Abstract

The bacterial endotoxin, lipopolysaccharide (LPS) has been associated with occupational airway diseases with asthma-like symptoms and in acute exacerbations of COPD. The direct and indirect effects of LPS on small airway reactivity have not been fully elucidated. We tested the hypothesis that both in vitro and in vivo LPS treatment would increase contraction and impair relaxation of mouse small airways. Lung slices were prepared from naïve Balb/C mice and cultured in the absence or presence of LPS (10 μg/ml) for up to 48 h for measurement of TNFα levels in conditioned media. Alternatively, mice were challenged with PBS or LPS in vivo once a day for 4 days for preparation of lung slices or for harvest of lungs for Q-PCR analysis of gene expression of pro-inflammatory cytokines and receptors involved in airway contraction. Reactivity of small airways to contractile agonists, methacholine and serotonin, and bronchodilator agents, salbutamol, isoprenaline and rosiglitazone, were assessed using phase-contrast microscopy. In vitro LPS treatment of slices increased TNFα release 6-fold but did not alter contraction or relaxation to any agonists tested. In vivo LPS treatment increased lung gene expression of TNFα, IL-1β and ryanodine receptor isoform 2 more than 5-fold. However there were no changes in reactivity in lung slices from these mice, even when also incubated with LPS ex vivo. Despite evidence of LPS-induced inflammation, neither airway hyperresponsiveness or impaired dilator reactivity were evident. The increase in ryanodine receptor isoform 2, known to regulate calcium signaling in vascular smooth muscle, warrants investigation. Since LPS failed to elicit changes in small airway reactivity in mouse lung slices following in vitro or in vivo treatment, alternative approaches are required to define the potential contribution of this endotoxin to altered small airway reactivity in human lung diseases.

Highlights

  • Inflammation in the distal lung plays a crucial role in many diseases including asthma and chronic obstructive pulmonary disease (COPD)

  • Mice were challenged with PBS or LPS in vivo once a day for 4 days for preparation of lung slices or for harvest of lungs for Q-PCR analysis of gene expression of pro-inflammatory cytokines and receptors involved in airway contraction

  • The increase in ryanodine receptor isoform 2, known to regulate calcium signaling in vascular smooth muscle, warrants investigation

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Summary

Introduction

Inflammation in the distal lung plays a crucial role in many diseases including asthma and chronic obstructive pulmonary disease (COPD). The bacterial endotoxin, lipopolysaccharide (LPS) induces inflammation and has been associated with occupational airway diseases with. LPS Does Not Affect Small Airway Reactivity asthma-like symptoms [1] and with acute exacerbations of COPD [2]. Increased bacterial load in the airways of asthmatic patients impairs steroid responsiveness and bronchodilator responses to β-adrenoceptor agonists [4]. Despite the increasing interest in contribution of small airways in the distal lung as sites of increased inflammation and altered reactivity in asthma and COPD [5], the effects of LPS on their sensitivity to constrictor and dilator agents remains to be characterized

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