Eosinophils and T lymphocytes possess distinct roles in bleomycin-induced lung injury and fibrosis

J Immunol. 2003 Nov 15;171(10):5470-81. doi: 10.4049/jimmunol.171.10.5470.

Abstract

Leukocyte infiltration is characteristic of lung injury and fibrosis, and its role during tissue repair and fibrosis is incompletely understood. We found that overexpression of IL-5 in transgenic mice (IL-5(TG)) or by adenoviral gene transfer increased bleomycin (blm)-induced lung injury, fibrosis, and eosinophilia. Surprisingly, blm-treated IL-5-deficient (IL-5(-/-)) mice also developed pronounced pulmonary fibrosis but characterized by marked T lymphocyte infiltration and absence of eosinophilia. In both murine strains however, induction of lung TGF-beta expression was evident. Purified lung eosinophils from blm-treated IL-5(TG) mice stimulated alpha-smooth muscle actin and collagen expression in mouse lung fibroblasts, without affecting proliferation. Furthermore instillation of purified eosinophils into murine lungs resulted in extension of blm-induced lung fibrosis, thus confirming a role for eosinophils. However, lung T lymphocytes from blm-treated IL-5(-/-) mice were able to stimulate fibroblast proliferation but not alpha-smooth muscle actin or collagen expression. Blocking T cell influx by anti-CD3 Abs abrogated lung fibrosis, thus also implicating T lymphocytes as a key participant in fibrosis. Pulmonary fibrosis in IL-5(TG) mice was preferentially associated with type 2 cytokines (IL-4 and IL-13), whereas fibrotic lesions in IL-5(-/-) animals were accompanied by proinflammatory cytokine (TNF-alpha, IL-1beta, and IFN-gamma) expression. We suggest that eosinophils and T cells contribute distinctly to the development of blm-induced lung fibrosis potentially via their production of different cytokine components, which ultimately induce TGF-beta expression that is intimately involved with the fibrosis.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antibodies, Monoclonal / administration & dosage
  • Bleomycin* / administration & dosage
  • CD3 Complex / immunology
  • Cell Separation
  • Cells, Cultured
  • Coculture Techniques
  • Cytokines / biosynthesis
  • Cytokines / classification
  • Disease Models, Animal
  • Eosinophils / immunology*
  • Eosinophils / metabolism
  • Eosinophils / pathology
  • Eosinophils / transplantation
  • Genetic Vectors / administration & dosage
  • Inflammation / chemically induced
  • Inflammation / genetics
  • Inflammation / immunology
  • Interleukin-5 / administration & dosage
  • Interleukin-5 / biosynthesis
  • Interleukin-5 / deficiency
  • Interleukin-5 / genetics
  • Lung / drug effects
  • Lung / immunology
  • Lung / pathology*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mice, Transgenic
  • Pulmonary Eosinophilia / chemically induced
  • Pulmonary Eosinophilia / genetics
  • Pulmonary Eosinophilia / immunology
  • Pulmonary Eosinophilia / pathology
  • Pulmonary Fibrosis / chemically induced*
  • Pulmonary Fibrosis / genetics
  • Pulmonary Fibrosis / immunology
  • Pulmonary Fibrosis / pathology*
  • T-Lymphocyte Subsets / immunology*
  • T-Lymphocyte Subsets / metabolism
  • T-Lymphocyte Subsets / pathology
  • Th2 Cells / immunology
  • Th2 Cells / metabolism

Substances

  • Antibodies, Monoclonal
  • CD3 Complex
  • Cytokines
  • Interleukin-5
  • Bleomycin