Norbert Weissmann a , 1 , 10 , Akylbek Sydykov 1 , 10 , Hermann Kalwa 2 , 10 , 13 , Ursula Storch 3 , Beate Fuchs 1 , Michael Mederos y Schnitzler 3 , Ralf P. Brandes 4 , Friedrich Grimminger 1 , Marcel Meissner 5 , Marc Freichel 5 , 11 , Stefan Offermanns 6 , Florian Veit 1 , Oleg Pak 1 , Karl-Heinz Krause 7 , Ralph T. Schermuly 1 , Alison C Brewer 8 , Harald H.H.W. Schmidt 9 , Werner Seeger 1 , Ajay M. Shah 8 , Thomas Gudermann 3 , 12 , Hossein A. Ghofrani 1 , Alexander Dietrich b , 3 , 12
31 January 2012
Lung ischaemia–reperfusion-induced oedema (LIRE) is a life-threatening condition that causes pulmonary oedema induced by endothelial dysfunction. Here we show that lungs from mice lacking nicotinamide adenine dinucleotide phosphate (NADPH) oxidase ( Nox2 y/− ) or the classical transient receptor potential channel 6 ( TRPC6 −/− ) are protected from LIR-induced oedema (LIRE). Generation of chimeric mice by bone marrow cell transplantation and endothelial-specific Nox2 deletion showed that endothelial Nox2, but not leukocytic Nox2 or TRPC6, are responsible for LIRE. Lung endothelial cells from Nox2- or TRPC6-deficient mice showed attenuated ischaemia-induced Ca 2+ influx, cellular shape changes and impaired barrier function. Production of reactive oxygen species was completely abolished in Nox2 y/− cells. A novel mechanistic model comprising endothelial Nox2-derived production of superoxide, activation of phospholipase C-γ, inhibition of diacylglycerol (DAG) kinase, DAG-mediated activation of TRPC6 and ensuing LIRE is supported by pharmacological and molecular evidence. This mechanism highlights novel pharmacological targets for the treatment of LIRE.
The signalling cascade involved in lung ischaemia–reperfusion-induced oedema is poorly
understood. Using knockout mice, Weissmann
et al. propose a model in which reactive oxygen species production by endothelial NOX2
leads to phospholipase C-γ activation, DAG kinase inhibition and subsequent TRPC6
activation.
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