Published online
doi:10.1084/jem.20070494
The Journal of Experimental Medicine, Vol. 204, No. 8, 1901-1909
The Rockefeller University Press, 0022-1007 $30.00
© Benarafa et al.
The neutrophil serine protease inhibitor serpinb1 preserves lung defense functions in Pseudomonas aeruginosa infection
Charaf Benarafa1,2,
Gregory P. Priebe3,4, and
Eileen Remold-O'Donnell1,2
1 CBR Institute for Biomedical Research and 2 Department of Pediatrics, Harvard Medical School, Boston, MA 02115
3 Channing Laboratory, Brigham and Women's Hospital and 4 Department of Anesthesia (Critical Care Medicine) and Department of Medicine (Infectious Diseases), Children's Hospital Boston, Boston, MA 02115
CORRESPONDENCE Charaf Benarafa: benarafa{at}cbr.med.harvard.edu
Neutrophil serine proteases (NSPs; elastase, cathepsin G, and proteinase-3) directly kill invading microbes. However, excess NSPs in the lungs play a central role in the pathology of inflammatory pulmonary disease. We show that serpinb1, an efficient inhibitor of the three NSPs, preserves cell and molecular components responsible for host defense against Pseudomonas aeruginosa. On infection, wild-type (WT) and serpinb1-deficient mice mount similar early responses, including robust production of cytokines and chemokines, recruitment of neutrophils, and initial containment of bacteria. However, serpinb1–/– mice have considerably increased mortality relative to WT mice in association with late-onset failed bacterial clearance. We found that serpinb1-deficient neutrophils recruited to the lungs have an intrinsic defect in survival accompanied by release of neutrophil protease activity, sustained inflammatory cytokine production, and proteolysis of the collectin surfactant protein–D (SP-D). Coadministration of recombinant SERPINB1 with the P. aeruginosa inoculum normalized bacterial clearance in serpinb1–/– mice. Thus, regulation of pulmonary innate immunity by serpinb1 is nonredundant and is required to protect two key components, the neutrophil and SP-D, from NSP damage during the host response to infection.
Abbreviations used: AnV, annexin V; BAL, bronchoalveolar; CG, cathepsin G; ES, embryonic stem; FSC, forward scatter; hpf, high power field; KC, keratino cyte-derived chemokine; MPO, myeloperoxidase; NE, neutrophil elastase; NSP, neutrophil serine protease; PI, propidium iodide; rrSP-D, recombinant rat SP-D; SP-D, surfactant protein–D; TSA, tryptic soy agar.

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