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*BLEOMYCIN
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*Pulmonary Fibrosis
The Journal of Immunology, 2003, 171: 5470-5481.
Copyright © 2003 by The American Association of Immunologists

Eosinophils and T Lymphocytes Possess Distinct Roles in Bleomycin-Induced Lung Injury and Fibrosis 1

Francois Huaux*,{dagger}, Tianju Liu*, Bridget McGarry*, Matt Ullenbruch*, Zhou Xing{ddagger} and Sem H. Phan2,*

* Department of Pathology, University of Michigan, Ann Arbor, MI 48109-0602; {dagger} Unit of Industrial Toxicology and Occupational Medicine, Université Catholique de Louvain, Brussels, Belgium; and {ddagger} Department of Pathology, McMaster University, Hamilton, Ontario, Canada

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-5TG) 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-5TG 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-5TG 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-1{beta}, 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.




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