2007
DOI: 10.1097/01.tp.0000286040.85007.89
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Alloimmune Lung Injury Induced by Local Innate Immune Activation Through Inhaled Lipopolysaccharide

Abstract: Background-Alloimmune lung injury, characterized by perivascular lymphocytic inflammation, lymphocytic bronchiolitis (LB), and obliterative bronchiolitis (OB), causes substantial morbidity and mortality after lung transplantation and bone marrow transplantation (BMT), but little is known regarding its pathogenesis. We have developed and pursued the hypothesis that local activation of pulmonary innate immunity through toll-like receptor (TLR)-4 is critical to the development of posttransplant alloimmune lung in… Show more

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Cited by 43 publications
(40 citation statements)
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References 25 publications
(30 reference statements)
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“…Tissue-limited TLR effects were also demonstrated in the lung in another murine bone marrow transplant model. Aerosolized administration of LPS resulted in lung GVHD lesions similar to lymphocytic bronchiolitis and obliterative bronchiolitis in a manner dependent on TLR4 expression by donor-derived hematopoietic cells (73). All three reports suggest a role of local inflammation for the recruitment of alloreactive cells to target tissues.…”
Section: Tlrs In the Effector Phase Of Allograft Rejectionmentioning
confidence: 99%
“…Tissue-limited TLR effects were also demonstrated in the lung in another murine bone marrow transplant model. Aerosolized administration of LPS resulted in lung GVHD lesions similar to lymphocytic bronchiolitis and obliterative bronchiolitis in a manner dependent on TLR4 expression by donor-derived hematopoietic cells (73). All three reports suggest a role of local inflammation for the recruitment of alloreactive cells to target tissues.…”
Section: Tlrs In the Effector Phase Of Allograft Rejectionmentioning
confidence: 99%
“…This effect was dependent on TLR4 signaling, and treatment with a TLR4 antagonist could protect against lung injury after allogeneic HSCT. 48 The authors demonstrated that the absence of functional TLR4 in donor-derived hematopoietic cells abrogated the development of pulmonary damage, whereas the presence or absence of TLR4 on recipient structural lung tissue had no impact on lung injury after transplantation. Because the effects were a result of local activation of pulmonary innate immunity, as opposed to systemic innate immunity, the authors concluded that inhalation of LPS can promote the development of alloimmune lung injury after BMT independent from systemic GVHD.…”
mentioning
confidence: 99%
“…In previous studies, LPS was administered intravenously to imitate acute respiratory distress syndrome (ARDS) in different species, such as domestic pigs, rats, and sheep [35][36][37]. Intratracheal instillation was used in Guinea pigs, mice, and rats [38,39] . To our knowledge, there is only one study (Pompe et al) where LPS was administered intratracheally (through aerosol) in the pig [40].…”
Section: This Study Demonstrated That Lps Instillation Results In Lunmentioning
confidence: 99%