Lung transplantation remains the only effective therapy for patients with end-stage lung disease, but survival is limited by the development of obliterative bronchiolitis (OB). The chemokine receptor CXCR3 and two of its ligands, CXCL9 and CXCL10, have been identified as important mediators of OB. However, the relative contribution of CXCL9 and CXCL10 to the development of OB and the mechanism of regulation of these chemokines has not been well defined. In this study, we demonstrate that CXCL9 and CXCL10 are up-regulated in unique patterns following tracheal transplantation in mice. In these experiments, CXCL9 expression peaked 7 days posttransplant, while CXCL10 expression peaked at 1 day and then again 7 days posttransplant. Expression of CXCL10 was also up-regulated in a novel murine model of lung ischemia, and in bronchoalveolar lavage fluid taken from human lungs 24 h after lung transplantation. In further analysis, we found that 3 h after transplantation CXCL10 is donor tissue derived and not dependent on IFN-gamma or STAT1, while 24 h after transplantation CXCL10 is from recipient tissue and regulated by IFN-gamma and STAT1. Expression of both CXCL9 and CXCL10 7 days posttransplant is regulated by IFN-gamma and STAT1. Finally, we demonstrate that deletion of CXCR3 in recipients reduces airway obliteration. However, deletion of either CXCL9 or CXCL10 did not affect airway obliteration. These data show that in this murine model of obliterative bronchiolitis, these chemokines are differentially regulated following transplantation, and that deletion of either chemokine alone does not affect the development of airway obliteration.

译文

肺移植仍然是终末期肺部疾病患者的唯一有效疗法,但生存受到闭塞性细支气管炎 (OB) 的发展的限制。趋化因子受体CXCR3及其两个配体CXCL9和CXCL10已被确定为OB的重要介质。然而,CXCL9和CXCL10对OB的发展以及这些趋化因子的调控机制的相对贡献尚未明确。在这项研究中,我们证明了CXCL9和CXCL10在小鼠气管移植后以独特的方式上调。在这些实验中,CXCL9表达在移植后7天达到峰值,而CXCL10表达在移植后1天达到峰值,然后在移植后7天再次达到峰值。在新型的小鼠肺缺血模型和肺移植后24小时从人肺中提取的支气管肺泡灌洗液中,CXCL10的表达也被上调。在进一步的分析中,我们发现移植后3小时CXCL10是来源的供体组织,不依赖于IFN-γ 或STAT1,而移植后24小时CXCL10来自受体组织,并受IFN-γ 和STAT1调节。移植后7天CXCL9和CXCL10的表达受IFN-γ 和stat1调节。最后,我们证明受体中CXCR3的缺失减少了气道闭塞。然而,CXCL9或CXCL10的缺失并不影响气道闭塞。这些数据表明,在这种闭塞性细支气管炎的鼠模型中,这些趋化因子在移植后受到差异调节,并且单独删除任何一种趋化因子都不会影响气道闭塞的发展。

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