Chronic exposure to diesel particles worsened emphysema and increased M2-like phenotype macrophages in a PPE-induced

Alyne Riani Moreira1, Thamyres Barros Pereira de Castro2,3, Júlia Benini Kohler1

  • 1Department of Clinical Medicine (LIM 20), School of Medicine, University of Sao Paulo, Sao Paulo, Brazil.

Plos One
|February 1, 2020
PubMed

Insights

Chronic air pollution and lung injury increase M2 macrophages, worsening emphysema. Ineffective efferocytosis by these macrophages contributes to disease progression, highlighting a key mechanism in respiratory illness.

Area of Science:

  • Pulmonary immunology
  • Environmental toxicology
  • Cell biology

Background:

  • Chronic air pollution exacerbates respiratory illnesses by increasing inflammation and apoptosis in lung tissues.
  • Ineffective efferocytosis (clearance of apoptotic cells) by macrophages is a key factor in these pathological processes.
  • Macrophages exhibit diverse phenotypes (M1 proinflammatory, M2 efferocytosis/anti-inflammatory) influenced by microenvironmental cues.

Purpose of the Study:

  • To investigate how air pollutant exposure affects macrophage polarization during emphysema development.
  • To evaluate macrophage phenotypes in a porcine pancreatic elastase (PPE)-induced emphysema model with diesel exhaust particle (DEP) exposure.

Main Methods:

  • C57BL/6 mice were induced with emphysema using intranasal PPE or saline.
  • Groups were exposed to diesel exhaust particles (DEP) or filtered air for 60 days.
  • Macrophage phenotypes (M1/M2), apoptosis (Caspase-3), and lung tissue/BAL cell counts were analyzed via RT-PCR, flow cytometry, and histology.

Main Results:

  • Both DEP exposure and PPE instillation increased alveolar enlargement, fibrosis, and inflammatory cell counts in bronchoalveolar lavage (BAL).
  • Combined PPE and DEP exposure exacerbated these responses, along with increased apoptosis (Caspase-3 positive cells).
  • An increase in M2 macrophage phenotype markers was observed, while M1 markers showed no significant difference.

Conclusions:

  • Chronic DEP exposure and PPE instillation induce inflammation, apoptosis, and emphysema, with combined exposure worsening these effects.
  • The study observed a shift towards M2 macrophages, likely due to increased efferocytosis demand.
  • Despite the M2 predominance, efferocytosis remained ineffective, leading to emphysema progression and symptom exacerbation.

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