CXCR2/CXCR2 ligand biology during lung transplant ischemia-reperfusion injury

JA Belperio, MP Keane, MD Burdick… - The Journal of …, 2005 - journals.aai.org
JA Belperio, MP Keane, MD Burdick, BN Gomperts, YY Xue, K Hong, J Mestas, D Zisman…
The Journal of Immunology, 2005journals.aai.org
Lung transplantation is a therapeutic option for a number of end-stage pulmonary disorders.
Early lung allograft dysfunction (ischemia-reperfusion injury) continues to be the most
common cause of early mortality after lung transplantation and a significant risk factor for the
development of bronchiolitis obliterans syndrome. Ischemia-reperfusion injury is
characterized histopathologically by lung edema and a neutrophil predominate leukocyte
extravasation. The specific mechanism (s) that recruit leukocytes to the lung during post-lung …
Abstract
Lung transplantation is a therapeutic option for a number of end-stage pulmonary disorders. Early lung allograft dysfunction (ischemia-reperfusion injury) continues to be the most common cause of early mortality after lung transplantation and a significant risk factor for the development of bronchiolitis obliterans syndrome. Ischemia-reperfusion injury is characterized histopathologically by lung edema and a neutrophil predominate leukocyte extravasation. The specific mechanism (s) that recruit leukocytes to the lung during post-lung transplantation ischemia-reperfusion injury have not been fully elucidated. Because the ELR+ CXC chemokines are potent neutrophil chemoattractants, we investigated their role during post-lung transplantation ischemic-reperfusion injury. We found elevated levels of multiple ELR+ CXC chemokines in human bronchoalveolar lavage fluid from patients with ischemia-reperfusion injury. Proof of concept studies using a rat orthotopic lung transplantation model of “cold” ischemic-reperfusion injury demonstrated an increase in lung graft neutrophil sequestration and injury. In addition, lung expression of CXCL1, CXCL2/3, and their shared receptor CXCR2 paralleled lung neutrophil infiltration and injury. Importantly, inhibition of CXCR2/CXCR2 ligand interactions in vivo led to a marked reduction in lung neutrophil sequestration and graft injury. Taken together these experiments support the notion that increased expression of ELR+ CXC chemokines and their interaction with CXCR2 plays an important role in the pathogenesis of post-lung transplantation cold ischemia-reperfusion injury.
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