Abstract

Influenza A virus (IAV) infections are a common cause of acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Oxidative stress is increased in COPD, IAV-induced lung inflammation and AECOPD. Therefore, we investigated whether targeting oxidative stress with the Nox2 oxidase inhibitors and ROS scavengers, apocynin and ebselen could ameliorate lung inflammation in a mouse model of AECOPD. Male BALB/c mice were exposed to cigarette smoke (CS) generated from 9 cigarettes per day for 4 days. On day 5, mice were infected with 1 × 104.5 PFUs of the IAV Mem71 (H3N1). BALF inflammation, viral titers, superoxide production and whole lung cytokine, chemokine and protease mRNA expression were assessed 3 and 7 days post infection. IAV infection resulted in a greater increase in BALF inflammation in mice that had been exposed to CS compared to non-smoking mice. This increase in BALF inflammation in CS-exposed mice caused by IAV infection was associated with elevated gene expression of pro-inflammatory cytokines, chemokines and proteases, compared to CS alone mice. Apocynin and ebselen significantly reduced the exacerbated BALF inflammation and pro-inflammatory cytokine, chemokine and protease expression caused by IAV infection in CS mice. Targeting oxidative stress using apocynin and ebselen reduces IAV-induced lung inflammation in CS-exposed mice and may be therapeutically exploited to alleviate AECOPD.

Highlights

  • Chronic Obstructive Pulmonary Disease (COPD) is a major incurable disease and is the 4th leading cause of death worldwide[1]

  • The primary aim of this study was to determine whether targeting oxidative stress with apocynin and ebselen could reduce lung inflammation in mice exposed to cigarette smoke (CS) and infected with influenza A virus (IAV), using an in vivo model that mimics acute exacerbations of COPD (AECOPD)

  • We found that apocynin and ebselen generally reduced bronchoalvealor lavage fluid (BALF) inflammation, whole lung pro-inflammatory mediators and proteases, that ebselen reduced the amount of virus in the lungs but that neither apocynin nor ebselen affected CS and IAV-induced weight loss or food intake

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Summary

Introduction

Chronic Obstructive Pulmonary Disease (COPD) is a major incurable disease and is the 4th leading cause of death worldwide[1]. Oxidative stress, which is defined as the persistent overproduction of reactive oxygen species (ROS) that overwhelms endogenous antioxidant defence systems, has been shown to play a role in COPD, AECOPD and influenza A virus (IAV)-induced lung inflammation and damage[12,16,17,18]. There is an increased oxidant burden in smokers resulting from the fact that CS itself contains over 4700 different chemical compounds and more than 1015 oxidants/free radicals per puff[16,19,20,21] These oxidants can give rise to additional ROS generated enzymatically by inflammatory and epithelial cells within the lung as part of an inflammatory-immune response towards a pathogen or irritant. Nicotinamide adenine dinucleotide phosphate (NADPH) oxidases are the major enzymatic sources of superoxide production by inflammatory cells[13,22,23]

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