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Apoptosis and lung injury
Qing Lu1, Elizabeth O Harrington, Sharon Rounds
1Pulmonary Vascular Research Laboratory, Providence Veterans Affairs Medical Center, Department of Medicine Brown Medical School, Providence, RI 02908, USA.
Abstract:
Apoptosis is important in developmental biology and in remodeling of tissues during repair. Apoptosis also plays important roles in the progression of many diseases. The cellular and molecular mechanisms of apoptosis, in general, have been extensively demonstrated. However, the causes and the roles of apoptosis of various cell types in the lung are not well understood. We have determined that adenosine/homocysteine causes lung vascular endothelial cell apoptosis by inhibition of carboxyl methylation of the small GTPase, Ras, through inhibition of isoprenylcysteine carboxyl methyltransferase(ICMT) activity, leading to inactivation of Ras and the subsequent disruption of focal adhesion complexes, resulting in cell-extracellular matrix detachment and anoikis. Apoptosis can either ameliorate or exacerbate lung injury, depending upon the cell type. Although apoptosis of polymorphonuclear leukocytes in the lung prevents inflammation and the development of acute respiratory distress syndrome during acute lung injury, Fas/FasL-mediated alveolar epithelial cell apoptosis promotes acute lung injury and pulmonary fibrosis. Lung epithelial and endothelial cell apoptosis also contributes to the development of emphysema. This article focuses on elucidating the mechanisms of adenosine/homocysteine-induced endothelial cell apoptosis. We also review the current understanding of the role of lung cell apoptosis in acute lung injury, pulmonary fibrosis and emphysema.
Insights
Adenosine/homocysteine induces lung vascular endothelial cell apoptosis by inhibiting key enzymes, leading to cell detachment and anoikis. Understanding lung cell apoptosis is crucial for treating lung diseases like emphysema and acute respiratory distress syndrome.
Area of Science:
- Cell Biology
- Molecular Biology
- Pathology
Background:
- Apoptosis (programmed cell death) is vital for tissue development and repair but also implicated in disease progression.
- While general apoptosis mechanisms are known, specific causes and roles in lung cells remain unclear.
- Lung cell apoptosis can either protect against or worsen lung injury, depending on the cell type involved.
Purpose of the Study:
- To elucidate the mechanisms of adenosine/homocysteine-induced apoptosis in lung vascular endothelial cells.
- To review the role of various lung cell types' apoptosis in acute lung injury, pulmonary fibrosis, and emphysema.
Main Methods:
- Investigated adenosine/homocysteine's effect on lung vascular endothelial cell apoptosis.
- Focused on the inhibition of isoprenylcysteine carboxyl methyltransferase (ICMT) activity.
- Analyzed the impact on Ras GTPase, focal adhesion complexes, and anoikis.
Main Results:
- Adenosine/homocysteine induces lung vascular endothelial cell apoptosis via ICMT inhibition, leading to Ras inactivation.
- This process disrupts focal adhesion complexes, causing cell-extracellular matrix detachment and anoikis.
- Apoptosis of different lung cell types has contrasting effects on lung injury, inflammation, and fibrosis.
Conclusions:
- Adenosine/homocysteine-induced endothelial cell apoptosis is mediated by ICMT inhibition and Ras pathway disruption.
- Lung cell apoptosis plays a complex, cell-type-dependent role in acute lung injury, pulmonary fibrosis, and emphysema.
- Further research into these mechanisms is essential for developing targeted therapies for lung diseases.
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