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NADPH oxidase mediates synergistic effects of IL-17 and TNF-{alpha} on CXCL1 expression by epithelial cells after lung ischemia-reperfusion

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AJP Lung Cellular and Molecular Physiology

Published online on

Abstract

Ischemia-reperfusion (IR) injury leads to increased mortality and morbidity in lung transplant patients. Lung IR injury involves inflammation contributed by innate immune responses. IL-17 and TNF-α, from iNKT cells and alveolar macrophages, respectively, contribute importantly to lung IR injury. This study tests the hypothesis that IL-17 and TNF-α synergistically mediate CXCL1 (a potent neutrophil chemokine) production by alveolar type II epithelial (ATII) cells via an NADPH oxidase-dependent mechanism during lung IR. Using a hilar clamp model, wild-type and p47phox-/- (NADPH oxidase deficient) mice underwent left lung IR, with or without recombinant IL-17 and/or TNF-α treatment. Wild-type mice undergoing IR treated with combined IL-17 and TNF-α had significantly enhanced lung dysfunction, edema, CXCL1 production and neutrophil infiltration compared to treatment with IL-17 or TNF-α alone. However, p47phox-/- mice had significantly less pulmonary dysfunction, CXCL1 production and lung injury after IR, which was not enhanced by combined IL-17/TNF-α treatment. Moreover, in an acute, in vitro hypoxia-reoxygenation model, murine ATII cells showed a multifold synergistic increase in CXCL1 expression after combined IL-17/TNF-α treatment compared to treatment with either cytokine alone, which was significantly attenuated by an NADPH oxidase inhibitor. Conditioned media transfer from hypoxia-reoxygenation-exposed iNKT cells and macrophages, major sources of IL-17 and TNF-α, respectively, to ATII cells significantly enhanced CXCL1 production, which was blocked by NADPH oxidase inhibitor. These results demonstrate that IL-17 and TNF-α synergistically mediate CXCL1 production by ATII cells after IR, via an NADPH oxidase-dependent mechanism, to induce neutrophil infiltration and lung IR injury.