PMID- 15520857 OWN - NLM STAT- MEDLINE DCOM- 20041213 LR - 20240131 IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 114 IP - 9 DP - 2004 Nov TI - Genetic ablation of Nrf2 enhances susceptibility to cigarette smoke-induced emphysema in mice. PG - 1248-59 AB - Although inflammation and protease/antiprotease imbalance have been postulated to be critical in cigarette smoke-induced (CS-induced) emphysema, oxidative stress has been suspected to play an important role in chronic obstructive pulmonary diseases. Susceptibility of the lung to oxidative injury, such as that originating from inhalation of CS, depends largely on its upregulation of antioxidant systems. Nuclear factor, erythroid-derived 2, like 2 (Nrf2) is a redox-sensitive basic leucine zipper protein transcription factor that is involved in the regulation of many detoxification and antioxidant genes. Disruption of the Nrf2 gene in mice led to earlier-onset and more extensive CS-induced emphysema than was found in wild-type littermates. Emphysema in Nrf2-deficient mice exposed to CS for 6 months was associated with more pronounced bronchoalveolar inflammation; with enhanced alveolar expression of 8-oxo-7,8-dihydro-2'-deoxyguanosine, a marker of oxidative stress; and with an increased number of apoptotic alveolar septal cells--predominantly endothelial and type II epithelial cells--as compared with wild-type mice. Microarray analysis identified the expression of nearly 50 Nrf2-dependent antioxidant and cytoprotective genes in the lung that may work in concert to counteract CS-induced oxidative stress and inflammation. The responsiveness of the Nrf2 pathway may act as a major determinant of susceptibility to tobacco smoke-induced emphysema by upregulating antioxidant defenses and decreasing lung inflammation and alveolar cell apoptosis. FAU - Rangasamy, Tirumalai AU - Rangasamy T AD - Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA. FAU - Cho, Chung Y AU - Cho CY FAU - Thimmulappa, Rajesh K AU - Thimmulappa RK FAU - Zhen, Lijie AU - Zhen L FAU - Srisuma, Sorachai S AU - Srisuma SS FAU - Kensler, Thomas W AU - Kensler TW FAU - Yamamoto, Masayuki AU - Yamamoto M FAU - Petrache, Irina AU - Petrache I FAU - Tuder, Rubin M AU - Tuder RM FAU - Biswal, Shyam AU - Biswal S LA - eng GR - R01 66554/PHS HHS/United States GR - R01 CA94076/CA/NCI NIH HHS/United States GR - R01 CA094076/CA/NCI NIH HHS/United States GR - P50 CA058184/CA/NCI NIH HHS/United States GR - R01 HL105772/HL/NHLBI NIH HHS/United States GR - P30 ES 03819/ES/NIEHS NIH HHS/United States GR - P30 ES003819/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Antioxidants) RN - 0 (DNA-Binding Proteins) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 0 (Nfe2l2 protein, mouse) RN - 0 (Trans-Activators) RN - 88847-89-6 (8-Hydroxy-2'-Deoxyguanosine) RN - G9481N71RO (Deoxyguanosine) SB - IM MH - 8-Hydroxy-2'-Deoxyguanosine MH - Animals MH - Antioxidants/chemistry/metabolism MH - Apoptosis MH - Bronchoalveolar Lavage MH - DNA-Binding Proteins/*genetics MH - Deoxyguanosine/*analogs & derivatives/metabolism MH - Emphysema/*genetics MH - Epithelial Cells/cytology/pathology MH - *Genetic Predisposition to Disease MH - Humans MH - Immunohistochemistry MH - In Situ Nick-End Labeling MH - Inflammation MH - Lung/*drug effects/pathology MH - Mice MH - Mice, Inbred ICR MH - Mice, Transgenic MH - Microscopy, Fluorescence MH - NF-E2-Related Factor 2 MH - Oligonucleotide Array Sequence Analysis MH - Oxidation-Reduction MH - Phenotype MH - Pulmonary Alveoli/pathology MH - *Smoking MH - Time Factors MH - Trans-Activators/*genetics MH - Transcription, Genetic MH - Up-Regulation PMC - PMC524225 EDAT- 2004/11/03 09:00 MHDA- 2004/12/16 09:00 PMCR- 2004/11/01 CRDT- 2004/11/03 09:00 PHST- 2004/01/23 00:00 [received] PHST- 2004/09/07 00:00 [accepted] PHST- 2004/11/03 09:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/11/03 09:00 [entrez] PHST- 2004/11/01 00:00 [pmc-release] AID - 21146 [pii] AID - 10.1172/JCI21146 [doi] PST - ppublish SO - J Clin Invest. 2004 Nov;114(9):1248-59. doi: 10.1172/JCI21146.