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American Journal of Respiratory Cell and Molecular Biology. Vol. 28, pp. 555-562, 2003
© 2003 American Thoracic Society
DOI: 10.1165/rcmb.2002-0090OC

Alveolar Wall Apoptosis Causes Lung Destruction and Emphysematous Changes

Kazutetsu Aoshiba, Naoko Yokohori and Atsushi Nagai

First Department of Medicine, Tokyo Women's Medical University, Tokyo, Japan

Address correspondence to: Kazutetsu Aoshiba, M.D., First Department of Medicine, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan. E-mail: kaoshiba{at}chi.twmu.ac.jp

Pulmonary emphysema is characterized by alveolar wall destruction and airspace enlargement. Recent evidence indicates that epithelial or endothelial apoptosis may be involved in the pathogenesis of emphysema. Here, we describe the induction of emphysematous changes, including airspace enlargement, alveolar wall destruction, and enhanced lung distensibility, in mice receiving a single intratracheal injection of active caspase-3 and Chariot, a newly developed protein transfection reagent. Epithelial apoptosis and enhanced elastolytic activity (optimal at pH 5.5) in bronchoalveolar lavage were noted. Emphysematous changes were also generated in mice receiving an intratracheal injection of nodularin, a proapoptotic serine/threonine kinase inhibitor. This murine model provides direct evidence that confirms that alveolar wall apoptosis causes emphysematous changes. Furthermore, this simple technique for protein transfection of lung tissue can be used in a variety of future applications.

Abbreviations: bronchoalveolar lavage, BAL • Dulbecco's modified Eagle's medium, DMEM • dimethyl sulfoxide, DMSO • cell-extracellular matrix, ECM • fluorescein isothiocyanate, FITC • horseradish peroxidase, HRP • phosphate-buffered saline, PBS • single-stranded DNA, ssDNA • terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling, TUNEL




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