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Mechanisms of corticosteroid insensitivity in COPD alveolar macrophages exposed to NTHi.


ABSTRACT:

Background

Non-typeable Haemophilus influenza (NTHi) infection is common in COPD. Corticosteroids can have limited therapeutic effects in COPD patients. NTHi causes corticosteroid insensitive cytokine production from COPD alveolar macrophages. We investigated the mechanisms by which NTHi causes corticosteroid insensitive inflammatory responses, and the effects of NTHi exposure on COPD macrophage polarisation.

Method

Alveolar macrophages from COPD patients and controls were exposed to NTHi in conjunction with the corticosteroid dexamethasone and/or the p38 MAPK inhibitor BIRB-796. Cytokine release, GR phosphorylation and modulation and macrophage phenotype were analysed.

Results

Dexamethasone significantly inhibited NTHi induced TNF-?, IL-6 and IL-10 from COPD macrophages but, CXCL8 was not suppressed. BIRB-796 combined with dexamethasone caused significantly greater inhibition of all cytokines than either drug alone (p?ConclusionNTHi exposure causes p38 MAPK dependent GR phosphorylation associated with decreased GR function in COPD alveolar macrophages. Combining a p38 MAPK inhibitor with corticosteroids can enhance anti-inflammatory effects during NTHi exposure of COPD alveolar macrophages. NTHi causes macrophage polarisation that favours bacterial persistence.

SUBMITTER: Khalaf RM 

PROVIDER: S-EPMC5395788 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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Mechanisms of corticosteroid insensitivity in COPD alveolar macrophages exposed to NTHi.

Khalaf Rana M RM   Lea Simon R SR   Metcalfe Hannah J HJ   Singh Dave D  

Respiratory research 20170418 1


<h4>Background</h4>Non-typeable Haemophilus influenza (NTHi) infection is common in COPD. Corticosteroids can have limited therapeutic effects in COPD patients. NTHi causes corticosteroid insensitive cytokine production from COPD alveolar macrophages. We investigated the mechanisms by which NTHi causes corticosteroid insensitive inflammatory responses, and the effects of NTHi exposure on COPD macrophage polarisation.<h4>Method</h4>Alveolar macrophages from COPD patients and controls were exposed  ...[more]

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