Abstract

Introduction: T helper 17 (Th17) has been implicated in a variety of inflammatory lung and immune system diseases. However, little is known about the expression and biological role of IL-17 in acute lung injury (ALI). We investigated the mechanisms involved in the effect of anti-IL17 in a model of lipopolysaccharide (LPS)-induced acute lung injury (ALI) in mice.Methods: Mice were pre-treated with anti-IL17, 1h before saline/LPS intratracheal administration alongside non-treated controls and levels of exhaled nitric oxide (eNO), cytokine expression, extracellular matrix remodeling and oxidative stress, as well as immune cell counts in bronchoalveolar lavage fluid (BALF), and respiratory mechanics were assessed in lung tissue.Results: LPS instillation led to an increase in multiple cytokines, proteases, nuclear factor-κB, and Forkhead box P3 (FOXP3), eNO and regulators of the actomyosin cytoskeleton, the number of CD4+ and iNOS-positive cells as well as the number of neutrophils and macrophages in BALF, resistance and elastance of the respiratory system, ARG-1 gene expression, collagen fibers, and actin and 8-iso-PGF2α volume fractions. Pre-treatment with anti-IL17 led to a significant reduction in the level of all assessed factors.Conclusions: Anti-IL17 can protect the lungs from the inflammatory effects of LPS-induced ALI, primarily mediated by the reduced expression of cytokines and oxidative stress. This suggests that further studies using anti-IL17 in a treatment regime would be highly worthwhile.

Highlights

  • T helper 17 (Th17) has been implicated in a variety of inflammatory lung and immune system diseases

  • LPS instillation increased both pulmonary respiratory system resistance (Rrs) and respiratory elastance (Ers) compared with the SAL and SALantiIL17 groups (P < 0.05), which was decreased by anti-IL17 in both cases (P < 0.05)

  • LPS instillation increased eNOS concentration compared to the SAL group and SALantiIL17 groups (P < 0.05), which was decreased by anti-IL17 (P < 0.05)

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Summary

Introduction

T helper 17 (Th17) has been implicated in a variety of inflammatory lung and immune system diseases. Macrophages and neutrophils may be important mediators in initiating the inflammatory response, regulating fibroblast function and oxidative stress in the later stage of ALI/ARDS (Pinheiro et al, 2015; Blondonnet et al, 2016). Nitric oxide (NO) produced in large amounts by inducible nitric oxide synthase (iNOS) occurs mainly in macrophages inflammatory situations and causes lipid peroxidation and the generation of isoprostane (Villegas et al, 2014). The 8isoprostane prostaglandin 2α (8-iso-PGF2α) is considered the predominant marker of tissue oxidative damage form generated during free radical attack of cell membranes (Elfsmark et al, 2018). Exhaled NO (eNO) has been used as a marker of both inflammation and oxidative stress (Boshier et al, 2013)

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