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Chronic lung diseases, such as asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis (CF), and bronchiectasis, are characterized by airway inflammation. Airway inflammation is characterized by edema, cellular infiltration, T lymphocyte and mast cell activation, increased airway secretions, and excessive collagen deposition. CF is a multisystem disorder, and its major cause of mortality and morbidity is lung bacterial infection with increasing pulmonary exacerbation. The decline in lung function predicts a significantly poorer outcome1,2,3,4.
The inflammation state of the respiratory tract is usually observed through the evaluation of immunological markers recruited during the inflammatory process in material derived from the lower and upper airways, such as sputum, which provides variable results. Bronchoscopies are also performed5. Murine models are valuable tools for investigating the pathogenesis and evolution of diseases characterized by airway inflammation and for which effective treatments or cures have not yet been identified. Animal models of lung infection and inflammation have been used to study asthma and host-pathogen interactions, including the role of chemicals that simulate human conditions (e.g., cigarette smoke exposure, LPS, elastase, ovalbumin, poly I:C, etc., as well as combinations of the above)6. The measurement of inflammation-related parameters requires the sacrifice of the animals, as invasive approaches are required to measure factors such as bacterial load, cytokines in the lungs, and collected bronchoalveolar lavage (BAL) fluid. Also, histological examinations are often required. The possibility of obtaining information on the inflammatory response kinetics requires the use of numerous mice. Therefore, a technique that would allow for obtaining such information without the need to sacrifice the animals is valuable on technical, ethical, economical, and operational bases.
IL-8 is an essential player in the inflammation process, recruiting leukocytes to the inflamed tissue. It represents a molecular read-out for the study of inflammatory pathway activation. MIP-2 and KC may be functional homologs of human IL-8 in mice. Mice express only one potential IL-8 receptor, a homolog of human CXCR27,8, but they are capable of modulating a heterologous IL-8 gene promoter that drives a reporter gene. A lung inflammation murine model has recently been developed after the observation that a bovine IL-8 promoter/luciferase reporter construct can be transactivated in mice. This feature allows for the utilization of bioluminescence imaging (BLI) to monitor the inflammatory response in living animals9.
This model has been adapted to study inflammation triggered by bacterial exoproducts (e.g., LPS or products released by bacterial strains) or TNFalpha10,11. The drug discovery process is focused on the development and optimization of old and new anti-inflammatory molecules that can treat lung diseases, such as CF, asthma, and COPD. These new chemical entities must be quickly and conveniently tested in animal models that can be linked to specific clinical phenotypes in order to facilitate the design of smart clinical trials.