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Published online before print March 15, 2006
Eur Respir J 2006, doi:10.1183/09031936.06.00059305
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ORIGINAL ARTICLE

Role of TNF{alpha} receptor 2 in cigarette smoke-induced pulmonary inflammation and emphysema

A.I. D'hulst 1*, K.R. Bracke 1, T. Maes 1, J.L. De Bleecker 2, R.A. Pauwels 1, G.F. Joos 1, G.G. Brusselle 1

1 Dept of Respiratory Diseases, Ghent University Hospital, Ghent, Belgium
2 Dept of Neurology, Ghent University Hospital, Ghent, Belgium

* To whom correspondence should be addressed. E-mail: an.dhulst{at}UGent.be.


   Abstract

Chronic Obstructive Pulmonary Disease (COPD) is characterized by a local pulmonary inflammatory response to respiratory pollutants and by systemic inflammation. tumour Necrosis Factor-{alpha} (TNF{alpha}) has been implicated in systemic effects of COPD and operates by binding the p55 (R1) and p75 TNF{alpha} receptor (R2). To investigate the contribution of each TNF{alpha} receptor in the pathogenesis of COPD, we studied the effects of chronic air or cigarette smoke (CS)-exposure in TNF{alpha} R1 KO, TNF{alpha} R2 KO and WT. CS significantly increased the protein levels of soluble TNF{alpha} R1 (4-fold) and TNF{alpha} R2 (10-fold) in BAL of WT. After 3 months, CS induced a prominent pulmonary inflammatory cell influx in WT and TNF{alpha} R1 KO. In TNF{alpha} R2 KO, CS-induced pulmonary inflammation was clearly attenuated. After 6 months, no emphysema was observed in CS-exposed TNF{alpha} R2 KO in contrast to WT and TNF{alpha} R1 KO. CS-exposed WT and TNF{alpha} R1 KO failed to gain weight, whereas body mass of TNF{alpha} R2 KO was not affected. These findings suggest that both TNF{alpha} receptors contribute to the pathogenesis of COPD, but TNF{alpha} R2 is the most active receptor in the development of inflammation, emphysema and systemic weight loss in this murine model of COPD.

Keywords:  Chronic obstructive pulmonary disease, cigarette smoking, emphysema, inflammation, TNF-alpha receptors, weight loss




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