T cell depletion protects against alveolar destruction due to chronic cigarette smoke exposure in mice

Am J Physiol Lung Cell Mol Physiol. 2013 Mar 1;304(5):L312-23. doi: 10.1152/ajplung.00152.2012. Epub 2013 Jan 4.

Abstract

The role of T cells in chronic obstructive pulmonary disease (COPD) is not well understood. We have previously demonstrated that chronic cigarette smoke exposure can lead to the accumulation of CD4(+) and CD8(+) T cells in the alveolar airspaces in a mouse model of COPD, implicating these cells in disease pathogenesis. However, whether specific inhibition of T cell responses represents a therapeutic strategy has not been fully investigated. In this study inhibition of T cell responses through specific depleting antibodies, or the T cell immunosuppressant drug cyclosporin A, prevented airspace enlargement and neutrophil infiltration in a mouse model of chronic cigarette smoke exposure. Furthermore, individual inhibition of either CD4(+) T helper or CD8(+) T cytotoxic cells prevented airspace enlargement to a similar degree, implicating both T cell subsets as critical mediators of the adaptive immune response induced by cigarette smoke exposure. Importantly, T cell depletion resulted in significantly decreased levels of the Th17-associated cytokine IL-17A, and of caspase 3 and caspase 7 gene expression and activity, induced by cigarette smoke exposure. Finally, inhibition of T cell responses in a therapeutic manner also inhibited cigarette smoke-induced airspace enlargement, IL-17A expression, and neutrophil influx in mice. Together these data demonstrate for the first time that therapeutic inhibition of T cell responses may be efficacious in the treatment of COPD. Given that broad immunosuppression may be undesirable in COPD patients, this study provides proof-of-concept for more targeted approaches to inhibiting the role of T cells in emphysema development.

MeSH terms

  • Animals
  • CD4-Positive T-Lymphocytes / immunology*
  • CD8-Positive T-Lymphocytes / immunology*
  • Caspase 3 / blood
  • Caspase 7 / biosynthesis
  • Caspase 7 / genetics
  • Cyclosporine
  • Disease Models, Animal
  • Female
  • Gene Expression
  • Immunosuppression Therapy
  • Interleukin-17 / blood
  • Lung Volume Measurements
  • Lymphocyte Activation
  • Lymphocyte Depletion
  • Mice
  • Mice, Inbred C57BL
  • Neutrophil Infiltration / immunology
  • Pulmonary Alveoli / immunology
  • Pulmonary Alveoli / pathology*
  • Pulmonary Disease, Chronic Obstructive / immunology*
  • Pulmonary Disease, Chronic Obstructive / pathology
  • Smoking*
  • Tobacco Smoke Pollution

Substances

  • Interleukin-17
  • Tobacco Smoke Pollution
  • Cyclosporine
  • Caspase 3
  • Caspase 7