Mechanisms of allergy and clinical immunology
Leukocyte nicotinamide adenine dinucleotide phosphate-reduced oxidase is required for isocyanate-induced lung inflammation

https://doi.org/10.1016/j.jaci.2010.12.008Get rights and content

Background

Isocyanates are low-molecular-weight compounds noted for inducing occupational and environmental asthma. Isocyanate-induced lung disease, an oxidant stress-dependent pulmonary inflammation, is the leading cause of occupational asthma.

Objectives

To address the role of leukocyte-produced oxidants in airway inflammation induced by toluene diisocyanate (TDI), and to elucidate the role of leukocyte nicotinamide adenine dinucleotide phosphate-reduced (NADPH) oxidase in pathogenesis by TDI.

Methods

Wild-type mice and NADPH oxidase–deficient mice (neutrophil cytosolic factor 1 mutant, Ncf1–/–) were intranasally injected, challenged with inhalatory TDI, and then investigated for lung inflammation.

Results

Cell infiltration in lung tissue and leukocytes in bronchoalveolar lavage, airway reactivity to a methacholine challenge, and TDI-induced inflammatory cytokine expression and nuclear factor activation in the lung tissue were all markedly lower in Ncf1–/– mice. Wild-type mice treated with blocking antibodies against CD4 and IL-17 showed markedly lower TDI-induced airway hyperresponsiveness.

Conclusion

Leukocyte NADPH oxidase is an essential regulator in TDI-induced airway inflammation through redox modification of immune responses.

Section snippets

Animals

Female, B6 (Cg)-Ncf1<m1J>/J mice (stock number 004742) were obtained from Jackson Laboratory (Bar Harbor, Me). Female wild-type C57BL/6J mice were from the Laboratory Animal Center at National Cheng Kung University. The experimental protocol was approved by the Institutional Animal Care and Use Committee of National Cheng Kung University.

Reagents

Toluene diisocyanate isomers were purchased from Merck (Darmstadt, Germany). Ovalbumin (OVA), N-acetyl-L-cysteine (NAC), 5, 5′-dithiobis-(2-nitrobenzoic acid)

TDI exposure and leukocyte NADPH oxidase activity induce oxidant stress in the lung

We first examined whether TDI exposure stimulates the generation of ROS in the airway. Wild-type mice were sensitized, then challenged with TDI and killed 24 hours after the last challenge. The bronchoalveolar lavage (BAL) cells were collected and incubated with H2DCFDA to detect the production of intracellular H2O2. We found that H2O2 production significantly increased in BAL cells from wild-type mice treated with TDI compared with equal numbers of BAL cells from the mice without TDI treatment

Discussion

By inducing lung inflammation with TDI, a chemical that causes oxidant stress in a mouse model with or without deficient leukocyte NADPH oxidase, we showed that leukocyte NAPDH oxidase plays a crucial role in TDI-induced lung damage.

Although the evidence for the role of oxidant stress in lung inflammation has been accumulating in the past decade, the relationship between exposure to different allergens and redox-mediated leukocyte activation remains elusive.29, 30 Airway inflammation in asthma

References (61)

  • I. Rahman et al.

    Oxidant and antioxidant balance in the airways and airway diseases

    Eur J Pharmacol

    (2006)
  • Y.F. Huang et al.

    Thapsigargin and flavin adenine dinucleotide ex vivo treatment rescues trafficking-defective gp91phox in chronic granulomatous disease leukocytes

    Free Radic Biol Med

    (2009)
  • S.J. Lin et al.

    Molecular quality control machinery contributes to the leukocyte NADPH oxidase deficiency in chronic granulomatous disease

    Biochim Biophys Acta

    (2002)
  • Y. Shimo-Nakanishi et al.

    Functional effects of NAD(P)H oxidase p22(phox) C242T mutation in human leukocytes and association with thrombotic cerebral infarction

    Atherosclerosis

    (2004)
  • C.A. Redlich et al.

    Diisocyanate asthma: clinical aspects and immunopathogenesis

    Int Immunopharmacol

    (2002)
  • J.W. Kaspar et al.

