Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Louisville, 505 S. Hancock Street, CTR Bldg., room 524, Louisville, KY, 40202, USA.
Department of Biochemistry and Molecular Genetics, University of Louisville, 505 S. Hancock Street, CTR Bldg., room 524, Louisville, KY, 40202, USA.
Respir Res. 2018 Nov 20;19(1):221. doi: 10.1186/s12931-018-0933-6.
Work-place exposure to silica dust may lead to progressive lung inflammation culminating in the development of silicosis, an irreversible condition that can be complicated by onset of pulmonary hypertension (PH). The molecular mechanisms leading to the development of PH and lung fibrosis in response to silica are not well understood. Oxidant/antioxidant imbalance in the lung may promote fibroproliferation and vascular smooth muscle proliferation, ultimately leading to the development of PH. Herein, we analyze the development of PH and lung fibrosis in mice deficient in extracellular superoxide dismutase (SOD3), an enzyme with anti-oxidant activity.
PH and silicosis were induced in wild-type and Sod3 mice through intratracheal injection of crystalline silica at dose 0.4 g/kg. Pulmonary hypertension and lung fibrosis were characterized by changes in right ventricular systolic pressure (RVSP) and collagen deposition 28 days following silica injections. Vascular remodeling was analyzed using immunohistochemistry and morphometric analysis. The expression of genes were analyzed using qRT-PCR and Western blot.
C57BL6 mice exposed to silica showed attenuated expression of Sod3 in the lung suggesting a protective role for Sod3. Consistent with this, Sod3 mice developed more severe fibrotic inflammatory nodules with increased collagen deposition. Furthermore, the expression of genes involved in tissue remodeling (Timp1), fibrotic lesion formation (Fsp1) and inflammatory response (Mcp1) were significantly elevated in Sod3 mice compared to Sod3 mice treated with silica. Infiltration of neutrophils and activated macrophages into affected lung was significantly higher in Sod3 deficient mice. In addition, silica produced more profound effects on elevation of RVSP in Sod3 compared to wild-type littermate. Increase in RVSP was concomitant with hypertrophy of pulmonary arteries located in silicotic nodules of both mouse strains, however, vascular remodeling in unaffected areas of lung was detected only in Sod3 mice.
Our data suggest that Sod3 and extracellular oxidative stress may play an important role in the development of pneumoconiosis and pulmonary vascular remodeling following exposure to environmental and occupational silica.
工作场所暴露于二氧化硅粉尘可能导致肺部进行性炎症,最终发展为矽肺,这是一种不可逆转的疾病,可能会并发肺动脉高压(PH)。导致矽肺发生 PH 和肺纤维化的分子机制尚不清楚。肺部氧化应激/抗氧化失衡可能促进纤维增生和血管平滑肌增殖,最终导致 PH 的发生。在此,我们分析了外源性超氧化物歧化酶(SOD3)缺乏的小鼠中 PH 和肺纤维化的发展情况,SOD3 是一种具有抗氧化活性的酶。
通过气管内注射 0.4g/kg 结晶二氧化硅,在野生型和 Sod3 小鼠中诱导 PH 和矽肺。在二氧化硅注射后 28 天,通过右心室收缩压(RVSP)和胶原蛋白沉积变化来描述 PH 和肺纤维化。使用免疫组织化学和形态计量分析来分析血管重塑。使用 qRT-PCR 和 Western blot 分析基因表达。
暴露于二氧化硅的 C57BL6 小鼠的肺部 SOD3 表达减弱,表明 SOD3 具有保护作用。与此一致的是,Sod3 小鼠出现更严重的纤维化炎症性结节,胶原蛋白沉积增加。此外,与 Sod3 小鼠相比,Sod3 小鼠中涉及组织重塑(Timp1)、纤维化病变形成(Fsp1)和炎症反应(Mcp1)的基因表达显著升高。受影响的肺部中中性粒细胞和激活的巨噬细胞浸润明显更高。此外,与野生型同窝仔鼠相比,二氧化硅对 Sod3 小鼠的 RVSP 升高产生了更明显的影响。RVSP 的升高与两种小鼠株矽结节中肺动脉的肥大同时发生,但仅在 Sod3 小鼠中检测到未受影响肺区的血管重塑。
我们的数据表明,Sod3 和细胞外氧化应激可能在暴露于环境和职业性二氧化硅后矽肺和肺血管重塑的发展中发挥重要作用。