PMID- 35662702 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 13 DP - 2022 TI - NOX4 Mediates Epithelial Cell Death in Hyperoxic Acute Lung Injury Through Mitochondrial Reactive Oxygen Species. PG - 880878 LID - 10.3389/fphar.2022.880878 [doi] LID - 880878 AB - Management of acute respiratory distress involves O(2) supplementation, which is lifesaving, but causes severe hyperoxic acute lung injury (HALI). NADPH oxidase (NOX) could be a major source of reactive oxygen species (ROS) in hyperoxia (HO). Epithelial cell death is a crucial step in the development of many lung diseases. Alveolar type II (AT2) cells are the metabolically active epithelial cells of alveoli that serve as a source of AT1 cells following lung injury. The aim of this study was to determine the possible role of AT2 epithelial cell NOX4 in epithelial cell death from HALI. Wild type (WT), Nox4 (fl/fl) (control), and Nox4 (-/-) Spc-Cre mice were exposed to room air (NO) or 95% O(2) (HO) to investigate the structural and functional changes in the lung. C57BL/6J WT animals subjected to HO showed increased expression of lung NOX4 compared to NO. Significant HALI, increased bronchoalveolar lavage cell counts, increased protein levels, elevated proinflammatory cytokines and increased AT2 cell death seen in hyperoxic Nox4 (fl/fl) control mice were attenuated in HO-exposed Nox4 (-/-) Spc-Cre mice. HO-induced expression of NOX4 in MLE cells resulted in increased mitochondrial (mt) superoxide production and cell apoptosis, which was reduced in NOX4 siRNA silenced cells. This study demonstrates a novel role for epithelial cell NOX4 in accelerating lung epithelial cell apoptosis from HALI. Deletion of the Nox4 gene in AT2 cells or silencing NOX4 in lung epithelial cells protected the lungs from severe HALI with reduced apoptosis and decreased mt ROS production in HO. These results suggest NOX4 as a potential target for the treatment of HALI. CI - Copyright (c) 2022 Harijith, Basa, Ha, Thomas, Jafri, Fu, MacFarlane, Raffay, Natarajan and Sudhadevi. FAU - Harijith, Anantha AU - Harijith A AD - Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, OH, United States. FAU - Basa, Prathima AU - Basa P AD - Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, OH, United States. FAU - Ha, Alison AU - Ha A AD - Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, OH, United States. AD - Department of Biochemistry and Molecular Genetics, College of Medicine, University of Illinois at Chicago, Chicago, IL, United States. FAU - Thomas, Jaya AU - Thomas J AD - Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, OH, United States. FAU - Jafri, Anjum AU - Jafri A AD - Department of Genetics and Genome Sciences, School of Medicine, Case Western Reserve University, Cleveland, OH, United States. FAU - Fu, Panfeng AU - Fu P AD - Department of Pharmacology and Regenerative Medicine, University of Illinois at Chicago, Chicago, IL, United States. FAU - MacFarlane, Peter M AU - MacFarlane PM AD - Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, OH, United States. FAU - Raffay, Thomas M AU - Raffay TM AD - Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, OH, United States. FAU - Natarajan, Viswanathan AU - Natarajan V AD - Department of Pharmacology and Regenerative Medicine, University of Illinois at Chicago, Chicago, IL, United States. AD - Department of Internal Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, United States. FAU - Sudhadevi, Tara AU - Sudhadevi T AD - Department of Pediatrics, School of Medicine, Case Western Reserve University, Cleveland, OH, United States. LA - eng PT - Journal Article DEP - 20220519 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC9160661 OTO - NOTNLM OT - NADPH oxidase 4 OT - alveolar type 2 epithelial cell OT - apoptosis OT - hyperoxic acute lung injury OT - mitochondrial ROS COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/06/07 06:00 MHDA- 2022/06/07 06:01 PMCR- 2022/05/19 CRDT- 2022/06/06 13:46 PHST- 2022/02/22 00:00 [received] PHST- 2022/04/18 00:00 [accepted] PHST- 2022/06/06 13:46 [entrez] PHST- 2022/06/07 06:00 [pubmed] PHST- 2022/06/07 06:01 [medline] PHST- 2022/05/19 00:00 [pmc-release] AID - 880878 [pii] AID - 10.3389/fphar.2022.880878 [doi] PST - epublish SO - Front Pharmacol. 2022 May 19;13:880878. doi: 10.3389/fphar.2022.880878. eCollection 2022.