RT Journal Article SR Electronic T1 Multiple inflammasomes may regulate the interleukin-1-driven inflammation in protracted bacterial bronchitis JF ERJ Open Research JO erjor FD European Respiratory Society SP 00130-2017 DO 10.1183/23120541.00130-2017 VO 4 IS 1 A1 Alice C-H. Chen A1 Hai B. Tran A1 Yang Xi A1 Stephanie T. Yerkovich A1 Katherine J. Baines A1 Susan J. Pizzutto A1 Melanie Carroll A1 Avril A.B. Robertson A1 Matthew A. Cooper A1 Kate Schroder A1 Jodie L. Simpson A1 Peter G. Gibson A1 Greg Hodge A1 Ian B. Masters A1 Helen M. Buntain A1 Helen L. Petsky A1 Samantha J. Prime A1 Anne B. Chang A1 Sandra Hodge A1 John W. Upham YR 2018 UL http://openres.ersjournals.com/content/4/1/00130-2017.abstract AB Protracted bacterial bronchitis (PBB) in young children is characterised by prolonged wet cough, prominent airway interleukin (IL)-1β expression and infection, often with nontypeable Haemophilus influenzae (NTHi). The mechanisms responsible for IL-1-driven inflammation in PBB are poorly understood.We hypothesised that the inflammation in PBB involves the NLRP3 and/or AIM2 inflammasome/IL-1β axis. Lung macrophages obtained from bronchoalveolar lavage (BAL), peripheral blood mononuclear cells (PBMCs), blood monocytes and monocyte-derived macrophages from patients with PBB and age-matched healthy controls were cultured in control medium or exposed to live NTHi.In healthy adult PBMCs, CD14+ monocytes contributed to 95% of total IL-1β-producing cells upon NTHi stimulation. Stimulation of PBB PBMCs with NTHi significantly increased IL-1β expression (p<0.001), but decreased NLRC4 expression (p<0.01). NTHi induced IL-1β secretion in PBMCs from both healthy controls and patients with recurrent PBB. This was inhibited by Z-YVAD-FMK (a caspase-1 selective inhibitor) and by MCC950 (a NLRP3 selective inhibitor). In PBB BAL macrophages inflammasome complexes were visualised as fluorescence specks of NLRP3 or AIM2 colocalised with cleaved caspase-1 and cleaved IL-1β. NTHi stimulation induced formation of specks of cleaved IL-1β, NLRP3 and AIM2 in PBMCs, blood monocytes and monocyte-derived macrophages.We conclude that both the NLRP3 and AIM2 inflammasomes probably drive the IL-1β-dominated inflammation in PBB.Airway IL-1β activation in protracted bacterial bronchitis http://ow.ly/ut9r30iqim2