PMID- 27680884 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220131 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 11 IP - 9 DP - 2016 TI - Differential Effects of p38, MAPK, PI3K or Rho Kinase Inhibitors on Bacterial Phagocytosis and Efferocytosis by Macrophages in COPD. PG - e0163139 LID - 10.1371/journal.pone.0163139 [doi] LID - e0163139 AB - Pulmonary inflammation and bacterial colonization are central to the pathogenesis of chronic obstructive pulmonary disease (COPD). Defects in macrophage phagocytosis of both bacteria and apoptotic cells contribute to the COPD phenotype. Small molecule inhibitors with anti-inflammatory activity against p38 mitogen activated protein kinases (MAPKs), phosphatidyl-inositol-3 kinase (PI3K) and Rho kinase (ROCK) are being investigated as novel therapeutics in COPD. Concerns exist, however, about off-target effects. We investigated the effect of p38 MAPK inhibitors (VX745 and SCIO469), specific inhibitors of PI3K alpha (NVS-P13K-2), delta (NVS-P13K-3) or gamma (NVS-P13K-5) and a ROCK inhibitor PF4950834 on macrophage phagocytosis, early intracellular killing of bacteria and efferocytosis of apoptotic neutrophils. Alveolar macrophages (AM) obtained from broncho-alveolar lavage (BAL) or monocyte-derived macrophages (MDM) from COPD patients (GOLD stage II/III) enrolled from a well characterized clinical cohort (MRC COPD-MAP consortium) or from healthy ex-smoker controls were studied. Both COPD AM and MDM exhibited lower levels of bacterial phagocytosis (using Streptococcus pneumoniae and non-typeable Haemophilus influenzae) and efferocytosis than healthy controls. None of the inhibitors altered bacterial internalization or early intracellular bacterial killing in AM or MDM. Conversely PF4950834, but not other inhibitors, enhanced efferocytosis in COPD AM and MDM. These results suggest none of these inhibitors are likely to exacerbate phagocytosis-related defects in COPD, while confirming ROCK inhibitors can enhance efferocytosis in COPD. FAU - Bewley, Martin A AU - Bewley MA AD - Department of Infection, Immunity and Cardiovascular Disease and The Florey Institute for Host-Pathogen Interactions, University of Sheffield Medical School, Sheffield, United Kingdom. FAU - Belchamber, Kylie B R AU - Belchamber KB AD - Airway Disease National Heart and Lung Institute, Imperial College London, London, United Kingdom. FAU - Chana, Kirandeep K AU - Chana KK AD - Airway Disease National Heart and Lung Institute, Imperial College London, London, United Kingdom. FAU - Budd, Richard C AU - Budd RC AD - Department of Infection, Immunity and Cardiovascular Disease and The Florey Institute for Host-Pathogen Interactions, University of Sheffield Medical School, Sheffield, United Kingdom. AD - Sheffield Teaching Hospitals Foundation Trust, Sheffield, United Kingdom. AD - Centre for Respiratory Medicine and Allergy, Institute of Inflammation and Repair, Manchester Academic Health Science Centre, The University of Manchester and University Hospital of South Manchester NHS Foundation Trust, Manchester, United Kingdom. FAU - Donaldson, Gavin AU - Donaldson G AD - Airway Disease National Heart and Lung Institute, Imperial College London, London, United Kingdom. FAU - Wedzicha, Jadwiga A AU - Wedzicha JA AD - Airway Disease National Heart and Lung Institute, Imperial College London, London, United Kingdom. FAU - Brightling, Christopher E AU - Brightling CE AD - Institute for Lung Heath, University of Leicester, Leicester, United Kingdom. FAU - Kilty, Iain AU - Kilty I AD - Pfizer Inc, Cambridge, Massachusetts, United States of America. FAU - Donnelly, Louise E AU - Donnelly LE AD - Airway Disease National Heart and Lung Institute, Imperial College London, London, United Kingdom. FAU - Barnes, Peter J AU - Barnes PJ AD - Airway Disease National Heart and Lung Institute, Imperial College London, London, United Kingdom. FAU - Singh, Dave AU - Singh D AD - Centre for Respiratory Medicine and Allergy, Institute of Inflammation and Repair, Manchester Academic Health Science Centre, The University of Manchester and University Hospital of South Manchester NHS Foundation Trust, Manchester, United Kingdom. FAU - Whyte, Moira K B AU - Whyte MK AD - Department of Respiratory Medicine and MRC Centre for Inflammation Research, University of Edinburgh, Edinburgh, United Kingdom. FAU - Dockrell, David H AU - Dockrell DH AD - Department of Infection, Immunity and Cardiovascular Disease and The Florey Institute for Host-Pathogen Interactions, University of Sheffield Medical School, Sheffield, United Kingdom. AD - Sheffield Teaching Hospitals Foundation Trust, Sheffield, United Kingdom. CN - COPDMAP LA - eng GR - G0800570/MRC_/Medical Research Council/United Kingdom GR - G0901697/MRC_/Medical Research Council/United Kingdom GR - G1001372/MRC_/Medical Research Council/United Kingdom GR - G1001365/MRC_/Medical Research Council/United Kingdom GR - RP-PG-0109-10056/DH_/Department of Health/United Kingdom PT - Journal Article DEP - 20160928 PL - United States TA - PLoS One JT - PloS one JID - 101285081 PMC - PMC5040258 COIS- IK is an employee of Pfizer. This does not alter our adherence to PLOS ONE policies on sharing data and materials. All other authors have declared that no competing interests exist. EDAT- 2016/09/30 06:00 MHDA- 2016/09/30 06:01 PMCR- 2016/09/28 CRDT- 2016/09/30 06:00 PHST- 2015/12/16 00:00 [received] PHST- 2016/09/02 00:00 [accepted] PHST- 2016/09/30 06:00 [entrez] PHST- 2016/09/30 06:00 [pubmed] PHST- 2016/09/30 06:01 [medline] PHST- 2016/09/28 00:00 [pmc-release] AID - PONE-D-15-54547 [pii] AID - 10.1371/journal.pone.0163139 [doi] PST - epublish SO - PLoS One. 2016 Sep 28;11(9):e0163139. doi: 10.1371/journal.pone.0163139. eCollection 2016.