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      The composition of cigarette smoke determines inflammatory cell recruitment to the lung in COPD mouse models

      research-article
      * , * , , , , , § , * , * , , * , §
      Clinical Science (London, England : 1979)
      Portland Press Ltd.
      chronic obstructive pulmonary disease (COPD), inflammation, mainstream, neutrophil, sidestream, smoke, BAL, bronchoalveolar lavage, CC, carbonyl compounds, CMD, count median diameter, CO-Hb, carboxyhaemoglobin, COPD, chronic obstructive pulmonary disease, CS, cigarette smoke, DNPH, 2,4-dinitrophenylhydrazine, GC-SIM-MS, gas-chromatography with selective ion monitoring MS, GM-CSF, granulocyte macrophage colony-stimulating factor, HO, haem oxygenase, H&E, haematoxylin and eosin, HPRT-1, hypoxanthine–guanine phosphoribosyltransferase, IFNβ, interferon β, IL-1β, interleukin 1β, KC, keratinocyte chemoattractant, LPS, lipopolysaccharide, MCP-1, monocyte chemoattractant protein-1, MIP, macrophage inflammatory protein, MMD, mass median diameter, MMP12, matrix metalloproteinase 12, NE, neutrophil elastase, NF-κB, nuclear factor κB, PAH, polycyclic aromatic hydrocarbons, PM, particulate matter, TNF-α, tumour necrosis factor α, TPM, total particulate matter

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          Abstract

          COPD (chronic obstructive pulmonary disease) is caused by exposure to toxic gases and particles, most often CS (cigarette smoke), leading to emphysema, chronic bronchitis, mucus production and a subsequent decline in lung function. The disease pathogenesis is related to an abnormal CS-induced inflammatory response of the lungs. Similar to active (mainstream) smoking, second hand (sidestream) smoke exposure severely affects respiratory health. These processes can be studied in vivo in models of CS exposure of mice. We compared the acute inflammatory response of female C57BL/6 mice exposed to two concentrations [250 and 500 mg/m 3 TPM (total particulate matter)] of sidestream and mainstream CS for 3 days and interpreted the biological effects based on physico-chemical differences in the gas and particulate phase composition of CS. BAL (bronchoalveolar lavage fluid) was obtained to perform differential cell counts and to measure cytokine release. Lung tissue was used to determine mRNA and protein expression of proinflammatory genes and to assess tissue inflammation. A strong acute inflammatory response characterized by neutrophilic influx, increased cytokine secretion [KC (keratinocyte chemoattractant), TNF-α (tumour necrosis factor α), MIP-2 (macrophage inflammatory protein 2), MIP-1α and MCP-1 (monocyte chemoattractant protein-1)], pro-inflammatory gene expression [KC, MIP-2 and MMP12 (matrix metalloproteinase 12)] and up-regulated GM-CSF (granulocyte macrophage colony-stimulating factor) production was observed in the mainstream model. After sidestream exposure there was a dampened inflammatory reaction consisting only of macrophages and diminished GM-CSF levels, most likely caused by elevated CO concentrations. These results demonstrate that the composition of CS determines the dynamics of inflammatory cell recruitment in COPD mouse models. Different initial inflammatory processes might contribute to COPD pathogenesis in significantly varying ways, thereby determining the outcome of the studies.

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          Most cited references59

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          Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary.

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            50-year trends in smoking-related mortality in the United States.

            The disease risks from cigarette smoking increased in the United States over most of the 20th century, first among male smokers and later among female smokers. Whether these risks have continued to increase during the past 20 years is unclear. We measured temporal trends in mortality across three time periods (1959-1965, 1982-1988, and 2000-2010), comparing absolute and relative risks according to sex and self-reported smoking status in two historical cohort studies and in five pooled contemporary cohort studies, among participants who became 55 years of age or older during follow-up. For women who were current smokers, as compared with women who had never smoked, the relative risks of death from lung cancer were 2.73, 12.65, and 25.66 in the 1960s, 1980s, and contemporary cohorts, respectively; corresponding relative risks for male current smokers, as compared with men who had never smoked, were 12.22, 23.81, and 24.97. In the contemporary cohorts, male and female current smokers also had similar relative risks for death from chronic obstructive pulmonary disease (COPD) (25.61 for men and 22.35 for women), ischemic heart disease (2.50 for men and 2.86 for women), any type of stroke (1.92 for men and 2.10 for women), and all causes combined (2.80 for men and 2.76 for women). Mortality from COPD among male smokers continued to increase in the contemporary cohorts in nearly all the age groups represented in the study and within each stratum of duration and intensity of smoking. Among men 55 to 74 years of age and women 60 to 74 years of age, all-cause mortality was at least three times as high among current smokers as among those who had never smoked. Smoking cessation at any age dramatically reduced death rates. The risk of death from cigarette smoking continues to increase among women and the increased risks are now nearly identical for men and women, as compared with persons who have never smoked. Among men, the risks associated with smoking have plateaued at the high levels seen in the 1980s, except for a continuing, unexplained increase in mortality from COPD.
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              Chronic obstructive pulmonary disease: molecular and cellular mechanisms.

