Alpha-defensins increase NTHi binding but not engulfment by the macrophages enhancing airway inflammation in Alpha-1 antitrypsin deficiency

Neutrophilic inflammation and a high level of free α-defensins are main features of chronic airway inflammation in alpha-1 antitrypsin-deficient (AATD) individuals. Despite the antimicrobial activities of α-defensins by direct bacterial killing and by modulation of immune responses, AATD individuals...

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Main Authors: Jungnam Lee, Naweed Mohammad, Kyudong Han, Tammy Flagg-Dowie, Maria Magallon, Mark L. Brantly, Karina A. Serban
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1543729/full
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author Jungnam Lee
Naweed Mohammad
Kyudong Han
Kyudong Han
Tammy Flagg-Dowie
Maria Magallon
Mark L. Brantly
Karina A. Serban
Karina A. Serban
author_facet Jungnam Lee
Naweed Mohammad
Kyudong Han
Kyudong Han
Tammy Flagg-Dowie
Maria Magallon
Mark L. Brantly
Karina A. Serban
Karina A. Serban
author_sort Jungnam Lee
collection DOAJ
description Neutrophilic inflammation and a high level of free α-defensins are main features of chronic airway inflammation in alpha-1 antitrypsin-deficient (AATD) individuals. Despite the antimicrobial activities of α-defensins by direct bacterial killing and by modulation of immune responses, AATD individuals are paradoxically burdened by recurrent exacerbation triggered by bacterial infections, frequently with nontypeable Haemophilus influenzae (NTHi). Previous studies demonstrated that high, rather than low α-defensin level could modulate the local pro-inflammatory milieu of bronchial epithelial cells and macrophages promoting chronic inflammation and lower pathogen phagocytosis. IgG-mediated phagocytosis and NTHi adherence, engulfment and phagocytosis were measured in human alveolar macrophages and monocyte-derived macrophages (MDM) isolated from patients with AATD and from healthy individuals. A high concentration of free α-defensins induced NTHi adherence to MDMs but decreased IgG-mediated phagocytosis by MDMs. The decreased phagocytosis was associated with TLR4 activation, downstream signaling via NF-κB p65 and marked increased secretion of inflammatory cytokines, CXCL8, IL-1b, and TNFα by the α-defensin-treated and NTHi-infected MDMs. Exogenous AAT treatment and TLR4 inhibitor decreased TNFα expression in α-defensin-treated cells. Dampening the downstream effects of a high concentration of α-defensins may render AAT and TLR4 inhibitors as potential therapies to decrease NTHi colonization and increase its clearance by phagocytosis in AATD individuals.
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spelling doaj-art-ff103f4522044346ac8f844038e1ef952025-02-12T07:27:23ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-02-011610.3389/fimmu.2025.15437291543729Alpha-defensins increase NTHi binding but not engulfment by the macrophages enhancing airway inflammation in Alpha-1 antitrypsin deficiencyJungnam Lee0Naweed Mohammad1Kyudong Han2Kyudong Han3Tammy Flagg-Dowie4Maria Magallon5Mark L. Brantly6Karina A. Serban7Karina A. Serban8Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, United StatesDivision of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, United StatesDepartment of Microbiology, College of Bio-convergence, Dankook University, Cheonan, Republic of KoreaCenter for Bio-Medical Engineering Core Facility, Dankook University, Cheonan, Republic of KoreaDivision of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, United StatesDivision of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, United StatesDivision of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, United StatesDivision of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, United StatesDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, National Jewish Health, Denver, CO, United StatesNeutrophilic inflammation and a high level of free α-defensins are main features of chronic airway inflammation in alpha-1 antitrypsin-deficient (AATD) individuals. Despite the antimicrobial activities of α-defensins by direct bacterial killing and by modulation of immune responses, AATD individuals are paradoxically burdened by recurrent exacerbation triggered by bacterial infections, frequently with nontypeable Haemophilus influenzae (NTHi). Previous studies demonstrated that high, rather than low α-defensin level could modulate the local pro-inflammatory milieu of bronchial epithelial cells and macrophages promoting chronic inflammation and lower pathogen phagocytosis. IgG-mediated phagocytosis and NTHi adherence, engulfment and phagocytosis were measured in human alveolar macrophages and monocyte-derived macrophages (MDM) isolated from patients with AATD and from healthy individuals. A high concentration of free α-defensins induced NTHi adherence to MDMs but decreased IgG-mediated phagocytosis by MDMs. The decreased phagocytosis was associated with TLR4 activation, downstream signaling via NF-κB p65 and marked increased secretion of inflammatory cytokines, CXCL8, IL-1b, and TNFα by the α-defensin-treated and NTHi-infected MDMs. Exogenous AAT treatment and TLR4 inhibitor decreased TNFα expression in α-defensin-treated cells. Dampening the downstream effects of a high concentration of α-defensins may render AAT and TLR4 inhibitors as potential therapies to decrease NTHi colonization and increase its clearance by phagocytosis in AATD individuals.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1543729/fullalpha defensinsalpha 1 antitrypsin (AAT)AAT deficiency (AATD)neutrophilsmacrophagescytokines
spellingShingle Jungnam Lee
Naweed Mohammad
Kyudong Han
Kyudong Han
Tammy Flagg-Dowie
Maria Magallon
Mark L. Brantly
Karina A. Serban
Karina A. Serban
Alpha-defensins increase NTHi binding but not engulfment by the macrophages enhancing airway inflammation in Alpha-1 antitrypsin deficiency
Frontiers in Immunology
alpha defensins
alpha 1 antitrypsin (AAT)
AAT deficiency (AATD)
neutrophils
macrophages
cytokines
title Alpha-defensins increase NTHi binding but not engulfment by the macrophages enhancing airway inflammation in Alpha-1 antitrypsin deficiency
title_full Alpha-defensins increase NTHi binding but not engulfment by the macrophages enhancing airway inflammation in Alpha-1 antitrypsin deficiency
title_fullStr Alpha-defensins increase NTHi binding but not engulfment by the macrophages enhancing airway inflammation in Alpha-1 antitrypsin deficiency
title_full_unstemmed Alpha-defensins increase NTHi binding but not engulfment by the macrophages enhancing airway inflammation in Alpha-1 antitrypsin deficiency
title_short Alpha-defensins increase NTHi binding but not engulfment by the macrophages enhancing airway inflammation in Alpha-1 antitrypsin deficiency
title_sort alpha defensins increase nthi binding but not engulfment by the macrophages enhancing airway inflammation in alpha 1 antitrypsin deficiency
topic alpha defensins
alpha 1 antitrypsin (AAT)
AAT deficiency (AATD)
neutrophils
macrophages
cytokines
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1543729/full
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