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Published ahead of print on June 11, 2009
Am. J. Respir. Cell Mol. Biol. 2009, doi:10.1165/rcmb.2009-0054OC
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Submitted on February 10, 2009
Accepted on June 11, 2009

Deletion of Keap1 in the Lung Attenuates Acute Cigarette Smoke-induced Oxidative Stress and Inflammation

David J. Blake1, Anju Singh1, Ponvijay Kombairaju1, Deepti Malhotra1, Thomas J. Mariani2, Rubin M. Tuder3, Edward Gabrielson4, and Shyam Biswal1*

1 Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States, 2 Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States, 3 School of Medicine, University of Colorado Denver, Denver, Colorado, United States, 4 Department of Pathology, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland, United States

* To whom correspondence should be addressed. E-mail: sbiswal{at}jhsph.edu.

Exposure to cigarette smoke (CS) is the primary factor associated with the development of COPD. CS increases the level of oxidants in the lungs resulting in a depletion of antioxidants, which promotes oxidative stress and the destruction of alveolar tissue. In response to CS, pulmonary epithelial cells counteract increased levels of oxidants by activating Nrf2-dependent pathways to augment the expression of detoxification and antioxidant enzymes thereby protecting the lung from injury. We hypothesize that increasing the pathways activated by Nrf2 will afford protection against CS-induce lung damage. To this end we have developed a novel mouse model where the cytosolic inhibitor of Nrf2, Keap1, is genetically deleted in Clara cells, which predominate in the upper airways in mice. Deletion of Keap1 in Clara cells resulted in increased expression of Nrf2-dependent genes, such as Nqo1 and Gclm, as determined by microarray analysis and quantitative PCR. Deletion of Keap1 in airway epithelium decreased Keap1 protein levels and significantly increased the total level of glutathione in the lungs. Increased Nrf2 activation protected Clara cells against oxidative stress ex vivo and attenuated oxidative stress and CS-induced inflammation in vivo. Expression of KEAP1 was also decreased in human epithelial cells through siRNA transfection, which increased the expression of Nrf2-dependent genes and attenuated oxidative stress. In conclusion, activating Nrf2 pathways in tissue-specific Keap1 knockout mice represents an important genetic approach against oxidant induced lung damage.


Key words: cigarette smoke • Nrf2 • Keap1 • inflammation • oxidative stress







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