NIEHS Science Days offers insights on inflammation
Inflammation is a protective response the body uses to fight off infection from foreign organisms and to respond to injury caused by the environment. However, when the process persists over a long period of time, illness usually follows.
Attendees at the 2015 NIEHS Science Days were treated to a mini-symposium that discussed connections between inflammation and disease, with insights suggesting that inflammation could be a major player in the origins of certain human diseases.
The role of cholesterol trafficking
The first speaker was Michael Fessler, M.D., deputy chief of the NIEHS Immunity, Inflammation, and Disease Laboratory and head of the Clinical Investigation of Host Defense Group. Fessler discussed how oxysterols, an oxidized form of cholesterol, play a role in clearing inflammation in the lungs. He made the case that oxysterols may be important in acute respiratory distress syndrome, a lung condition with a mortality rate of 25 to 40 percent. Patients with this condition require a ventilator to breathe.
Fessler said cells, including macrophages that destroy invading organisms, avoid cholesterol overload by relying on a transporter called ABCG1 to export cholesterol from the cell. The absence of functioning ABCG1 leads to the inability to remove cholesterol, driving macrophages into a hyperinflammatory state and toward cell death.
Research performed by Fessler’s group found that an oxysterol, called 25-hydroxycholesterol, activates a protein, named liver X receptor (LXR), that is involved in clearing lung inflammation and promoting cholesterol export from cells. "25-hydroxycholesterol seems to be required to activate anti-inflammatory properties of LXR in the lung," Fessler said.
Peripheral nerves in environmental sensing
Sven-Eric Jordt, Ph.D., is interested in how sensory neurons become sensitized during injury and chronic pain conditions, such as inflammation. Jordt is an associate professor in anesthesiology at Duke University School of Medicine and studies transient receptor potential (TRP) channels, a superfamily of proteins involved in the senses of sight, smell, taste, touch, and hearing.
TRPs exist in the trigeminal nerves of the head and connect to the eyes, nose, and mouth. When a person is exposed to an airborne irritant, such as smoke, these nerve endings become excited. TRPs also exist in the dorsal nerves connecting to the skin, where heat and chemical stimuli are sensed.
Jordt said that in cases of chemically-induced inflammation, TRPA1 and sensory nerves promote an inflammatory response. His work has demonstrated that the lungs make peptides that rely on sensory nerves to provide biochemical cues.
"Our hypothesis is that inflammation activates pulmonary neuroepithelial cells, so that they produce neural peptides. The sensory neurons become more sensitive to these peptides, inducing coughing and other symptoms during a pulmonary infection from a pathogen that produces the endotoxin lipopolysaccharide," Jordt said.
Fungi are everywhere
According to Dori Germolec, Ph.D., head of the Systems Toxicology Group in the Toxicology Branch of the National Toxicology Program, mold spores are ubiquitous and are not a concern in healthy individuals unless they reach extremely high levels.
Germolec studies the inflammatory responses that occur after long-term exposure to the mold Aspergillus fumigatus. Colleagues at the National Institute for Occupational Safety and Health in Morgantown, West Virginia built an enclosed exposure system that provides a real-life inhalation exposure scenario. The system, which can be precisely controlled, is used to evaluate potential health effects following mold exposure.
The researchers exposed mice to one of three conditions — an air control, viable spores from A. fumigatus, and heat-inactivated spores, which are considered nonviable. They found that nonviable spores generate some inflammatory responses in rodent lungs, but the viable spores produced a much more potent inflammatory response, which appears to be related to spore germination in the lungs. Germolec explained that the life stages of mold are dependent on temperature and humidity, and spore germination can occur when conditions are optimum for growth.
"Everything we’ve looked at indicates that germination is critical to the development of the allergic response in mice," Germolec said.