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Updated: Aug 16, 2026

Oropharyngeal Administration of Bleomycin in the Murine Model of Pulmonary Fibrosis
Published on: May 9, 2025
Bleomycin induces alveolar epithelial cell death through JNK-dependent activation of the mitochondrial death pathway
Vivian Y Lee1, Clara Schroedl, Joslyn K Brunelle
1Div. of Pulmonary & Critical Care, Northwestern University, Chicago, IL 60611, USA.
Abstract:
Exposure to bleomycin in rodents induces lung injury and fibrosis. Alveolar epithelial cell death has been hypothesized as an initiating mechanism underlying bleomycin-induced lung injury and fibrosis. In the present study we evaluated the contribution of mitochondrial and receptor-meditated death pathways in bleomycin-induced death of mouse alveolar epithelial cells (MLE-12 cells) and primary rat alveolar type II cells. Control MLE-12 cells and primary rat alveolar type II cells died after 48 h of exposure to bleomycin. Both MLE-12 cells and rat alveolar type II cells overexpressing Bcl-X(L) did not undergo cell death in response to bleomycin. Dominant negative Fas-associating protein with a death domain failed to prevent bleomycin-induced cell death in MLE-12 cells. Caspase-8 inhibitor CrmA did not prevent bleomycin-induced cell death in primary rat alveolar type II cells. Furthermore, fibroblast cells deficient in Bax and Bak, but not Bid, were resistant to bleomycin-induced cell death. To determine whether the stress kinase JNK was an upstream regulator of Bax activation, MLE-12 cells were exposed to bleomycin in the presence of an adenovirus encoding a dominant negative JNK. Bleomycin-induced Bax activation was prevented by the expression of a dominant negative JNK in MLE-12 cells. Dominant negative JNK prevented cell death in MLE-12 cells and in primary rat alveolar type II cells exposed to bleomycin. These data indicate that bleomycin induces cell death through a JNK-dependent mitochondrial death pathway in alveolar epithelial cells.
Insights
Bleomycin exposure causes lung injury by triggering alveolar epithelial cell death. This study reveals that a JNK-dependent mitochondrial pathway, not receptor-mediated pathways, drives this cell death, offering insights into lung fibrosis mechanisms.
Area of Science:
- Cell Biology
- Pulmonary Medicine
- Toxicology
Background:
- Bleomycin (BLM) is a chemotherapeutic agent known to induce lung injury and fibrosis in animal models.
- Alveolar epithelial cell death is a proposed initiating event in BLM-induced lung pathology.
- Understanding the specific cell death pathways involved is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate the roles of mitochondrial and receptor-mediated death pathways in BLM-induced alveolar epithelial cell death.
- To identify the key molecular regulators, such as stress kinases, involved in this process.
Main Methods:
- Utilized mouse alveolar epithelial cells (MLE-12) and primary rat alveolar type II cells.
- Examined the effects of BLM exposure on cell viability.
- Manipulated expression of key proteins like Bcl-X(L), Fas-associating protein with a death domain, Bax, Bak, and c-Jun N-terminal kinase (JNK).
- Employed dominant-negative constructs and inhibitors to probe specific signaling pathways.
Main Results:
- Bleomycin induced cell death in both MLE-12 and primary rat alveolar type II cells.
- Overexpression of Bcl-X(L) conferred resistance to BLM-induced cell death.
- Receptor-mediated pathways (Fas/caspase-8) were not involved.
- Mitochondrial pathway proteins Bax and Bak were critical, as cells deficient in them were resistant.
- Inhibition of JNK signaling prevented both Bax activation and cell death, indicating JNK is an upstream regulator.
Conclusions:
- Bleomycin-induced alveolar epithelial cell death is primarily mediated by a mitochondrial death pathway.
- This pathway is dependent on the activation of stress kinase JNK and downstream effectors Bax/Bak.
- Receptor-mediated death pathways do not play a significant role in this model of lung injury.
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