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Publication : Alpha-1 antitrypsin inhibits fractalkine-mediated monocyte-lung endothelial cell interactions.

First Author  Mikosz A Year  2023
Journal  Am J Physiol Lung Cell Mol Physiol Volume  325
Issue  6 Pages  L711-L725
PubMed ID  37814796 Mgi Jnum  J:342471
Mgi Id  MGI:7545423 Doi  10.1152/ajplung.00023.2023
Citation  Mikosz A, et al. (2023) Alpha-1 antitrypsin inhibits fractalkine-mediated monocyte-lung endothelial cell interactions. Am J Physiol Lung Cell Mol Physiol
abstractText  Rationale: Chronic obstructive pulmonary disease (COPD) is characterized by non-resolving inflammation fueled by breach in the endothelial barrier and leukocyte recruitment into the airspaces. Among the ligand-receptor axes that control leukocyte recruitment, the full-length fractalkine ligand (CX3CL1)-receptor (CX3CR1) ensures homeostatic endothelial-leukocyte interactions. Cigarette smoke (CS) exposure and respiratory pathogens increase expression of endothelial sheddases, such as a-disintegrin-and-metalloproteinase-domain 17 (ADAM17, TACE), inhibited by the anti-protease alpha-1 antitrypsin (AAT). In the systemic endothelium, TACE cleaves CX3CL1 to release soluble CX3CL1 (sCX3CL1). During CS-exposure it is not known whether AAT inhibits sCX3CL1shedding and CX3CR1(+) leukocyte trans-endothelial migration across lung microvasculature. Objectives: We investigated the mechanism of sCX3CL1 shedding, its role in endothelial-monocyte interactions, and AAT effect on these interactions during acute inflammation. Methods: We used two, CS and lipopolysaccharide (LPS) models of acute inflammation in transgenic CX3CR1(gfp/gfp) mice and primary human endothelial cells and monocytes to study sCX3CL1-mediated CX3CR1(+) monocyte adhesion and migration. We measured sCX3CL1 levels in plasma and bronchoalveolar lavage (BALF) of COPD individuals. Results: Both sCX3CL1 shedding and CX3CR1(+) monocytes trans-endothelial migration were triggered by LPS- and CS-exposure in mice, and were significantly attenuated by AAT. The inhibition of monocyte-endothelial adhesion and migration by AAT was TACE-dependent. Compared to healthy controls, sCX3CL1 levels were increased in plasma and BALF of COPD individuals, and were associated with clinical parameters of emphysema. Conclusion: Our results indicate that inhibition of sCX3CL1 as well as AAT augmentation may be effective approaches to decrease excessive monocyte lung recruitment during acute and chronic inflammatory states.
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