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Updated: May 13, 2026

In Vivo Assessment of Alveolar Macrophage Efferocytosis Following Ozone Exposure
Published on: October 22, 2019
Apoptosis inhibitor of macrophage (AIM) expression in alveolar macrophages in COPD
Jun Kojima1, Jun Araya, Hiromichi Hara
1Department of Internal Medicine, Division of Respiratory Diseases, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan.
Background:
Marked accumulation of alveolar macrophages (AM) conferred by apoptosis resistance has been implicated in pathogenesis of chronic obstructive pulmonary disease (COPD). Apoptosis inhibitor of macrophage (AIM), has been shown to be produced by mature tissue macrophages and AIM demonstrates anti-apoptotic property against multiple apoptosis-inducing stimuli. Accordingly, we attempt to determine if AIM is expressed in AM and whether AIM is involved in the regulation of apoptosis in the setting of cigarette smoke extract (CSE) exposure.
Methods:
Immunohistochemical evaluations of AIM were performed. Immunostaining was assessed by counting total and positively staining AM numbers in each case (n = 5 in control, n = 5 in non-COPD smoker, n = 5 in COPD). AM were isolated from bronchoalveolar lavage fluid (BALF). The changes of AIM expression levels in response to CSE exposure in AM were evaluated. Knock-down of anti-apoptotic Bcl-xL was mediated by siRNA transfection. U937 monocyte-macrophage cell line was used to explore the anti-apoptotic properties of AIM.
Results:
The numbers of AM and AIM-positive AM were significantly increased in COPD lungs. AIM expression was demonstrated at both mRNA and protein levels in isolated AM, which was enhanced in response to CSE exposure. AIM significantly increased Bcl-xL expression levels in AM and Bcl-xL was involved in a part of anti-apoptotic mechanisms of AIM in U937 cells in the setting of CSE exposure.
Conclusions:
These results suggest that AIM expression in association with cigarette smoking may be involved in accumulation of AM in COPD.
Insights
Apoptosis inhibitor of macrophage (AIM) accumulates in chronic obstructive pulmonary disease (COPD) lungs, particularly in alveolar macrophages (AM) exposed to cigarette smoke. AIM contributes to AM survival, potentially driving COPD pathogenesis.
Area of Science:
- Pulmonary Medicine
- Immunology
- Cell Biology
Background:
- Alveolar macrophages (AM) accumulation, driven by apoptosis resistance, is linked to chronic obstructive pulmonary disease (COPD) pathogenesis.
- Apoptosis inhibitor of macrophage (AIM) is produced by macrophages and exhibits anti-apoptotic properties.
Purpose of the Study:
- To investigate AIM expression in AM from COPD patients.
- To determine AIM's role in regulating AM apoptosis following cigarette smoke extract (CSE) exposure.
Main Methods:
- Immunohistochemistry to quantify AIM-positive AM in control, non-COPD smoker, and COPD lung tissues.
- Isolation and culture of AM from bronchoalveolar lavage fluid (BALF) for AIM expression analysis.
- Evaluation of AIM's effect on Bcl-xL expression and apoptosis in U937 cells exposed to CSE.
Main Results:
- COPD lungs showed significantly increased numbers of AM and AIM-positive AM.
- AIM expression (mRNA and protein) in AM increased with CSE exposure.
- AIM elevated Bcl-xL expression in AM, contributing to CSE-induced apoptosis resistance.
Conclusions:
- AIM expression is elevated in COPD lungs and associated with cigarette smoking.
- AIM may contribute to AM accumulation in COPD by inhibiting apoptosis.
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Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features
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