Effect of epithelial-specific MyD88 signaling pathway on airway inflammatory response to organic dust exposure

Abstract The Toll-like receptor (TLR) adaptor protein MyD88 is integral to airway inflammatory response to microbial-enriched organic dust extract (ODE) exposures. ODE-induced airway neutrophil influx and release of pro-inflammatory cytokines was essentially abrogated in global MyD88-deficient mice, yet these mice demonstrate an increase in airway epithelial cell mucin expression. To further elucidate the role of MyD88-dependent responses specific to lung airway epithelial cells in response to ODE in vivo, the surfactant protein C protein (SPC) Cre+ embryologic expressing airway epithelial cells floxed for MyD88 to disrupt MyD88 signaling were utilized. The inducible club cell secretory protein (CCSP) Cre+, MyD88 floxed, were also developed. Using an established protocol, mice were intranasally instilled with ODE or saline once or daily up to 3 weeks. Mice with MyD88-deficient SPC+ lung epithelial cells exhibited decreased neutrophil influx following ODE exposure once and repetitively for 1 week without modulation of classic pro-inflammatory mediators including tumor necrosis factor (TNF)-α, interleukin (IL)-6, and neutrophil chemoattractants. This protective response was lost after 3 weeks of repetitive exposure. ODE-induced Muc5ac mucin expression at 1 week was also reduced in MyD88-deficient SPC+ cells. Acute ODE-induced IL-33 was reduced in MyD88-deficient SPC+ cells whereas serum IgE levels were increased at one week. In contrast, mice with inducible MyD88-deficient CCSP+ airway epithelial cells demonstrated no significant difference in experimental indices following ODE exposure. Collectively, these findings suggest that MyD88-dependent signaling targeted to all airway epithelial cells plays an important role in mediating neutrophil influx and mucin production in response to acute organic dust exposures.


Introduction
Environmental agriculture organic dust exposures are associated with workplace asthma and chronic bronchitis (Kelly and Poole 2019).The Toll-like receptor (TLR)/interleukin-1 receptor (TIR) adaptor protein MyD88-dependent signaling pathway is fundamental in the airway inflammatory response to complex agriculture-related organic dust extract (ODE) exposures (Bauer et al. 2013;Dickinson et al. 2019;Johnson et al. 2020).Global Myd88 knockout mice demonstrate a profound reduction in neutrophil influx and release of pro-inflammatory cytokines/chemokines following acute and repetitive ODE exposure as compared to wildtype mice (Bauer et al. 2013;Johnson et al. 2020).In contrast, Muc5ac expression following ODE stimulation was found to be increased in mice globally deficient in MyD88 (Dickinson et al. 2019).Further work broadly investigating the role of hematopoietic vs. lung structural/resident cells using MyD88 bone marrow chimera strategies highlighted the importance of lung resident cells in mediating ODE-induced airway inflammatory responses, neutrophil influx, and to some degree cytokine responsiveness (Poole et al. 2015b).The impact, however, of specifically targeting MyD88 signaling in lung airway epithelial cells in vivo in response to ODE exposure has yet to be elucidated.Such information could inform future therapeutic approaches aimed at reducing epithelial damage and lung remodeling to reduce organic dust and/or environmental toxin-induced lung disease.
Targeted deletion of alleles can be achieved using Cre/Lox technology, wherein LoxP sites are inserted flanking an exon of interest and Cre recombinase is expressed under the control of cell-specific promoter (Wang 2009).This approach circumvents potential confounding issues of conventional gene-targeting approaches, including the unknown impact that global gene deletion may have on numerous cell and tissue types outside the area of study, and the possibility of overexpression in global transgenic approaches.The major lung epithelial cell types include ciliated cells, secretory cells, serous cells, and basal cells in the airways, and Type I and Type II pneumocytes in the alveoli (Singh and Katyal 2000).Although expression of surfactant protein C protein (SPC) is a marker Type II pneumocytes in postnatal mice, when under control of the Sftpc promoter, Cre recombinase is expressed in all these cell types during embryogenesis, allowing deletion of alleles (i.e.alleles that are floxed) throughout the lung epithelium.In comparison, the club cellspecific protein (CCSP) Cre mouse targets secretory epithelial cells diffusely expressed throughout the airways (Rawlins et al. 2009).Thus, using genetically engineered mouse lines, MyD88 deficiency can be localized to airway epithelial cells such that studies could then be undertaken to inform the specific roles of airway epithelial cells throughout the lung compartments.
In the study presented here it was hypothesized that ODEmediated airway inflammatory consequences were mediated by MyD88-dependent signaling in lung epithelial cells.To test this hypothesis, constitutive deletion of MyD88 in SPC expressing cells using Myd88 fl/fl ; SPC Cre/þ mice was first utilized.These mice were challenged with ODE exposure once and/or daily for a period of up to 3 weeks.The findings generated highlighted how airway epithelial cell MyD88 was indispensable for acute ODEmediated neutrophil recruitment, but not required for classical pro-inflammatory mediator release and that inflammatory mucin (Muc5ac) production was regulated by MyD88.Interestingly, these findings could not be ascribed to mid-airway club cells.

