Pulmonary immune cell transcriptome changes in double-hit model of BPD induced by chorioamnionitis and postnatal hyperoxia.


Journal

Pediatric research
ISSN: 1530-0447
Titre abrégé: Pediatr Res
Pays: United States
ID NLM: 0100714

Informations de publication

Date de publication:
09 2021
Historique:
received: 04 06 2020
accepted: 09 11 2020
revised: 23 10 2020
pubmed: 16 1 2021
medline: 18 3 2022
entrez: 15 1 2021
Statut: ppublish

Résumé

Preterm infants with bronchopulmonary dysplasia (BPD) have lifelong increased risk of respiratory morbidities associated with environmental pathogen exposure and underlying mechanisms are poorly understood. The resident immune cells of the lung play vital roles in host defense. However, the effect of perinatal events associated with BPD on pulmonary-specific immune cells is not well understood. We used a double-hit model of BPD induced by prenatal chorioamnionitis followed by postnatal hyperoxia, and performed a global transcriptome analysis of all resident pulmonary immune cells. We show significant up-regulation of genes involved in chemokine-mediated signaling and immune cell chemotaxis, and down-regulation of genes involved in multiple T lymphocyte functions. Multiple genes involved in T cell receptor signaling are downregulated and Cd8a gene expression remains downregulated at 2 months of age in spite of recovery in normoxia for 6 weeks. Furthermore, the proportion of CD8a+CD3+ pulmonary immune cells is decreased. Our study has highlighted that perinatal lung inflammation in a double-hit model of BPD results in short- and long-term dysregulation of genes associated with the pulmonary T cell receptor signaling pathway, which may contribute to increased environmental pathogen-associated respiratory morbidities seen in children and adults with BPD. In a translationally relevant double-hit model of BPD induced by chorioamnionitis and postnatal hyperoxia, we identified pulmonary immune cell-specific transcriptomic changes and showed that T cell receptor signaling genes are downregulated in short term and long term. This is the first comprehensive report delineating transcriptomic changes in resident immune cells of the lung in a translationally relevant double-hit model of BPD. Our study identifies novel resident pulmonary immune cell-specific targets for potential therapeutic modulation to improve short- and long-term respiratory health of preterm infants with BPD.

Sections du résumé

BACKGROUND
Preterm infants with bronchopulmonary dysplasia (BPD) have lifelong increased risk of respiratory morbidities associated with environmental pathogen exposure and underlying mechanisms are poorly understood. The resident immune cells of the lung play vital roles in host defense. However, the effect of perinatal events associated with BPD on pulmonary-specific immune cells is not well understood.
METHODS
We used a double-hit model of BPD induced by prenatal chorioamnionitis followed by postnatal hyperoxia, and performed a global transcriptome analysis of all resident pulmonary immune cells.
RESULTS
We show significant up-regulation of genes involved in chemokine-mediated signaling and immune cell chemotaxis, and down-regulation of genes involved in multiple T lymphocyte functions. Multiple genes involved in T cell receptor signaling are downregulated and Cd8a gene expression remains downregulated at 2 months of age in spite of recovery in normoxia for 6 weeks. Furthermore, the proportion of CD8a+CD3+ pulmonary immune cells is decreased.
CONCLUSIONS
Our study has highlighted that perinatal lung inflammation in a double-hit model of BPD results in short- and long-term dysregulation of genes associated with the pulmonary T cell receptor signaling pathway, which may contribute to increased environmental pathogen-associated respiratory morbidities seen in children and adults with BPD.
IMPACT
In a translationally relevant double-hit model of BPD induced by chorioamnionitis and postnatal hyperoxia, we identified pulmonary immune cell-specific transcriptomic changes and showed that T cell receptor signaling genes are downregulated in short term and long term. This is the first comprehensive report delineating transcriptomic changes in resident immune cells of the lung in a translationally relevant double-hit model of BPD. Our study identifies novel resident pulmonary immune cell-specific targets for potential therapeutic modulation to improve short- and long-term respiratory health of preterm infants with BPD.

