2004
DOI: 10.1164/rccm.200311-1607oc
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Heme Oxygenase-1 Expression in Human Lungs with Cystic Fibrosis and Cytoprotective Effects against Pseudomonas Aeruginosa In Vitro

Abstract: Inflammation and oxidative stress play important roles in cystic fibrosis (CF) lung disease. Inflammatory/oxidant-mediated induction of heme oxygenase-1 (HO-1) is believed to be a cytoprotective response. This study examined HO-1 expression in lung samples from patients with CF using immunohistochemistry and quantitative reverse transcription-polymerase chain reaction. In addition, we evaluated myeloperoxidase staining as a marker of acute inflammation and potentially an increase in oxidant stress and Prussian… Show more

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Cited by 72 publications
(55 citation statements)
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“…In asthmatic patients, exhaled CO and sputum bilirubin levels have been shown to be elevated in agreement with increased HO-1 staining [15,38]. Increased ferritin staining in AMs was observed in cystic fibrosis lungs compared with normal lungs, and the number of ferritin-stained macrophages correlated with the amount of HO-1 staining [17]. Inhaled CO had suppressive effects on fibrosis in bleomycin models of lung injury [39].…”
Section: Discussionmentioning
confidence: 86%
See 1 more Smart Citation
“…In asthmatic patients, exhaled CO and sputum bilirubin levels have been shown to be elevated in agreement with increased HO-1 staining [15,38]. Increased ferritin staining in AMs was observed in cystic fibrosis lungs compared with normal lungs, and the number of ferritin-stained macrophages correlated with the amount of HO-1 staining [17]. Inhaled CO had suppressive effects on fibrosis in bleomycin models of lung injury [39].…”
Section: Discussionmentioning
confidence: 86%
“…HO-1 has been implicated in a number of conditions and diseases associated with lung injury. HO-1 seems to be upregulated in smokers, asthma, acute lung injury, cystic fibrosis and lung transplant rejection, whereas it is downregulated in severe chronic obstructive pulmonary disease [14][15][16][17][18][19]. Since an oxidantantioxidant imbalance contributes to the pathogenesis of lung fibrosis, HO-1, one of the critical defenders against oxidative stress, may be important in fibrotic lung diseases.…”
mentioning
confidence: 99%
“…17,18,57,58 Indeed, the levels of human HO-1 in the lungs of P. aeruginosa infected CF patients have been shown to be up-regulated in a cytoprotective response to bacterial induced oxidative stress and inflammation, highlighting the host's response in restricting access of the pathogen to heme. 59 Therefore, by effectively eliminating or restricting the ability of the pathogen to acquire and utilize heme, we would expect to see significant reduction in the virulence of the organism.…”
Section: Discussionmentioning
confidence: 99%
“…In cultured murine fibroblasts, regulated overexpression of HO-1 conferred protection against tumor necrosis factor (TNF)-α -mediated apoptosis (96). Finally, in a human respiratory epithelial cell line representative of lung epithelial cells found in patients with cystic fibrosis, overexpression of HO-1 conferred protection against Pseudomonas-mediated cellular injury and apoptosis (97).…”
Section: Hsp 32 (Heme Oxygenase)mentioning
confidence: 99%