Animals
To investigate the effect of the airway epithelial cell MyD88 signaling pathway, two airway epithelial cell-specific murine strains employing Cre-floxed (fl) strategies were obtained.Specifically, SPC Cre± vs. SPC CreÀ/À, Myd88 fl/fl mice were generated as previously described (Cleaver et al. 2014).Tamoxifen-inducible CCSP Cre± vs. CCSP CreÀ/À mice were purchased from The Jackson Laboratory (Bar Harbor, ME), and then bred with the SPC Cre± MyD88 fl/fl mice to create CCSP Cre± Myd88 fl/fl mice.Genotyping for SPC and CCSP Cre À vs. Cre þ was performed to confirm genetic strains with details in the Supplementary Methods.
To induce CCSP-specific deletion of MyD88 in adult mice, CCSP Cre± Myd88 fl/fl mice were administered 200 ll tamoxifen in corn oil (at 20 mg/ml concentration; 4 mg/injection) intraperitoneally (IP) daily for 5 days (Mon-Fri).Control CCSP CreÀ/À Myd88 fl/fl littermates were also administered tamoxifen daily for 5 days.All mice were then rested 4 days prior to intra-nasal treatments with ODE.
All mice were housed in pathogen-free facilities maintained at 20-24 C with a 40% relative humidity and a 12-h light:dark cycle.All mice had ad libitum access to alfalfa-free chow (Harlan Laboratories, Indianapolis, Indiana) and filtered tap water, as recommended by The Jackson Laboratory.All animal procedures were approved by the Institutional Animal Care and Use Committee at the University of Nebraska Medical Center and conducted according to the U.S. National Institutes of Health Guidelines for the Use of Rodents.For all these studies, both male and female mice (6-12wk-of-age) were utilized in the experimental procedures.

Organic dust extract
Aqueous organic dust extract (ODE) was prepared from settled dust collected from horizontal surfaces 3 ft above the floor of moderately-sized swine confinement feeding operations (%500-700 animals) located in Colfax County, NE (population density approximates 25 people/square mile).Extracts were batch-prepared and filter (0.22 lm)-sterilized, as previously described (Poole et al. 2009(Poole et al. , 2017)).Stock ODE was diluted to a concentration of 12.5% (v/v) in sterile phosphate-buffered saline (PBS, pH 7.4); this represents a concentration previously shown (Poole et al. 2009(Poole et al. , 2017) ) to elicit optimal lung inflammation in mice.Pilot studies showed the 12.5% ODE contained %3-4 mg/ ml total protein (measured by spectrophotometry; NanoDrop Technologies, Wilmington, DE) and endotoxin at levels ranging from 22.1 to 91.1 EU/ml (measured by limulus amebocyte lysate assay; Sigma, St. Louis, MO).

Murine ODE airway inflammatory exposure model
Under light sedation with isoflurane inhalation, mice were administered 50 ll of the 12.5% ODE or sterile PBS by intranasal inhalation as previously described (Poole et al. 2009(Poole et al. , 2017)).Exposures were either just once (acute exposure modeling) or daily for 1 and 3 weeks (repetitive exposure modeling).All mice were euthanized (anesthetizing with isoflurane followed by cervical dislocation) 5 h after the single or final exposure for use in determining the experimental endpoints outlined below.

