Perinatal dysfunction of innate immunity in cystic fibrosis

Jaudas, Florian and Bartenschlager, Florian and Shashikadze, Bachuki and Santamaria, Gianluca and Reichart, Daniel and Schnell, Alexander and Stoeckl, Jan Bernd and Degroote, Roxane L. and Cambra, Josep M. and Graeber, Simon Y. and Baehr, Andrea and Kartmann, Heike and Stefanska, Monika and Liu, Huan and Naumann-Bartsch, Nora and Bruns, Heiko and Berges, Johannes and Hanselmann, Lea and Stirm, Michael and Krebs, Stefan and Deeg, Cornelia A. and Blum, Helmut and Schulz, Christian and Zawada, Dorota and Janda, Melanie and Caballero-Posadas, Ignacio and Kunzelmann, Karl and Moretti, Alessandra and Laugwitz, Karl-Ludwig and Kupatt, Christian and Saalmueller, Armin and Froehlich, Thomas and Wolf, Eckhard and Mall, Marcus A. and Mundhenk, Lars and Gerner, Wilhelm and Klymiuk, Nikolai (2025) Perinatal dysfunction of innate immunity in cystic fibrosis. SCIENCE TRANSLATIONAL MEDICINE, 17 (782): eadk9145. ISSN 1946-6234, 1946-6242

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Abstract

In patients with cystic fibrosis (CF), repeated cycles of infection and inflammation eventually lead to fatal lung damage. Although diminished mucus clearance can be restored by highly effective CFTR modulator therapy, inflammation and infection often persist. To elucidate the role of the innate immune system in CF etiology, we investigated a CF pig model and compared these results with those for preschool children with CF. In newborn CF pigs, we observed changes in lung immune cell composition before the onset of infection that were dominated by increased monocyte infiltration, whereas neutrophil numbers remained constant. Flow cytometric and transcriptomic profiling revealed that the infiltrating myeloid cells displayed a more immature status. Cells with comparably immature transcriptomic profiles were enriched in the blood of CF pigs at birth as well as in preschool children with CF. This pattern coincided with decreased CD16 expression in the myeloid cells of both pigs and humans, which translated into lower phagocytic activity and reduced production of reactive oxygen species in both species. These results were indicative of a congenital, translationally conserved, and functionally relevant aberration of the immune system in CF. In newborn wild-type pigs, CFTR transcription in immune cells, including lung-derived and circulating monocytes, isolated from the bone marrow, thymus, spleen, and blood was below the detection limits of highly sensitive assays, suggesting an indirect etiology of the observed effects. Our findings highlight the need for additional immunological treatments to target innate immune deficits in patients with CF.

Item Type: Article
Uncontrolled Keywords: TRANSMEMBRANE CONDUCTANCE REGULATOR; MYELOID DIFFERENTIATION; MONOCYTE SUBSETS; II COLLAGEN; MODEL; INFLAMMATION; EXPRESSION; AIRWAY; LUNG; MACROPHAGES;
Subjects: 500 Science > 570 Life sciences
Divisions: Biology, Preclinical Medicine > Institut für Physiologie > Prof. Dr. Karl Kunzelmann
Depositing User: Dr. Gernot Deinzer
Date Deposited: 25 Mar 2026 08:16
Last Modified: 25 Mar 2026 08:16
URI: https://pred.uni-regensburg.de/id/eprint/68027

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