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Silencing of Fas, but not caspase-8, in lung epithelial cells ameliorates pulmonary apoptosis, inflammation, and neutrophil influx after hemorrhagic shock and sepsis.

Abstract
Apoptosis and inflammation play an important role in the pathogenesis of direct/pulmonary acute lung injury (ALI). However, the role of the Fas receptor-driven apoptotic pathway in indirect/nonpulmonary ALI is virtually unstudied. We hypothesized that if Fas or caspase-8 plays a role in the induction of indirect ALI, their local silencing using small interfering RNA (siRNA) should be protective in hemorrhage-induced septic ALI. Initially, as a proof of principle, green fluorescent protein-siRNA was administered intratracheally into transgenic mice overexpressing green fluorescent protein. Twenty-four hours after siRNA delivery, lung sections revealed a significant decrease in green fluorescence. Intratracheally administered Cy-5-labeled Fas-siRNA localized primarily in pulmonary epithelial cells. Intratracheal instillation of siRNA did not induce lung inflammation via toll-like receptor or protein kinase PKR pathways as assessed by lung tissue interferon-alpha, tumor necrosis factor-alpha, and interleukin (IL)-6 levels. Mice subjected to hemorrhagic shock and sepsis received either Fas-, caspase-8-, or control-siRNA intratracheally 4 hours after hemorrhage. Fas- or caspase-8-siRNA significantly reduced lung tissue Fas or caspase-8 mRNA, respectively. Only Fas-siRNA markedly diminished lung tissue tumor necrosis factor-alpha, IL-6, IL-10, interferon-gamma, IL-12, and caspase-3 activity. Fas-siRNA also preserved alveolar architecture and reduced lung neutrophil infiltration and pulmonary epithelial apoptosis. These data indicate the pathophysiological significance of Fas activation in nonpulmonary/shock-induced ALI and the feasibility of intrapulmonary administration of anti-apoptotic siRNA in vivo.
AuthorsMario Perl, Chun-Shiang Chung, Joanne Lomas-Neira, Tina-Marie Rachel, Walter L Biffl, William G Cioffi, Alfred Ayala
JournalThe American journal of pathology (Am J Pathol) Vol. 167 Issue 6 Pg. 1545-59 (Dec 2005) ISSN: 0002-9440 [Print] United States
PMID16314469 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • DNA Primers
  • RNA, Small Interfering
  • fas Receptor
  • Casp8 protein, mouse
  • Caspase 8
  • Caspases
Topics
  • Animals
  • Apoptosis
  • Base Sequence
  • Caspase 8
  • Caspases (genetics)
  • DNA Primers
  • Disease Models, Animal
  • Gene Silencing
  • Inflammation
  • Lung Diseases (genetics, pathology)
  • Lung Injury
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Neutrophils (physiology)
  • RNA, Small Interfering (genetics)
  • Sepsis (genetics, pathology, therapy)
  • Shock, Hemorrhagic (genetics, pathology, therapy)
  • fas Receptor (genetics)

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