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Morphine compromises bronchial epithelial TLR2/IL17R signaling crosstalk, necessary for lung IL17 homeostasis
Santanu Banerjee1, Jana Ninkovic1, Jingjing Meng2
1Surgery, Basic and Translational Research, University of Minnesota, 515 Delaware St SE, Minneapolis, MN, USA.
Abstract:
Opportunistic lung infection and inflammation is a hallmark of chronic recreational/clinical use of morphine. We show that early induction of IL17 from the bronchial epithelium, following pathogenic encounter is a protective response, which contributes to pathogenic clearance and currently attributed to TLR2 activation in immune cells. Concurrent activation of TLR2 and IL17R in bronchial epithelium results in the sequestration of MyD88 (TLR2 adapter) by Act1/CIKS (IL17R adapter), thereby turning off TLR2 signaling to restore homeostasis. Morphine inhibits the early IL17 release and interaction between Act1 and MyD88, leading to decreased pathogenic clearance and sustained inflammation. Hence, we propose that therapeutically targeting either TLR2 or IL17 in bronchial epithelia, in the context of morphine, can restore inflammatory homeostasis.
Insights
Morphine disrupts protective lung inflammation by inhibiting IL-17 release, impairing pathogen clearance. Targeting TLR2 or IL-17 pathways may restore immune balance during chronic morphine use.
Area of Science:
- Immunology
- Pulmonology
- Pharmacology
Background:
- Chronic morphine use is linked to opportunistic lung infections and inflammation.
- Interleukin-17 (IL-17) from bronchial epithelium is a key early defense against lung pathogens.
- Toll-like receptor 2 (TLR2) activation in immune cells contributes to this protective response.
Purpose of the Study:
- To investigate the mechanism by which morphine affects IL-17-mediated lung inflammation.
- To explore the interaction between TLR2 and IL-17 receptor (IL-17R) signaling in bronchial epithelium.
- To identify potential therapeutic targets for mitigating morphine-induced lung inflammation.
Main Methods:
- Investigated the role of IL-17 induction in bronchial epithelium following pathogenic encounters.
- Examined the interplay between TLR2 and IL-17R signaling pathways.
- Assessed the effect of morphine on IL-17 release and adapter protein interactions (MyD88, Act1/CIKS).
Main Results:
- Early IL-17 induction by bronchial epithelium is crucial for pathogen clearance.
- Concurrent TLR2 and IL-17R activation leads to MyD88 sequestration by Act1/CIKS, resolving inflammation.
- Morphine inhibits early IL-17 release and Act1-MyD88 interaction, impairing pathogen clearance and causing sustained inflammation.
Conclusions:
- Morphine disrupts the natural resolution of lung inflammation by interfering with TLR2 and IL-17 signaling.
- Therapeutic targeting of TLR2 or IL-17 in bronchial epithelia could restore inflammatory homeostasis in morphine users.
- This research offers insights into managing lung complications associated with chronic morphine use.
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