Pneumococcal infection of respiratory cells exposed to welding fumes; Role of oxidative stress and HIF-1 alpha

PLoS One. 2017 Mar 9;12(3):e0173569. doi: 10.1371/journal.pone.0173569. eCollection 2017.

Abstract

Welders are more susceptible to pneumococcal pneumonia. The mechanisms are yet unclear. Pneumococci co-opt the platelet activating factor receptor (PAFR) to infect respiratory epithelial cells. We previously reported that exposure of respiratory cells to welding fumes (WF), upregulates PAFR-dependent pneumococcal infection. The signaling pathway for this response is unknown, however, in intestinal cells, hypoxia-inducible factor-1 α (HIF 1α) is reported to mediate PAFR-dependent infection. We sought to assess whether oxidative stress plays a role in susceptibility to pneumococcal infection via the platelet activating factor receptor. We also sought to evaluate the suitability of nasal epithelial PAFR expression in welders as a biomarker of susceptibility to infection. Finally, we investigated the generalisability of the effect of welding fumes on pneumococcal infection and growth using a variety of different welding fume samples. Nasal epithelial PAFR expression in welders and controls was analysed by flow cytometry. WF were collected using standard methodology. The effect of WF on respiratory cell reactive oxygen species production, HIF-1α expression, and pneumococcal infection was determined using flow cytometry, HIF-1α knockdown and overexpression, and pneumococcal infection assays. We found that nasal PAFR expression is significantly increased in welders compared with controls and that WF significantly increased reactive oxygen species production, HIF-1α and PAFR expression, and pneumococcal infection of respiratory cells. In unstimulated cells, HIF-1α knockdown decreased PAFR expression and HIF-1α overexpression increased PAFR expression. However, in knockdown cells pneumococcal infection was paradoxically increased and in overexpressing cells infection was unaffected. Nasal epithelial PAFR expression may be used as a biomarker of susceptibility to pneumococcal infection in order to target individuals, particularly those at high risk such as welders, for the pneumococcal vaccine. Expression of HIF-1α in unexposed respiratory cells inhibits basal pneumococcal infection via PAFR-independent mechanisms.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Case-Control Studies
  • Follow-Up Studies
  • Humans
  • Hypoxia-Inducible Factor 1, alpha Subunit / metabolism*
  • Male
  • Middle Aged
  • Occupational Exposure / adverse effects*
  • Oxidative Stress*
  • Platelet Membrane Glycoproteins / metabolism
  • Pneumococcal Infections / etiology*
  • Pneumococcal Infections / metabolism
  • Pneumococcal Infections / pathology
  • Prognosis
  • Reactive Oxygen Species / metabolism
  • Receptors, G-Protein-Coupled / metabolism
  • Respiratory Mucosa / microbiology*
  • Streptococcus pneumoniae / pathogenicity*
  • Welding / methods*
  • Young Adult

Substances

  • HIF1A protein, human
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • Platelet Membrane Glycoproteins
  • Reactive Oxygen Species
  • Receptors, G-Protein-Coupled
  • platelet activating factor receptor

Grants and funding

The study was supported by a grant from the Colt Foundation: CF/05/12. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.