Identifiants

pubmed: 33446917
doi: 10.1038/s41390-020-01319-z
pii: 10.1038/s41390-020-01319-z
pmc: PMC7808307
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

565-575

Subventions

Organisme : NHLBI NIH HHS
ID : K08 HL151760
Pays : United States
Organisme : NIGMS NIH HHS
ID : P30 GM114736
Pays : United States

Informations de copyright

© 2021. The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.

Références

Higgins, R. D. et al. Bronchopulmonary dysplasia: executive summary of a workshop. J. Pediatr. 197, 300–308 (2018).
doi: 10.1016/j.jpeds.2018.01.043
Pryhuber, G. S. Postnatal infections and immunology affecting chronic lung disease of prematurity. Clin. Perinatol. 42, 697–718 (2015).
doi: 10.1016/j.clp.2015.08.002
Taglauer, E., Abman, S. H. & Keller, R. L. Recent advances in antenatal factors predisposing to bronchopulmonary dysplasia. Semin. Perinatol. 42, 413–424 (2018).
doi: 10.1053/j.semperi.2018.09.002
Sarno, L. et al. Histological chorioamnionitis and risk of pulmonary complications in preterm births: a systematic review and meta-analysis. J. Matern. Fetal Neonatal Med. 1–10, https://doi.org/10.1080/14767058.2019.1689945 (2019).
Villamor-Martinez, E. et al. Association of chorioamnionitis with bronchopulmonary dysplasia among preterm infants: a systematic review, meta-analysis, and metaregression. JAMA Netw. Open 2, e1914611 (2019).
doi: 10.1001/jamanetworkopen.2019.14611
Chaw, P. S. et al. Respiratory syncytial virus-associated acute lower respiratory infections in children with bronchopulmonary dysplasia: systematic review and meta-analysis. J. Infect. Dis., https://doi.org/10.1093/infdis/jiz492 (2019).
McDowell, K. M. et al. Pulmonary morbidity in infancy after exposure to chorioamnionitis in late preterm infants. Ann. Am. Thorac. Soc. 13, 867–876 (2016).
doi: 10.1513/AnnalsATS.201507-411OC
Collaco, J. M. & McGrath-Morrow, S. A. Respiratory phenotypes for preterm infants, children, and adults: bronchopulmonary dysplasia and more. Ann. Am. Thorac. Soc. 15, 530–538 (2018).
doi: 10.1513/AnnalsATS.201709-756FR
Getahun, D. et al. Effect of chorioamnionitis on early childhood asthma. Arch. Pediatr. Adolesc. Med. 164, 187–192 (2010).
doi: 10.1001/archpediatrics.2009.238
Lloyd, C. M. & Marsland, B. J. Lung homeostasis: influence of age, microbes, and the immune system. Immunity 46, 549–561 (2017).
doi: 10.1016/j.immuni.2017.04.005
Rychlik, K. A. & Sille, F. C. M. Environmental exposures during pregnancy: mechanistic effects on immunity. Birth Defects Res. 111, 178–196 (2019).
doi: 10.1002/bdr2.1469
Olin, A. et al. Stereotypic immune system development in newborn children. Cell 174, 1277–1292.e1214 (2018).
doi: 10.1016/j.cell.2018.06.045
Scheible, K. M. et al. T cell developmental arrest in former premature infants increases risk of respiratory morbidity later in infancy. JCI Insight 3, https://doi.org/10.1172/jci.insight.96724 (2018).
Gleditsch, D. D. et al. Maternal inflammation modulates infant immune response patterns to viral lung challenge in a murine model. Pediatr. Res. 76, 33–40 (2014).
doi: 10.1038/pr.2014.57
Kallapur, S. G. et al. Intra-amniotic IL-1beta induces fetal inflammation in rhesus monkeys and alters the regulatory T cell/IL-17 balance. J. Immunol. 191, 1102–1109 (2013).
doi: 10.4049/jimmunol.1300270
Connors, T. J. et al. Airway CD8(+) T cells are associated with lung injury during infant viral respiratory tract infection. Am. J. Respir. Cell Mol. Biol. 54, 822–830 (2016).
doi: 10.1165/rcmb.2015-0297OC
Bradley, B. T. & Bryan, A. Emerging respiratory infections: the infectious disease pathology of SARS, MERS, pandemic influenza, and Legionella. Semin Diagn. Pathol. 36, 152–159 (2019).
doi: 10.1053/j.semdp.2019.04.006
Zheng, J. & Perlman, S. Immune responses in influenza A virus and human coronavirus infections: an ongoing battle between the virus and host. Curr. Opin. Virol. 28, 43–52 (2018).
doi: 10.1016/j.coviro.2017.11.002
Liao, M. et al. Single-cell landscape of bronchoalveolar immune cells in patients with COVID-19. Nat. Med. https://doi.org/10.1038/s41591-020-0901-9 (2020).
