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P2X7 receptor signaling in the pathogenesis of smoke-induced lung inflammation and emphysema.

Abstract
Extracellular ATP is up-regulated in the airways of patients with chronic obstructive pulmonary disease, and may contribute to the pathogenesis of the disease. However, the precise mechanisms are poorly understood. Our objective was to investigate the functional role of the ATP receptor P2X(7) in the pathogenesis of cigarette smoke (CS)-induced lung inflammation and emphysema in vivo. Expression of the P2X(7) receptor (P2X(7)R) was measured in lung tissue und immune cells of mice with CS-induced lung inflammation. In a series of experiments using P2X(7) antagonists and genetically engineered mice, the functional role of the P2X(7)R in CS-induced lung inflammation was explored. CS-induced inflammation was associated with an up-regulation of the P2X(7)R on blood and airway neutrophils, alveolar macrophages, and in whole lung tissue. Selective intrapulmonary inhibition of the P2X(7)R reduced CS-induced lung inflammation and prevented the development of emphysema. Accordingly, P2X(7)R knockout mice showed a reduced pulmonary inflammation after acute CS exposure. Experiments with P2X(7)R chimera animals revealed that immune cell P2X(7)R expression plays an important role in CS-induced lung inflammation and emphysema. Extracellular ATP contributes to the development of CS-induced lung inflammation and emphysema via activation of the P2X(7)R. Inhibition of this receptor may be a new therapeutic target for the treatment of chronic obstructive pulmonary disease.
AuthorsMonica Lucattelli, Sanja Cicko, Tobias Müller, Marek Lommatzsch, Giovanna De Cunto, Silvia Cardini, William Sundas, Melanie Grimm, Robert Zeiser, Thorsten Dürk, Gernot Zissel, Stephan Sorichter, Davide Ferrari, Francesco Di Virgilio, J Christian Virchow, Giuseppe Lungarella, Marco Idzko
JournalAmerican journal of respiratory cell and molecular biology (Am J Respir Cell Mol Biol) Vol. 44 Issue 3 Pg. 423-9 (Mar 2011) ISSN: 1535-4989 [Electronic] United States
PMID20508069 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Receptors, Purinergic P2X7
  • Smoke
  • Adenosine Triphosphate
Topics
  • Adenosine Triphosphate (metabolism)
  • Animals
  • Bronchoalveolar Lavage Fluid
  • Disease Models, Animal
  • Emphysema (metabolism)
  • Flow Cytometry (methods)
  • Humans
  • Inflammation (metabolism)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Receptors, Purinergic P2X7 (metabolism)
  • Reverse Transcriptase Polymerase Chain Reaction
  • Signal Transduction
  • Smoke
  • Smoking (adverse effects)

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