Published ahead of print on January 31, 2003, doi:10.1165/rcmb.2002-0228OC
Am. J. Respir. Cell Mol. Biol., Volume 29, Number 1, July 2003, 88-97
A more recent version of this article appeared on July 1, 2003
Submitted on October 30, 2002
Revised on January 30, 2003
OXIDATIVE STRESS AND APOPTOSIS INTERACT AND CAUSE EMPHYSEMA DUE TO VEGF RECEPTOR BLOCKADE
Rubin M Tuder1*, Lijie Zhen2, Chung Y Cho2, Laima Taraseviciene-Stewart3, Yasunori Kasahara4, Daniela Salvemini5, Norbert F Voelkel3, and Sonia C Flores6
1 Pathology, Division of Cardiopulmonary Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Medicine, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; COPD Center, University of Colorado Health Sciences Center, Denver, CO, USA,
2 Pathology, Division of Cardiopulmonary Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA,
3 Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, Denver, CO, USA; COPD Center, University of Colorado Health Sciences Center, Denver, CO, USA,
4 Division of Respirology, Chiba Medical School, Chiba, Japan,
5 Mataphore Corp., Saint Louis, MO, USA,
6 Webb-Waring Institute, Denver, CO, USA; Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, Denver, CO, USA
* To whom correspondence should be addressed. E-mail: Rtuder{at}jhmi.edu.
We have previously demonstrated that a failure of pulmonary endothelial cell survival induced by VEGF receptor blockade results in lung alveolar septal cell apoptosis and emphysema. Since apoptosis and oxidative stress may be pathobiologically linked, we hypothesized that oxidative stress has a central role in alveolar septal cell apoptosis and emphysema induced by VEGF receptor blockade. When compared with control animals, rats treated with the VEGF receptor blocker SU5416 showed increased alveolar enlargement, alveolar septal cell apoptosis, and expression of markers of oxidative stress, all of which were prevented by the superoxide dismutase mimetic M40419. The preservation of lung structure in SU5416+M40419-treated lungs was associated with increased septal cell proliferation, and enhanced phosphorylation of the prosurvival and antiapoptotic Akt, when compared with SU5416-treated lungs. Consistent with a positive feedback interaction between oxidative stress and apoptosis, we found that apoptosis predominated in areas of oxidative stress and apoptosis blockade by a broad spectrum caspase inhibitor markedly reduced the expression of markers of oxidative stress induced by SU5416 treatment. Oxidative stress and apoptosis, which cause lung cellular destruction in emphysema induced by VEGF receptor blockade, may be important mediators common to human and experimental emphysema.
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