              Chronic obstructive pulmonary disease is a leading cause of death and disability, but has only recently been extensively explored from a cellular and molecular perspective. There is a chronic inflammation that leads to fixed narrowing of small airways and alveolar wall destruction (emphysema). This is characterised by increased numbers of alveolar macrophages, neutrophils and cytotoxic T-lymphocytes, and the release of multiple inflammatory mediators (lipids, chemokines, cytokines, growth factors). A high level of oxidative stress may amplify this inflammation. There is also increased elastolysis and evidence for involvement of several elastolytic enzymes, including serine proteases, cathepsins and matrix metalloproteinases. The inflammation and proteolysis in chronic obstructive pulmonary disease is an amplification of the normal inflammatory response to cigarette smoke. This inflammation, in marked contrast to asthma, appears to be resistant to corticosteroids, prompting a search for novel anti-inflammatory therapies that may prevent the relentless progression of the disease.
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                Author and article information

                Journal
                Clin Sci (Lond)
                Clin. Sci
                cls
                CS
                Clinical Science (London, England : 1979)
                Portland Press Ltd.
                0143-5221
                1470-8736
                23 July 2013
                9 October 2013
                1 February 2014
                : 126
                : Pt 3
                : 207-221
                Affiliations
                *Comprehensive Pneumology Center, Institute of Lung Biology and Disease, Helmholtz Zentrum München, Member of the German Center for Lung Research, Ingolstädter Landstr. 1, 85764 Neuherberg, Germany
                †Joint Mass Spectrometry Centre of Helmholtz Zentrum München and University of Rostock, Comprehensive Molecular Analytics, Helmholtz Zentrum München, Ingolstädter Landstr. 1, 85764 Neuherberg, Germany
                ‡Klinikum der Universität München, Max-Lebsche-Platz 31, 81377 München, Germany
                §HICE–Helmholtz Virtual Institute of Complex Molecular Systems in Environmental Health-Aerosols and Health
                Author notes
                Correspondence: Dr Ali Önder Yildirim (email oender.yildirim@ 123456helmholtz-muenchen.de ).
                Article
                CS20130117
                10.1042/CS20130117
                3906955
                23875733
                6641356d-cc24-4405-9508-48da7b083805
                © 2014 The author(s) has paid for this article to be freely available under the terms of the Creative Commons Attribution Licence (CC-BY)(http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 28 March 2013
                : 18 July 2013
                : 23 July 2013
                Page count
                Figures: 7, Tables: 5, References: 59, Pages: 15
                Categories
                Original Paper
                S8
                S3

                Medicine
                neutrophil,sidestream,mmp12, matrix metalloproteinase 12,dnph, 2,4-dinitrophenylhydrazine,bal, bronchoalveolar lavage,hprt-1, hypoxanthine–guanine phosphoribosyltransferase,tpm, total particulate matter,mainstream,cmd, count median diameter,gm-csf, granulocyte macrophage colony-stimulating factor,ifnβ, interferon β,copd, chronic obstructive pulmonary disease,gc-sim-ms, gas-chromatography with selective ion monitoring ms,smoke,ho, haem oxygenase,pah, polycyclic aromatic hydrocarbons,ne, neutrophil elastase,tnf-α, tumour necrosis factor α,cs, cigarette smoke,cc, carbonyl compounds,kc, keratinocyte chemoattractant,mmd, mass median diameter,mcp-1, monocyte chemoattractant protein-1,il-1β, interleukin 1β,pm, particulate matter,co-hb, carboxyhaemoglobin,chronic obstructive pulmonary disease (copd),nf-κb, nuclear factor κb,mip, macrophage inflammatory protein,inflammation,h&e, haematoxylin and eosin,lps, lipopolysaccharide

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