Abstract

In addition to providing mechanical stability, growing evidence suggests that surfactant lipid components can modulate inflammatory responses in the lung. However, little is known of the molecular mechanisms involved in the immunomodulatory action of surfactant lipids. This study investigates the effect of the lipid-rich surfactant preparations Survanta, Curosurf, and the major surfactant phospholipid dipalmitoylphosphatidylcholine (DPPC) on interleukin-8 (IL-8) gene and protein expression in human A549 lung epithelial cells using immunoassay and PCR techniques. To examine potential mechanisms of the surfactant lipid effects, Toll-like receptor 4 (TLR4) expression was analyzed by flow cytometry, and membrane lipid raft domains were separated by density gradient ultracentrifugation and analyzed by immunoblotting with anti-TLR4 antibody. The lipid-rich surfactant preparations Survanta, Curosurf, and DPPC, at physiological concentrations, significantly downregulated lipopolysaccharide (LPS)-induced IL-8 expression in A549 cells both at the mRNA and protein levels. The surfactant preparations did not affect the cell surface expression of TLR4 or the binding of LPS to the cells. However, LPS treatment induced translocation of TLR4 into membrane lipid raft microdomains, and this translocation was inhibited by incubation of the cells with the surfactant lipid. This study provides important mechanistic details of the immune-modulating action of pulmonary surfactant lipids.

Highlights

  • In addition to providing mechanical stability, growing evidence suggests that surfactant lipid components can modulate inflammatory responses in the lung

  • We have previously shown that surfactant lipids have a suppressive effect on monocyte inflammatory responses when coincubated with the cells for up to 9 days [44]

  • Defined antimicrobial and immunoregulatory properties have been attributed to the surfactant proteins, little is known of the immunomodulating properties of the surfactant lipids

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Summary

Introduction

In addition to providing mechanical stability, growing evidence suggests that surfactant lipid components can modulate inflammatory responses in the lung. Interleukin-8 (IL-8), a principal chemokine released by lung epithelial cells, plays a pivotal role in the recruitment of inflammatory cells into the lung [10, 11]. This cytokine upregulates the expression of adhesion molecules on neutrophils [12], promotes their transendothelial migration [13], and stimulates the oxidative burst and the release of lysosomal enzymes [14].

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