PMID- 22005302 OWN - NLM STAT- MEDLINE DCOM- 20120103 LR - 20211203 IS - 1558-8238 (Electronic) IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 121 IP - 11 DP - 2011 Nov TI - Denitrosylation of HDAC2 by targeting Nrf2 restores glucocorticosteroid sensitivity in macrophages from COPD patients. PG - 4289-302 LID - 45144 [pii] LID - 10.1172/JCI45144 [doi] AB - Chronic obstructive pulmonary disease (COPD), which is caused primarily by cigarette smoking, is a major health problem worldwide. The progressive decline in lung function that occurs in COPD is a result of persistent inflammation of the airways and destruction of the lung parenchyma. Despite the key role of inflammation in the pathogenesis of COPD, treatment with corticosteroids - normally highly effective antiinflammatory drugs - has little therapeutic benefit. This corticosteroid resistance is largely caused by inactivation of histone deacetylase 2 (HDAC2), which is critical for the transrepressive activity of the glucocorticoid receptor (GR) that mediates the antiinflammatory effect of corticosteroids. Here, we show that in alveolar macrophages from patients with COPD, S-nitrosylation of HDAC2 is increased and that this abolishes its GR-transrepression activity and promotes corticosteroid insensitivity. Cys-262 and Cys-274 of HDAC2 were found to be the targets of S-nitrosylation, and exogenous glutathione treatment of macrophages from individuals with COPD restored HDAC2 activity. Treatment with sulforaphane, a small-molecule activator of the transcription factor nuclear factor erythroid 2-related factor 2 (NRF2), was also able to denitrosylate HDAC2, restoring dexamethasone sensitivity in alveolar macrophages from patients with COPD. These effects of sulforaphane were glutathione dependent. We conclude that NRF2 is a novel drug target for reversing corticosteroid resistance in COPD and other corticosteroid-resistant inflammatory diseases. FAU - Malhotra, Deepti AU - Malhotra D AD - Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA. FAU - Thimmulappa, Rajesh K AU - Thimmulappa RK FAU - Mercado, Nicolas AU - Mercado N FAU - Ito, Kazuhiro AU - Ito K FAU - Kombairaju, Ponvijay AU - Kombairaju P FAU - Kumar, Sarvesh AU - Kumar S FAU - Ma, Jinfang AU - Ma J FAU - Feller-Kopman, David AU - Feller-Kopman D FAU - Wise, Robert AU - Wise R FAU - Barnes, Peter AU - Barnes P FAU - Biswal, Shyam AU - Biswal S LA - eng GR - U01 HL105569/HL/NHLBI NIH HHS/United States GR - P50ES015903/ES/NIEHS NIH HHS/United States GR - P50HL107169/HL/NHLBI NIH HHS/United States GR - P01 ES018176/ES/NIEHS NIH HHS/United States GR - R01 HL081205/HL/NHLBI NIH HHS/United States GR - P50 HL084945/HL/NHLBI NIH HHS/United States GR - P50 CA058184/CA/NCI NIH HHS/United States GR - U01HL105569/HL/NHLBI NIH HHS/United States GR - P50HL084945/HL/NHLBI NIH HHS/United States GR - P50 HL107169/HL/NHLBI NIH HHS/United States GR - P30 ES003819/ES/NIEHS NIH HHS/United States GR - P50 ES015903/ES/NIEHS NIH HHS/United States GR - P01ES018176/ES/NIEHS NIH HHS/United States GR - ES03819/ES/NIEHS NIH HHS/United States GR - HL081205/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Retracted Publication DEP - 20111017 PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Isothiocyanates) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 0 (Nfe2l2 protein, mouse) RN - 0 (Nitrogen Oxides) RN - 0 (Receptors, Glucocorticoid) RN - 0 (Sulfoxides) RN - 0 (Thiocyanates) RN - 7S5I7G3JQL (Dexamethasone) RN - EC 3.5.1.98 (HDAC2 protein, human) RN - EC 3.5.1.98 (Hdac2 protein, mouse) RN - EC 3.5.1.98 (Histone Deacetylase 2) RN - GA49J4310U (sulforaphane) RN - GAN16C9B8O (Glutathione) SB - IM RIN - J Clin Invest. 2014 Dec;124(12):5521. PMID: 25438060 CIN - Fed Regist. 2019 Nov 14;84(220):61916-61917. PMID: 31749507 MH - Adrenal Cortex Hormones/*pharmacology MH - Aged MH - Animals MH - Cell Line MH - Dexamethasone/pharmacology MH - Drug Resistance/drug effects MH - Glutathione/pharmacology MH - Histone Deacetylase 2/chemistry/*metabolism MH - Humans MH - In Vitro Techniques MH - Isothiocyanates MH - Lung/metabolism MH - Macrophages, Alveolar/*drug effects/*metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - NF-E2-Related Factor 2/deficiency/genetics/*metabolism MH - Nitrogen Oxides/chemistry MH - Pulmonary Disease, Chronic Obstructive/*drug therapy/*metabolism MH - Receptors, Glucocorticoid/metabolism MH - Sulfoxides MH - Thiocyanates/pharmacology PMC - PMC3204828 EDAT- 2011/10/19 06:00 MHDA- 2012/01/04 06:00 PMCR- 2011/10/17 CRDT- 2011/10/19 06:00 PHST- 2010/09/16 00:00 [received] PHST- 2011/09/14 00:00 [accepted] PHST- 2011/10/19 06:00 [entrez] PHST- 2011/10/19 06:00 [pubmed] PHST- 2012/01/04 06:00 [medline] PHST- 2011/10/17 00:00 [pmc-release] AID - 45144 [pii] AID - 10.1172/JCI45144 [doi] PST - ppublish SO - J Clin Invest. 2011 Nov;121(11):4289-302. doi: 10.1172/JCI45144. Epub 2011 Oct 17.