Immunogenetic as well as environmental and occupational exposures have been linked to the development of
rheumatoid arthritis (RA), RA-associated
lung disease, and other primary lung disorders. Importantly, various inhalants can trigger post-translational protein modifications, resulting in lung
autoantigen expression capable of stimulating pro-inflammatory and/or pro-fibrotic immune responses. To further elucidate gene-environment interactions contributing to pathologic
lung inflammation, we exploited an established model of organic dust extract (ODE) exposure with and without
collagen-induced arthritis (CIA) in C57BL/6 wild type (WT) versus
HLA-DR4 transgenic mice. ODE-induced airway infiltration driven by neutrophils was significantly increased in DR4 versus WT mice, with corresponding increases in bronchoalveolar lavage fluid (BALF) levels of TNF-⍺,
IL-6, and
IL-33. Lung histopathology demonstrated increased number of ectopic lymphoid aggregates comprised of T and B cells following ODE exposure in DR4 mice. ODE also induced citrullination,
malondialdehyde acetaldehyde (MAA) modification, and
vimentin expression that co-localized with MAA and was enhanced in DR4 mice. Serum and BALF anti-MAA
antibodies were strikingly increased in ODE-treated DR4 mice. Coupling ODE exposure with
Type II collagen immunization (CIA) resulted in similarly augmented pro-inflammatory lung profiles in DR4 mice (relative to WT mice) that was accompanied by a profound increase in infiltrating lung CD4+ and CD8+ T cells as well as CD19+CD11b+ autoimmune B cells. Neither modeling strategy induced significant
arthritis. These findings support a model in which environmental insults trigger enhanced post-translational protein modification and
lung inflammation sharing immunopathological features with RA-associated
lung disease in the selected immunogenetic background of
HLA-DR4 mice.