Division for Allergy, Pneumology and Cystic Fibrosis, Department for Children and Adolescence, Goethe-University, Frankfurt/Main, Germany.
Division of Nephrology, Department of Internal Medicine III, Goethe-University, Frankfurt/Main, Germany.
Redox Biol. 2018 Apr;14:645-655. doi: 10.1016/j.redox.2017.11.006. Epub 2017 Nov 10.
Lung failure is responsible for significant morbidity and is a frequent cause of death in ataxia-telangiectasia (A-T). Disturbance in the redox balance of alveolar epithelial cells must be considered as a causal factor for respiratory disease in A-T. To investigate bronchoalveolar sensitivity to reactive oxygen species (ROS) and ROS-induced DNA damage, we used bleomycin (BLM) to induce experimental inflammation and fibrotic changes in the Atm-deficient mouse model. BLM or saline was administered by oropharyngeal instillation into the lung of Atm-deficient mice and wild-type mice. Mice underwent pulmonary function testing at days 0, 9, and 28, and bronchoalveolar lavage (BAL) was analysed for cell distribution and cytokines. Lung tissue was analysed by histochemistry. BLM administration resulted in a tremendous increase in lung inflammation and fibrotic changes in the lung tissue of Atm-deficient mice and was accompanied by irreversible deterioration of lung function. ATM (ataxia telangiectasia mutated) deficiency resulted in reduced cell viability, a delay in the resolution of γH2AX expression and a significant increase in intracellular ROS in pulmonary epithelial cells after BLM treatment. This was confirmed in the human epithelial cell line A549 treated with the ATM-kinase inhibitor KU55933. Our results demonstrate high bronchoalveolar sensitivity to ROS and ROS-induced DNA damage in the Atm-deficient mouse model and support the hypothesis that ATM plays a pivotal role in the control of oxidative stress-driven lung inflammation and fibrosis.
肺衰竭是导致重大发病率的原因,也是共济失调毛细血管扩张症(A-T)患者死亡的常见原因。肺泡上皮细胞的氧化还原平衡紊乱必须被视为 A-T 患者呼吸疾病的一个因果因素。为了研究肺泡对活性氧(ROS)和 ROS 诱导的 DNA 损伤的敏感性,我们使用博来霉素(BLM)在 Atm 缺陷型小鼠模型中诱导实验性炎症和纤维化改变。BLM 或生理盐水通过口咽滴注到 Atm 缺陷型小鼠和野生型小鼠的肺部。在第 0、9 和 28 天对小鼠进行肺功能测试,并分析支气管肺泡灌洗液(BAL)中的细胞分布和细胞因子。通过组织化学分析肺组织。BLM 给药导致 Atm 缺陷型小鼠肺部炎症和纤维化显著增加,并伴有肺功能不可逆恶化。ATM(共济失调毛细血管扩张症突变)缺陷导致细胞活力降低、γH2AX 表达的消退延迟以及 BLM 处理后肺上皮细胞内 ROS 显著增加。在经 ATM 激酶抑制剂 KU55933 处理的人上皮细胞系 A549 中得到了证实。我们的研究结果表明,在 Atm 缺陷型小鼠模型中,肺泡对 ROS 和 ROS 诱导的 DNA 损伤具有高度敏感性,并支持 ATM 在控制氧化应激驱动的肺炎症和纤维化中发挥关键作用的假说。