Document Detail


Lung extracellular superoxide dismutase overexpression lessens bleomycin-induced pulmonary hypertension and vascular remodeling.
MedLine Citation:
PMID:  20539010     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Interstitial lung disease is a devastating disease in humans that can be further complicated by the development of secondary pulmonary hypertension. Accumulating evidence indicates that the oxidant superoxide can contribute to the pathogenesis of both interstitial lung disease and pulmonary hypertension. We used a model of pulmonary hypertension secondary to bleomycin-induced pulmonary fibrosis to test the hypothesis that an imbalance in extracellular superoxide and its antioxidant defense, extracellular superoxide dismutase, will promote pulmonary vascular remodeling and pulmonary hypertension. We exposed transgenic mice overexpressing lung extracellular superoxide dismutase and wild-type littermates to a single dose of intratracheal bleomycin, and evaluated the mice weekly for up to 35 days. We assessed pulmonary vascular remodeling and the expression of several genes critical to lung fibrosis, as well as pulmonary hypertension and mortality. The overexpression of extracellular superoxide dismutase protected against late remodeling within the medial, adventitial, and intimal layers of the vessel wall after the administration of bleomycin, and attenuated pulmonary hypertension at the same late time point. The overexpression of extracellular superoxide dismutase also blocked the early up-regulation of two key genes in the lung known to be critical in pulmonary fibrosis and vascular remodeling, the transcription factor early growth response-1 and transforming growth factor-β. The overexpression of extracellular superoxide dismutase attenuated late pulmonary hypertension and significantly improved survival after exposure to bleomycin. These data indicate an important role for an extracellular oxidant/antioxidant imbalance in the pathogenesis of pulmonary vascular remodeling associated with secondary pulmonary hypertension attributable to bleomycin-induced lung fibrosis.
Authors:
Zachary Van Rheen; Cheryl Fattman; Shannon Domarski; Susan Majka; Dwight Klemm; Kurt R Stenmark; Eva Nozik-Grayck
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-06-10
Journal Detail:
Title:  American journal of respiratory cell and molecular biology     Volume:  44     ISSN:  1535-4989     ISO Abbreviation:  Am. J. Respir. Cell Mol. Biol.     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-04-06     Completed Date:  2011-06-07     Revised Date:  2012-04-02    
Medline Journal Info:
Nlm Unique ID:  8917225     Medline TA:  Am J Respir Cell Mol Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  500-8     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Colorado, Aurora, CO 80045, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Bleomycin
Cell Proliferation
Early Growth Response Protein 1 / genetics,  metabolism
Extracellular Space / enzymology*
Gene Expression Regulation
Humans
Hypertension, Pulmonary / complications,  enzymology*,  mortality,  physiopathology*
Lung / blood supply*,  enzymology*,  physiopathology
Mice
Mice, Inbred C57BL
Mice, Transgenic
Nitric Oxide Synthase Type III / metabolism
Nitrosation
Oxidation-Reduction
Pulmonary Artery / pathology,  physiopathology
Pulmonary Fibrosis / complications,  genetics,  pathology
Stress, Physiological
Superoxide Dismutase / metabolism*
Transforming Growth Factor beta / genetics,  metabolism
Tyrosine / analogs & derivatives,  metabolism
Grant Support
ID/Acronym/Agency:
HL086680/HL/NHLBI NIH HHS; R01 HL086680-04/HL/NHLBI NIH HHS; R01 HL086680-05/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Early Growth Response Protein 1; 0/Transforming Growth Factor beta; 11056-06-7/Bleomycin; 3604-79-3/3-nitrotyrosine; 55520-40-6/Tyrosine; EC 1.14.13.39/Nitric Oxide Synthase Type III; EC 1.15.1.1/Superoxide Dismutase

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