    Nrf2:INrf2 (Keap1) signaling in oxidative stress

    Free Radic Biol Med

    (2009)
  • J. Balmes et al.

    American Thoracic Society statement: occupational contribution to the burden of airway disease

    Am J Respir Crit Care Med

    (2003)
  • R.L. Jan et al.

    Asthma-like syndrome in school children after accidental exposure to xylene and methylene diphenyl diisocyanate

    J Microbiol Immunol Infect

    (2008)
  • R. Donnelly et al.

    Occupational asthma after exposure to plaster casts containing methylene diphenyl diisocyanate

    Occup Med (Lond)

    (2004)
  • A.V. Wisnewski et al.

    Recent developments in diisocyanate asthma

    Curr Opin Allergy Clin Immunol

    (2001)
  • X. Baur et al.

    Respiratory and other hazards of isocyanates

    Int Arch Occup Environ Health

    (1994)
  • M. Dragos et al.

    Specific antibodies to diisocyanate and work-related respiratory symptoms in apprentice car-painters

    Occup Environ Med

    (2009)
  • J.M. Matheson et al.

    Exposure and immunological determinants in a murine model for toluene diisocyanate (TDI) asthma

    Toxicol Sci

    (2005)
  • J.A. Vanoirbeek et al.

    Respiratory response to toluene diisocyanate depends on prior frequency and concentration of dermal sensitization in mice

    Toxicol Sci

    (2004)
  • Y. Sumi et al.

    Cytokine mRNA expression in isocyanate-induced hypersensitivity pneumonitis

    Respiration

    (2003)
  • J.M. Matheson et al.

    Role of tumor necrosis factor in toluene diisocyanate asthma

    Am J Respir Cell Mol Biol

    (2002)
  • M. Saetta et al.

    Airway mucosal inflammation in occupational asthma induced by toluene diisocyanate

    Am Rev Respir Dis

    (1992)
  • C. Minelli et al.

    Glutathione-S-transferase genes and asthma phenotypes: a Human Genome Epidemiology (HuGE) systematic review and meta-analysis including unpublished data

    Int J Epidemiol

    (2010)
  • H. Wikman et al.

    N-acetyltransferase genotypes as modifiers of diisocyanate exposure-associated asthma risk

    Pharmacogenetics

    (2002)
  • D. Sheehan et al.

    Structure, function and evolution of glutathione transferases: implications for classification of non-mammalian members of an ancient enzyme superfamily

    Biochem J

    (2001)
  • Cited by (11)

    • Glutathione modulation during sensitization as well as challenge phase regulates airway reactivity and inflammation in mouse model of allergic asthma

      2014, Biochimie
      Citation Excerpt :

      Apocynin treatment in human asthmatics and allergic mice has been shown to decrease airway reactivity/inflammation [26,39]. Moreover, gp91 phox as well as p47 phox deficient allergic mice have decreased airway reactivity and inflammation, which further supports the role of NADPH oxidase generated ROS in asthma [20,21]. Lack of effect on any of the parameters, i.e. airway reactivity, inflammation and ROS generation by xanthine oxidase inhibitor, allopurinol suggests that ROS generation in allergen sensitized and challenged mice having glutathione depletion is via NADPH oxidase pathway.

    • Advances in mechanisms of asthma, allergy, and immunology in 2011

      2012, Journal of Allergy and Clinical Immunology
      Citation Excerpt :

      Toluidine diisothiocyanate (TDI) is a low-molecular-weight sensitizing agent that is the most frequent cause of occupational asthma.4 Liu et al5 studied the role of oxidative stress in a murine model of TDI-induced pulmonary inflammation. Mice lacking reduced nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, an enzyme needed for leukocyte respiratory burst, were compared with wild-type C57BL/6 control animals in a model of pulmonary inflammation induced by intrapulmonary sensitization to TDI, followed by inhalation challenge.

    View all citing articles on Scopus

    Supported by grants from the National Science Council, Taiwan. C.-C.S. was supported by grants from the National Science Council and National Health Research Institute, Taiwan.

    Disclosure of potential conflict of interest: The authors have declared that they have no conflict of interest.

    View full text