Issue 39, 2023

Engineering in vitro models of cystic fibrosis lung disease using neutrophil extracellular trap inspired biomaterials

Abstract

Cystic fibrosis (CF) is a muco-obstructive lung disease where inflammatory responses due to chronic infection result in the accumulation of neutrophil extracellular traps (NETs) in the airways. NETs are web-like complexes comprised mainly of decondensed chromatin that function to capture and kill bacteria. Prior studies have established excess release of NETs in CF airways increases viscoelasticity of mucus secretions and reduces mucociliary clearance. Despite the pivotal role of NETs in CF disease pathogenesis, current in vitro models of this disease do not account for their contribution. Motivated by this, we developed a new approach to study the pathobiological effects of NETs in CF by combining synthetic NET-like biomaterials, composed of DNA and histones, with an in vitro human airway epithelial cell culture model. To determine the impact of synthetic NETs on airway clearance function, we incorporated synthetic NETs into mucin hydrogels and cell culture derived airway mucus to assess their rheological and transport properties. We found that the addition of synthetic NETs significantly increases mucin hydrogel viscoelasticity. As a result, mucociliary transport in vitro was significantly reduced with the addition of mucus containing synthetic NETs. Given the prevalence of bacterial infection in the CF lung, we also evaluated the growth of Pseudomonas aeruginosa in mucus with or without synthetic NETs. We found mucus containing synthetic NETs promoted microcolony growth and prolonged bacterial survival. Together, this work establishes a new biomaterial enabled approach to study innate immunity mediated airway dysfunction in CF.

Graphical abstract: Engineering in vitro models of cystic fibrosis lung disease using neutrophil extracellular trap inspired biomaterials

Supplementary files

Article information

Article type
Paper
Submitted
30 Jun 2023
Accepted
04 Sep 2023
First published
06 Sep 2023

J. Mater. Chem. B, 2023,11, 9419-9430

Author version available

Engineering in vitro models of cystic fibrosis lung disease using neutrophil extracellular trap inspired biomaterials

A. Boboltz, S. Yang and G. A. Duncan, J. Mater. Chem. B, 2023, 11, 9419 DOI: 10.1039/D3TB01489D

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