Activation of innate immunity in the lungs can lead to a self-limited inflammatory response or progress to severe
lung injury. We investigated whether specific parameters of
NF-kappaB pathway activation determine the outcome of acute
lung inflammation using a novel line of transgenic reporter mice. Following a single i.p. injection of Escherichia coli LPS, transient
NF-kappaB activation was identified in a variety of lung cell types, and neutrophilic
inflammation resolved without substantial tissue injury. However, administration of LPS over 24 h by osmotic pump (LPS pump) implanted into the peritoneum resulted in sustained, widespread
NF-kappaB activation and neutrophilic
inflammation that culminated in
lung injury at 48 h. To determine whether intervention in the
NF-kappaB pathway could prevent progression to
lung injury in the LPS pump model, we administered a specific
IkappaB kinase inhibitor (BMS-345541) to down-regulate
NF-kappaB activation following the onset of
inflammation. Treatment with
BMS-345541 beginning at 20 h after osmotic pump implantation reduced lung
NF-kappaB activation, concentration of KC and MIP-2 in lung lavage, neutrophil influx, and lung
edema measured at 48 h. Therefore, sustained
NF-kappaB activation correlates with severity of
lung injury, and interdiction in the
NF-kappaB pathway is beneficial even after the onset of
lung inflammation.