Establishment of human lung infection model in vitro and mechanisms of NTHi-induced inflammatory responses

AIM: To investigate the key signal pathways of inflammatory responses in lung tissues induced by the infection of nontypeable Haemophilus influenzae(NTHi). METHODS: Human lung tissues were co-incubated with NTHi (10¹⁰ CFU/L) for 4 h and 24 h, respectively. The phosphorylation of p38 mitogen-activated protein kinase (MAPK) was detected by Western blotting. The nuclear translocation of nuclear factor (NF)-κB was examined by electrophoretic mobility shift assay (EMSA). The expression of Toll-like receptor (TLR) 2 was measured by real-time quantitative RT-PCR, and the level of interleukin (IL)-8 was detected by enzyme-linked immunosorbent assay (ELISA). Furthermore, lung tissues were incubated with anti-TLR2 monoclonal antibody (5 mg/L), p38 MAPK inhibitor SB203580 (20 μmol/L), or NF-κB inhibitor PDTC (25 μmol/L) for 2 h, then stimulated with NTHi (10¹⁰ CFU/L) for another 24 h. The supernatants were collected for IL-8 detection. RESULTS: The TLR2-p38 MAPK-NF-κB signaling pathway in lung tissues was rapidly activated 4 h after NTHi stimulation. IL-8 secreted from lung tissues infected with NTHi was significantly increased compared with uninfected lungs (P<0.05). The pre-incubation with anti-TLR2 antibody, p38 MAPK inhibitor or NF-κB inhibitor markedly decreased IL-8 production induced by NTHi. CONCLUSION: NTHi induces inflammatory responses in lung tissues by activation of TLR2-p38 MAPK-NF-κB signaling pathway. Human lung infection model provides a new research tool for the study of interaction between pathogens and hosts.