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Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Respir+Res 2017 ; 18 (ä): ä Nephropedia Template TP
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Mechanisms of corticosteroid insensitivity in COPD alveolar macrophages exposed to NTHi #MMPMID28420398
Khalaf RM; Lea SR; Metcalfe HJ; Singh D
Respir Res 2017[]; 18 (ä): ä PMID28420398show ga
Background: Non-typeable Haemophilus influenza (NTHi) infection is common in COPD. Corticosteroids can have limited therapeutic effects in COPD patients. NTHi causes corticosteroid insensitive cytokine production from COPD alveolar macrophages. We investigated the mechanisms by which NTHi causes corticosteroid insensitive inflammatory responses, and the effects of NTHi exposure on COPD macrophage polarisation. Method: Alveolar macrophages from COPD patients and controls were exposed to NTHi in conjunction with the corticosteroid dexamethasone and/or the p38 MAPK inhibitor BIRB-796. Cytokine release, GR phosphorylation and modulation and macrophage phenotype were analysed. Results: Dexamethasone significantly inhibited NTHi induced TNF-?, IL-6 and IL-10 from COPD macrophages but, CXCL8 was not suppressed.BIRB-796 combined with dexamethasone caused significantly greater inhibition of all cytokines than either drug alone (p?0.05 all comparisons). NTHi caused phosphorylation of GR S226 reducing GR nuclear localisation, an effect regulated by p38 MAPK. NTHi altered macrophage polarisation by increasing IL-10 and decreasing CD36, CD206, CD163 and HLA-DR. Conclusion: NTHi exposure causes p38 MAPK dependent GR phosphorylation associated with decreased GR function in COPD alveolar macrophages. Combining a p38 MAPK inhibitor with corticosteroids can enhance anti-inflammatory effects during NTHi exposure of COPD alveolar macrophages. NTHi causes macrophage polarisation that favours bacterial persistence. Electronic supplementary material: The online version of this article (doi:10.1186/s12931-017-0539-4) contains supplementary material, which is available to authorized users.