Bronchoalveolar lavage fluid studies
Bronchoalveolar lavage fluid (BALF) was collected by instilling 1 ml PBS into the airways of each host three times using previously reported techniques (Poole et al. 2009); the first lavage was reserved for cytokine measures before being pooled for total lung cell collections.Cytokines implicated in agriculture respiratory disease, including interleukin (IL)-6, neutrophil chemoattractants CXCL1 and CXCL2, and tumor necrosis factor (TNF)-a (Kelly and Poole 2019) were measured in the cell-free supernatant of the first lavage by ELISA (R&D Systems, Minneapolis, MN).The kits had a minimal detectable dose (MDD) of 2.0 pg IL-6/ml, 1.5 pg CXCL1/ml, 7.2 pg CXCL2/ml, and 1.88 pg TNFa/ml.Total number of cells recovered from the three pooled lavages were enumerated using a TC20 automated cell counter (BioRad, Hercules, CA, USA) and differential cell counts performed on cytospin-prepared slides (Cytopro Cytocentrifuge; Wescor, Logan, UT, USA) that were stained with DiffQuick (Siemens, Neward, DE, USA).

Immunostaining and microscopy of mouse lungs
After BALF collection, the remaining left lung of each mouse was harvested and inflated with 1 ml 10% formalin under a pressure of 20 cm H 2 O for 24 h for optimal preservation of lung parenchymal architecture.Thereafter, the formalin-fixed lung tissue was embedded in paraffin and cut to 5 lm sections.Tissue sections were microscopically reviewed and semi-quantitatively scored for severity of peri-bronchiolar/peri-vascular and alveolar inflammation by experimental pathologist (TAW) blinded to treatment conditions, as previously described (Bates et al. 2018).This scoring system evaluates the spectrum of inflammatory changes and independently assigns a value from 0 to 5 with a higher score indicating greater inflammatory changes in the lung using the following criteria (% of total pulmonary tissue examined): (0) no changes compared to control mice; (1) minimal (<10%); (2) slight (10-25%); (3) moderate (26-50%); ( 4) severe (51-75%); or (5) very severe (>75%) of total area affected.

Mucin immunostaining
Mucin immunostaining within random sections of each left lung was performed as in Dickinson et al. (2018).In brief, de-paraffinization of random slides was performed with three sequential 5-min rinses with xylene and isopropyl alcohol.Antigen retrieval was then performed by boiling the slides in Trilogy solution (Cell Marque [920P-09], Rocklin, CA, USA) for 20 min.The slides were then coated with 5% donkey serum (Sigma) in 0.1% Triton/PBS solution (blocking buffer) and incubated at room temperature for 60 min to block non-specific binding events.For the actual staining, anti-Lectin-UEA-1 (#RL 1062, Vector Labs, Burlingame, CA, USA) conjugated with a fluorophore that reacts at 555 nm (1:500 dilution in blocking buffer) was utilized for staining Muc5ac.A mouse anti-Muc5b (3E1, courtesy of Dr. Burton Dickey) antibody (1:500 dilution in blocking buffer) was used to stain for Muc5b.Slides were coated with primary antibodies and then incubated overnight at 4 C.The slides were then gently rinsed with PBS before a solution of blocking buffer containing fluorophore-labeled species-specific donkey secondary antibody (at 2 mg/ml in blocking buffer; 1:1000 dilution) (#A-31570, #A21202, #21206; Vector Labs) was applied.The slides were then incubated for 1 h at room temperature before being gently washed with PBS.To counterstain nuclei and quantify number of cells per airway, DNA staining with 4 0 ,6-diamidino-2phenylindole (DAPI) was included in Vectashield mounting medium (H-1200; Vector Labs).A minimum of 10 fields/lungswith a minimum of 5 mice/group -was generated in each study.
Immunofluorescent images were then captured using an Axio Observer Z.1 microscope and analyzed with Zen software (Zeiss, San Diego, CA, USA).Intracellular mucin from mouse airways were quantified with a common signal threshold with multiple fields at 20X magnification, using ImageJ (v2.0) software (NIH, Bethesda, MD, USA) as previously described (Dickinson et al. 2016(Dickinson et al. , 2018)).

