Cigarette Smoking Induces Functional Antiprotease Deficiency in the Lower Respiratory Tract of Humans

Gadek, James E.; Fells, G A; Crystal, Ronald G.

doi:10.1126/science.316188

Cited by 369 publications

(135 citation statements)

References 18 publications

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“…In the present study, the large increase in collagenase activity after treatment with CSE in combination with either IL-1␣ or IL-1␤ may result from induction of MMP activators. We know that cigarette smoke and interleukins increase protease production and reduce antiprotease activity in inflammatory lung cells (25)(26)(27)(28). The demonstration that SAECs produce proteases is significant because studies have shown that pathological changes in the small airways are linked to changes in airway resistance in emphysema (29, 30).…”

Section: Discussionmentioning

confidence: 99%

Extracellular Regulated Kinase/Mitogen Activated Protein Kinase Is Up-regulated in Pulmonary Emphysema and Mediates Matrix Metalloproteinase-1 Induction by Cigarette Smoke

Mercer

Kolesnikova

Sonett

et al. 2004

Journal of Biological Chemistry

158

172

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The interstitial collagenase matrix metalloproteinase-1 (MMP-1) is up-regulated in the lung during pulmonary emphysema. The mechanisms underlying this aberrant expression are poorly understood. Although cigarette smoking is the predominant cause of emphysema, only 15-20% of smokers develop the disease. To define the signaling pathways activated by smoke and to identify molecules responsible for emphysema-associated MMP-1 expression, we performed several in vitro and in vivo experiments. In this study, we showed that cigarette smoke directly induced MMP-1 mRNA and protein expression and increased the collagenolytic activity of human airway cells. Treatment with various chemical kinase inhibitors revealed that this response was dependent on the extracellular regulated kinase-1/2 (ERK) mitogen activated protein kinase pathway. Cigarette smoke increased phosphorylation of residues Thr-202 and Tyr-204 of ERK in airway lining cells and alveolar macrophages in mice at 10 days and 6 months of exposure. Moreover, analysis of lung tissues from emphysema patients revealed significantly increased ERK activity compared with lungs of control subjects. This ERK activity was evident in airway lining and alveolar cells. The identification of active ERK in the lungs of emphysema patients and the finding that induction of MMP-1 by cigarette smoke in pulmonary epithelial cells is ERKdependent reveal a molecular mechanism and potential therapeutic target for excessive matrix remodeling in smokers who develop emphysema.

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Section: Discussionmentioning

confidence: 99%

Extracellular Regulated Kinase/Mitogen Activated Protein Kinase Is Up-regulated in Pulmonary Emphysema and Mediates Matrix Metalloproteinase-1 Induction by Cigarette Smoke

Mercer

Kolesnikova

Sonett

et al. 2004

Journal of Biological Chemistry

158

172

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“…The inactivation of ctrproteinase inhibitor might be produced by oxidation of a methionine residue near the proteinase inhibitory site, possibly by oxygen free radicals (23)(24)(25). It is known that oxygen free radicals generated by complement activated neutrophils or other processes are important mediators of tissue injury in a great variety of diseases (26,27).…”

Section: Discussionmentioning

confidence: 99%

Amidolytic and Immuno-Nephelometric Determination of α1-Proteinase Inhibitor and α2-Macroglobulin in Serum with Calculation of Specific Inhibitor Activities in Health and Disease

