Respiratory infections cause the release of extracellular vesicles: implications in exacerbation of asthma/COPD.

<h4>Background</h4>Infection-related exacerbations of respiratory diseases are a major health concern; thus understanding the mechanisms driving them is of paramount importance. Despite distinct inflammatory profiles and pathological differences, asthma and COPD share a common clinical f...

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Main Authors: Suffwan Eltom, Nicole Dale, Kristof R G Raemdonck, Christopher S Stevenson, Robert J Snelgrove, Pradeep K Sacitharan, Chiara Recchi, Silene Wavre-Shapton, Daniel F McAuley, Cecilia O'Kane, Maria G Belvisi, Mark A Birrell
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0101087
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author Suffwan Eltom
Nicole Dale
Kristof R G Raemdonck
Christopher S Stevenson
Robert J Snelgrove
Pradeep K Sacitharan
Chiara Recchi
Silene Wavre-Shapton
Daniel F McAuley
Cecilia O'Kane
Maria G Belvisi
Mark A Birrell
author_facet Suffwan Eltom
Nicole Dale
Kristof R G Raemdonck
Christopher S Stevenson
Robert J Snelgrove
Pradeep K Sacitharan
Chiara Recchi
Silene Wavre-Shapton
Daniel F McAuley
Cecilia O'Kane
Maria G Belvisi
Mark A Birrell
author_sort Suffwan Eltom
collection DOAJ
description <h4>Background</h4>Infection-related exacerbations of respiratory diseases are a major health concern; thus understanding the mechanisms driving them is of paramount importance. Despite distinct inflammatory profiles and pathological differences, asthma and COPD share a common clinical facet: raised airway ATP levels. Furthermore, evidence is growing to suggest that infective agents can cause the release of extracellular vesicle (EVs) in vitro and in bodily fluids. ATP can evoke the P2X7/caspase 1 dependent release of IL-1β/IL-18 from EVs; these cytokines are associated with neutrophilia and are increased during exacerbations. Thus we hypothesized that respiratory infections causes the release of EVs in the airway and that the raised ATP levels, present in respiratory disease, triggers the release of IL-1β/IL-18, neutrophilia and subsequent disease exacerbations.<h4>Methods</h4>To begin to test this hypothesis we utilised human cell-based assays, ex vivo murine BALF, in vivo pre-clinical models and human samples to test this hypothesis.<h4>Results</h4>Data showed that in a murine model of COPD, known to have increased airway ATP levels, infective challenge causes exacerbated inflammation. Using cell-based systems, murine models and samples collected from challenged healthy subjects, we showed that infection can trigger the release of EVs. When exposed to ATP the EVs release IL-1β/IL-18 via a P2X7/caspase-dependent mechanism. Furthermore ATP challenge can cause a P2X7 dependent increase in LPS-driven neutrophilia.<h4>Conclusions</h4>This preliminary data suggests a possible mechanism for how infections could exacerbate respiratory diseases and may highlight a possible signalling pathway for drug discovery efforts in this area.
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spelling doaj-art-b6fee8ec794c40ebb8be32da0f861af92025-08-20T03:46:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0196e10108710.1371/journal.pone.0101087Respiratory infections cause the release of extracellular vesicles: implications in exacerbation of asthma/COPD.Suffwan EltomNicole DaleKristof R G RaemdonckChristopher S StevensonRobert J SnelgrovePradeep K SacitharanChiara RecchiSilene Wavre-ShaptonDaniel F McAuleyCecilia O'KaneMaria G BelvisiMark A Birrell<h4>Background</h4>Infection-related exacerbations of respiratory diseases are a major health concern; thus understanding the mechanisms driving them is of paramount importance. Despite distinct inflammatory profiles and pathological differences, asthma and COPD share a common clinical facet: raised airway ATP levels. Furthermore, evidence is growing to suggest that infective agents can cause the release of extracellular vesicle (EVs) in vitro and in bodily fluids. ATP can evoke the P2X7/caspase 1 dependent release of IL-1β/IL-18 from EVs; these cytokines are associated with neutrophilia and are increased during exacerbations. Thus we hypothesized that respiratory infections causes the release of EVs in the airway and that the raised ATP levels, present in respiratory disease, triggers the release of IL-1β/IL-18, neutrophilia and subsequent disease exacerbations.<h4>Methods</h4>To begin to test this hypothesis we utilised human cell-based assays, ex vivo murine BALF, in vivo pre-clinical models and human samples to test this hypothesis.<h4>Results</h4>Data showed that in a murine model of COPD, known to have increased airway ATP levels, infective challenge causes exacerbated inflammation. Using cell-based systems, murine models and samples collected from challenged healthy subjects, we showed that infection can trigger the release of EVs. When exposed to ATP the EVs release IL-1β/IL-18 via a P2X7/caspase-dependent mechanism. Furthermore ATP challenge can cause a P2X7 dependent increase in LPS-driven neutrophilia.<h4>Conclusions</h4>This preliminary data suggests a possible mechanism for how infections could exacerbate respiratory diseases and may highlight a possible signalling pathway for drug discovery efforts in this area.https://doi.org/10.1371/journal.pone.0101087
spellingShingle Suffwan Eltom
Nicole Dale
Kristof R G Raemdonck
Christopher S Stevenson
Robert J Snelgrove
Pradeep K Sacitharan
Chiara Recchi
Silene Wavre-Shapton
Daniel F McAuley
Cecilia O'Kane
Maria G Belvisi
Mark A Birrell
Respiratory infections cause the release of extracellular vesicles: implications in exacerbation of asthma/COPD.
PLoS ONE
title Respiratory infections cause the release of extracellular vesicles: implications in exacerbation of asthma/COPD.
title_full Respiratory infections cause the release of extracellular vesicles: implications in exacerbation of asthma/COPD.
title_fullStr Respiratory infections cause the release of extracellular vesicles: implications in exacerbation of asthma/COPD.
title_full_unstemmed Respiratory infections cause the release of extracellular vesicles: implications in exacerbation of asthma/COPD.
title_short Respiratory infections cause the release of extracellular vesicles: implications in exacerbation of asthma/COPD.
title_sort respiratory infections cause the release of extracellular vesicles implications in exacerbation of asthma copd
url https://doi.org/10.1371/journal.pone.0101087
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