Muc5ac immunoblot
In separate studies from those described above, excised whole mouse lungs (non-lavaged, but perfused) were recovered from the mice, snap frozen in liquid nitrogen, and later homogenized in PBS with protease inhibitors (Roche, Maneheim, Germany) using the gentleMACS Dissociator as described Sweeter et al. (2021).Muc5ac assessed using UEA-1 detection as detailed in the Supplementary Methods.Blots were scanned using an Odyssey DLx Scanner (LiCor, Lincoln, NE, USA).Mucin levels in each blot were normalized for quantification using total protein levels as previously described (Dickinson et al. 2019).

Statistics
All data are presented as means ± SEM.A sample-size calculation was estimated from a previous single ODE exposure in WT and MyD88 KO murine study (Bauer et al. 2013), whereby it was calculated a sample size of N ¼ 3 in each group would allow one to achieve 80% power at the 0.05 level of significance in order to detect a difference in airway neutrophil influx, assuming a mean (SD) of 11.15 Â 10 5 (4.5 Â 10 5 ) for WT þ ODE and a mean of 0.02 Â 10 5 (0.0065 Â 10 5 ) for KO þ ODE.The experimental groups consisted of sex-and age-matched litter mates as available.Sample sizes for each outcome listed in the figure legends reflect sample quantity and quality available from the pooled studies.To detect significant differences among three or more groups, a one-way analysis of variance (ANOVA) was performed; in the event a significance across groups of p < 0.05 was evident with the ANOVA, a non-parametric Mann-Whitney test was used to determine statistical difference between two groups.In all cases, Prism software (v.7.0c;GraphPad, La Jolla, CA, USA) was used.Significance was accepted at p < 0.05.

