PMID- 15841185 OWN - NLM STAT- MEDLINE DCOM- 20050628 LR - 20181113 IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 115 IP - 4 DP - 2005 Apr TI - Bcl-2-related protein A1 is an endogenous and cytokine-stimulated mediator of cytoprotection in hyperoxic acute lung injury. PG - 1039-48 AB - Hyperoxic acute lung injury (HALI) is characterized by a cell death response with features of apoptosis and necrosis that is inhibited by IL-11 and other interventions. We hypothesized that Bfl-1/A1, an antiapoptotic Bcl-2 protein, is a critical regulator of HALI and a mediator of IL-11-induced cytoprotection. To test this, we characterized the expression of A1 and the oxygen susceptibility of WT and IL-11 Tg(+) mice with normal and null A1 loci. In WT mice, 100% O(2) caused TUNEL(+) cell death, induction and activation of intrinsic and mitochondrial-death pathways, and alveolar protein leak. Bcl-2 and Bcl-xl were also induced as an apparent protective response. A1 was induced in hyperoxia, and in A1-null mice, the toxic effects of hyperoxia were exaggerated, Bcl-2 and Bcl-xl were not induced, and premature death was seen. In contrast, IL-11 stimulated A1, diminished the toxic effects of hyperoxia, stimulated Bcl-2 and Bcl-xl, and enhanced murine survival in 100% O(2). In A1-null mice, IL-11-induced protection, survival advantage, and Bcl-2 and Bcl-xl induction were significantly decreased. VEGF also conferred protection via an A1-dependent mechanism. In vitro hyperoxia also stimulated A1, and A1 overexpression inhibited oxidant-induced epithelial cell apoptosis and necrosis. A1 is an important regulator of oxidant-induced lung injury, apoptosis, necrosis, and Bcl-2 and Bcl-xl gene expression and a critical mediator of IL-11- and VEGF-induced cytoprotection. FAU - He, Chuan Hua AU - He CH AD - Department of Internal Medicine, Section of Pulmonary and Critical Care Medicine, Yale University School of Medicine, New Haven, Connecticut 06520-8057, USA. FAU - Waxman, Aaron B AU - Waxman AB FAU - Lee, Chun Geun AU - Lee CG FAU - Link, Holger AU - Link H FAU - Rabach, Morgan E AU - Rabach ME FAU - Ma, Bing AU - Ma B FAU - Chen, Qingsheng AU - Chen Q FAU - Zhu, Zhou AU - Zhu Z FAU - Zhong, Mei AU - Zhong M FAU - Nakayama, Keiko AU - Nakayama K FAU - Nakayama, Keiichi I AU - Nakayama KI FAU - Homer, Robert AU - Homer R FAU - Elias, Jack A AU - Elias JA LA - eng GR - AR46032/AR/NIAMS NIH HHS/United States GR - R01HL064242-05/HL/NHLBI NIH HHS/United States GR - P30 AR046032/AR/NIAMS NIH HHS/United States GR - P01 HL056389/HL/NHLBI NIH HHS/United States GR - R01 HL064242/HL/NHLBI NIH HHS/United States GR - R01 HL078744/HL/NHLBI NIH HHS/United States GR - 1R01HL078744-01/HL/NHLBI NIH HHS/United States GR - 5P01HL56389-08/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural 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 (Interleukin-11) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 3.4.22.- (Caspases) RN - S88TT14065 (Oxygen) SB - IM CIN - J Clin Invest. 2005 Apr;115(4):828-30. PMID: 15841170 MH - Animals MH - Caspases/metabolism MH - Cell Death/physiology MH - Cells, Cultured MH - In Situ Nick-End Labeling MH - Interleukin-11/genetics/metabolism MH - Lung/cytology/*immunology/pathology MH - Lung Diseases/*immunology/pathology MH - *Lung Injury MH - Mice MH - Mice, Transgenic MH - Oxygen/*metabolism MH - Proto-Oncogene Proteins c-bcl-2/genetics/*metabolism MH - Survival Rate MH - Vascular Endothelial Growth Factor A/metabolism PMC - PMC1070412 EDAT- 2005/04/21 09:00 MHDA- 2005/06/29 09:00 PMCR- 2005/04/01 CRDT- 2005/04/21 09:00 PHST- 2004/08/11 00:00 [received] PHST- 2005/01/04 00:00 [accepted] PHST- 2005/04/21 09:00 [pubmed] PHST- 2005/06/29 09:00 [medline] PHST- 2005/04/21 09:00 [entrez] PHST- 2005/04/01 00:00 [pmc-release] AID - 23004 [pii] AID - 10.1172/JCI23004 [doi] PST - ppublish SO - J Clin Invest. 2005 Apr;115(4):1039-48. doi: 10.1172/JCI23004.