Department of Immunology, Roswell Park Cancer Institute, Buffalo, NY 14263.
Department of Pathology, Roswell Park Cancer Institute, Buffalo, NY 14263.
J Immunol. 2018 Apr 15;200(8):2927-2940. doi: 10.4049/jimmunol.1701417. Epub 2018 Mar 19.
Despite advocacy to reduce smoking-related diseases, >1 billion people worldwide continue to smoke. Smoking is immunosuppressive and an important etiological factor in the development of several human disorders including respiratory diseases like chronic obstructive pulmonary disease. However, there is a critical gap in the knowledge of the role of secondhand smoke (SHS) in inflammation and immunity. We therefore studied the influence of SHS on pulmonary inflammation and immune responses to respiratory infection by nontypeable (NTHI) recurrently found in chronic obstructive pulmonary disease patients. Chronic SHS-exposed mice were chronically infected with NTHI and pulmonary inflammation was evaluated by histology. Immune cell numbers and cytokines were measured by flow cytometry and ELISA, respectively. Chronic SHS exposure impaired NTHI P6 Ag-specific B and T cell responses following chronic NTHI infection as measured by ELISPOT assays, reduced the production of Abs in serum and bronchoalveolar lavage, and enhanced albumin leak into the bronchoalveolar lavage as determined by ELISA. Histopathological examination of lungs revealed lymphocytic accumulation surrounding airways and bronchovasculature following chronic SHS exposure and chronic infection. Chronic SHS exposure enhanced the levels of inflammatory cytokines IL-17A, IL-6, IL-1β, and TNF-α in the lungs, and impaired the generation of adaptive immunity following either chronic infection or P6 vaccination. Chronic SHS exposure diminished bacterial clearance from the lungs after acute NTHI challenge, whereas P6 vaccination improved clearance equivalent to the level seen in air-exposed, non-vaccinated mice. Our study provides unequivocal evidence that SHS exposure has long-term detrimental effects on the pulmonary inflammatory microenvironment and immunity to infection and vaccination.
尽管人们大力倡导减少与吸烟有关的疾病,但全球仍有超过 10 亿人吸烟。吸烟具有免疫抑制作用,是包括慢性阻塞性肺疾病在内的几种人类疾病发展的重要病因。然而,二手烟(SHS)在炎症和免疫方面的作用知之甚少。因此,我们研究了 SHS 对非分型(NTHI)慢性阻塞性肺疾病患者反复感染的肺部炎症和免疫反应的影响。慢性 SHS 暴露小鼠持续感染 NTHI,并通过组织学评估肺部炎症。通过流式细胞术和 ELISA 分别测量免疫细胞数量和细胞因子。慢性 SHS 暴露会损害慢性 NTHI 感染后 P6 Ag 特异性 B 和 T 细胞反应,ELISPOT 测定表明,减少血清和支气管肺泡灌洗液中抗体的产生,并通过 ELISA 增强白蛋白漏入支气管肺泡灌洗液。肺部组织病理学检查显示,慢性 SHS 暴露和慢性感染后,气道和支气管血管周围淋巴细胞聚集。慢性 SHS 暴露增强了肺部炎症细胞因子 IL-17A、IL-6、IL-1β 和 TNF-α 的水平,并损害了慢性感染或 P6 疫苗接种后适应性免疫的产生。慢性 SHS 暴露后,急性 NTHI 攻击后肺部细菌清除减少,而 P6 疫苗接种可改善清除效果,与空气暴露、未接种疫苗的小鼠相当。我们的研究提供了确凿的证据,表明 SHS 暴露对肺部炎症微环境和感染及疫苗接种的免疫有长期的不利影响。
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