Results
Mice deficient in lung epithelial MyD88 demonstrate decreased influx of total cells and neutrophils after a single ODE exposure, without attenuation in pro-inflammatory cytokines/chemokines A one-time treatment with ODE induced BALF influx of total cells, neutrophils, and lymphocytes in 'control' (SPC CreÀ/À MyD88 fl/fl ) mice as compared to saline treatment (Figure 1(A)).This acute-ODE induced influx of total cells and neutrophils was profoundly decreased in the lung epithelial MyD88-deficient (SPC Cre± MyD88 fl/fl ) mice, termed 'mutant' mice.There was also no significant increase in lymphocytes in the mutant mice following the onetime ODE exposure as compared to saline.Eosinophils were rarely detected and levels did not differ among the groups (data not shown).The one-time ODE exposure also induced release of proinflammatory TNFa and IL-6 and the neutrophil chemoattractants CXCL1 and CXCL2 in the control mice, and these responses were not reduced in the mutant mice ( 1(B)).
Mice deficient in lung epithelial MyD88 demonstrated decrease influx of total cells, neutrophils, macrophages, and TNFa release following repetitive ODE for 1 week, but not for 3 weeks Mice were treated daily with ODE for 8 days (1 week) or daily (weekends excluded) for 3 weeks whereupon BALF was collected to determine cellular influx and cytokine/chemokine release patterns between the control (SPC CreÀ/À MyD88 fl/fl ) and mutant (SPC Cre± MyD88 fl/fl ) mice.After 1 week of repetitive ODE exposure, there were significantly decreased numbers of total cells, neutrophils, and macrophages (but not lymphocytes) in the lungs of the mutant mice as compared to in those of the control animals (Figure 2(A)).In these same 1-week exposed mice, ODE-induced TNFa was present at significantly decreased levels in the mutant mice as compared to in the control animals, but there were no differences in IL-6, CXCL1, nor CXCL2 levels between groups.
By extending ODE exposure to 3 weeks, ODE-induced cellular differences dependent on MyD88 signaling in lung epithelial cells were lost.Specifically, there were no differences in total cells, neutrophils, macrophages, or lymphocytes found in the BALF isolated from control and mutant mice (Figure 2(A)).Moreover, there were no differences between the mutant and control mice with regard to ODE-induced levels of TNFa, IL-6, CXCL1, or CXCL2 (Figure 2(B)).
Mice deficient in lung epithelial MyD88 exhibit decreased lung neutrophil infiltrates and Muc5ac mucin levels following 1 week of repetitive ODE exposure Based on the strong reduction in ODE-induced neutrophil influx at 1, but not 3, weeks, the following studies were focused at 1-week (8 days) of repetitive ODE exposure in the control (SPC CreÀ/À MyD88 fl/fl ) and mutant (SPC Cre± MyD88 fl/fl ) mice.It was seen that there was a reduction in ODE-induced total lung cell infiltrates enumerated in lungs of the mutant mice as compared to in the lungs of the controls (Figure 3(A)).This response was seemingly driven by reduction in lung neutrophils, as determined by flow cytometry.The only cell population that was found to be significantly different between the groups was Ly6G þ neutrophils, as evident by a decrease in both the percentage (% of live CD45 þ cells) and number of neutrophils in lungs of the mutant mice as compared to in the lungs of the control animals treated with ODE (Figures 3(B,C), and data not shown).Lung sections from the treatment groups were also H&E-stained; there was no difference in semi-quantitative lung inflammatory scores (range 0-4, low to high) between the ODE-treated control and mutant mice (control 2.7 [±0.2] and mutant 2.5 [±0.4], p ¼ 0.75) (Figure 3(D)).
Lung tissue sections were also stained with lectin UEA-1 to detect Muc5ac or with anti-Muc5b to help evaluate total mucin levels (Figure 4(A)) and airway-associated intracellular mucin.The data indicate that after 1 week of ODE exposure, mutant mice with lung epithelial MyD88 deficiency (SPC CreÀ/þ MyD88 fl/ fl ) demonstrated significantly less Muc5ac staining compared to control mice (SPC CreÀ/À MyD88 fl/fl ), but no significant difference in Muc5b staining (Figures 4(A,B)).Figure 1.Mice deficient in lung epithelial MyD88 exhibit decreased influx of total cells and neutrophils following a single ODE exposure, without modulation in proinflammatory cytokines/chemokines.Control (SPC CreÀ/À MyD88 fl/fl ) and mutant (SPC Cre± MyD88 fl/fl ) mice were treated once with ODE or saline; bronchoalveolar lavage fluid (BALF) was collected 5 h following the exposure.Bars depict mean ± SEM of (A) total cells, neutrophils, macrophages, and lymphocytes enumerated and (B) levels of TNFa, IL-6, and neutrophil chemoattractants CXCL1 and CXCL2.There are no differences in cytokines/chemokines between ODE-treated Cre þ vs. Cre À mice.N ¼ 5 mice/group (saline), N ¼ 7 (control-ODE), N ¼ 8 (Mutant-ODE) from at least two independent experimental runs.Statistical differences vs. saline-treated mice are depicted as Ã p < 0.05; ÃÃÃ p < 0.001 and between groups as # p < 0.05; ### p < 0.001 by ANOVA. A.

B.
One Week Three Week Figure 2. Mice deficient in lung epithelial MyD88 exhibit decreased influx of total cells, neutrophils, macrophages, and TNFa release after repetitive 1-week but not 3-week exposures.Control (SPC CreÀ/À MyD88 fl/fl ) and mutant (SPC Cre± MyD88 fl/fl ) mice were treated daily with ODE for 1 or 3 weeks, whereupon bronchoalveolar lavage fluid (BALF) was collected 5 h after the final exposure.Saline control is pooled samples of control-and mutant-saline mice for reference.Bar graphs depict mean ± SEM of total cells, neutrophils, macrophages, and lymphocytes and levels of TNFa, IL-6, and neutrophil chemoattractants CXCL1 and CXCL2 in the lungs of (A) 1-week and (B) 3 weeks treated mice.N ¼ 10 mice/group (saline), N ¼ 7 (control and mutant, 1 week), N ¼ 7 (control, 3 weeks), and N ¼ 8 (mutant, 3 weeks) from at least two independent experimental runs.Statistical differences vs. saline treated mice are depicted as Ã p < 0.05, ÃÃ p < 0.01, ÃÃÃ p < 0.001, and between groups as (SPC CreÀ/À MyD88 fl/fl ) following a one-time ODE exposure, but not with 1 week of repetitive ODE exposures (Figure 5(A)).Interestingly, as compared to in control animals, serum IgE levels were increased in the mutant mice following 1 week of ODE treatment (Figure 5(B)), similar to findings with prior global MyD88 KO and ODE studies (Johnson et al. 2020).

