Parenchymal cell TNF receptors contribute to inflammatory cell recruitment and respiratory failure in Pneumocystis carinii-induced pneumonia

GS Pryhuber, HL Huyck, S Bhagwat… - The Journal of …, 2008 - journals.aai.org
GS Pryhuber, HL Huyck, S Bhagwat, MA O'Reilly, JN Finkelstein, F Gigliotti, TW Wright
The Journal of Immunology, 2008journals.aai.org
The opportunistic organism Pneumocystis carinii (Pc) produces a life-threatening
pneumonia (PcP) in patients with low CD4+ T cell counts. Animal models of HIV-AIDS-
related PcP indicate that development of severe disease is dependent on the presence of
CD8+ T cells and the TNF receptors (TNFR) TNFRsf1a and TNFRsf1b. To distinguish roles
of parenchymal and hematopoietic cell TNF signaling in PcP-related lung injury, murine
bone marrow transplant chimeras of wild-type, C57BL6/J, and TNFRsf1a/1b double-null …
Abstract
The opportunistic organism Pneumocystis carinii (Pc) produces a life-threatening pneumonia (PcP) in patients with low CD4+ T cell counts. Animal models of HIV-AIDS-related PcP indicate that development of severe disease is dependent on the presence of CD8+ T cells and the TNF receptors (TNFR) TNFRsf1a and TNFRsf1b. To distinguish roles of parenchymal and hematopoietic cell TNF signaling in PcP-related lung injury, murine bone marrow transplant chimeras of wild-type, C57BL6/J, and TNFRsf1a/1b double-null origin were generated, CD4+ T cell depleted, and inoculated with Pc. As expected, C57→ C57 chimeras (donor marrow→ recipient) developed significant disease as assessed by weight loss, impaired pulmonary function (lung resistance and dynamic lung compliance), and inflammatory cell infiltration. In contrast, TNFRsf1a/1b−/−→ TNFRsf1a/1b−/− mice were relatively mildly affected despite carrying the greatest organism burden. Mice solely lacking parenchymal TNFRs (C57→ TNFRsf1a/1b−/−) had milder disease than did C57→ C57 mice. Both groups of mice with TNFR-deficient parenchymal cells had low bronchoalveolar lavage fluid total cell counts and fewer lavageable CD8+ T cells than did C57→ C57 mice, suggesting that parenchymal TNFR signaling contributes to PcP-related immunopathology through the recruitment of damaging immune cells. Interestingly, mice with wild-type parenchymal cells but TNFRsf1a/1b−/− hematopoietic cells (TNFRsf1a/1b−/−→ C57) displayed exacerbated disease characterized by increased MCP-1 and KC production in the lung and increased macrophage and lymphocyte numbers in the lavage, indicating a dysregulated immune response. This study supports a key role of parenchymal cell TNFRs in lung injury induced by Pc and a potential protective effect of receptors on radiosensitive, bone marrow-derived cells.
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