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Originally published In Press as doi:10.1074/jbc.M208419200 on October 23, 2002

J. Biol. Chem., Vol. 278, Issue 2, 1248-1258, January 10, 2003
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Carbon Monoxide Inhibition of Apoptosis during Ischemia-Reperfusion Lung Injury Is Dependent on the p38 Mitogen-activated Protein Kinase Pathway and Involves Caspase 3*

Xuchen ZhangDagger , Peiying ShanDagger , Leo E. Otterbein§, Jawed Alam||**, Richard A. FlavellDagger Dagger ***, Roger J. Davis§§, Augustine M. K. Choi§¶¶, and Patty J. LeeDagger ||||

From the Dagger  Section of Pulmonary and Critical Care Medicine, Yale University School of Medicine, New Haven, Connecticut 06520, § Division of Pulmonary, Allergy, and Critical Care, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, || Department of Molecular Genetics, Alton Ochsner Medical Foundation, New Orleans, Louisiana 70121, Dagger Dagger  Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut 06520, and §§ Program in Molecular Medicine, Department of Biochemistry and Molecular Biology, University of Massachusetts Medical School, Worcester, Massachusetts 01605

Carbon monoxide (CO), a reaction product of the cytoprotective gene heme oxygenase, has been shown to be protective against organ injury in a variety of models. One potential mechanism whereby CO affords cytoprotection is through its anti-apoptotic properties. Our studies show that low level, exogenous CO attenuates anoxia-reoxygenation (A-R)-induced lung endothelial cell apoptosis. Exposure of primary rat pulmonary artery endothelial cells to minimal levels of CO inhibits apoptosis and enhances phospho-p38 mitogen-activated protein kinase (MAPK) activation in A-R. Transfection of p38alpha dominant negative mutant or inhibition of p38 MAPK activity with SB203580 ablates the anti-apoptotic effects of CO in A-R. CO, through p38 MAPK, indirectly modulates caspase 3. Furthermore, we correlate our in vitro apoptosis model with an in vivo model of A-R by showing that CO can attenuate I-R injury of the lung. Taken together, our data are the first to demonstrate in models of A-R that the anti-apoptotic effects of CO are via modulation of p38 MAPK and caspase 3.


* The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Supported by American Heart Association Grant 0160332U and by a Pfizer Atorvastatin Research Award.

** Supported by National Institutes of Health (NIH) Grant DK-43135.

*** An investigator of the Howard Hughes Medical Institute.

¶¶ Supported in part by NIH Grants HL-55330, AI-42365, and HL-60234 and by an American Heart Association Established Investigator Award (EIA).

|||| Supported by NIH Grant HL-04034 and by the American Lung Association of Connecticut. To whom correspondence should be addressed: Section of Pulmonary and Critical Care Medicine, Yale University School of Medicine, 333 Cedar St., LCI 105, New Haven, CT 06520. Tel.: 203-785-5877; Fax: 203-785-3826; E-mail: patty.lee@yale.edu.


Copyright © 2003 by The American Society for Biochemistry and Molecular Biology, Inc.
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