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Updated: May 23, 2026

Assessment of the Cytotoxic and Immunomodulatory Effects of Substances in Human Precision-cut Lung Slices
Published on: May 9, 2018
Streptococcus pneumoniae-induced regulation of cyclooxygenase-2 in human lung tissue
Kolja V Szymanski1, Mario Toennies, Anne Becher
1Dept of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité – Universitätsmedizin Berlin, Berlin, Germany.
Abstract:
The majority of cases of community-acquired pneumonia are caused by Streptococcus pneumoniae and most studies on pneumococcal host interaction are based on cell culture or animal experiments. Thus, little is known about infections in human lung tissue. Cyclooxygenase-2 and its metabolites play an important regulatory role in lung inflammation. Therefore, we established a pneumococcal infection model on human lung tissue demonstrating mitogen-activated protein kinase (MAPK)-dependent induction of cyclooxygenase-2 and its related metabolites. In addition to alveolar macrophages and the vascular endothelium, cyclooxygenase-2 was upregulated in alveolar type II but not type I epithelial cells, which was confirmed in lungs of patients suffering from acute pneumonia. Moreover, we demonstrated the expression profile of all four E prostanoid receptors at the mRNA level and showed functionality of the E prostanoid(4) receptor by cyclic adenosine monophosphate production. Additionally, in comparison to previous studies, cyclooxygenase-2/prostaglandin E(2) related pro- and anti-inflammatory mediator regulation was partly confirmed in human lung tissue after pneumococcal infection. Overall, cell type-specific and MAPK-dependent cyclooxygenase-2 expression and prostaglandin E(2) formation in human lung tissue may play an important role in the early phase of pneumococcal infections.
Insights
This study reveals how Streptococcus pneumoniae infection impacts human lung tissue, focusing on cyclooxygenase-2 (COX-2) and prostaglandin E2 (PGE2) pathways. Findings highlight COX-2
Area of Science:
- Pulmonary Medicine
- Inflammation Research
- Microbiology
Background:
- Community-acquired pneumonia is often caused by Streptococcus pneumoniae.
- Most research on pneumococcal infections uses cell cultures or animal models, limiting understanding of human lung tissue responses.
- Cyclooxygenase-2 (COX-2) and its metabolites are key regulators of lung inflammation.
Purpose of the Study:
- To establish a human lung tissue model for pneumococcal infection.
- To investigate the role of COX-2 and its metabolites in pneumococcal lung infections.
- To identify specific cell types involved in the inflammatory response.
Main Methods:
- Developed a pneumococcal infection model using human lung tissue.
- Analyzed cyclooxygenase-2 (COX-2) expression in various lung cells (alveolar macrophages, vascular endothelium, alveolar type I and II epithelial cells).
- Confirmed COX-2 upregulation in lungs from patients with acute pneumonia.
- Assessed E prostanoid receptor expression and functionality (cyclic adenosine monophosphate production).
Main Results:
- Demonstrated mitogen-activated protein kinase (MAPK)-dependent induction of COX-2 and its metabolites in human lung tissue during pneumococcal infection.
- Found COX-2 upregulation in alveolar type II epithelial cells, alveolar macrophages, and vascular endothelium, but not type I epithelial cells.
- Confirmed COX-2 upregulation in lung tissue from human pneumonia patients.
- Showed expression of all four E prostanoid receptors and functional E prostanoid(4) receptor activity.
- Partially confirmed previous findings on COX-2/prostaglandin E2 (PGE2) mediated inflammatory regulation.
Conclusions:
- Cell type-specific and MAPK-dependent COX-2 expression and PGE2 formation in human lung tissue are crucial in the early stages of pneumococcal infections.
- This model provides insights into human-specific inflammatory mechanisms during pneumonia.
- Further research into these pathways could lead to targeted therapies for pneumococcal pneumonia.
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