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  • Neutrophilic inflammation d...
    Benjamin, John T; Plosa, Erin J; Sucre, Jennifer Ms; van der Meer, Riet; Dave, Shivangi; Gutor, Sergey; Nichols, David S; Gulleman, Peter M; Jetter, Christopher S; Han, Wei; Xin, Matthew; Dinella, Peter C; Catanzarite, Ashley; Kook, Seunghyi; Dolma, Kalsang; Lal, Charitharth V; Gaggar, Amit; Blalock, J Edwin; Newcomb, Dawn C; Richmond, Bradley W; Kropski, Jonathan A; Young, Lisa R; Guttentag, Susan H; Blackwell, Timothy S

    The Journal of clinical investigation, 01/2021, Letnik: 131, Številka: 1
    Journal Article

    Emerging evidence indicates that early life events can increase the risk for developing chronic obstructive pulmonary disease (COPD). Using an inducible transgenic mouse model for NF-κB activation in the airway epithelium, we found that a brief period of inflammation during the saccular stage (P3-P5) but not alveolar stage (P10-P12) of lung development disrupted elastic fiber assembly, resulting in permanent reduction in lung function and development of a COPD-like lung phenotype that progressed through 24 months of age. Neutrophil depletion prevented disruption of elastic fiber assembly and restored normal lung development. Mechanistic studies uncovered a role for neutrophil elastase (NE) in downregulating expression of critical elastic fiber assembly components, particularly fibulin-5 and elastin. Further, purified human NE and NE-containing exosomes from tracheal aspirates of premature infants with lung inflammation downregulated elastin and fibulin-5 expression by saccular-stage mouse lung fibroblasts. Together, our studies define a critical developmental window for assembling the elastin scaffold in the distal lung, which is required to support lung structure and function throughout the lifespan. Although neutrophils play a well-recognized role in COPD development in adults, neutrophilic inflammation may also contribute to early-life predisposition to COPD.