Almost three billion people in developing countries are exposed to biomass
smoke (BS), which predisposes them to developing
chronic obstructive pulmonary disease (
COPD).
COPD is associated with abnormal innate and adaptive immune responses in the lungs and systemic circulation, but the mechanisms underlying BS-
COPD development are uncertain. We investigated the role of dendritic cells (DCs) and
interleukin (IL)-17A in BS-
COPD. We investigated T helper cell responses in the BS-exposed
COPD rat model by flow cytometry, quantitative PCR, and
enzyme-linked
immunosorbent assays. We conducted ex vivo experiments to determine which antigen-presenting cells induce Th17 cell responses. We evaluated the in vitro effects of BS-related
particulate matter (BRPM) (2.5 μm) on the function of bone marrow-derived dendritic cells (BMDCs). We found that BS exposure enhanced Th17 responses in the lungs of the
COPD-modelled rats, and the stimulated DCs (but not the macrophages) were sufficient to induce naïve CD4 + T cells to produce
IL-17A in ex vivo experiments. BRPM significantly enhanced the maturation and activation of DCs through
Toll-like receptor 2 (TLR2), but not TLR4, and induced Th17 responses. Therefore, BS activated lung DCs through TLR2, which led to Th17 responses and
emphysema in the rats. This process is possibly therapeutically targetable.