Monticelli, L. A. et al. Innate lymphoid cells promote lung-tissue homeostasis after infection with influenza virus. Nat. Immunol. 12, 1045–1054 (2011).
doi: 10.1038/ni.2131
Alapati, D. et al. In utero gene editing for monogenic lung disease. Sci. Transl. Med. 11, https://doi.org/10.1126/scitranslmed.aav8375 (2019).
Barnett-Vanes, A., Sharrock, A., Birrell, M. A. & Rankin, S. A single 9-colour flow cytometric method to characterise major leukocyte populations in the rat: validation in a model of LPS-induced pulmonary inflammation. PLoS ONE 11, e0142520 (2016).
doi: 10.1371/journal.pone.0142520
Huang da, W., Sherman, B. T. & Lempicki, R. A. Systematic and integrative analysis of large gene lists using DAVID bioinformatics resources. Nat. Protoc. 4, 44–57 (2009).
doi: 10.1038/nprot.2008.211
Huang da, W., Sherman, B. T. & Lempicki, R. A. Bioinformatics enrichment tools: paths toward the comprehensive functional analysis of large gene lists. Nucleic Acids Res. 37, 1–13 (2009).
doi: 10.1093/nar/gkn923
Ardain, A., Marakalala, M. J. & Leslie, A. Tissue-resident innate immunity in the lung. Immunology 159, 245–256 (2020).
doi: 10.1111/imm.13143
Dedja, A. et al. Lipopolysaccharide-induced chorioamnionitis and postnatal lung injury: the beneficial effects of L-citrulline in newborn rats. Exp. Lung Res. 44, 226–240 (2018).
doi: 10.1080/01902148.2018.1497730
Rosen, D. et al. Accelerated thymic maturation and autoreactive T cells in bronchopulmonary dysplasia. Am. J. Respir. Crit. Care Med. 174, 75–83 (2006).
doi: 10.1164/rccm.200511-1784OC
Teijaro, J. R. et al. Cutting edge: tissue-retentive lung memory CD4 T cells mediate optimal protection to respiratory virus infection. J. Immunol. 187, 5510–5514 (2011).
doi: 10.4049/jimmunol.1102243
Allie, S. R. et al. The establishment of resident memory B cells in the lung requires local antigen encounter. Nat. Immunol. 20, 97–108 (2019).
doi: 10.1038/s41590-018-0260-6
de Jong, E. et al. Exposure to chorioamnionitis alters the monocyte transcriptional response to the neonatal pathogen Staphylococcus epidermidis. Immunol. Cell Biol. 96, 792–804 (2018).
doi: 10.1111/imcb.12037
Kramer, B. W. et al. Endotoxin-induced chorioamnionitis modulates innate immunity of monocytes in preterm sheep. Am. J. Respir. Crit. Care Med. 171, 73–77 (2005).
doi: 10.1164/rccm.200406-745OC
Ambalavanan, N. & Morty, R. E. Searching for better animal models of BPD: a perspective. Am. J. Physiol. Lung Cell Mol. Physiol. 311, L924–L927 (2016).
doi: 10.1152/ajplung.00355.2016
Iijima, N. & Iwasaki, A. T cell memory. A local macrophage chemokine network sustains protective tissue-resident memory CD4 T cells. Science 346, 93–98 (2014).
doi: 10.1126/science.1257530
Schenkel, J. M. et al. T cell memory. Resident memory CD8 T cells trigger protective innate and adaptive immune responses. Science 346, 98–101 (2014).
doi: 10.1126/science.1254536
Chen, K. & Kolls, J. K. T cell-mediated host immune defenses in the lung. Annu. Rev. Immunol. 31, 605–633 (2013).
doi: 10.1146/annurev-immunol-032712-100019
Pizzolla, A. et al. Resident memory CD8(+) T cells in the upper respiratory tract prevent pulmonary influenza virus infection. Sci. Immunol. 2, https://doi.org/10.1126/sciimmunol.aam6970 (2017).
Wu, T. et al. Lung-resident memory CD8 T cells (TRM) are indispensable for optimal cross-protection against pulmonary virus infection. J. Leukoc. Biol. 95, 215–224 (2014).
doi: 10.1189/jlb.0313180
Zens, K. D. et al. Reduced generation of lung tissue-resident memory T cells during infancy. J. Exp. Med. 214, 2915–2932 (2017).
doi: 10.1084/jem.20170521
Hong, J. Y. et al. Long-term programming of CD8 T cell immunity by perinatal exposure to glucocorticoids. Cell 180, 847–861.e815 (2020).
doi: 10.1016/j.cell.2020.02.018
Snyder, C. C. et al. Modulation of lipopolysaccharide-induced chorioamnionitis by Ureaplasma parvum in sheep. Am. J. Obstet. Gynecol. 208, 399.e391–398 (2013).
doi: 10.1016/j.ajog.2013.02.018

