Background
These studies examined the impact of environmental tobacco smoke (ETS) and active smoking on sinonasal dendritic cell (DCs) subsets in controls or patients with chronic rhinosinusitis with nasal polyps (CRSwNP). In subsequent in vitro investigations, we examined the influence of cigarette smoke extract (CSE) on human sinonasal epithelial cells’ (HSNECs) ability to regulate DC functions.
Methods
Sinonasal tissue, blood and hair were collected from patients undergoing sinus surgery. Smoking status and ETS exposure were determined by hair nicotine. DC subsets were examined by flow cytometric analysis. Monocyte-derived dendritic cells (moDCs) were treated with conditioned medium from non-smoked exposed HSNEC (NS-HSNEC) or cigarette smoke extract-exposed HSNEC (CSE-HSNEC) to assess the impact of CSE exposure on HSNEC regulation of moDCs functions.
Results
Control subjects who were active smokers displayed increased sinonasal moDC and mDC1 and reduced mDC2 cells, while in those with CRSwNP only moDC and mDC2 were altered. ETS was found to increase only moDCs in patients with CRSwNP. In vitro, CSE stimulated HSNEC secretion of the moDC regulatory products CCL20, PGE2 and GM-CSF. CSE-exposure also promoted HSNECs to stimulate monocyte and moDC migration. MoDCs treated with CSE-HSNEC media stimulated an increase in antigen uptake and expression of CD80 and CD86. Lastly, CSE-HSNEC treated moDCs secreted increased levels of IL-10, IFN-γ and TSLP compared
Conclusions
Active smoking and to a lesser degree ETS, alters the sinonasal composition of DCs. A potential mechanism to account for this is that cigarette smoke stimulates HSNEC to induce moDC migration, maturation and activation.