions for infants born with immature lungs. Resident tissue myeloid cells regulate lung pathology, but their role in BPD is poorly understood. To determine the role of lung interstitial myeloid cells in neonatal responses to lung injury, we exposed newborn mice to hyperoxia, a neonatal mouse lung injury model with features of human BPD. In newborn mice raised in normoxia, we identified a CD45(+) F4/80(+) CD11b(+), Ly6G(lo-int) CD71(+) population of cells in lungs of neonatal mice present in significantly greater percentages than in adult mice. In response to hyperoxia, surface marker and gene expression in whole lung macrophages/monocytes was biased to an alternatively activated phenotype. Partial depletion of these CD11b(+) mononuclear cells using CD11b-diphtheria toxin (DT) receptor transgenic mice resulted in 60% mortality by 40 hours of hyperoxia exposure with more severe lung injury, perivascular edema, and alveolar hemorrhage compared with DT-treated CD11b-DT receptor-negative controls, which displayed no mortality. These results identify an antiinflammatory population of CD11b(+) mononuclear cells that are protective in hyperoxia-induced neonatal lung injury in mice, and suggest that enhancing their beneficial functions may be a treatment strategy in infants at risk for BPD.
支气管肺发育不良(BPD)是对肺部未成熟的新生儿进行挽救生命干预后的常见后果。驻留组织髓样细胞调节肺部病理,但它们在BPD中的作用尚不清楚。为了确定肺间质髓样细胞在新生儿对肺损伤反应中的作用,我们将新生小鼠暴露于高氧环境中,这是一种具有人类BPD特征的新生小鼠肺损伤模型。在常氧环境下饲养的新生小鼠中,我们在新生小鼠肺中鉴定出一群CD45(+) F4/80(+) CD11b(+)、Ly6G(lo-int) CD71(+)细胞,其百分比显著高于成年小鼠。对高氧的反应中,全肺巨噬细胞/单核细胞的表面标志物和基因表达偏向于交替激活的表型。使用CD11b-白喉毒素(DT)受体转基因小鼠部分清除这些CD11b(+)单核细胞,导致在高氧暴露40小时时有60%的死亡率,与未显示死亡率的DT处理的CD11b-DT受体阴性对照相比,肺损伤更严重,有血管周围水肿和肺泡出血。这些结果确定了一群CD11b(+)单核细胞具有抗炎作用,在高氧诱导的新生小鼠肺损伤中具有保护作用,并表明增强它们的有益功能可能是BPD高危婴儿的一种治疗策略。