Auteurs

Diksha Shrestha (D)

Department of Pediatrics, Nemours AI duPont Hospital for Children, Wilmington, DE, USA.
Nemours Biomedical Research Center, Wilmington, DE, USA.
Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

George Xiangyun Ye (GX)

Nemours Biomedical Research Center, Wilmington, DE, USA.
Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

Deborah Stabley (D)

Nemours Biomedical Research Center, Wilmington, DE, USA.

Suhita Gayen Nee' Betal (SGN)

Nemours Biomedical Research Center, Wilmington, DE, USA.
Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

Yan Zhu (Y)

Nemours Biomedical Research Center, Wilmington, DE, USA.

Lisa Glazewski (L)

Nemours Biomedical Research Center, Wilmington, DE, USA.

Jennifer Holbrook (J)

Nemours Biomedical Research Center, Wilmington, DE, USA.

Meharpreet Sethi (M)

Nemours Biomedical Research Center, Wilmington, DE, USA.

Anne Hesek (A)

Nemours Biomedical Research Center, Wilmington, DE, USA.

Thomas H Shaffer (TH)

Nemours Biomedical Research Center, Wilmington, DE, USA.
Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Lewis Katz School of Medicine Temple University, Philadelphia, PA, USA.

Zubair H Aghai (ZH)

Nemours Biomedical Research Center, Wilmington, DE, USA.
Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

Sankar Addya (S)

Department of Cancer Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA.

Deepthi Alapati (D)

Department of Pediatrics, Nemours AI duPont Hospital for Children, Wilmington, DE, USA. Deepthi.alapati@nemours.org.
Nemours Biomedical Research Center, Wilmington, DE, USA. Deepthi.alapati@nemours.org.
Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA. Deepthi.alapati@nemours.org.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH