Reddy Narsa M, Kleeberger Steven R, Kensler Thomas W, Yamamoto Masayuki, Hassoun Paul M, Reddy Sekhar P
Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
J Immunol. 2009 Jun 1;182(11):7264-71. doi: 10.4049/jimmunol.0804248.
Aberrant tissue repair and persistent inflammation following oxidant-mediated acute lung injury (ALI) can lead to the development and progression of various pulmonary diseases, but the mechanisms underlying these processes remain unclear. Hyperoxia is widely used in the treatment of pulmonary diseases, but the effects of this oxidant exposure in patients undergoing recovery from ALI are not clearly understood. Nrf2 has emerged as a crucial transcription factor that regulates oxidant stress through the induction of several detoxifying enzymes and other proteins. Using an experimental model of hyperoxia-induced ALI, we have examined the role of oxidant stress in resolving lung injury and inflammation. We found that when exposed to sublethal (72 h) hyperoxia, Nrf2-deficient, but not wild-type mice, succumbed to death during recovery. When both genotypes were exposed to a shorter period of hyperoxia-induced ALI (48 h), the lungs of Nrf2-deficient mice during recovery exhibited persistent cellular injury, impaired alveolar and endothelial cell regeneration, and persistent cellular infiltration by macrophages and lymphocytes. Glutathione (GSH) supplementation in Nrf2-deficient mice immediately after hyperoxia remarkably restored their ability to recover from hyperoxia-induced damage in a manner similar to that of wild-type mice. Thus, the results of the present study indicate that the Nrf2-regulated transcriptional response and, particularly GSH synthesis, is critical for lung tissue repair and the resolution of inflammation in vivo and suggests that a dysfunctional Nrf2-GSH pathway may compromise these processes in vivo.
氧化剂介导的急性肺损伤(ALI)后异常的组织修复和持续的炎症可导致各种肺部疾病的发生和发展,但其潜在机制仍不清楚。高氧广泛应用于肺部疾病的治疗,但这种氧化剂暴露对ALI恢复期患者的影响尚不清楚。Nrf2已成为一种关键的转录因子,通过诱导多种解毒酶和其他蛋白质来调节氧化应激。利用高氧诱导ALI的实验模型,我们研究了氧化应激在解决肺损伤和炎症中的作用。我们发现,当暴露于亚致死性(72小时)高氧时,Nrf2缺陷型而非野生型小鼠在恢复过程中死亡。当两种基因型都暴露于较短时间的高氧诱导ALI(48小时)时,Nrf2缺陷型小鼠恢复期间的肺表现出持续的细胞损伤、肺泡和内皮细胞再生受损,以及巨噬细胞和淋巴细胞的持续细胞浸润。在高氧后立即给Nrf2缺陷型小鼠补充谷胱甘肽(GSH),能以类似于野生型小鼠的方式显著恢复其从高氧诱导损伤中恢复的能力。因此,本研究结果表明,Nrf2调节的转录反应,特别是GSH合成,对体内肺组织修复和炎症消退至关重要,并提示功能失调的Nrf2-GSH途径可能在体内损害这些过程。