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CC16 augmentation reduces exaggerated COPD-like disease in Cc16-deficient mice
Joselyn Rojas-Quintero, Maria Eugenia Laucho-Contreras, Xiaoyun Wang, Quynh-Anh Fucci, Patrick R. Burkett, Se-Jin Kim, Duo Zhang, Yohannes Tesfaigzi, Yuhong Li, Abhiram R. Bhashyam, Zhang Li, Haider Khamas, Bartolome Celli, Aprile L. Pilon, Francesca Polverino, Caroline A. Owen
Joselyn Rojas-Quintero, Maria Eugenia Laucho-Contreras, Xiaoyun Wang, Quynh-Anh Fucci, Patrick R. Burkett, Se-Jin Kim, Duo Zhang, Yohannes Tesfaigzi, Yuhong Li, Abhiram R. Bhashyam, Zhang Li, Haider Khamas, Bartolome Celli, Aprile L. Pilon, Francesca Polverino, Caroline A. Owen
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Research Article Immunology Inflammation

CC16 augmentation reduces exaggerated COPD-like disease in Cc16-deficient mice

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Abstract

Low Club Cell 16 kDa protein (CC16) plasma levels are linked to accelerated lung function decline in patients with chronic obstructive pulmonary disease (COPD). Cigarette smoke–exposed (CS-exposed) Cc16–/– mice have exaggerated COPD-like disease associated with increased NF-κB activation in their lungs. It is unclear whether CC16 augmentation can reverse exaggerated COPD in CS-exposed Cc16–/– mice and whether increased NF-κB activation contributes to the exaggerated COPD in CS-exposed Cc16–/– lungs. CS-exposed WT and Cc16–/– mice were treated with recombinant human CC16 (rhCC16) or an NF-κB inhibitor versus vehicle beginning at the midpoint of the exposures. COPD-like disease and NF-κB activation were measured in the lungs. RhCC16 limited the progression of emphysema, small airway fibrosis, and chronic bronchitis-like disease in WT and Cc16–/– mice partly by reducing pulmonary inflammation (reducing myeloid leukocytes and/or increasing regulatory T and/or B cells) and alveolar septal cell apoptosis, reducing NF-κB activation in CS-exposed Cc16–/– lungs, and rescuing the reduced Foxj1 expression in CS-exposed Cc16–/– lungs. IMD0354 treatment reduced exaggerated lung inflammation and rescued the reduced Foxj1 expression in CS-exposed Cc16–/– mice. RhCC16 treatment reduced NF-κB activation in luciferase reporter A549 cells. Thus, rhCC16 treatment limits COPD progression in CS-exposed Cc16–/– mice partly by inhibiting NF-κB activation and represents a potentially novel therapeutic approach for COPD.

Authors

Joselyn Rojas-Quintero, Maria Eugenia Laucho-Contreras, Xiaoyun Wang, Quynh-Anh Fucci, Patrick R. Burkett, Se-Jin Kim, Duo Zhang, Yohannes Tesfaigzi, Yuhong Li, Abhiram R. Bhashyam, Zhang Li, Haider Khamas, Bartolome Celli, Aprile L. Pilon, Francesca Polverino, Caroline A. Owen

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Figure 12

Beneficial effects of rhCC16 on COPD-like disease in CS-exposed mice.

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Beneficial effects of rhCC16 on COPD-like disease in CS-exposed mice.
Ex...
Exposing WT and Cc16–/– mice to CS induces a chronic pulmonary inflammatory response (with increases in PMN, macrophage [Mɸ], and CD4+ and CD8+ lymphocyte counts) mediated, in part, by increased NF-κB activation in the lungs. These leukocytes (and activated epithelial cells) release metalloproteinases (Mmps), and/or neutrophil elastase (NE), other proteinases, oxidants, and growth factors that promote emphysema development and SAF, and/or increase Muc5ac and Muc5b expression in airway epithelial cell (mucus metaplasia). CS also promotes emphysema development by increasing alveolar septal cell apoptosis. CS itself and increased levels of PMN-derived NE and Muc5b in CS-exposed airways impair mucociliary clearance (MCC). Epithelial cell mucus metaplasia and impaired MCC contribute to CB-like disease in CS-exposed mice. Delivering rhCC16 to the lungs of CS-exposed mice limits the progression of CS-induced emphysema development, SAF, and CB-like disease in WT and Cc16–/– mice likely by reducing the pulmonary inflammatory response to CS (in part by reducing the exaggerated NF-κB activation in CS-exposed Cc16–/– lungs) and by reducing alveolar septal cell apoptosis. Treating mice with rhCC16 also reduces pulmonary inflammation by increasing Treg and Breg accumulation the lungs, which release antiinflammatory Il-10. The reduction in inflammation induced by rhCC16 may reduce septal cell death and loss of parenchymal architecture. In addition, rhCC16 may limit the progression of CB-like disease in mice by improving MCC by reducing airway mucus cell metaplasia and increasing the expression of Foxj1, which is required for the generation of motile cilia on epithelial cells. EMT, epithelial-mesenchymal transition.

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