Reactive nitrogen species (RNS) generated after exposure to radiation have been implicated in
lung injury.
Surfactant protein D (
SP-D) is a pulmonary
collectin that suppresses
inducible nitric oxide synthase (iNOS)-mediated RNS production. Herein, we analyzed the role of iNOS and
SP-D in radiation-induced
lung injury. Exposure of wild-type (WT) mice to γ-radiation (8 Gy) caused
acute lung injury and
inflammation, as measured by increases in bronchoalveolar lavage (BAL)
protein and cell content at 24 h. Radiation also caused alterations in
SP-D structure at 24 h and 4 weeks post exposure. These responses were blunted in iNOS(-/-) mice. Conversely, loss of iNOS had no effect on radiation-induced expression of phospho-H2A.X or
tumor necrosis factor (TNF)-α. Additionally, at 24 h post radiation,
cyclooxygenase expression and BAL
lipocalin-2 levels were increased in iNOS(-/-) mice, and
heme oxygenase (HO)-1(+) and Ym1(+) macrophages were evident. Loss of
SP-D resulted in increased numbers of enlarged HO-1(+) macrophages in the lung following radiation, along with upregulation of TNF-α, CCL2, and CXCL2, whereas expression of phospho-H2A.X was diminished. To determine if RNS play a role in the altered sensitivity of
SP-D(-/-) mice to radiation, iNOS(-/-)/
SP-D(-/-) mice were used. Radiation-induced injury, oxidative stress, and tissue repair were generally similar in iNOS(-/-)/
SP-D(-/-) and
SP-D(-/-) mice. In contrast, TNF-α, CCL2, and CXCL2 expression was attenuated. These data indicate that although iNOS is involved in radiation-induced injury and altered
SP-D structure, in the absence of
SP-D, it functions to promote proinflammatory signaling. Thus, multiple inflammatory pathways contribute to the pathogenic response to radiation.