title: Club cell secretory protein improves survival in a murine obliterative bronchiolitis model.
abstract: Club cell secretory protein (CCSP) is an indirect phospholipase A2 inhibitor with some immunosuppressive and antiproliferative properties that is expressed in bronchiolar Club cells. In our murine bone marrow transplant (BMT) model of obliterative bronchiolitis (OB), CCSP is diminished; however, its role is unknown. To determine the role of CCSP, B6 wild-type (WT) or CCSP-deficient (CCSP(-/-)) mice were lethally conditioned and given allogeneic bone marrow with a sublethal dose of allogeneic splenic T cells to induce OB. We found that CCSP(-/-) mice demonstrated a higher mortality following BMT-induced OB compared with WT mice. Mice were analyzed 60 days post-BMT for protein expression, pulmonary function, and histology. CCSP levels were reduced in WT mice with BMT-induced OB, and lower levels correlated to decreased lung compliance. CCSP(-/-) had a higher degree of injury and fibrosis as measured by hydroxy proline, along with an increased lung resistance and the inflammatory markers, leukotriene B4 and CXCL1. Replacement with recombinant intravenous CCSP partially reversed the weight loss and improved survival in the CCSP(-/-) mice. In addition, CCSP replacement improved histology and decreased inflammatory cells and markers. These findings indicate that CCSP has a regulatory role in OB and may have potential as a preventive therapy.
authors.affiliation: 1 Veterans Dr., Minneapolis, MN 55417. wendt005@umn.edu.
authors.forename: Christine
authors.initials: C
authors.lastname: Wendt
authors.forename: Kevin
authors.initials: K
authors.lastname: Tram
authors.forename: Andrew
authors.initials: A
authors.lastname: Price
authors.forename: Kristen
authors.initials: K
authors.lastname: England
authors.forename: Andrew
authors.initials: A
authors.lastname: Stiehm
authors.forename: Angela
authors.initials: A
authors.lastname: Panoskaltsis-Mortari
mesh_terms: D000818:Animals; D016025:Bone Transplantation / Q000009:adverse effects*; D001989:Bronchiolitis Obliterans / Q000401:mortality* / Q000473:pathology / Q000503:physiopathology*; D004195:Disease Models, Animal; D008168:Lung / Q000473:pathology / Q000502:physiology*; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D012129:Respiratory Function Tests; D013154:Spleen / Q000166:cytology; D015996:Survival Rate; D014598:Uteroglobin / Q000235:genetics / Q000502:physiology*
chemical_list: C556390:Scgb1a1 protein, mouse; D014598:Uteroglobin
keywords: Club cell secretory protein; bone marrow transplant; obliterative bronchiolitis