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Published ahead of print on August 2, 2007, doi:10.1164/rccm.200607-1051OC

Am. J. Respir. Crit. Care Med., Volume 176, Number 11, December 2007, 1098-1107

A more recent version of this article appeared on December 1, 2007
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Submitted on July 28, 2006
Accepted on July 31, 2007

Relationships Between Early Inflammatory Response to Bleomycin and Sensitivity to Lung Fibrosis

Nicolas Pottier1, Cecile Chupin2, Virginie Defamie1, Bruno Cardinaud1, Rachel Sutherland3, Geraldine Rios1, Francis Gauthier4, Paul J Wolters3, Yves Berthiaume2, Pascal Barbry1*, and Bernard Mari1

1 Institut de Pharmacologie Moleculaire et Cellulaire, UMR6097, CNRS and University of Nice Sophia Antipolis, Sophia Antipolis, France, 2 Institut de Pharmacologie Moleculaire et Cellulaire, UMR6097, CNRS and University of Nice Sophia Antipolis, Sophia Antipolis, France; Departement de Medecine, Centre de Recherche, Centre Hospitalier de l'Universite de Montreal Hotel-Dieu, Montreal, QC, Canada, 3 Department of Medicine and Cardiovascular Research Institute, University of California, San Francisco, CA, USA, 4 U618 Proteases et Vectorisation Pulmonaires, INSERM and University Francois Rabelais, Tours Cedex, France

* To whom correspondence should be addressed. E-mail: barbry{at}ipmc.cnrs.fr.

RATIONALE. Different sensitivities to pro-fibrotic compounds such as bleomycin are observed among mouse strains. OBJECTIVES. To identify genetic factors contributing to the outcome of lung injury. METHODS. Physiological comparison of C57BL/6 sensitive and Balb/C resistant mice challenged with intra tracheal bleomycin instillation revealed several early differences: global gene expression profiles were thus established from lungs derived from the two strains, in the absence of any bleomycin administration. MEASUREMENTS AND MAIN RESULTS. Expression of 25 genes differed between the two strains. Among them, two molecules, not previously associated with pulmonary fibrosis, were identified. The first one corresponds to dipeptidyl peptidase I (DPPI), a cysteine dipeptidyl peptidase (also known as cathepsin C) essential for the activation of serine proteinases produced by immune/inflammatory cells. The second corresponds to TIMP-3, an inhibitor of matrix metalloproteases and of ADAMs such as the TNFconverting enzyme. In functional studies performed in the bleomycin induced lung fibrosis model, the level of expression of these two genes was closely correlated with specific early events associated with lung fibrosis, namely activation of PMN-derived serine proteases and TNF{alpha}-dependent inflammatory syndrome. Surprisingly, genetic deletion of DPPI in the context of a C57BL/6 genetic background did not protect against bleomycin-mediated fibrosis, suggesting additional function(s) for this key enzyme. CONCLUSIONS. This study highlights the importance of the early inflammatory events that follow bleomycin instillation in the development of lung fibrosis, and describes for the first time the roles that DPPI and TIMP-3 may play in this process.


Key words: bleomycin, inflammation, microarray, protease, TNF




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