Published ahead of print on April 25, 2008, doi:10.1165/rcmb.2008-0117TR Am. J. Respir. Cell Mol. Biol., Volume 39, Number 1, July 2008, 1-6 A more recent version of this article appeared on July 1, 2008
Submitted on March 25, 2008 Cigarette Smoke Triggers Code Red:p21CIP1/WAF1/SDI1 Switches on Danger Responses in the LungRubin M Tuder1*,1 Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, Program in Translational Lung Research, University of Colorado Denver, School of Medicine, Denver, CO, USA; Department of Pathology, University of Colorado Denver, School of Medicine, Denver, CO, USA, 2 Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, Program in Translational Lung Research, University of Colorado Denver, School of Medicine, Denver, CO, USA * To whom correspondence should be addressed. E-mail: rubin.tuder{at}uchsc.edu.
The work by Yao et al reveals that the cyclin-dependent kinase inhibitor p21CIP1/WAF1/SDI1 (designated hereafter as p21), which has been linked to cell cycle growth arrest due to stress or danger cell responses, may modulate alveolar inflammation and alveolar destruction, and thus enlightens our present understanding of how the lung senses injury due to cigarette smoke and integrates these responses with those that activate inflammatory pathways potentially harmful to the lung. Furthermore, the interplay of p21 and cellular processes involving cell senescence and the imbalance of cell proliferation/apoptosis may provide us with a more logical explanation of how p21, acting as a sensor of cellular stress, might have such potent and wide roles in lung responses triggered by cigarette smoke. Molecular switches, ontologically designed for the protection of the host, are now hijacked by injurious stresses (such as cigarette smoke), leading to organ damage.
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