Gressner¹,

Peltzer²

1984

Clinical Chemistry and Laboratory Medicine

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Summary:In sera of healthy persons (n = 50) and patients with a variety of diseases (n = 197) the two major proteinase inhibitors, αι-proteinase inhibitor (oti-antitrypsin) and ai-macroglobulin, were measured by two methods: a chromogenic (amidolytic) Substrate assay to assess the functional activities, and a laser nephelometric method to determine the immunoreactive concentrations of the respective proteins. The specific proteinase inhibitor activities defined s the number of inhibitor units per g inhibitor protein were calculated.The precision and accuracy of both assays were found to be similar, showing a satisfactory correlation of results for the sera of healthy persons (r ?= 0.916 for cta-macroglobulin and 0.988 for cti-proteinase inhibitor). In diseased individuals the correlation was lower than in normal persons (0.862 for a2-macroglobulin and 0.907 for αϊ-proteinase inhibitor). A poor correlation was obtained in patients with liver diseases (r = 0.586 for αι-proteinase inhibitor and 0.852 for ai-macroglobulin).Reference ranges were established for functional and immunological concentrations and for specific inhibitor activities, respectively. Normal values followed a Gaussian distribution.In patients with various diseases including those with acute phase response, the specific inhibitor activities of ctrproteinase inhibitor re reduced significantly; this is because inhibitor activity shows a smaller relative increase than immunoreactivity. Among the various diseases, no significant differences were noted. The specific inhibitor activity of az-macroglobulin changed significantly only in patients with carcinoma, liver diseases and trauma. Follow up of some patients shows also intraindividual Variation of specific proteinase inhibitor activities. Amidolytische und immun-nephelometrische Bestimmung von a/-Proteinase-Inhibitor und

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“…In vivo exposure to cigarette smoke has been shown to bring about a decrease in the elastase inhibitory capacity (EIC) in the serum of rats (55) as well as in pulmonary lavage fluids in humans (26,56), although these last reports have been the subject of recent controversy (57). The decreased EIC in these cases is not the result of a decreased level of alPI itself, but rather the result of the formation of an inactive form of the protein containing oxidized methionine residues (26).…”

Section: The Tar Radical(s) In Cigarette Smoke: Esr Studiesmentioning

confidence: 99%

Free-Radical Chemistry of Cigarette Smoke and Its Toxicological Implications

Church¹,

Pryor²

1985

Environmental Health Perspectives

330

297

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Cigarette smoke contains two very different populations of free radicals, one in the tar and one in the gas phase. The tar phase contains several relatively stable free radicals; we have identified the principal radical as a quinone/hydroquinone (Q/QH2) complex held in the tarry matrix. We suggest that this Q/QH2 polymer is an active redox system that is capable of reducing molecular oxygen to produce superoxide, eventually leading to hydrogen peroxide and hydroxyl radicals. In addition, we have shown that the principal radical in tar reacts with DNA in vitro, possibly by covalent binding.The gas phase of cigarette smoke contains small oxygen-and carbon-centered radicals that are much more reactive than are the tar-phase radicals. These gas-phase radicals do not arise in the flame, but rather are produced in a steady state by the oxidation of NO to NO2, which then reacts with reactive species in smoke such as isoprene. We suggest that these radicals and the metastable products derived from these radical reactions may be responsible for the inactivation of a,-proteinase inhibitor by fresh smoke.Cigarette smoke oxidizes thiols to disulfides; we suggest the active oxidants are NO and NO2. The effects of smoke on lipid peroxidation are complex, and this is discussed. We also discuss the toxicological implications for the radicals in smoke in terms of a number of radical-mediated disease processes, including emphysema and cancer.

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Cigarette Smoking Induces Functional Antiprotease Deficiency in the Lower Respiratory Tract of Humans

Cited by 369 publications

References 18 publications

Extracellular Regulated Kinase/Mitogen Activated Protein Kinase Is Up-regulated in Pulmonary Emphysema and Mediates Matrix Metalloproteinase-1 Induction by Cigarette Smoke

Extracellular Regulated Kinase/Mitogen Activated Protein Kinase Is Up-regulated in Pulmonary Emphysema and Mediates Matrix Metalloproteinase-1 Induction by Cigarette Smoke

Amidolytic and Immuno-Nephelometric Determination of α1-Proteinase Inhibitor and α2-Macroglobulin in Serum with Calculation of Specific Inhibitor Activities in Health and Disease

Free-Radical Chemistry of Cigarette Smoke and Its Toxicological Implications

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