In models of acute lung injury, CXC chemokine receptor 2 (CXCR2) mediates migration of polymorphonuclear leukocytes (PMNs) into the lung. Since CXCR2 ligands, including CXCL1 and CXCL2/3, are chemotactic for PMNs, CXCR2 is thought to recruit PMNs by inducing chemotactic migration. In a model of PMN recruitment to the lung, aerosolized bacterial LPS inhalation induced PMN recruitment to the lung in wild-type mice, but not in littermate CXCR2 -/-mice. Surprisingly, lethally irradiated wild-type mice reconstituted with CXCR2 -/-BM still showed about 50% PMN recruitment into bronchoalveolar lavage fluid and into lung interstitium, but CXCR2 -/-mice reconstituted with CXCR2 -/-BM showed no PMN recruitment. Conversely, CXCR2 -/-mice reconstituted with wild-type BM showed a surprisingly large defect in PMN recruitment, inconsistent with a role of CXCR2 on PMNs alone. Cell culture, immunohistochemistry, flow cytometry, and real-time RT-PCR were used to show expression of CXCR2 on pulmonary endothelial and bronchial epithelial cells. The LPS-induced increase in lung microvascular permeability as measured by Evans blue extravasation required CXCR2 on nonhematopoietic cells. Our data revealed what we believe to be a previously unrecognized role of endothelial and epithelial CXCR2 in LPS-induced PMN recruitment and lung injury.
IntroductionAcute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are clinical syndromes characterized by an excessive inflammatory response to both pulmonary and extrapulmonary stimuli that ultimately leads to a disruption of alveolar-capillary integrity with severe consequences for pulmonary gas exchange. Both ALI and ARDS are still associated with a high mortality, and a specific therapy is not available (1).Recruitment of neutrophils (polymorphonuclear leukocytes; PMNs) into the lung is a key event in the early development of ALI and ARDS, as previously demonstrated in neutropenic animals and humans (2, 3). PMN recruitment into the lung occurs in a cascade-like sequence of activation, sequestration in pulmonary vessels, and transendothelial (from blood to interstitium) and transepithelial (from interstitium to alveolar airspace) migration (4). Although interactions between leukocytes and endothelium have been well characterized in the systemic microcirculation, molecular requirements in the lung are not completely understood. Depending on the injury model and stimulus, adhesion molecules on leukocytes and endothelium may or may not be involved due to unique properties of the pulmonary microcirculation (5). Each migration step is regulated by distinct molecules (6), and the importance of investigating discrete steps of PMN migration in the lung has been emphasized (7).CXCR2 is a 7-transmembrane G protein-coupled receptor that is activated by CXC chemokines containing the ELR (GluLeu-Arg) motif, including murine CXCL1 (keratinocyte-derived