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Genes to Cells (2005) 10, 1113-1125. doi:10.1111/j.1365-2443.2005.00905.x
© 2005 Blackwell Publishing or its licensors

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Nrf2-deficient mice are highly susceptible to cigarette smoke-induced emphysema

Takashi Iizuka1, Yukio Ishii1,*, Ken Itoh2,3, Takumi Kiwamoto1, Toru Kimura1, Yosuke Matsuno1, Yuko Morishima1, Ahmed E. Hegab1, Shinsuke Homma1, Akihiro Nomura1, Tohru Sakamoto1, Masako Shimura4, Aruto Yoshida4, Masayuki Yamamoto2,3 and Kiyohisa Sekizawa1

1 Department of Respiratory Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba 305-8577, Japan
2 ERATO Environmental Response Project, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba 305-8577, Japan
3 Institute of Basic Medical Sciences and Center for Tsukuba Advanced Research Alliance, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba 305-8577, Japan
4 Central Laboratories for Key Technology, Kirin Brewery Co. Ltd., 1-13-5 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan

Inflammation, protease/anti-protease imbalance and oxidative stress play important roles in the pathogenesis of emphysema. Nrf2 counteracts oxidative tissue damage and inflammation through transcriptional activation via the anti-oxidant responsive element (ARE). To clarify the protective role of Nrf2 in the development of emphysema, the susceptibility of Nrf2-knockout mice to cigarette smoke (CS)-induced emphysema was examined. In Nrf2-knockout mice, emphysema was first observed at 8 weeks and exacerbated by 16 weeks following CS-exposure, whereas no pathological abnormalities were observed in wild-type mice. Neutrophilic lung inflammation and permeability lung damage were significantly enhanced in Nrf2-knockout mice 8 weeks after CS-exposure. Importantly, neutrophil elastase activity in bronchoalveolar lavage fluids was markedly higher in Nrf2-knockout mice preceding the pronounced neutrophil accumulation. The expression of secretory leukoprotease inhibitor, a potent inhibitor of neutrophil elastase, was inducible in wild-type, but not in Nrf2-knockout mice. This protease/anti-protease imbalance, together with the lack of inducible expression of ARE-regulated anti-oxidant/anti-inflammatory genes, may explain the predisposition of Nrf2-knockout mice to neutrophilic inflammation. Indeed, specific activators of Nrf2 induced the expression of the SLPI gene in macrophages. These results indicate that Nrf2 protects against the development of emphysema by regulating not only the oxidant/anti-oxidant balance, but also inflammation and the protease/anti-protease balance.


Communicated by: Kohei Miyazono

* Correspondence: E-mail: ishii-y{at}md.tsukuba.ac.jp




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