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Updated: Jul 5, 2026

Oropharyngeal Administration of Bleomycin in the Murine Model of Pulmonary Fibrosis
Published on: May 9, 2025
Angiotensin II type 2 receptor antagonist reduces bleomycin-induced pulmonary fibrosis in mice
Yuko Waseda1, Masahide Yasui, Yoriko Nishizawa
1Respiratory Medicine, Cellular Transplantation Biology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa 920-8641, Japan. yuko_m@med3.m.kanazawa-u.ac.jp
Background:
The role of angiotensin II type 2 receptor (AT2) in pulmonary fibrosis is unknown. To evaluate the influence of angiotensin II type 1 receptor (AT1) and AT2 antagonists in a mouse model of bleomycin (BLM)-induced pulmonary fibrosis.
Methods:
We examined effects of the AT1 antagonist (AT1A) olmesartan medoxomil (olmesartan) and the AT2 antagonist (AT2A) PD-123319 on BLM-induced pulmonary fibrosis, which was evaluated by Ashcroft's pathological scoring and hydroxyproline content of lungs. We also analyzed the cellular composition and cytokine levels in bronchoalveolar lavage fluid (BALF).
Results:
With olmesartan, the lung fibrosis score and hydroxyproline level were significantly reduced, and lymphocyte and neutrophil counts and tumor necrosis factor (TNF)-alpha levels in BALF were reduced on day 7. On day 14, macrophage and lymphocyte counts in BALF were reduced, accompanied by a reduction in the level of transforming growth factor (TGF)-beta1. With PD-123319, the lung fibrosis score and hydroxyproline level were reduced. On day 7, macrophage, lymphocyte, and neutrophil counts in BALF were reduced, accompanied by reductions in TNF-alpha and monocyte chemoattractant protein (MCP)-1 levels. On day 14, macrophage, lymphocyte, and neutrophil counts in BALF were also reduced, accompanied by a reduction in the level of macrophage inflammatory protein (MIP)-2 level but not TGF-beta1.
Conclusion:
Both AT1 and AT2 are involved in promoting interstitial pneumonia and pulmonary fibrosis via different mechanisms of action.
Insights
Both angiotensin II type 1 receptor (AT1) and type 2 (AT2) antagonists reduced pulmonary fibrosis in a mouse model. These treatments affected inflammatory cell counts and cytokine levels, indicating distinct roles in lung injury.
Area of Science:
- Pulmonary Medicine
- Pharmacology
- Immunology
Background:
- The role of the angiotensin II type 2 receptor (AT2) in pulmonary fibrosis remains unclear.
- This study investigates the impact of AT1 and AT2 antagonists on bleomycin-induced pulmonary fibrosis.
Purpose of the Study:
- To evaluate the therapeutic effects of AT1 and AT2 antagonists in a mouse model of pulmonary fibrosis.
- To elucidate the mechanisms by which these antagonists influence fibrotic processes and inflammation.
Main Methods:
- Mice with bleomycin-induced pulmonary fibrosis were treated with an AT1 antagonist (olmesartan) or an AT2 antagonist (PD-123319).
- Pulmonary fibrosis was assessed using pathological scoring and hydroxyproline content.
- Cellular composition and cytokine levels in bronchoalveolar lavage fluid (BALF) were analyzed.
Main Results:
- Olmesartan significantly reduced lung fibrosis score, hydroxyproline levels, and inflammatory cell counts (lymphocytes, neutrophils, macrophages) and cytokines (TNF-alpha, TGF-beta1) in BALF.
- PD-123319 also reduced lung fibrosis score and hydroxyproline levels, with significant reductions in BALF inflammatory cells and cytokines (TNF-alpha, MCP-1, MIP-2), but not TGF-beta1.
- Both treatments demonstrated efficacy in mitigating pulmonary fibrosis, albeit through potentially different pathways.
Conclusions:
- Both AT1 and AT2 receptors play a role in promoting interstitial pneumonia and pulmonary fibrosis.
- The antagonists exert their effects through distinct mechanisms, highlighting the complexity of the renin-angiotensin system in lung disease.
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