MyD88 deficiency in CCSP-expressing cells does not alter responses to ODE
In another set of studies, the role of MyD88 signaling specific to CCSP þ secretory cells in the conducting airways of adult micein an inducible manner-was investigated.Utilizing the tamoxifen-treated, promoter-inducible control (CCSP CreÀ/À MyD88 fl/fl ) and mutant (CCSP Cre± MyD88 fl/fl ) mice to target club cells, animals were treated once or daily for 1 week with ODE whereupon inflammatory cellular influx and cytokine/chemokine release was investigated.The results revealed there were no significant differences in influx of total cells, neutrophils, macro-phages, or lymphocytes, nor in release of TNFa, IL-6, and CXCL1, nor in Muc5ac expression between the groups (Supplementary Table 1).

Discussion
Organic dusts from agricultural environments contain a wide variety and abundance of bacterial motifs recognized by several Toll-like receptors (TLR), inducing inflammatory host responses via the shared adaptor protein MyD88 (Poole et al. 2011;Bauer et al. 2013).In the study here, it was shown that deletion of MyD88 in lung epithelial cells robustly reduced acute ODE-mediated neutrophil influx and reduced Muc5ac expression without substantial impact on classic ODE-associated pro-inflammatory cytokines/chemokines. Collectively, it appeared that lung epithelial cell MyD88-dependent signaling pathway played a selective role in mediating neutrophil influx and inflammatory mucin production in response to acute organic dust exposures.
Genetic modeling to target 'all' airway epithelial cells led to the development of the surfactant protein C (SPC)-Cre mouse model because of SPC expression during embryogenesis on all epithelial cells types (Okubo et al. 2005;Cleaver et al. 2014).In mature animals, SPC itself is synthesized exclusively in alveolar Type II cells and absence/mutation in SPC has been associated with inflammatory lung diseases, particularly interstitial lung diseases and pulmonary fibrosis (Sitaraman et al. 2021).In this current work, the SPC-Cre murine strain was utilized as a tool to specifically understand the role of MyD88-dependent airway epithelial cell responses in vivo to ODE exposure.The data obtained herein strongly support a critical role for airway epithelial cells in regulating airway neutrophil influx to ODE exposures because neutrophil influx following acute ODE exposures (single and 1week repetitive) was profoundly reduced in these mutant mice (SPC Cre± MyD88 fl/fl ).As this protection was lost with extended (i.e.3-week repetitive) exposures, this suggests an involvement of compensatory signaling pathways and/or engagement of other resident or recruited lung cell populations.
Further, based on the data here, it seemed that the classic pro-inflammatory mediators including TNFa, IL-6, and neutrophil chemoattractants associated with agriculture exposureinduced lung disease were not dependent on airway epithelial cell MyD88-dependent signaling pathways.It was anticipated these mediators would have been reduced as prior bone marrow chimera studies demonstrate that MyD88 signaling in lung structural/resident cells are partially responsible for ODE-induced IL-6 and neutrophil chemoattractant release (Poole, Wyatt, et al. 2015).
Paralleling the reduction of neutrophil influx in response to acute ODE, Muc5ac levels were found to be decreased in the lungs of the lung epithelial MyD88-deficient mice treated with ODE.This was consistent with results of other studies demonstrating attenuation of MUC5AC gene expression through NF-jB inhibition, downstream of MyD88 signaling (Fujisawa et al. 2009).However, the current findings contrast with results seen in global MyD88 KO mice whereby Muc5ac epithelial cell expression was strikingly increased, not decreased, following in vivo and in vitro ODE exposures (Dickinson et al. 2019).One potential explanation for this is that signaling crosstalk occurred, but exploratory studies into potential crosstalk signals, including SA-pointed domain-containing Ets-like factor (SPDEF), have been unrevealing (Dickinson et al. 2019).Janssen et al. (2016) have proposed interaction links between mucin and alveolar macrophage defensive functions in regulating homeostatic, inflammatory, and resolving immune functions.In the model in the present study, the intact macrophage MyD88 signaling pathway, and thus the defensive function of macrophages, might have allowed for compensatory clearance of secreted airway mucous.Thus, a physical clearance mechanism may reduce a positive feedback loop of inspissated mucous secretions in blocked airways causing further increase in mucin production.Future studies of the impact of a macrophage-specific MyD88 deletion are thus warranted.
The alarmin IL-33 affects mucus cell biology; here, there was decreased ODE-induced IL-33 release rapidly following a onetime ODE exposure in the lungs of lung epithelial MyD88-deficient mice.Whereas this finding could be contributing to the decrease in mucus expression after 1 week of repetitive exposures, the ODE-induced IL-33 attenuated response was lost after 1 week.ODE exposure does not induce allergic or T H 2 cytokines (i.e.IL-4, IL-3) or eosinophil influx, but is associated with increased serum IgE levels; such a response is augmented in global MyD88 KO animals (Johnson et al. 2020).Serum IgE levels were also increased here in the lung epithelial MyD88-deficient mice.Spatio-temporally secreted factors from airway epithelial cells are known to be necessary for regulating IgE production (Moon et al. 2018); further studies may be warranted to clarify what role such secreted factors might have in the mechanisms underlying the outcomes seen in the present study.
Lastly, in the current study, the findings of an importance of the MyD88-dependent signaling pathway was attributed to all airway epithelial cells, but could not be further ascribed to club (CCSP þ ) cells (non-ciliated, non-mucoid cells) of the respiratory bronchioles (Singh and Katyal 200 l;Rawlins et al. 2009).Such outcomes would serve to highlight the roles of the central and upper airways, or even alveolar epithelial cells, in ODE-induced responses in vivo.Alternatively, it is also recognized that hematopoietic cell MyD88-dependent signaling is also important as prior bone marrow chimera studies demonstrated that MyD88 action in hematopoietic cells is mainly responsible for acute ODE-induced TNF-⍺ release and partially responsible for IL-6 and neutrophil chemoattractant release and neutrophil influx (Poole, Wyatt, et al. 2015).However, the hematopoietic cell-specific (e.g.monocytes, macrophages, lymphocytes, dendritic cells) MyD88-signaling dependence in regulating the lung response to acute and/or repetitive ODE exposures remains unknown and future studies including use of cell-specific Cre/Lox strategies could be investigated.

