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Determining the Role of GPX, an antixodant, in the Inflammatory Changes Associated with Emphysema Navida Bholanauth Dr. Jeanine D’Armiento Columbia University Emphysema • Definition: Pathological disease characterized by the abnormal enlargement of the distal airspaces of the lung. • Cigarette smoking is the major factor associated with development of emphysema. • Age Adjusted Mortality for COPD has increased by 71% between 1966 and 1995. • 24 million Americans affected with 119,000 deaths annually. • 32.1 billion dollars in costs annually in this country. Oxidants and COPD • Each puff of smoke contain 1014 free radicals • Free radicals cause direct damage to lipids, proteins and DNA • Oxidants induce lung epithelial cells to release cytokines IL-1, IL-8 and TNF-α • Induce influx of inflammatory cells • Hypothesis: An oxidant/antioxidant imbalance can lead to the development of emphysema Some Common Sources of Antioxidants • Vitamin E • Vitamin C • Selenium Antioxidants and Lung • Rich network of antioxidants to protect the lung • Antioxidants are increased in response to cigarette smoke • Antioxidant responses are quite variable • Differences in antioxidant responses may account for differences in disease susceptibility • Epidemiologic data links antioxidants to COPD symptoms and disease severity (MORGEN Study). Antioxidants and the Lung Kinnula, AJRCCM 2003 Experimental Protocol • Mice that expressed human GPX1 were bred on a C57xCBA background • Gene was under control of the mouse HMG CoA reductase promoter • The activity of the enzyme was increased 3.9 fold in the lungs of transgenic mice • Transgenic and littermate control mice were exposed to chronic cigarette smoke • Comparative analyses were made with nonexposed transgenic and control mice. Research Aims • Determine the effect of GPX1 expression on the induction of inflammation by cigarette smoke. • Evaluate the effect of GPX1 on smokemediated emphysema formation. Glutathione Peroxidase-1 Decreases Smoke Induced Macrophage Influx 90 Macrophages x 10,000 80 70 60 50 40 30 20 10 0 control smoke __________ control smoke __________ Wild-type GPX1 Glutathione Peroxidase-1 Decreases Smoke Induced Neutrophil Influx 140000 Lung Lavage Neutrophils 120000 100000 80000 60000 40000 20000 0 Wild-type SM GPX SM Control WT GPX1 Smoke Exposed GPX1 Prevents Cigarette Smoke-Induced Emphysema 65 Mean Linear Intercept (MLI) 60 55 * 50 45 40 35 30 Con Sm Wild-type Con Sm GPX1 Summary of Findings • GPX1 expression in the lung prevented the inflammatory response to cigarette smoke exposure. • The expression of GPX1 protected against the development of smoke-induced emphysema. • The major research goals are to determine the how GPX1 expression regulates smoke-induced inflammation. Oxidant Signaling and Inflammatory Cell Recruitment • MAPK signaling -T cell differentiation and activation -induction of cellular adhesion molecules and chemokines -p38 inhibition decreased neutrophilia in response to cigarette smoke exposure • NF-kB -regulates the expression of pro inflammatory genes Smoke-Derived Oxidants and MAPK Activation Figure 1.Oxidants and MAPK Activation P EGFR MEKK P Raf Ras P P Raf Ras P MKP MEKK MAPK P MAPK c-Jun P c-Jun P c-Jun Transcription Factor Activation (e.g. CBP, STAT, cMyc, SP1, NFAT) AP-1 Site Smoke-Derived Oxidants and NF-κB Activation Figure 2. ROS 02, H2O2, NO, CO, Quinones(Q/Q•-/QH2) IKK PTK IkB Phos P IkB P IkB p50 RelA IkB p50 p50 P P RelA P RelA P Inflammatory gene induction degradation Chronic Effects of Cigarette Smoke on MAPK Activation Wild-type GPX1 Transgenic p-JNK p38 p-ERK Actin _____________ control _____________ smoke-exposed _____________ control _____________ smoke-exposed Chronic Effects of GPX1 and Cigarette Smoke on NF-κB Activation Wild-type GPX1 Transgenic p-IκB Actin _____________ _____________ _____________ _____________ control control smoke-exposed smoke-exposed Results • Lungs of GPX mice have less emphysematous changes than wildtype smoke exposed mice. • Inflammatory markers, macrophages and neutrophils, are decreased in the lungs of GPX mice as compared to wildtype smoke exposed mice. • P-JNK and P-38 seem to be regulated with smoke exposure. • GPX as compared to WT have less p-38 and p-JNK at baseline and increase with smoke exposure but less than wildtype smoke exposed mice. • There is no regulation of IκB with smoke exposure in wildtype mice and less for GPX baseline and smoke exposed mice. Conclusions • Smoke exposed GPX mice seem to display less emphysematous changes in than smoke exposed wildtype mice. • There is a marked decrease in inflammation in GPX mice after smoke exposure. • Though there seems to be regulation with p38 and pJNK, further studies need to be done to see why GPX mice have less baseline levels of these markers and what that means during smoke exposure. Mentor Jeanine D’Armiento • • • • • • • • • • Robert Foronjy Vincent Lemaitre Tina Zelonina Jincy Thankachen Alison Wallace Mark Maxfield Divya Mehra David Sternberg Polina Golovach Summer Students: Leslie, Nakisha & Enoelia • • • • • Collaborators Oleg Mirochnitchenko Olga Propokenko Yasunori Okada Masayori Inouye Kazushi Imai References • Author name et al. Year. Name of Journal (abbreviation at bottom).