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Published ahead of print on November 2, 2006, doi:10.1164/rccm.200607-1029OC
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American Journal of Respiratory and Critical Care Medicine Vol 175. pp. 174-183, (2007)
© 2007 American Thoracic Society
doi: 10.1164/rccm.200607-1029OC


Original Article

A Novel Host Defense System of Airways Is Defective in Cystic Fibrosis

Patryk Moskwa, Daniel Lorentzen, Katherine J. D. A. Excoffon, Joseph Zabner, Paul B. McCray, Jr., William M. Nauseef, Corinne Dupuy and Botond Bánfi

Departments of Anatomy and Cell Biology, Internal Medicine, and Pediatrics, and Inflammation Program, Carver College of Medicine, University of Iowa; Department of Veterans Affairs, Iowa City VA Medical Center, Iowa City, Iowa; and Faculté de Pharmacie, Université Paris 11, Châtenay-Malabry, France

Correspondence and requests for reprints should be addressed to Botond Bánfi, M.D., Ph.D., Inflammation Program, University of Iowa, 2501 Crosspark Road, Coralville, IA 52241. E-mail: botond-banfi{at}uiowa.edu

Rationale: The respiratory tract is constantly exposed to airborne microorganisms. Nevertheless, normal airways remain sterile without recruiting phagocytes. This innate immune activity has been attributed to mucociliary clearance and antimicrobial polypeptides of airway surface liquid. Defective airway immunity characterizes cystic fibrosis (CF), a disease caused by mutations in the CF transmembrane conductance regulator, a chloride channel. The pathophysiology of defective immunity in CF remains to be elucidated.

Objective: We investigated the ability of non-CF and CF airway epithelia to kill bacteria through the generation of reactive oxygen species (ROS).

Methods: ROS production and ROS-mediated bactericidal activity were determined on the apical surfaces of human and rat airway epithelia and on cow tracheal explants.

Measurements and Main Results: Dual oxidase enzyme of airway epithelial cells generated sufficient H2O2 to support production of bactericidal hypothiocyanite (OSCN) in the presence of airway surface liquid components lactoperoxidase and thiocyanate (SCN). This OSCN formation eliminated Staphylococcus aureus and Pseudomonas aeruginosa on airway mucosal surfaces, whereas it was nontoxic to the host. In contrast to normal epithelia, CF epithelia failed to secrete SCN, thereby rendering the oxidative antimicrobial system inactive.

Conclusions: These data indicate a novel innate defense mechanism of airways that kills bacteria via ROS and suggest a new cellular and molecular basis for defective airway immunity in CF.

Key Words: innate immunity • airway infection • Duox • reactive oxygen species


AT A GLANCE COMMENTARY

Scientific Knowledge on the Subject
Lactoperoxidase and thiocyanate are secreted into the airway surface liquid. When H2O2 is artificially added (pipetted) to harvested airway surface liquid, lactoperoxidase catalyzes the formation of bactericidal hypothiocyanite by oxidizing thiocyanate.

What This Study Adds to the Field
Airway epithelia generate sufficient H2O2 to support hypothiocyanite production and hypothiocyanite-mediated bacterial killing. This oxidative host defense system is defective in the cystic fibrosis airway epithelium due to insufficient thiocyanate secretion.

 



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