Cho Hye-Youn, Reddy Sekhar P M, Yamamoto Masayuki, Kleeberger Steven R
Department of Environmental Health Sciences, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
FASEB J. 2004 Aug;18(11):1258-60. doi: 10.1096/fj.03-1127fje. Epub 2004 Jun 18.
The molecular mechanisms of pulmonary fibrosis are poorly understood, although reactive oxygen species are thought to have an important role. NRF2 is a transcription factor that protects cells and tissues from oxidative stress by activating protective antioxidant and detoxifying enzymes. We hypothesized that NRF2 protects lungs from injury and fibrosis induced by bleomycin, an anti-neoplastic agent that causes pulmonary fibrosis in susceptible patients. To test this hypothesis, mice with targeted deletion of Nrf2 (Nrf2-/-) and wild-type (Nrf2+/+) mice were treated with bleomycin or vehicle, and pulmonary injury and fibrotic responses were compared. Bleomycin-induced increases in lung weight, epithelial cell death, and inflammation were significantly greater in Nrf2-/- mice than in Nrf2+/+ mice. Indices of lung fibrosis (hydroxyproline content, collagen accumulation, fibrotic score, cell proliferation) were significantly greater in bleomycin-treated Nrf2-/- mice, compared with Nrf2+/+ mice. NRF2 expression and activity were elevated in Nrf2+/+ mice by bleomycin. Bleomycin caused greater up-regulation of several NRF2-inducible antioxidant enzyme genes and protein products in Nrf2+/+ mice compared with Nrf2-/- mice. Further, bleomycin-induced transcripts and protein levels of lung injury and fibrosis markers were significantly attenuated in Nrf2+/+ mice compared with Nrf2-/- mice. Results demonstrated that NRF2 has a critical role in protection against pulmonary fibrosis, presumably through enhancement of cellular antioxidant capacity. This study has important implications for the development of intervention strategies against fibrosis.
尽管人们认为活性氧在其中起着重要作用,但肺纤维化的分子机制仍知之甚少。NRF2是一种转录因子,可通过激活保护性抗氧化酶和解毒酶来保护细胞和组织免受氧化应激。我们假设NRF2可保护肺部免受博来霉素诱导的损伤和纤维化,博来霉素是一种抗肿瘤药物,可使易感患者发生肺纤维化。为了验证这一假设,对靶向缺失Nrf2的小鼠(Nrf2-/-)和野生型小鼠(Nrf2+/+)给予博来霉素或赋形剂处理,并比较肺部损伤和纤维化反应。与Nrf2+/+小鼠相比,博来霉素诱导的Nrf2-/-小鼠肺重量增加、上皮细胞死亡和炎症反应明显更严重。与Nrf2+/+小鼠相比,博来霉素处理的Nrf2-/-小鼠的肺纤维化指标(羟脯氨酸含量、胶原积累、纤维化评分、细胞增殖)明显更高。博来霉素可使Nrf2+/+小鼠的NRF2表达和活性升高。与Nrf2-/-小鼠相比,博来霉素在Nrf2+/+小鼠中引起几种NRF2诱导的抗氧化酶基因和蛋白质产物的上调幅度更大。此外,与Nrf2-/-小鼠相比,博来霉素诱导的肺损伤和纤维化标志物的转录本和蛋白质水平在Nrf2+/+小鼠中明显减弱。结果表明,NRF2在预防肺纤维化中起关键作用,可能是通过增强细胞抗氧化能力实现的。本研究对纤维化干预策略的开发具有重要意义。