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* From the Center for Lung Research, Vanderbilt University Medical Center, Nashville, TN.
Correspondence to: Roberto A. Cruz-Gervis, MD, Division of Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, MCN T-1217, Nashville TN 37232-2650
Since
BAL fluid interleukin (IL)-6 levels are elevated in multiple chronic
inflammatory and fibrotic lung diseases, and since stimulated lung
fibroblasts produced large amounts of IL-6 in vitro, these
cells may represent a major source of this cytokine. Nuclear factor
(NF)-
B and CCAAT/enhancer-binding protein-ß (C/EBP-ß) are
necessary for maximal transcription of IL-6, and the latter has also
been shown to induce gene expression of profibrotic factors, namely
insulin-like growth factor-1 and collagen I. For those reasons, we
asked whether primary lung fibroblasts obtained from lung of patients
with idiopathic pulmonary fibrosis (HF-IPF) could have an altered
regulation of these transcription factors compared with fibroblasts
obtained from normal human lungs (HF-NL).
We stimulated HF-IPF from two different patients and HF-NL from two
different control subjects with IL-1ß (10 pg/mL) for 4 h and
measured NF-
B and C/EBP-ß activity by electrophoretic mobility
shift assay. We found that NF-
B activation was increased by IL-1ß
and to a similar extent in HF-IPF and HF-NL. C/EBP-ß activity was
also increased by IL-1ß, but to a greater degree in HF-IPF. Since
C/EBP-ß can regulate its own activity by producing a truncated
transcription-repressor isoform (p20), which cannot be differentiated
from the full-length transcription-activator isoform (p42) on gel
shift, we subjected nuclear extracts from the above experiments to
Western blot and used densitometry of the blot to quantify levels of
p20 and p42. We found that baseline p42 and p20 production were similar
between HF-IPF (4.1 relative densitometric units [RDU] and 1.4 RDU,
respectively) and HF-NL (4.2 RDU and 1.8 RDU, respectively). Likewise,
IL-1ß-stimulated p42 production was similar in HF-IPF and HF-NL
(1.5-fold and 1.2-fold increase over baseline, respectively). In
contrast, IL-1ßinduced p20 production was higher in HF-NL compared
to HF-IPF (3.0-fold and 1.4-fold increase over baseline, respectively).
This resulted in a lower repressor:activator (p20:p42) ratio in HF-IPF
(0.38), compared to HF-NL (1.01) [Fig 1
].
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Footnotes
Abbreviations: C/EBPß = CCAAT/enhancer-binding protein-ß; HF-NL = fibroblasts obtained from normal human lung; HF-IPF = fibroblasts obtained from lung of patients with idiopathic pulmonary fibrosis; IL = interleukin; NF = nuclear factor; RDU = relative densitometric units
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