TY - JOUR
T1 - Regulatory T cells reduce acute lung injury fibroproliferation by decreasing fibrocyte recruitment
AU - Garibaldi, Brian T.
AU - D'Alessio, Franco R.
AU - Mock, Jason R.
AU - Files, D. Clark
AU - Chau, Eric
AU - Eto, Yoshiki
AU - Drummond, M. Bradley
AU - Aggarwal, Neil R.
AU - Sidhaye, Venkataramana
AU - King, Landon S.
PY - 2013/1
Y1 - 2013/1
N2 - Acute lung injury (ALI) causes significant morbidity and mortality. Fibroproliferation in ALI results in worse outcomes, but the mechanisms governing fibroproliferation remain poorly understood. Regulatory T cells (Tregs) are important in lung injury resolution. Their role in fibroproliferation is unknown. We sought to identify the role of Tregs in ALI fibroproliferation, using a murine model of lung injury. Wild-type (WT) and lymphocyte-deficient Rag-1-/- mice received intratracheal LPS. Fibroproliferationwascharacterizedby histology and the measurement of lung collagen. Lung fibrocytes were measured by flow cytometry. To dissect the role of Tregs in fibroproliferation, Rag-1-/- mice received CD4 +CD25+ (Tregs) or CD4+ CD25- Tcells (non-Tregs) at the time of LPS injury. To define the role of the chemokine (C-X-C motif) ligand 12 (CXCL12)-CXCR4 pathway in ALI fibroproliferation, Rag-1-/- mice were treated with the CXCR4 antagonist AMD3100 to block fibrocyte recruitment. WT and Rag-1-/- mice demonstrated significant collagen deposition on Day 3 after LPS. WT mice exhibited the clearance of collagen, but Rag-1-/- mice developed persistent fibrosis. This fibrosis was mediated by the sustained epithelial expression of CXCL12 (or stromal cell-derived factor 1 [SDF-1]) that led to increased fibrocyte recruitment. The adoptive transfer of Tregs resolved fibroproliferation by decreasing CXCL12 expression and subsequent fibrocyte recruitment. Blockade of the CXCL12-CXCR4 axis with AMD3100 also decreased lung fibrocytes and fibroproliferation. These results indicate a central role for Tregs in the resolution of ALI fibroproliferation by reducing fibrocyte recruitment along the CXCL12-CXCR4 axis. A dissection of the role of Tregs in ALI fibroproliferation may inform the design of new therapeutic tools for patients with ALI.
AB - Acute lung injury (ALI) causes significant morbidity and mortality. Fibroproliferation in ALI results in worse outcomes, but the mechanisms governing fibroproliferation remain poorly understood. Regulatory T cells (Tregs) are important in lung injury resolution. Their role in fibroproliferation is unknown. We sought to identify the role of Tregs in ALI fibroproliferation, using a murine model of lung injury. Wild-type (WT) and lymphocyte-deficient Rag-1-/- mice received intratracheal LPS. Fibroproliferationwascharacterizedby histology and the measurement of lung collagen. Lung fibrocytes were measured by flow cytometry. To dissect the role of Tregs in fibroproliferation, Rag-1-/- mice received CD4 +CD25+ (Tregs) or CD4+ CD25- Tcells (non-Tregs) at the time of LPS injury. To define the role of the chemokine (C-X-C motif) ligand 12 (CXCL12)-CXCR4 pathway in ALI fibroproliferation, Rag-1-/- mice were treated with the CXCR4 antagonist AMD3100 to block fibrocyte recruitment. WT and Rag-1-/- mice demonstrated significant collagen deposition on Day 3 after LPS. WT mice exhibited the clearance of collagen, but Rag-1-/- mice developed persistent fibrosis. This fibrosis was mediated by the sustained epithelial expression of CXCL12 (or stromal cell-derived factor 1 [SDF-1]) that led to increased fibrocyte recruitment. The adoptive transfer of Tregs resolved fibroproliferation by decreasing CXCL12 expression and subsequent fibrocyte recruitment. Blockade of the CXCL12-CXCR4 axis with AMD3100 also decreased lung fibrocytes and fibroproliferation. These results indicate a central role for Tregs in the resolution of ALI fibroproliferation by reducing fibrocyte recruitment along the CXCL12-CXCR4 axis. A dissection of the role of Tregs in ALI fibroproliferation may inform the design of new therapeutic tools for patients with ALI.
KW - Acute lung injury
KW - Fibrocytes
KW - Fibroproliferative ARDS
KW - Lung injury resolution
KW - Regulatory T cells
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U2 - 10.1165/rcmb.2012-0198OC
DO - 10.1165/rcmb.2012-0198OC
M3 - Article
C2 - 23002097
AN - SCOPUS:84871902824
VL - 48
SP - 35
EP - 43
JO - American Journal of Respiratory Cell and Molecular Biology
JF - American Journal of Respiratory Cell and Molecular Biology
SN - 1044-1549
IS - 1
ER -