Unit of Integrative Toxicology, Institute of Environmental Medicine (IMM), Karolinska Institutet, 171 77, Stockholm, Sweden.
Department of Environmental Health Sciences, Yale School of Public Health, Yale University, New Haven, CT, USA.
Respir Res. 2024 Jan 20;25(1):49. doi: 10.1186/s12931-024-02686-5.
Chronic obstructive pulmonary disease (COPD) has the highest increased risk due to household air pollution arising from biomass fuel burning. However, knowledge on COPD patho-mechanisms is mainly limited to tobacco smoke exposure. In this study, a repeated direct wood smoke (WS) exposure was performed using normal- (bro-ALI) and chronic bronchitis-like bronchial (bro-ALI-CB), and alveolar (alv-ALI) lung mucosa models at air-liquid interface (ALI) to assess broad toxicological end points.
The bro-ALI and bro-ALI-CB models were developed using human primary bronchial epithelial cells and the alv-ALI model was developed using a representative type-II pneumocyte cell line. The lung models were exposed to WS (10 min/exposure; 5-exposures over 3-days; n = 6-7 independent experiments). Sham exposed samples served as control. WS composition was analyzed following passive sampling. Cytotoxicity, total cellular reactive oxygen species (ROS) and stress responsive NFkB were assessed by flow cytometry. WS exposure induced changes in gene expression were evaluated by RNA-seq (p ≤ 0.01) followed by pathway enrichment analysis. Secreted levels of proinflammatory cytokines were assessed in the basal media. Non-parametric statistical analysis was performed.
147 unique compounds were annotated in WS of which 42 compounds have inhalation toxicity (9 very high). WS exposure resulted in significantly increased ROS in bro-ALI (11.2%) and bro-ALI-CB (25.7%) along with correspondingly increased NFkB levels (bro-ALI: 35.6%; bro-ALI-CB: 18.1%). A total of 1262 (817-up and 445-down), 329 (141-up and 188-down), and 102 (33-up and 69-down) genes were differentially regulated in the WS-exposed bro-ALI, bro-ALI-CB, and alv-ALI models respectively. The enriched pathways included the terms acute phase response, mitochondrial dysfunction, inflammation, oxidative stress, NFkB, ROS, xenobiotic metabolism of AHR, and chronic respiratory disorder. The enrichment of the 'cilium' related genes was predominant in the WS-exposed bro-ALI (180-up and 7-down). The pathways primary ciliary dyskinesia, ciliopathy, and ciliary movement were enriched in both WS-exposed bro-ALI and bro-ALI-CB. Interleukin-6 and tumor necrosis factor-α were reduced (p < 0.05) in WS-exposed bro-ALI and bro-ALI-CB.
Findings of this study indicate differential response to WS-exposure in different lung regions and in chronic bronchitis, a condition commonly associated with COPD. Further, the data suggests ciliopathy as a candidate pathway in relation to WS-exposure.
由于生物质燃料燃烧产生的家用空气污染,慢性阻塞性肺疾病(COPD)的风险最高。然而,关于 COPD 病理机制的知识主要局限于烟草烟雾暴露。在这项研究中,使用正常支气管(bro-ALI)和慢性支气管炎样支气管(bro-ALI-CB)以及肺泡(alv-ALI)肺黏膜模型,在气液界面(ALI)上进行了重复的直接木烟(WS)暴露,以评估广泛的毒理学终点。
采用人原代支气管上皮细胞建立 bro-ALI 和 bro-ALI-CB 模型,用代表性的 II 型肺泡细胞系建立 alv-ALI 模型。将肺模型暴露于 WS(10 分钟/暴露;3 天内 5 次暴露;n = 6-7 个独立实验)。假暴露样品作为对照。采用被动采样法分析 WS 成分。通过流式细胞术评估细胞毒性、总细胞活性氧(ROS)和应激反应性 NFkB。通过 RNA-seq(p≤0.01)评估 WS 暴露诱导的基因表达变化,随后进行途径富集分析。在基础培养基中评估促炎细胞因子的分泌水平。采用非参数统计分析。
WS 中有 147 种独特化合物被注释,其中 42 种化合物具有吸入毒性(9 种为高毒性)。WS 暴露导致 bro-ALI(11.2%)和 bro-ALI-CB(25.7%)中 ROS 显著增加,同时相应地 NFkB 水平增加(bro-ALI:35.6%;bro-ALI-CB:18.1%)。WS 暴露的 bro-ALI、bro-ALI-CB 和 alv-ALI 模型中分别有 1262 个(817 个上调和 445 个下调)、329 个(141 个上调和 188 个下调)和 102 个(33 个上调和 69 个下调)基因的表达发生差异调控。富集的途径包括急性期反应、线粒体功能障碍、炎症、氧化应激、NFkB、ROS、AHR 异生物质代谢和慢性呼吸道疾病。WS 暴露的 bro-ALI 中“纤毛”相关基因的富集占主导地位(180 个上调和 7 个下调)。WS 暴露的 bro-ALI 和 bro-ALI-CB 中富集了原发性纤毛运动障碍、纤毛病和纤毛运动等途径。白细胞介素 6 和肿瘤坏死因子-α在 WS 暴露的 bro-ALI 和 bro-ALI-CB 中减少(p<0.05)。
本研究结果表明,WS 暴露在不同肺区和慢性支气管炎(COPD 常见的一种病症)中存在不同的反应。此外,数据表明纤毛病可能是与 WS 暴露相关的候选途径。