[HTML][HTML] Bcl-2–related protein A1 is an endogenous and cytokine-stimulated mediator of cytoprotection in hyperoxic acute lung injury

CH He, AB Waxman, CG Lee, H Link… - The Journal of …, 2005 - Am Soc Clin Investig
CH He, AB Waxman, CG Lee, H Link, ME Rabach, B Ma, Q Chen, Z Zhu, M Zhong…
The Journal of clinical investigation, 2005Am Soc Clin Investig
Hyperoxic acute lung injury (HALI) is characterized by a cell death response with features of
apoptosis and necrosis that is inhibited by IL-11 and other interventions. We hypothesized
that Bfl-1/A1, an antiapoptotic Bcl-2 protein, is a critical regulator of HALI and a mediator of IL-
11–induced cytoprotection. To test this, we characterized the expression of A1 and the
oxygen susceptibility of WT and IL-11 Tg (+) mice with normal and null A1 loci. In WT mice,
100% O 2 caused TUNEL+ cell death, induction and activation of intrinsic and mitochondrial …
Hyperoxic acute lung injury (HALI) is characterized by a cell death response with features of apoptosis and necrosis that is inhibited by IL-11 and other interventions. We hypothesized that Bfl-1/A1, an antiapoptotic Bcl-2 protein, is a critical regulator of HALI and a mediator of IL-11–induced cytoprotection. To test this, we characterized the expression of A1 and the oxygen susceptibility of WT and IL-11 Tg (+) mice with normal and null A1 loci. In WT mice, 100% O 2 caused TUNEL+ cell death, induction and activation of intrinsic and mitochondrial-death pathways, and alveolar protein leak. Bcl-2 and Bcl-xl were also induced as an apparent protective response. A1 was induced in hyperoxia, and in A1-null mice, the toxic effects of hyperoxia were exaggerated, Bcl-2 and Bcl-xl were not induced, and premature death was seen. In contrast, IL-11 stimulated A1, diminished the toxic effects of hyperoxia, stimulated Bcl-2 and Bcl-xl, and enhanced murine survival in 100% O 2. In A1-null mice, IL-11–induced protection, survival advantage, and Bcl-2 and Bcl-xl induction were significantly decreased. VEGF also conferred protection via an A1-dependent mechanism. In vitro hyperoxia also stimulated A1, and A1 overexpression inhibited oxidant-induced epithelial cell apoptosis and necrosis. A1 is an important regulator of oxidant-induced lung injury, apoptosis, necrosis, and Bcl-2 and Bcl-xl gene expression and a critical mediator of IL-11–and VEGF-induced cytoprotection.
The Journal of Clinical Investigation