PMID- 22345187 OWN - NLM STAT- MEDLINE DCOM- 20120524 LR - 20120220 IS - 1873-734X (Electronic) IS - 1010-7940 (Linking) VI - 41 IP - 3 DP - 2012 Mar TI - Egr1: a novel target for ameliorating acute allograft rejection in an experimental lung transplant model. PG - 669-75 LID - 10.1093/ejcts/ezr030 [doi] AB - OBJECTIVES: Acute allograft rejection is one of the significant complications occurring in lung transplant recipients. Early growth response-1 (Egr-1), zinc-finger-type transcription factor, is known as a master switch regulator of diverse chemical mediators. We used an orthotopic mouse model of left lung transplant to elucidate the function of Egr-1 in acute pulmonary rejection. METHODS: Left lung grafts retrieved from C57BL/6 wild mice or C57BL/6 Egr-1-null mice were orthotopically transplanted into BALB/c mice; the lungs were harvested at day 1, 3, 5 or 7 after lung transplantation. The grade of acute rejection was histopathologically evaluated. The intragraft gene expression levels of Egr-1 and downstream target mediators were quantitatively measured by real-time polymerase chain reaction. Immunohistochemical analysis was used to determine the location and distribution of the Egr-1 protein in the pulmonary graft. RESULTS: Severe acute rejection was observed in allografts from wild-type mice at 5 days after transplantation. Only minimal rejection was seen in the lung graft from Egr-1-null donor mice at 5 days after transplantation. Strong upregulation of Egr-1 mRNA transcripts was observed at day 1, which then decreased during the next 5 days. The mRNA of Egr-1 target mediators [interleukin-1-beta (IL-1beta), monocyte chemotactic protein-1 (MCP-1) and plasminogen activator inhibitor-1] reached maximal levels at day 5. Egr-1-null allografts exhibited significantly lower expressions of IL-1beta and MCP-1 mRNA (P < 0.05). CONCLUSIONS: Our study showed that deletion of Egr-1 in lung allografts ameliorates severe acute rejection with the reduction of expression levels of chemical mediators, implying a new possible strategy for treating acute pulmonary allograft rejection. FAU - Waki, Naohisa AU - Waki N AD - Department of Cancer and Thoracic Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan. FAU - Yamane, Masaomi AU - Yamane M FAU - Yamamoto, Sumiharu AU - Yamamoto S FAU - Okazaki, Mikio AU - Okazaki M FAU - Sugimoto, Seiichiro AU - Sugimoto S FAU - Matsukawa, Akihiro AU - Matsukawa A FAU - Oto, Takahiro AU - Oto T FAU - Miyoshi, Shinichiro AU - Miyoshi S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - Eur J Cardiothorac Surg JT - European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery JID - 8804069 RN - 0 (Early Growth Response Protein 1) RN - 0 (Egr1 protein, mouse) RN - 0 (RNA, Messenger) SB - IM MH - Acute Disease MH - Animals MH - CD4-CD8 Ratio MH - Disease Models, Animal MH - Early Growth Response Protein 1/deficiency/genetics/*physiology MH - Flow Cytometry/methods MH - Gene Expression Regulation MH - Graft Rejection/immunology/*metabolism/pathology/prevention & control MH - Lung Transplantation/immunology/*pathology/physiology MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Mice, Knockout MH - RNA, Messenger/genetics MH - Real-Time Polymerase Chain Reaction/methods EDAT- 2012/02/22 06:00 MHDA- 2012/05/25 06:00 CRDT- 2012/02/21 06:00 PHST- 2012/02/21 06:00 [entrez] PHST- 2012/02/22 06:00 [pubmed] PHST- 2012/05/25 06:00 [medline] AID - ezr030 [pii] AID - 10.1093/ejcts/ezr030 [doi] PST - ppublish SO - Eur J Cardiothorac Surg. 2012 Mar;41(3):669-75. doi: 10.1093/ejcts/ezr030.