The role of microfibrillar-associated protein 4 (MFAP4) in asthma Bartosz Pilecki PhD student Institute of Molecular Medicine University of Southern Denmark, Odense Asthma • Common chronic airway disease • Decrease in lung function due to persistent inflammation, airway remodeling and airway hyperresponsiveness (AHR) • Current treatments effective only in selected subsets of patients MFAP4 • Extracellular matrix (ECM) protein that binds to elastin and collagen • Abundant in heart, lung, skin etc. • Promotes proliferation and migration of vascular SMC in an integrin-dependent manner (Schlosser et al, submitted) Wulf-Johansson et al, 2013 Hypothesis: MFAP4 contributes to asthmatic airway disease, mainly due to its interaction with airway smooth muscle cells this In In study this this study we study investigate we we investigate investigate the possible the the possible possible role role ofof role MFAP4 of of Moo In this study we investigate the possible role this study In this we study investigate we investigate the possible the possible role role MFA his study we investigate the possible role In of In MFAP4 in in asthma. inmay inin asthma. WeWeWe hypothesize We hypothesize hypothesize that that MFAP4 that MFAP4 MFAP4 may asthma. We hypothesize that MFAP asthma. inasthma. asthma. hypothesize We hypothesize that MFAP4 that MFA m asthma. We hypothesize that MFAP4 contribute contribute contribute to to the to development to the the development development ofof allergic of of allergic allergic asthma. asthma. asthm contribute to the development of allergic asth contribute contribute the development to the development allergic of allergic asthma. asth ntribute to the development of allergic asthma. C In vivo allergy models METHODS METHODS METHODS METHODS METHODS METHODS METHODS Neutrophils / ml BAL 40000 * 30000 BALB/c BALB/c BALB/c wild wild wild type type type mice mice mice and and MFAP4-deficient and MFAP4-defic MFAP4-de BALB/c wild type mice and MFAP4BALB/c BALB/c wild wild type type mice mice and MFAP4-deficie and MFAP4LB/c wild type mice and MFAP4-deficient 20000 model: House dust mite (HDM) littermates littermates littermates were were subjected were subjected subjected toto acute to to acute ovalbumin acute ovalbumin ovalbumin (OVA)(O littermates were subjected to acute ovalbumi littermates littermates were subjected were subjected acute to ovalbumin acute ovalbum (OVA ermates were OVA subjected to acute ovalbumin (OVA)induced induced induced asthma asthma asthma model. model. model. Inflammatory Inflammatory Inflammatory cell cell cell counts coun and induced asthma model. Inflammatory cell cou induced induced asthma asthma model. model. Inflammatory Inflammatory cellcounts counts cell co a uced asthma model. Inflammatory cell counts and 10000 chronic model: cytokine cytokine cytokine secretion secretion secretion measurements measurements measurements were were performed were performe perform on secretion measurements were perfo cytokine cytokine secretion secretion measurements measurements were performed were perfo okine secretion measurements were performed oncytokine 0 bronchoalveolar bronchoalveolar bronchoalveolar lavage lavage lavage (BAL). (BAL). (BAL). Lungs Lungs Lungs were were processed were proce pro bronchoalveolar bronchoalveolar lavage lavage (BAL). (BAL). Lungs were Lungs process were bronchoalveolar lavage (BAL). Lungs were pp nchoalveolar lavage (BAL). Lungs were processed KO PBS WT PBS KO OVA WT OVA forfor histology for for histology histology and assessed and and assessed assessed forfor pathological for for pathological pathological changes. change chan histology for histology and assessed and assessed pathological for pathological changes. cha for histology and assessed for pathological cha histology and assessed for pathological changes. Figure 3. (A-C) Cellular infiltration measured Day: 0 7 14-16 deficient mice. (D) Alveolar macrophage activa Day: Day: 0Day: 0in 0KO 7 7compared 14-16 14-16 171717 1717 Day: 0Day: Day: 7 14-16 14-16 17 to their WT litter 070 7mice 714-16 14-16 0-4 5-6 *P < 0.05, **P < 0.01, calculated by Student s t 17 KO rest 2 mg alum + 20 ug OVA i.p. 20 ug OVA i.n. Sacrifice 2 mg 2alum mg 2alum mg alum +20+20 ug OVA 20 ug i.n. ug OVA OVA i.n. Sacrifice i.n. Sacrifice Sacrifice 2 mg 2+mg mg + HDM alum +20 ug OVA 20 i.n. ug OVA Sacrifice i.n. Sacrific 2alum alum +i.n. 20 ug OVA i.n. Sacrifice 25 ug 20 20 ug20 OVA 20 ug i.p. ug OVA OVA i.p. i.p.i.p. ug OVA 20 i.p. ug OVA i.p. 20 ug OVA Figure Figure 1.Figure Experimental 1. Experimental 1. 1. Experimental setup. setup. setup. Figure 1. Figure Experimental 1.Experimental Experimental setup. setup. Figure setup. H-E re 1. Experimental setup. RESULTS A IL4 RESULTS RESULTS RESULTS RESULTS RESULTS RESULTS AAAA A A B IL5 7 weeks IL4 IL4 IL4 IL4IL4 IL4 B BBB B B IL5 IL5 IL5 IL5IL5 IL MFAP4 levels are increased in asthma WT PBS BAL BAL * 15 10 10 U/ml U / ml 15 5 5 0 0 PBS PBS OVA HDM Serum WT OVA Serum 400 * 100 300 U/ml 80 U / ml *** 60 200 40 100 20 0 0 PBS OVA PBS HDM MFAP4 deficiency attenuates eosinophilic infiltration 3×1005 2×1005 1×1005 1.0×1006 5.0×1005 0.0 0 WT PBS KO PBS WT OVA WT PBS KO OVA 4×1005 KO PBS WT HDM KO HDM 1.5×1006 * Eosinophils/ml BAL Eosinophils/ml BAL p=0.0616 1.5×1006 * Cells/ml BAL Cells/ml BAL 4×1005 3×1005 2×1005 1×1005 0 ** 1.0×1006 5.0×1005 0.0 WT PBS KO PBS WT OVA KO OVA WT PBS KO PBS WT HDM KO HDM Eosinophil chemoattractants are downregulated in MFAP4-deficient mice CCL11 * 500 ** 60 pg/mg protein pg/mg protein 80 CCL24 40 20 400 300 200 100 0 0 WT PBS KO PBS WT OVA KO OVA WT PBS KO PBS WT OVA KO OVA Lack of MFAP4 attenuates mucus production WT OVA IL13 pg/mg protein 100 * 80 60 40 20 0 WT PBS KO PBS WT OVA KO OVA No. goblet cells / mm basement membrane PBS KO OVA Mucus production * 50 40 30 20 10 0 WT OVA KO OVA MFAP4 contributes to asthmatic smooth muscle deposition Smooth muscle thickness 20 Smooth muscle thickness 25 **** Thickness [um] Thickness [um] ns 15 10 5 ** 20 15 10 5 0 0 WT PBS KO PBS WT OVA KO OVA WT PBS KO PBS WT HDM KO HDM MFAP4 deficiency partially protects from AHR Pulmonary resistance 3 2 1 0 0 1 3 MCh [mg/ml] 10 30 % of baseline 1500 KO PBS WT PBS KO OVA WT OVA **** cmH2O.s/ml 4 dose response resistance KO PBS WT PBS KO HDM WT HDM 1000 500 0 1 3 10 MCh [mg/ml] 30 50 Conclusions MFAP4 is increased in circulation and BAL of asthmatic mice. MFAP4 contributes to development of experimental asthma by: 1. Attraction of eosinophils through CCL11/CCL24 2. Goblet cell metaplasia 3. Smooth muscle deposition 4. AHR It suggests that MFAP4 can be a potential therapeutic target for allergic asthma. Acknowledgements Christopher Stevenson, Novartis, UK Jorgen Vestbo, OUH, DK Niels Marcussen, OUH, DK Fonden til laegevidenskabens fremme