RT Journal Article SR Electronic T1 A pro-inflammatory role for the Frizzled-8 receptor in chronic bronchitis JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 312 OP 322 DO 10.1136/thoraxjnl-2015-206958 VO 71 IS 4 A1 Anita I R Spanjer A1 Mark H Menzen A1 Akkelies E Dijkstra A1 Maarten van den Berge A1 H Marike Boezen A1 David C Nickle A1 Don D Sin A1 Yohan Bossé A1 Corry-Anke Brandsma A1 Wim Timens A1 Dirkje S Postma A1 Herman Meurs A1 Irene H Heijink A1 Reinoud Gosens YR 2016 UL http://thorax.bmj.com/content/71/4/312.abstract AB Rationale We have previously shown increased expression of the Frizzled-8 receptor of the Wingless/integrase-1 (WNT) signalling pathway in COPD. Here, we investigated if the Frizzled-8 receptor has a functional role in airway inflammation associated with chronic bronchitis.Methods Acute cigarette-smoke-induced airway inflammation was studied in wild-type and Frizzled-8-deficient mice. Genetic association studies and lung expression quantitative trait loci (eQTL) analyses for Frizzled-8 were performed to evaluate polymorphisms in FZD8 and their relationship to tissue expression in chronic bronchitis. Primary human lung fibroblasts and primary human airway epithelial cells were used for in vitro studies.Results Cigarette-smoke-exposure induced airway inflammation in wild-type mice, which was prevented in Frizzled-8-deficient mice, suggesting a crucial role for Frizzled-8 in airway inflammation. Furthermore, we found a significant genetic association (p=0.009) between single nucleotide polymorphism (SNP) rs663700 in the FZD8 region and chronic mucus hypersecretion, a characteristic of chronic bronchitis, in a large cohort of smoking individuals. We found SNP rs663700 to be a cis-eQTL regulating Frizzled-8 expression in lung tissue. Functional data link mesenchymal Frizzled-8 expression to inflammation as its expression in COPD-derived lung fibroblasts was regulated by pro-inflammatory cytokines in a genotype-dependent manner. Moreover, Frizzled-8 regulates inflammatory cytokine secretion from human lung fibroblasts, which in turn promoted MUC5AC expression by differentiated human airway epithelium.Conclusions These findings indicate an important pro-inflammatory role for Frizzled-8 and suggest that its expression is related to chronic bronchitis. Furthermore, our findings indicate an unexpected role for fibroblasts in regulating airway inflammation in COPD.