Azithromycin reduces airway inflammation induced by human rhinovirus in lung allograft recipients

© 2019 Asian Pacific Society of Respirology Background and objective: Human rhinovirus (RV) is a common upper and lower respiratory pathogen in lung allograft recipients causing respiratory tract exacerbation and contributing towards allograft dysfunction and long-term lung decline. In this study, w...

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Main Authors: Ling, K.M., Hillas, J., Lavender, M.A., Wrobel, J.P., Musk, M., Stick, S.M., Kicic, Anthony
Format: Journal Article
Language:English
Published: 2019
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/76777
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author Ling, K.M.
Hillas, J.
Lavender, M.A.
Wrobel, J.P.
Musk, M.
Stick, S.M.
Kicic, Anthony
author_facet Ling, K.M.
Hillas, J.
Lavender, M.A.
Wrobel, J.P.
Musk, M.
Stick, S.M.
Kicic, Anthony
author_sort Ling, K.M.
building Curtin Institutional Repository
collection Online Access
description © 2019 Asian Pacific Society of Respirology Background and objective: Human rhinovirus (RV) is a common upper and lower respiratory pathogen in lung allograft recipients causing respiratory tract exacerbation and contributing towards allograft dysfunction and long-term lung decline. In this study, we tested the hypothesis that RV could infect both the small and large airways, resulting in significant inflammation. Methods: Matched large and small airway epithelial cells (AEC) were obtained from five lung allograft recipients. Primary cultures were established, and monolayers were infected with RV1b over time with varying viral titre. Cell viability, receptor expression, viral copy number, apoptotic induction and inflammatory cytokine production were also assessed at each region. Finally, the effect of azithromycin on viral replication, induction of apoptosis and inflammation was investigated. Results: RV infection caused significant cytotoxicity in both large AEC (LAEC) and small AEC (SAEC), and induced a similar apoptotic response in both regions. There was a significant increase in receptor expression in the LAEC only post viral infection. Viral replication was elevated in both LAEC and SAEC, but was not significantly different. Prophylactic treatment of azithromycin reduced viral replication and dampened the production of inflammatory cytokines post-infection. Conclusion: Our data illustrate that RV infection is capable of infecting upper and lower AEC, driving cell death and inflammation. Prophylactic treatment with azithromycin was found to mitigate some of the detrimental responses. Findings provide further support for the prophylactic prescription of azithromycin to minimize the impact of RV infection.
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spelling curtin-20.500.11937-767772019-11-11T06:22:36Z Azithromycin reduces airway inflammation induced by human rhinovirus in lung allograft recipients Ling, K.M. Hillas, J. Lavender, M.A. Wrobel, J.P. Musk, M. Stick, S.M. Kicic, Anthony airway epithelium cell biology epithelial cells infection and inflammation viral infection © 2019 Asian Pacific Society of Respirology Background and objective: Human rhinovirus (RV) is a common upper and lower respiratory pathogen in lung allograft recipients causing respiratory tract exacerbation and contributing towards allograft dysfunction and long-term lung decline. In this study, we tested the hypothesis that RV could infect both the small and large airways, resulting in significant inflammation. Methods: Matched large and small airway epithelial cells (AEC) were obtained from five lung allograft recipients. Primary cultures were established, and monolayers were infected with RV1b over time with varying viral titre. Cell viability, receptor expression, viral copy number, apoptotic induction and inflammatory cytokine production were also assessed at each region. Finally, the effect of azithromycin on viral replication, induction of apoptosis and inflammation was investigated. Results: RV infection caused significant cytotoxicity in both large AEC (LAEC) and small AEC (SAEC), and induced a similar apoptotic response in both regions. There was a significant increase in receptor expression in the LAEC only post viral infection. Viral replication was elevated in both LAEC and SAEC, but was not significantly different. Prophylactic treatment of azithromycin reduced viral replication and dampened the production of inflammatory cytokines post-infection. Conclusion: Our data illustrate that RV infection is capable of infecting upper and lower AEC, driving cell death and inflammation. Prophylactic treatment with azithromycin was found to mitigate some of the detrimental responses. Findings provide further support for the prophylactic prescription of azithromycin to minimize the impact of RV infection. 2019 Journal Article http://hdl.handle.net/20.500.11937/76777 10.1111/resp.13550 eng restricted
spellingShingle airway epithelium
cell biology
epithelial cells
infection and inflammation
viral infection
Ling, K.M.
Hillas, J.
Lavender, M.A.
Wrobel, J.P.
Musk, M.
Stick, S.M.
Kicic, Anthony
Azithromycin reduces airway inflammation induced by human rhinovirus in lung allograft recipients
title Azithromycin reduces airway inflammation induced by human rhinovirus in lung allograft recipients
title_full Azithromycin reduces airway inflammation induced by human rhinovirus in lung allograft recipients
title_fullStr Azithromycin reduces airway inflammation induced by human rhinovirus in lung allograft recipients
title_full_unstemmed Azithromycin reduces airway inflammation induced by human rhinovirus in lung allograft recipients
title_short Azithromycin reduces airway inflammation induced by human rhinovirus in lung allograft recipients
title_sort azithromycin reduces airway inflammation induced by human rhinovirus in lung allograft recipients
topic airway epithelium
cell biology
epithelial cells
infection and inflammation
viral infection
url http://hdl.handle.net/20.500.11937/76777