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Published ahead of print on June 7, 2004, doi:10.1164/rccm.200404-511OC
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American Journal of Respiratory and Critical Care Medicine Vol 170. pp. 492-498, (2004)
© 2004 American Thoracic Society
doi: 10.1164/rccm.200404-511OC


Original Article

Tumor Necrosis Factor-{alpha} Drives 70% of Cigarette Smoke–induced Emphysema in the Mouse

Andrew Churg, Rong D. Wang, Hsin Tai, Xiaoshan Wang, Changshi Xie and Joanne L. Wright

Department of Pathology, University of British Columbia, Vancouver, British Columbia, Canada

Correspondence and requests for reprints should be addressed to Andrew Churg, M.D., Department of Pathology, University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC, V6T 2B5 Canada. E-mail: achurg{at}interchange.ubc.ca

Mice lacking tumor necrosis factor-{alpha} (TNF-{alpha}) receptors (TNFRKO mice) do not develop an inflammatory infiltrate or matrix breakdown after a single acute cigarette smoke exposure. To determine the role of TNF-{alpha} in the long-term development of emphysema, mice were exposed to smoke for 6 months. TNFRKO mice demonstrated an 11% increase in mean linear intercept; wild-type mice had a 38% increase. TNFRKO mice had 65% fewer neutrophils and no increase in macrophages in lavage fluid. Whole lung matrix metalloprotease (MMP)-2, MMP-9, MMP-12, MMP-13, and matrix type-1 (MT1)-MMP proteins were increased in wild-type mice, but smaller increases in MMP-12, MMP-13, and MT1-MMP were also seen in TNFRKO mice. Lavage matrix breakdown products were elevated in wild-type mice and only partially reduced by anti-neutrophil antibody, implying both neutrophil- and non–neutrophil-mediated matrix breakdown. We conclude that TNF-{alpha}–mediated processes, probably driving neutrophil influx, are responsible for approximately 70% of airspace enlargement and the majority of inflammatory cell influx/matrix breakdown in the mouse model. TNF-{alpha} causes increased MMP production, but some increased MMP activity is present even in TNFRKO mice. These findings imply a second TNF-{alpha}–independent process, possibly related to direct MMP attack on matrix, that produces the remaining 30% of airspace enlargement.

Key Words: emphysema • macrophage metalloelastase-12 • matrix metalloprotease • tumor necrosis factor-{alpha}




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