NOX enzymes: potential target for the treatment of acute lung injury
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Abstract
Acute lung injury (ALI) and its more severe form, acute respiratory distress syndrome (ARDS), is characterized by acute inflammation, disruption of the alveolar-capillary barrier, and in the organizing stage by alveolar pneumocytes hyperplasia and extensive lung fibrosis. The cellular and molecular mechanisms leading to the development of ALI/ARDS are not completely understood, but there is evidence that reactive oxygen species (ROS) generated by inflammatory cells as well as epithelial and endothelial cells are responsible for inflammatory response, lung damage, and abnormal repair. Among all ROS-producing enzymes, the members of NADPH oxidases (NOXs), which are widely expressed in different lung cell types, have been shown to participate in cellular processes involved in the maintenance of lung integrity. It is not surprising that change in NOXs’ expression and function is involved in the development of ALI/ARDS. In this context, the use of NOX inhibitors could be a possible therapeutic perspective in the management of this syndrome. In this article, we summarize the current knowledge concerning some cellular aspects of NOXs localization and function in the lungs, consider their contribution in the development of ALI/ARDS and discuss the place of NOX inhibitors as potential therapeutical target.
Keywords
NOX enzymes Acute lung injury Acute respiratory distress syndromeAbbreviations
- ALI
Acute lung injury
- ARDS
Acute respiratory distress syndrome
- BAL
Bronchoalveolar lavage
- ROS
Reactive oxygen species
- HM
Hyaline membranes
- LPS
Lipopolysaccharide
- TNF-α
Tumor necrosis factor-α
- ICAM-1
Intracellular adhesion molecule-1
- EC
Endothelial cells
- TGF-β1
Transforming growth factor-β1
- IPF
Idiopathic pulmonary fibrosis
- IRF-3
Interferon regulatory factor-3
- AP1
Activator protein 1
- NF-κB
Nucleor factor κB
- MCP-1
Monocyte chemotactic protein-1
- MV
Mechanical ventilation
- N.D.
Not determined
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