Abstract

BackgroundRespiratory failure secondary to alveolar inflammation during Pneumocystis pneumonia is a major cause of death in immunocompromised patients. Neutrophil infiltration in the lung of patients with Pneumocystis infection predicts severity of the infection and death. Several previous studies indicate that airway epithelial cells release the neutrophil chemoattractant proteins, MIP-2 (rodents) and IL-8 (humans), in response to Pneumocystis and purified Pneumocystis cell wall β-glucans (PCBG) through the NF-κB-dependent pathway. However, little is known about the molecular mechanisms that are involved in the activation of airway epithelium cells by PCBG resulting in the secretion of IL-8.MethodTo address this, we have studied the activation of different calcium-dependent mitogen-activated protein kinases (MAPKs) in 1HAEo- cells, a human airway epithelial cell line.ResultsOur data provide evidence that PCBG induces phosphorylation of the MAPKs, ERK, and p38, the activation of NF-κB and the subsequently secretion of IL-8 in a calcium-dependent manner. Further, we evaluated the role of glycosphingolipids as possible receptors for β-glucans in human airway epithelial cells. Preincubation of the cells with D-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol (PDMP) a potent inhibitor of the glycosphingolipids synthesis, prior to PCBG stimulation, significantly decreased IL-8 production.ConclusionThese data indicate that PCBG activates calcium dependent MAPK signaling resulting in the release of IL-8 in a process that requires glycosphingolipid for optimal signaling.

Highlights

  • Pneumocystis pneumonia is an opportunistic infection, caused by Pneumocystis jirovecii that predominantly affects immunosuppressed patients, including those with AIDS and malignancy

  • Preincubation of the cells with D-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol (PDMP) a potent inhibitor of the glycosphingolipids synthesis, prior to PCBG stimulation, significantly decreased IL-8 production. These data indicate that PCBG activates calcium dependent mitogen-activated protein kinases (MAPKs) signaling resulting in the release of IL-8 in a process that requires glycosphingolipid for optimal signaling

  • PCBG induce IL-8 secretion from 1HAEo-cells Since patients with severe Pneumocystis pneumonia exhibit an intense neutrophil infiltration in their lungs, we postulated that airway epithelial cells might participate in IL-8 secretion and subsequent recruitment of inflammatory cells in response to infection [5,30,31]

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Summary

Introduction

Pneumocystis pneumonia is an opportunistic infection, caused by Pneumocystis jirovecii that predominantly affects immunosuppressed patients, including those with AIDS and malignancy. It has been postulated that one reason for the differential mortality rates between the two groups is based on the differing abilities to mount inflammatory responses in the face of infection; with non-HIV-infected patients having a more robust inflammatory response against the organism is elicited compared to HIV-infected individuals. This exuberant inflammatory reaction towards the organism has been shown to be more harmful to the host than the organism burden itself [3,4,5]. Little is known about the molecular mechanisms that are involved in the activation of airway epithelium cells by PCBG resulting in the secretion of IL-8

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