Document Detail


Insulin-like growth factor-I receptor blockade improves outcome in mouse model of lung injury.
MedLine Citation:
PMID:  19011156     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE: The insulin-like growth factor-I (IGF-I) pathway is an important determinant of survival and proliferation in many cells. However, little is known about the role of the IGF-I pathway in lung injury. We previously showed elevated levels of IGF-I in bronchoalveolar lavage fluid from patients with acute respiratory distress syndrome. Furthermore, immunodepletion of IGF from acute respiratory distress syndrome bronchoalveolar lavage increased fibroblast apoptosis. OBJECTIVES: We examined the effect of blockade of type 1 IGF tyrosine kinase receptor (IGF-IR) in a murine model of bleomycin-induced lung injury and fibrosis. METHODS: Mice were treated with a monoclonal antibody against the IGF-I receptor (A12) or vehicle after intratracheal bleomycin instillation. MEASUREMENTS AND MAIN RESULTS: Mice treated with A12 antibody had significantly improved survival after bleomycin injury compared with control mice. Both groups of mice had a similar degree of fibrosis on days 7 and 14, but by Day 28 the A12-treated group had significantly less fibrosis. Delayed treatment with A12 also resulted in decreased fibrosis. A12-treated mice had significantly decreased apoptotic cells on Day 28 compared with control mice. We confirmed that A12 treatment induced mouse lung fibroblast apoptosis in vitro. In addition, IGF-I increased lung fibroblast migration. The primary pathway activated by IGF-I in lung fibroblasts was the insulin receptor substrate-2/phosphatidylinositol 3-kinase/Akt axis. CONCLUSIONS: IGF-I regulated survival and migration of fibrogenic cells in the lung. Blockade of the IGF pathway increased fibroblast apoptosis and subsequent resolution of pulmonary fibrosis. Thus, IGF-IR may be a potential target for treatment of lung injury and fibrosis.
Authors:
Jung-Eun Choi; Sung-Soon Lee; Donald A Sunde; Isham Huizar; Kathy L Haugk; Victor J Thannickal; Ragini Vittal; Stephen R Plymate; Lynn M Schnapp
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-11-14
Journal Detail:
Title:  American journal of respiratory and critical care medicine     Volume:  179     ISSN:  1535-4970     ISO Abbreviation:  Am. J. Respir. Crit. Care Med.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-22     Completed Date:  2009-03-04     Revised Date:  2010-09-23    
Medline Journal Info:
Nlm Unique ID:  9421642     Medline TA:  Am J Respir Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  212-9     Citation Subset:  AIM; IM    
Affiliation:
Divison of Pulmonary and Critical Care Medicine, Department of Medicine, Harborview Medical Center, University of Washington, Seattle,Washington, USA.
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MeSH Terms
Descriptor/Qualifier:
Acute Lung Injury / drug therapy*,  metabolism,  pathology
Animals
Antibodies, Monoclonal / administration & dosage,  therapeutic use*
Apoptosis
Bleomycin / toxicity
Blotting, Western
Bronchoalveolar Lavage Fluid / chemistry,  cytology
Cell Movement / drug effects
Cell Proliferation / drug effects
Disease Models, Animal
Dose-Response Relationship, Drug
Fibroblasts / drug effects,  pathology
Follow-Up Studies
Gene Expression
Immunohistochemistry
Lung / metabolism,  pathology
Mice
Mice, Inbred C57BL
Polymerase Chain Reaction
Pulmonary Fibrosis / drug therapy,  metabolism,  pathology
RNA, Messenger / genetics
Receptor, IGF Type 1 / antagonists & inhibitors*,  genetics,  metabolism
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/RNA, Messenger; 11056-06-7/Bleomycin; EC 2.7.10.1/Receptor, IGF Type 1
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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