PMID- 31960166 OWN - NLM STAT- MEDLINE DCOM- 20210721 LR - 20210721 IS - 1432-1750 (Electronic) IS - 0341-2040 (Linking) VI - 198 IP - 2 DP - 2020 Apr TI - Resveratrol Attenuates Intermittent Hypoxia-Induced Lung Injury by Activating the Nrf2/ARE Pathway. PG - 323-331 LID - 10.1007/s00408-020-00321-w [doi] AB - PURPOSE: Obstructive sleep apnea (OSA) is associated with lung injury. As a novel pathophysiological hallmark of OSA, chronic intermittent hypoxia (CIH) enhances apoptosis. The present study aims to evaluate the effect of resveratrol (Res) on CIH-induced lung apoptosis and inflammation in a rat model of CIH. METHODS: Rats were randomly allocated to normoxia (control), CIH, and CIH + Res groups (n = 10 in each group). The CIH exposure duration was 12 weeks. Rats in the CIH + Res group were additionally administered Res (50 mg kg(-1) d(-1)). Inflammatory cytokine levels were detected by enzyme-linked immunosorbent assays (ELISAs). A terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) assay was conducted to evaluate the apoptosis rate. Bax, cleaved caspase-3, Nrf2 and HO-1 protein levels were detected by western blotting. RESULTS: The IL-6 and TNF-alpha levels in the serum and alveolar lavage fluid in the CIH group were markedly higher than those in the control group. The percentage of apoptotic cells in the CIH group was higher than that in the control group. Bax and cleaved caspase-3 protein levels were increased in the CIH group compared with those in the control group. Nrf2 and HO-1 protein levels were decreased in the CIH group compared with those in the control group (p < 0.05). Compared with the CIH group, rats in the CIH + Res group had lower percentages of apoptotic cells, lower IL-6, TNF-alpha, Bax and cleaved caspase-3 protein levels, and higher Nrf2 and HO-1 protein levels (p < 0.05). CONCLUSION: Res attenuates CIH-related inflammatory reactions and apoptosis in lung tissue by activating the Nrf2/ARE pathway. FAU - Lian, Ningfang AU - Lian N AUID- ORCID: 0000-0002-6928-4342 AD - Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, China. FAU - Zhang, Shuyi AU - Zhang S AD - Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, China. FAU - Huang, Jiefeng AU - Huang J AD - Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, China. FAU - Lin, Ting AU - Lin T AD - Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, China. FAU - Lin, Qichang AU - Lin Q AD - Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, China. linqc_fy@126.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200120 PL - United States TA - Lung JT - Lung JID - 7701875 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Bax protein, rat) RN - 0 (Il6 protein, rat) RN - 0 (Inflammation Mediators) RN - 0 (Interleukin-6) RN - 0 (NF-E2-Related Factor 2) RN - 0 (Nfe2l2 protein, rat) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (bcl-2-Associated X Protein) RN - EC 1.14.14.18 (Heme Oxygenase (Decyclizing)) RN - EC 1.14.14.18 (Hmox1 protein, rat) RN - EC 3.4.22.- (Casp3 protein, rat) RN - EC 3.4.22.- (Caspase 3) RN - Q369O8926L (Resveratrol) SB - IM MH - Animals MH - Anti-Inflammatory Agents/*pharmacology MH - *Antioxidant Response Elements MH - Apoptosis/*drug effects MH - Caspase 3/metabolism MH - Disease Models, Animal MH - Heme Oxygenase (Decyclizing) MH - Hypoxia/*complications/metabolism MH - Inflammation Mediators/metabolism MH - Interleukin-6/metabolism MH - Lung/*drug effects/metabolism/pathology MH - Lung Injury/etiology/metabolism/pathology/*prevention & control MH - Male MH - NF-E2-Related Factor 2/*metabolism MH - Rats, Sprague-Dawley MH - Resveratrol/*pharmacology MH - Signal Transduction MH - Tumor Necrosis Factor-alpha/metabolism MH - bcl-2-Associated X Protein/metabolism OTO - NOTNLM OT - Apoptosis OT - Intermittent hypoxia OT - Lung injury OT - Nrf2 OT - Resveratrol EDAT- 2020/01/22 06:00 MHDA- 2021/07/22 06:00 CRDT- 2020/01/22 06:00 PHST- 2019/10/01 00:00 [received] PHST- 2020/01/02 00:00 [accepted] PHST- 2020/01/22 06:00 [pubmed] PHST- 2021/07/22 06:00 [medline] PHST- 2020/01/22 06:00 [entrez] AID - 10.1007/s00408-020-00321-w [pii] AID - 10.1007/s00408-020-00321-w [doi] PST - ppublish SO - Lung. 2020 Apr;198(2):323-331. doi: 10.1007/s00408-020-00321-w. Epub 2020 Jan 20.