RT Journal Article SR Electronic T1 Increased extracellular vesicles mediate inflammatory signalling in cystic fibrosis JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 449 OP 458 DO 10.1136/thoraxjnl-2019-214027 VO 75 IS 6 A1 Zivile Useckaite A1 Mark P Ward A1 Anne Trappe A1 Rebecca Reilly A1 Jenny Lennon A1 Holly Davage A1 David Matallanas A1 Hilary Cassidy A1 Eugene T Dillon A1 Kiva Brennan A1 Sarah L Doyle A1 Suzanne Carter A1 Seamas Donnelly A1 Barry Linnane A1 Edward F McKone A1 Paul McNally A1 Judith A Coppinger YR 2020 UL http://thorax.bmj.com/content/75/6/449.abstract AB Rationale Mutations in the cystic fibrosis transmembrane regulator (CFTR) gene form the basis of cystic fibrosis (CF). There remains an important knowledge gap in CF as to how diminished CFTR activity leads to the dominant inflammatory response within CF airways.Objectives To investigate if extracellular vesicles (EVs) contribute to inflammatory signalling in CF.Methods EVs released from CFBE41o-, CuFi-5, 16HBE14o- and NuLi-1 cells were characterised by nanoparticle tracking analysis (NTA). EVs isolated from bronchoalveolar lavage fluid (BALF) from 30 people with CF (PWCF) were analysed by NTA and mass spectrometry and compared with controls. Neutrophils were isolated from the blood of 8 PWCF to examine neutrophil migration in the presence of CFBE41o- EVs.Results A significantly higher level of EVs were released from CFBE41o- (p<0.0001) and CuFi-5 (p=0.0209) relative to control cell lines. A significantly higher level of EVs were detected in BALF of PWCF, in three different age groups relative to controls (p=0.01, 0.001, 0.002). A significantly lower level of EVs were released from CFBE41o- (p<0.001) and CuFi-5 (p=0.0002) cell lines treated with CFTR modulators. Significant changes in the protein expression of 126 unique proteins was determined in EVs obtained from the BALF of PWCF of different age groups (p<0.001–0.05). A significant increase in chemotaxis of neutrophils derived from PWCF was observed in the presence of CFBE41o EVs (p=0.0024) compared with controls.Conclusion This study demonstrates that EVs are produced in CF airway cells, have differential protein expression at different ages and drive neutrophil recruitment in CF.