Published ahead of print on November 25, 2003, doi:10.1164/rccm.200305-660OC
American Journal of Respiratory and Critical Care Medicine Vol 169. pp. 518-524, (2004)
© 2004 American Thoracic Society
Ventilation-induced Neutrophil Infiltration Depends on c-Jun N-Terminal Kinase
Li-Fu Li,
Lunyin Yu and
Deborah A. Quinn
Pulmonary and Critical Care Units, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts; and Graduate Institute of Clinical Medical Sciences, Chang Gung University, Taoyuan, Taiwan, Republic of China
Correspondence and requests for reprints should be addressed to Deborah A. Quinn, M.D., Pulmonary and Critical Care Unit, Massachusetts General Hospital, 55 Fruit Street, Bulfinch 148, Boston, MA 02114. E-mail: dquinn1{at}partners.org
Positive pressure ventilation with large VTs has been shown to cause release of cytokines, including macrophage inflammatory protein-2 (MIP-2), a functional equivalent of human interleukin-8. The mechanisms regulating ventilation-induced cytokine production are unclear. Based on our previous in vitro model of lung cell stretch, we hypothesized that high VT ventilationinduced MIP-2 production is dependent on the activation of the c-Jun N-terminal kinase (JNK). We exposed C57BL/6 mice to high VT (30 ml/kg) or low VT (6 ml/kg) mechanical ventilation for 5 hours. High VT ventilationinduced neutrophil migration into the lung, MIP-2 protein production, MIP-2 messenger RNA expression, and JNK activation. Large VT ventilation of JNK knockout mice and pharmacologic JNK inhibition with SP600125 attenuated neutrophil sequestration and blocked MIP-2 messenger RNA expression and MIP-2 production. We conclude that lung cell stretch in vivo results in increased lung neutrophil sequestration and increased MIP-2 production, which was, at least in part, dependent upon the JNK pathway.
Key Words: chemokine mitogen-activated protein kinase lung stretch
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