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Airway epithelium controls lung inflammation and injury through the NF-kappa B pathway.

Abstract
Although airway epithelial cells provide important barrier and host defense functions, a crucial role for these cells in development of acute lung inflammation and injury has not been elucidated. We investigated whether NF-kappaB pathway signaling in airway epithelium could decisively impact inflammatory phenotypes in the lungs by using a tetracycline-inducible system to achieve selective NF-kappaB activation or inhibition in vivo. In transgenic mice that express a constitutively active form of IkappaB kinase 2 under control of the epithelial-specific CC10 promoter, treatment with doxycycline induced NF-kappaB activation with consequent production of a variety of proinflammatory cytokines, high-protein pulmonary edema, and neutrophilic lung inflammation. Continued treatment with doxycycline caused progressive lung injury and hypoxemia with a high mortality rate. In contrast, inducible expression of a dominant inhibitor of NF-kappaB in airway epithelium prevented lung inflammation and injury resulting from expression of constitutively active form of IkappaB kinase 2 or Escherichia coli LPS delivered directly to the airways or systemically via an osmotic pump implanted in the peritoneal cavity. Our findings indicate that the NF-kappaB pathway in airway epithelial cells is critical for generation of lung inflammation and injury in response to local and systemic stimuli; therefore, targeting inflammatory pathways in airway epithelium could prove to be an effective therapeutic strategy for inflammatory lung diseases.
AuthorsDong-sheng Cheng, Wei Han, Sabrina M Chen, Taylor P Sherrill, Melissa Chont, Gye-Young Park, James R Sheller, Vasiliy V Polosukhin, John W Christman, Fiona E Yull, Timothy S Blackwell
JournalJournal of immunology (Baltimore, Md. : 1950) (J Immunol) Vol. 178 Issue 10 Pg. 6504-13 (May 15 2007) ISSN: 0022-1767 [Print] United States
PMID17475880 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • Inflammation Mediators
  • Lipopolysaccharides
  • NF-kappa B
Topics
  • Acute Disease
  • Animals
  • Cells, Cultured
  • Female
  • Humans
  • Inflammation (genetics, immunology, metabolism, prevention & control)
  • Inflammation Mediators (metabolism, physiology)
  • Lipopolysaccharides (pharmacology)
  • Lung (immunology, metabolism, pathology)
  • Male
  • Mice
  • Mice, Transgenic
  • NF-kappa B (antagonists & inhibitors, metabolism, physiology)
  • Respiratory Mucosa (immunology, metabolism, pathology)
  • Signal Transduction (genetics, immunology)
  • Trachea (immunology, metabolism, pathology)

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