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早期生活高氧诱导的 Flt3L 驱动新生儿肺树突状细胞的扩增和促炎反应。

Early-life hyperoxia-induced Flt3L drives neonatal lung dendritic cell expansion and proinflammatory responses.

机构信息

Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, United States.

出版信息

Front Immunol. 2023 Feb 10;14:1116675. doi: 10.3389/fimmu.2023.1116675. eCollection 2023.

Abstract

Premature infants with chronic lung disease, bronchopulmonary dysplasia (BPD), develop recurrent cough and wheezing following respiratory viral infections. The mechanisms driving the chronic respiratory symptoms are ill-defined. We have shown that hyperoxic exposure of neonatal mice (a model of BPD) increases the activated lung CD103+ dendritic cells (DCs) and these DCs are required for exaggerated proinflammatory responses to rhinovirus (RV) infection. Since CD103+ DC are essential for specific antiviral responses and their development depends on the growth factor Flt3L, we hypothesized that early-life hyperoxia stimulates Flt3L expression leading to expansion and activation of lung CD103 DCs and this mediates inflammation. We found that hyperoxia numerically increased and induced proinflammatory transcriptional signatures in neonatal lung CD103+ DCs, as well as CD11b DCs. Hyperoxia also increased Flt3L expression. Anti-Flt3L antibody blocked CD103+ DC development in normoxic and hyperoxic conditions, and while it did not affect the baseline number of CD11b DCs, it neutralized the effect of hyperoxia on these cells. Anti-Flt3L also inhibited hyperoxia-induced proinflammatory responses to RV. In tracheal aspirates from preterm infants mechanically-ventilated for respiratory distress in the first week of life levels of FLT3L, IL-12p40, IL-12p70 and IFN-γ were higher in infants who went on to develop BPD and FLT3L levels positively correlated with proinflammatory cytokines levels. This work highlights the priming effect of early-life hyperoxia on lung DC development and function and the contribution of Flt3L in driving these effects.

摘要

患有慢性肺部疾病、支气管肺发育不良(BPD)的早产儿在呼吸道病毒感染后会出现反复咳嗽和喘息。导致慢性呼吸道症状的机制尚未明确。我们已经表明,新生小鼠(BPD 模型)的高氧暴露会增加激活的肺 CD103+树突状细胞(DC),这些 DC 是对鼻病毒(RV)感染产生过度炎症反应所必需的。由于 CD103+DC 对于特定的抗病毒反应是必不可少的,并且它们的发育依赖于生长因子 Flt3L,因此我们假设早期生活中的高氧刺激 Flt3L 的表达,导致肺 CD103+DC 和这些细胞的激活和扩张,并介导炎症。我们发现,高氧在数量上增加并诱导了新生肺 CD103+DC 和 CD11b DC 的促炎转录特征。高氧还增加了 Flt3L 的表达。抗 Flt3L 抗体阻断了正常氧和高氧条件下 CD103+DC 的发育,虽然它不影响 CD11b DC 的基线数量,但它中和了高氧对这些细胞的影响。抗 Flt3L 还抑制了高氧诱导的对 RV 的促炎反应。在因呼吸窘迫而在生命的第一周进行机械通气的早产儿的气管抽吸物中,FLT3L、IL-12p40、IL-12p70 和 IFN-γ 在随后发展为 BPD 的婴儿中水平较高,并且 FLT3L 水平与促炎细胞因子水平呈正相关。这项工作强调了早期生活中的高氧对肺 DC 发育和功能的启动作用以及 Flt3L 在驱动这些作用中的贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75ff/9950736/4c8f68f4f752/fimmu-14-1116675-g001.jpg

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