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Effect of inducible nitric oxide synthase on apoptosis in Candida-induced acute lung injury
Shigekuni Hosogi1, Yoshinobu Iwasaki, Takahiro Yamada
1Department of Respiratory Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. hosogi@koto.kpu-m.ac.jp
Abstract:
Excessive nitric oxide (NO) generated by inducible nitric oxide synthase (iNOS) aggravates acute lung injury (ALI) by producing peroxinitrite. We previously showed that the expression of iNOS and lung injury were suppressed by inhalation of a novel iNOS inhibitor, ONO-1714, in mice with Candida-induced ALI, and that nitric oxide produced by iNOS and apoptosis of epithelial cells were found to have a crucial role in Candida-induced ALI. In the present study, we investigated the effect of NO on the apoptosis of alveolar epithelial cells in Candida-induced ALI. Mice were pretreated by inhalation of ONO-1714 or saline (vehicle control of ONO-1714), and were given an intravenous injection of Candida albicans to induce ALI. After 24 h from injection of Candida albicans, we performed bronchoalveolar lavage and removed lung tissues. We assessed apoptosis on the basis of TUNEL staining and caspase 3 activity. Our results showed that apoptosis was suppressed by inhibition of iNOS-derived NO production by ONO-1714 inhalation. The augmented production of NO increased FasL, TNF-alpha, and mRNA production of Bax of lung that induced apoptosis of alveolar epithelial cells. Inhibition of iNOS-derived NO production by ONO-1714 inhalation ameliorated Candida-induced ALI and improved survival by suppressing apoptosis of alveolar epithelial cells.
Insights
Inhibiting inducible nitric oxide synthase (iNOS) with ONO-1714 reduces apoptosis in acute lung injury (ALI). This finding offers a potential therapeutic strategy for improving survival in ALI patients.
Area of Science:
- Pulmonary Medicine
- Immunology
- Cell Biology
Background:
- Inducible nitric oxide synthase (iNOS) produces excessive nitric oxide (NO), which aggravates acute lung injury (ALI) via peroxynitrite formation.
- iNOS and NO play crucial roles in Candida-induced ALI, contributing to epithelial cell apoptosis.
- Previous studies demonstrated ONO-1714's efficacy in suppressing iNOS expression and ALI in mice.
Purpose of the Study:
- To investigate the specific effect of NO on alveolar epithelial cell apoptosis in a mouse model of Candida-induced ALI.
- To determine if inhibiting iNOS-derived NO production impacts apoptosis and disease severity.
Main Methods:
- Mice with Candida-induced ALI were pretreated with the iNOS inhibitor ONO-1714 or saline.
- Apoptosis in lung tissues was assessed 24 hours post-infection using TUNEL staining and caspase 3 activity.
- Gene and protein expression related to apoptosis (FasL, TNF-alpha, Bax) was analyzed.
Main Results:
- Inhibition of iNOS-derived NO production by ONO-1714 significantly suppressed apoptosis of alveolar epithelial cells.
- Elevated NO levels correlated with increased FasL, TNF-alpha, and Bax mRNA, promoting apoptosis.
- ONO-1714 treatment ameliorated Candida-induced ALI and improved survival rates.
Conclusions:
- iNOS-derived NO is a key mediator of alveolar epithelial cell apoptosis in Candida-induced ALI.
- Inhibition of iNOS with ONO-1714 offers a promising therapeutic approach for ALI by reducing apoptosis and improving outcomes.
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