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Published ahead of print on August 14, 2003, doi:10.1165/rcmb.2003-0263OC
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American Journal of Respiratory Cell and Molecular Biology. Vol. 30, pp. 228-232, 2004
© 2004 American Thoracic Society
DOI: 10.1165/rcmb.2003-0263OC

Surfactant Blocks Lipopolysaccharide Signaling by Inhibiting both Mitogen-Activated Protein and I{kappa}B Kinases in Human Alveolar Macrophages

Baisakhi Raychaudhuri, Susamma Abraham, Tracey L. Bonfield, Anagha Malur, Amitabha Deb, Joseph A. DiDonato, Mani S. Kavuru and Mary Jane Thomassen

Department of Pulmonary and Critical Care Medicine, Department of Cancer Biology, and Department of Cell Biology, Lerner Research Institute, The Cleveland Clinic Foundation, Cleveland, Ohio

Address correspondence to: Dr. Mary Jane Thomassen, Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk A90, Cleveland, OH 44195. E-mail: thomasm{at}ccf.org

Surfactant plays an important role in lung homeostasis and is also involved in maintaining innate immunity within the lung. Lipopolysaccharide (LPS) from gram-negative bacteria is known to elicit acute proinflammatory responses in lung diseases such as acute respiratory distress syndrome and pneumonia, among others. Our previous studies demonstrated that the clinically used, natural surfactant product Survanta inhibited proinflammatory cytokine secretion from LPS-stimulated human alveolar macrophages. Here we investigated the effect of Survanta on mitogen-activated protein (MAP) and I{kappa}B kinases. Survanta blocked LPS-induced activation of nuclear factor-{kappa}B, a key regulatory transcription factor involved in cytokine production, by preventing phosphorylation of I{kappa}B{alpha}, and its subsequent degradation. I{kappa}B is phosphorylated by specific kinases (IKK) before degradation. Survanta inhibited activity of both {alpha} and ß subunits of IKK, thereby delaying the phosphorylation of I{kappa}B. Interestingly, IKK-{alpha} is predominant in alveolar macrophages, whereas IKK-ß predominates in monocytes. Survanta also inhibited extracellular signal–regulated kinase and p38 MAP kinase activity induced by LPS. Data are the first to show that surfactant may regulate lung homeostasis in part by inhibiting proinflammatory cytokine production through reduction of IKK and MAP kinase activity.

Abbreviations: enzyme-linked immunosorbent assay, ELISA • lipopolysaccharide, LPS • mitogen-activated protein, MAP • MAP kinase, MAPK • macrophage inflammatory protein-1{alpha}, MIP-1 • nuclear factor-{kappa}B, NF-{kappa}B • tumor necrosis factor, TNF • whole cell extract, WCE




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