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Airway mucus obstruction triggers macrophage activation and matrix metalloproteinase 12-dependent emphysema

Trojanek, Joanna B. ; Cobos-Correa, Amanda ; Diemer, Stefanie LU ; Kormann, Michael ; Schubert, Susanne C. ; Zhou-Suckow, Zhe ; Agrawal, Raman ; Duerr, Julia ; Wagner, Claudius J. and Schatterny, Jolanthe , et al. (2014) In American Journal of Respiratory Cell and Molecular Biology 51(5). p.709-720
Abstract

Whereas cigarette smoking remains the main risk factor for emphysema, recent studies in β-epithelial Na+ channel-transgenic (βENaC-Tg) mice demonstrated that airway surface dehydration, a key pathophysiological mechanism in cystic fibrosis (CF), caused emphysema in the absence of cigarette smoke exposure. However, the underlying mechanisms remain unknown. The aim of this study was to elucidate mechanisms of emphysema formation triggered by airway surface dehydration. We therefore used expression profiling, genetic and pharmacological inhibition, Foerster resonance energy transfer (FRET)-based activity assays, and genetic association studies to identify and validate emphysema candidate genes in βENaC-Tg mice and patients with... (More)

Whereas cigarette smoking remains the main risk factor for emphysema, recent studies in β-epithelial Na+ channel-transgenic (βENaC-Tg) mice demonstrated that airway surface dehydration, a key pathophysiological mechanism in cystic fibrosis (CF), caused emphysema in the absence of cigarette smoke exposure. However, the underlying mechanisms remain unknown. The aim of this study was to elucidate mechanisms of emphysema formation triggered by airway surface dehydration. We therefore used expression profiling, genetic and pharmacological inhibition, Foerster resonance energy transfer (FRET)-based activity assays, and genetic association studies to identify and validate emphysema candidate genes in βENaC-Tg mice and patients with CF. We identified matrix metalloproteinase 12 (Mmp12) as a highly upregulated gene in lungs from βENaC-Tg mice, and demonstrate that elevated Mmp12 expression was associated with progressive emphysema formation, which was reduced by genetic deletion and pharmacological inhibition of MMP12 in vivo. By using FRET reporters, we show that MMP12 activity was elevated on the surface of airway macrophages in bronchoalveolar lavage from βENaC-Tg mice and patients with CF. Furthermore, we demonstrate that a functional polymorphism in MMP12 (rs2276109) was associated with severity of lung disease in CF. Our results suggest that MMP12 released by macrophages activated on dehydrated airway surfaces may play an important role in emphysema formation in the absence of cigarette smoke exposure, and may serve as a therapeutic target in CF and potentially other chronic lung diseases associated with airway mucus dehydration and obstruction.

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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Airway surface liquid, Chronic obstructive pulmonary disease, Cystic fibrosis, Inflammation, Mucus
in
American Journal of Respiratory Cell and Molecular Biology
volume
51
issue
5
pages
709 - 720
publisher
American Thoracic Society
external identifiers
  • scopus:84914143169
  • pmid:24828142
ISSN
1044-1549
DOI
10.1165/rcmb.2013-0407OC
language
English
LU publication?
no
additional info
Publisher Copyright: Copyright © 2014 by the American Thoracic Society.
id
061980cc-113e-4f41-a60b-a63c3e4606bb
date added to LUP
2024-04-29 16:21:45
date last changed
2024-05-13 17:35:45
@article{061980cc-113e-4f41-a60b-a63c3e4606bb,
  abstract     = {{<p>Whereas cigarette smoking remains the main risk factor for emphysema, recent studies in β-epithelial Na<sup>+</sup> channel-transgenic (βENaC-Tg) mice demonstrated that airway surface dehydration, a key pathophysiological mechanism in cystic fibrosis (CF), caused emphysema in the absence of cigarette smoke exposure. However, the underlying mechanisms remain unknown. The aim of this study was to elucidate mechanisms of emphysema formation triggered by airway surface dehydration. We therefore used expression profiling, genetic and pharmacological inhibition, Foerster resonance energy transfer (FRET)-based activity assays, and genetic association studies to identify and validate emphysema candidate genes in βENaC-Tg mice and patients with CF. We identified matrix metalloproteinase 12 (Mmp12) as a highly upregulated gene in lungs from βENaC-Tg mice, and demonstrate that elevated Mmp12 expression was associated with progressive emphysema formation, which was reduced by genetic deletion and pharmacological inhibition of MMP12 in vivo. By using FRET reporters, we show that MMP12 activity was elevated on the surface of airway macrophages in bronchoalveolar lavage from βENaC-Tg mice and patients with CF. Furthermore, we demonstrate that a functional polymorphism in MMP12 (rs2276109) was associated with severity of lung disease in CF. Our results suggest that MMP12 released by macrophages activated on dehydrated airway surfaces may play an important role in emphysema formation in the absence of cigarette smoke exposure, and may serve as a therapeutic target in CF and potentially other chronic lung diseases associated with airway mucus dehydration and obstruction.</p>}},
  author       = {{Trojanek, Joanna B. and Cobos-Correa, Amanda and Diemer, Stefanie and Kormann, Michael and Schubert, Susanne C. and Zhou-Suckow, Zhe and Agrawal, Raman and Duerr, Julia and Wagner, Claudius J. and Schatterny, Jolanthe and Hirtz, Stephanie and Sommerburg, Olaf and Hartl, Dominik and Schultz, Carsten and Mall, Marcus A.}},
  issn         = {{1044-1549}},
  keywords     = {{Airway surface liquid; Chronic obstructive pulmonary disease; Cystic fibrosis; Inflammation; Mucus}},
  language     = {{eng}},
  month        = {{11}},
  number       = {{5}},
  pages        = {{709--720}},
  publisher    = {{American Thoracic Society}},
  series       = {{American Journal of Respiratory Cell and Molecular Biology}},
  title        = {{Airway mucus obstruction triggers macrophage activation and matrix metalloproteinase 12-dependent emphysema}},
  url          = {{http://dx.doi.org/10.1165/rcmb.2013-0407OC}},
  doi          = {{10.1165/rcmb.2013-0407OC}},
  volume       = {{51}},
  year         = {{2014}},
}