Eur J Clin Invest 2012; 42 (9): 1010–1015
Abstract
Background Chronic obstructive pulmonary disease (COPD) is characterized by high levels of antiviral type 1 cytokine interferon‐γ and activated CD8+ T cells. COPD exacerbations are the major cause of morbidity and mortality, have a prolonged and intense effect on quality of life and may result in accelerated loss of lung function. Respiratory virus infections, frequently within a state of colonization by bacteria, are the major cause of COPD exacerbations, and there is also evidence of virus latency in ‘stable’ disease, suggesting that latent infection might be a cause of chronic inflammation in COPD.
Design This is an update of current literature concerning the role of interleukin‐15 and major histocompatibility complex class I‐related chain A and B molecules in type 1 immune responses, particularly to respiratory virus infections, which are the main cause of COPD exacerbations. We also present data from our own group suggesting a role for interleukin‐15 in virus‐induced COPD exacerbations.
Results Type 1 cytokine interleukin‐15 is produced by resident airway cells (epithelial cells and macrophages) in response to virus infection and bacteria. Virus infections modulate major histocompatibility complex class I‐related chain A and B molecules in respiratory epithelial cells.
Conclusions Interleukin‐15 could play a major role in the airway inflammation in COPD directly, via its own receptors, by amplifying the type 1 immune responses and decreasing apoptosis or indirectly, via modulating molecules associated with cytotoxic activity of natural killer and CD8+ T cells, such as major histocompatibility complex class I‐related chain A and B.