Abstract

Pseudomonas aeruginosa infection induces vigorous inflammatory mediators secreted by epithelial cells, which do not necessarily eradicate the pathogen. Nonetheless, it reduces lung function due to significant airway damage, most importantly in cystic fibrosis patients. Recently, we published that TP359, a proprietary cationic peptide had potent bactericidal effects against P. aeruginosa, which were mediated by down-regulating its outer membrane biogenesis genes. Herein, we hypothesized that TP359 bactericidal effects could also serve to regulate P. aeruginosa-induced lung inflammation. We explored this hypothesis by infecting human A549 lung cells with live P. aeruginosa non-isogenic, mucoid and non-mucoid strains and assessed the capacity of TP359 to regulate the levels of elicited TNFα, IL-6 and IL-8 inflammatory cytokines. In all instances, the mucoid strain elicited higher concentrations of cytokines in comparison to the non-mucoid strain, and TP359 dose-dependently down-regulated their respective levels, suggesting its regulation of lung inflammation. Surprisingly, P. aeruginosa flagellin, and not its lipopolysaccharide moiety, was the primary inducer of inflammatory cytokines in lung cells, which were similarly down-regulated by TP359. Blocking of TLR5, the putative flagellin receptor, completely abrogated the capacity of infected lung cells to secrete cytokines, underscoring that TP359 regulates inflammation via the TLR5-dependent signaling pathway. Downstream pathway-specific inhibition studies further revealed that the MAPK pathway, essentially p38 and JNK are necessary for induction of P. aeruginosa elicited inflammatory cytokines and their down-regulation by TP359. Collectively, our data provides evidence to support exploring the relevancy of TP359 as an anti-microbial and anti-inflammatory agent against P. aeruginosa for clinical applications.

Highlights

  • In the lungs, ciliated epithelial cells play a major role in its defense against pathogens, by secreting chemokines (Keratinocyte Chemoattractant; KC) and cytokines (IL-6 and TNFα) [1], the human neutrophil attractant, IL-8 [2]

  • These pathogen-associated molecular patterns (PAMPs) are sensed by encoded receptors called pattern recognition receptors (PRRs), that include tolllike receptors (TLRs), for example TLR4 and TLR5 that recognize LPS and flagellin, respectively and can initiate protective responses against P. aeruginosa infection

  • Airway neutrophils of cystic fibrosis (CF) patients have been shown to have higher concentrations of proinflammatory cytokines compared to healthy patients, in response to P. aeruginosa infection [22]

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Summary

Introduction

In the lungs, ciliated epithelial cells play a major role in its defense against pathogens, by secreting chemokines (Keratinocyte Chemoattractant; KC) and cytokines (IL-6 and TNFα) [1], the human neutrophil attractant, IL-8 [2]. Pseudomonas aeruginosa infection induces vigorous inflammatory mediators [4, 5] such as IL-8, IL-6 and TNFα, which are secreted by epithelial cells through cell signaling pathways [2], and which do not necessarily eradicate the pathogen When in excess, they cause decreased lung function due to significant airway damage. LPS is a glycolipid that constitutes the outermost membrane of Gram-negative bacteria [14], while flagellin is a protein that form the filament bacterial flagellum [15] These PAMPs are sensed by encoded receptors called pattern recognition receptors (PRRs), that include TLRs, for example TLR4 and TLR5 that recognize LPS and flagellin, respectively and can initiate protective responses against P. aeruginosa infection. The importance of TLR4 and TLR5 in response to P. aeruginosa infection is illustrated by similar survival of singly deficient TLR4 or TLR5 mice as compared to their wild type controls after infection with P. aeruginosa strain PAK, and as opposed to reduced survival of TLR4 and TLR5 double knockout mice [1]

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