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Published ahead of print on February 6, 2003, doi:10.1165/rcmb.2002-0126OC

Am. J. Respir. Cell Mol. Biol., Volume 29, Number 1, July 2003, 124-132

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Submitted on August 5, 2002
Revised on February 3, 2003

Hypercapnic Acidosis Attenuates Endotoxin-induced Nuclear Factor-{kappa}B Activation

Kei Takeshita1, Yukio Suzuki2, Kazumi Nishio3, Osamu Takeuchi4, Kyoko Toda4, Hiroyasu Kudo3, Naoki Miyao3, Makoto Ishii3, Nagato Sato3, Katsuhiko Naoki3, Takuya Aoki3, Koichi Suzuki3, Rika Hiraoka1, and Kazuhiro Yamaguchi3*

1 Department of Medicine, Keio University School of Medicine, Shinjuku, Tokyo, Japan; Department of Medicine, Kitasato Institute Hospital, Minato, Tokyo, Japan, 2 Department of Medicine, Kitasato Institute Hospital, Minato, Tokyo, Japan, 3 Department of Medicine, Keio University School of Medicine, Shinjuku, Tokyo, Japan, 4 Department of Biomedical Research, Kitasato Institute Hospital, Minato, Tokyo, Japan

* To whom correspondence should be addressed. E-mail: yamaguc{at}cpnet.med.keio.ac.jp.

Although permissive hypercapnia improves the prognosis of patients with acute respiratory distress syndrome, it has not been conclusively determined whether hypercapnic acidosis (HA) is harmful or beneficial to sustained inflammation of the lung. The present study was designed to explore the molecular mechanism of HA in modifying lipopolysaccharide (LPS)-associated signals in pulmonary endothelial cells. LPS elicited degradation of inhibitory protein {kappa}B (I{kappa}B)-{alpha}, but not I{kappa}B-{beta}, resulting in activation of nuclear factor (NF)-{kappa}B in human pulmonary artery endothelial cells (HPAEC). Exposure to HA significantly attenuated LPS-induced NF-{kappa}B activation through suppressing I{kappa}B-{alpha} degradation. Isocapnic acidosis and buffered hypercapnia showed qualitatively similar but quantitatively smaller effects. HA did not lower the LPS-enhanced activation of activator protein (AP)-1. Following the reduced NF-{kappa}B activation, HA suppressed the mRNA and protein levels of intercellular adhesion molecule (ICAM)-1 and interleukin (IL)-8, resulting in a decrease in both LDH release into the medium and neutrophil adherence to LPS-activated HPAEC. In contrast, HA did not inhibit LPS-enhanced neutrophil expression of integrin, Mac-1. Based on these findings, we concluded that hypercapnic acidosis would have anti-inflammatory effects essentially through a mechanism inhibiting NF-{kappa}B activation, leading to downregulation of ICAM-1 and IL-8, which in turn inhibits neutrophil adherence to pulmonary endothelial cells.




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