Tamura Kentaro, Matsumoto Koichiro, Fukuyama Satoru, Kan-O Keiko, Ishii Yumiko, Tonai Ken, Tatsuta Miyoko, Enokizu Aimi, Inoue Hiromasa, Nakanishi Yoichi
Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Pulmonary Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Physiol Rep. 2018 Jan;6(2). doi: 10.14814/phy2.13568.
Asthma and chronic obstructive pulmonary disease (COPD), chronic airway inflammatory diseases characterized by airflow limitation, have different etiologies and pathophysiologies. Asthma-COPD Overlap (ACO) has recently been used for patients with mixed asthma and COPD. The pathophysiological mechanisms of ACO have not been clearly understood due to the lack of an appropriate murine model. To investigate its pathophysiology, we examined a murine model by allergen challenge in surfactant protein-D (SP-D)-deficient mice that spontaneously developed pulmonary emphysema. SP-D-deficient mice were sensitized and challenged by ovalbumin (OVA). Lungs and bronchoalveolar lavage fluid (BALF) were collected for analysis, and static lung compliance and airway hyperresponsiveness (AHR) were measured 48 h after the last OVA challenge. In SP-D-deficient, naïve, or OVA-challenged mice, the mean linear intercept and static lung compliance were increased compared with wild-type (WT) mice. There was no significant difference in goblet cell hyperplasia and the gene expression of Mucin 5AC (MUC5AC) between SP-D-deficient and WT OVA-challenged mice. In SP-D-deficient OVA-challenged mice, airway hyperresponsiveness was significantly enhanced despite the lower eosinophil count and the concentration of interleukin (IL)-5 and IL-13 in BALF compared with WT OVA-challenged mice at 120 ventilations per minute. When mice were ventilated at a lower ventilation frequency of 100 ventilations per minute, elevated airway hyperresponsiveness in SP-D-deficient OVA-challenged mice was diminished. This model of emphysematous change with allergic airway inflammation raises the possibility that frequency-dependent airway hyperresponsiveness may be involved in the pathophysiology of ACO.
哮喘和慢性阻塞性肺疾病(COPD)是特征为气流受限的慢性气道炎症性疾病,它们具有不同的病因和病理生理学机制。哮喘-慢性阻塞性肺疾病重叠综合征(ACO)最近被用于患有哮喘和COPD混合症状的患者。由于缺乏合适的小鼠模型,ACO的病理生理机制尚未被清楚地理解。为了研究其病理生理学,我们通过在自发发生肺气肿的表面活性蛋白-D(SP-D)缺陷小鼠中进行过敏原激发实验来检测一个小鼠模型。SP-D缺陷小鼠用卵清蛋白(OVA)致敏并激发。收集肺组织和支气管肺泡灌洗液(BALF)用于分析,并在最后一次OVA激发后48小时测量静态肺顺应性和气道高反应性(AHR)。在SP-D缺陷、未致敏或OVA激发的小鼠中,与野生型(WT)小鼠相比,平均线性截距和静态肺顺应性增加。在SP-D缺陷和WT OVA激发的小鼠之间,杯状细胞增生和黏蛋白5AC(MUC5AC)的基因表达没有显著差异。在SP-D缺陷的OVA激发小鼠中,尽管与WT OVA激发小鼠相比,每分钟120次通气时BALF中的嗜酸性粒细胞计数以及白细胞介素(IL)-5和IL-13浓度较低,但气道高反应性仍显著增强。当小鼠以每分钟100次通气的较低通气频率通气时,SP-D缺陷的OVA激发小鼠中升高的气道高反应性减弱。这种伴有过敏性气道炎症的肺气肿改变模型提示频率依赖性气道高反应性可能参与了ACO的病理生理学过程。
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