Abstract The mechanism whereby tobacco smoke (TS) exposure increases the risk of infection is unknown. We tested the hypothesis that exposure to TS suppresses production of respiratory tract CCL20, a defensin-like antimicrobial peptide characterized primarily as a chemokine. When nasal washes from human subjects exposed to TS within the last two years were compared to nasal washes from individuals not exposed for more than 20 years, the latter had approximately six times more CCL20 than the former. In studies of polarized human bronchial epithelial cells (Beas-2b) grown in antibiotic-free media, CCL20 was released preferentially to the apical surface of the cell cultures. When cells were treated with tobacco smoke extract (TSE), CCL20 mRNA and secreted protein levels decreased by approximately half. In bacterial survival assays conducted with apically-collected conditioned media, media collected from TSE-treated cells killed significantly fewer CFU than media from non-TSE-treated cells; assays conducted with media treated with anti-CCL20 antibody resulted in abolition of its bacteriocidal activity. Statistically similar results were obtained in assays using rhCCL20 instead of apical media. These results demonstrate that TS exposure disrupts important antimicrobial activity and signaling by respiratory epithelial cells, a condition which may lead to increased susceptibility to infection.
Read full abstract