[HTML][HTML] Angiotensin receptor blockade attenuates cigarette smoke–induced lung injury and rescues lung architecture in mice

M Podowski, C Calvi, S Metzger… - The Journal of …, 2012 - Am Soc Clin Investig
M Podowski, C Calvi, S Metzger, K Misono, H Poonyagariyagorn, A Lopez-Mercado, T Ku
The Journal of clinical investigation, 2012Am Soc Clin Investig
Chronic obstructive pulmonary disease (COPD) is a prevalent smoking-related disease for
which no disease-altering therapies currently exist. As dysregulated TGF-β signaling
associates with lung pathology in patients with COPD and in animal models of lung injury
induced by chronic exposure to cigarette smoke (CS), we postulated that inhibiting TGF-β
signaling would protect against CS-induced lung injury. We first confirmed that TGF-β
signaling was induced in the lungs of mice chronically exposed to CS as well as in COPD …
Chronic obstructive pulmonary disease (COPD) is a prevalent smoking-related disease for which no disease-altering therapies currently exist. As dysregulated TGF-β signaling associates with lung pathology in patients with COPD and in animal models of lung injury induced by chronic exposure to cigarette smoke (CS), we postulated that inhibiting TGF-β signaling would protect against CS-induced lung injury. We first confirmed that TGF-β signaling was induced in the lungs of mice chronically exposed to CS as well as in COPD patient samples. Importantly, key pathological features of smoking-associated lung disease in patients, e.g., alveolar injury with overt emphysema and airway epithelial hyperplasia with fibrosis, accompanied CS-induced alveolar cell apoptosis caused by enhanced TGF-β signaling in CS-exposed mice. Systemic administration of a TGF-β–specific neutralizing antibody normalized TGF-β signaling and alveolar cell death, conferring improved lung architecture and lung mechanics in CS-exposed mice. Use of losartan, an angiotensin receptor type 1 blocker used widely in the clinic and known to antagonize TGF-β signaling, also improved oxidative stress, inflammation, metalloprotease activation and elastin remodeling. These data support our hypothesis that inhibition of TGF-β signaling through angiotensin receptor blockade can attenuate CS-induced lung injury in an established murine model. More importantly, our findings provide a preclinical platform for the development of other TGF-β–targeted therapies for patients with COPD.
The Journal of Clinical Investigation