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A more recent version of this article appeared on January 3, 2003
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Papers In Press, published online ahead of print October 23, 2002
J. Biol. Chem, 10.1074/jbc.M208419200
Submitted on August 17, 2002
Revised on October 1, 2002
Accepted on October 23, 2002

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 Zhang, Peiying Shan, Leo E. Otterbein, Jawed Alam, Richard A. Flavell, Roger J. Davis, Augustine M.K. Choi, and Patty J. Lee

Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520

Corresponding Author: patty.lee{at}yale.edu

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 (PAECs) to minimal levels of CO inhibits apoptosis and enhances phospho-p38 MAPK activation in A-R. Transfection of p38 dominant negative mutant (DNM) 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 ischemia-reperfusion (I-R) 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.


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