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Published ahead of print on August 27, 2004, doi:10.1164/rccm.200402-146OC
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American Journal of Respiratory and Critical Care Medicine Vol 170. pp. 1239-1246, (2004)
© 2004 American Thoracic Society
doi: 10.1164/rccm.200402-146OC


Original Article

Importance of Tumor Necrosis Factor-{alpha} Cleavage Process in Post-Transplantation Lung Injury in Rats

Taichiro Goto, Akitoshi Ishizaka, Fujio Kobayashi, Mitsutomo Kohno, Makoto Sawafuji, Sadatomo Tasaka, Eiji Ikeda, Yasunori Okada, Ikuro Maruyama and Koichi Kobayashi

Departments of Surgery, Medicine, and Pathology, School of Medicine, Keio University, Tokyo; Research & Development Division, Mitsubishi Pharma Corporation, Yokohama; and Department of Laboratory and Molecular Medicine, Faculty of Medicine, Kagoshima University, Kagoshima, Japan

Correspondence and requests for reprints should be addressed to Akitoshi Ishizaka, M.D., Department of Medicine, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160–8582, Japan. E-mail: ishizaka{at}cpnet.med.keio.ac.jp

Tumor necrosis factor-{alpha} (TNF-{alpha}) has two forms with apparently different biological activities: a membrane-associated form and a soluble form. TNF-{alpha}–converting enzyme (TACE) mediates a cleavage of membrane-associated TNF-{alpha} to induce its bioactive soluble form. We hypothesized that inhibition of TACE might prevent TNF-{alpha}–induced tissue injury while preserving the benefits of TNF-{alpha}. In this study, we evaluated the role of TACE in acute inflammation using an inhibitor of the enzyme in a rat model of lung transplantation. Inbred Lewis rats underwent left lung isotransplantation, and the donor lungs were kept in Euro-Collins solution with or without the inhibitor. After 6 hours of ischemia, the left lung was transplanted into the recipient rat and reperfused for 4 hours. Inhibition of TACE significantly attenuated endothelial and alveolar septal damage, as assessed by radiolabeled albumin leakage after transplantation. The inhibition also attenuated neutrophil accumulation in the alveolar space and other histopathologic findings, including intercellular adhesion molecule-1 expression. In addition, significantly lower levels of monocyte chemotactic protein-1, cytokine-induced neutrophil chemoattractant-1, high mobility group box-1, and soluble epithelial cadherin and decreased neutrophil elastase activity were observed in bronchoalveolar lavage fluid from the rats treated with the inhibitor. We conclude that TACE mediates a critical step in the development of post-transplantation lung injury.

Key Words: acute inflammation • epithelial cadherin • high mobility group box-1 • lung transplantation • TNF-{alpha}–converting enzyme




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