Conclusions
In summary, based on the data here, one may conclude that MyD88-dependent signaling of lung epithelial cells governs several organic dust-induced airway inflammatory consequences, including neutrophil recruitment and mucin production.By delineating lung epithelial cell-specific MyD88-dependent responses, these studies also uncovered potential links in mucin production/clearance potentially involving macrophages.The upper airway responses appear to be driving responses as there was a loss in MyD88-depenent protection against inflammation in mid-airway epithelial cell club cells, which may have implications in development of lung disease.These findings might have implication in the design of future of cell-targeted therapeutic approaches for agriculture workers.
Single ODE exposure-induced IL-33 release was reduced in mice deficient in lung epithelial MyD88 but serum IgE levels were increasedAlthough classic allergic responses (e.g.increases in presence of eosinophils, T-helper cell type 2 [T H 2] cytokines) have not been associated with ODE-induced airway inflammatory responses in past studies, increased lung expression of alarmin IL-33 and increased serum IgE have been demonstrated with ODE exposures(Johnson et al. 2020).The results here indicated that lung homogenate levels of IL-33 were significantly reduced in mutant (SPC Cre± MyD88 fl/fl ) mice compared to in control mice

pFigure 3 .
Figure3.Mice deficient in lung epithelial MyD88 exhibit decreased lung neutrophil infiltrates following 1 week of repetitive ODE exposure.Control (SPC CreÀ/À MyD88 fl/fl ) and mutant (SPC Cre± MyD88 fl/fl ) mice were treated daily with ODE for 1 week before lung tissue was processed by flow cytometry and histopathology.Bar graphs depict mean ± SEM of (A) total lung cells enumerated by hematocytometer; (B) Ly6G þ neutrophils determined as percentage of CD45 þ lung cells by flow cytometry analysis, and (C) this percentage multiplied by total cells to determine total lung neutrophils count.A representative H&E-stained lung section from each group is shown.N ¼ 7 (control and mutant, 1 week) from two independent experimental runs.Scale ¼ 100 lm.Statistical differences determined by Mann-Whitney.