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The role of dimethylarginine dimethylaminohydrolase in idiopathic pulmonary fibrosis.
- Source :
-
Science translational medicine [Sci Transl Med] 2011 Jun 15; Vol. 3 (87), pp. 87ra53. - Publication Year :
- 2011
-
Abstract
- Idiopathic pulmonary fibrosis (IPF) is a progressive, dysregulated response to alveolar injury that culminates in compromised lung function from excess extracellular matrix production. Associated with high morbidity and mortality, IPF is generally refractory to current pharmacological therapies. We examined fibrotic lungs from mice and from patients with IPF and detected increased expression of dimethylarginine dimethylaminohydrolases (DDAHs)--key enzymes that metabolize asymmetric dimethylarginine (ADMA), which is an endogenous inhibitor of nitric oxide synthase, to form l-citrulline and dimethylamine. DDAHs are up-regulated in primary alveolar epithelial type II cells from these mice and patients where they are colocalized with inducible nitric oxide synthase. In cultured alveolar epithelial type II cells from bleomycin-induced fibrotic mouse lungs, inhibition of DDAH suppressed proliferation and induced apoptosis in an ADMA-dependent manner. In addition, DDAH inhibition reduced collagen production by fibroblasts in an ADMA-independent but transforming growth factor/SMAD-dependent manner. In mice with bleomycin-induced pulmonary fibrosis, the DDAH inhibitor L-291 reduced collagen deposition and normalized lung function. In bleomycin-induced fibrosis, inducible nitric oxide synthase inhibition decreased fibrosis, but an even stronger reduction was observed after inhibition of DDAH. Thus, DDAH inhibition reduces fibroblast-induced collagen deposition in an ADMA-independent manner and reduces abnormal epithelial proliferation in an ADMA-dependent manner, offering a possible therapeutic avenue for attenuation of pulmonary fibrosis.
- Subjects :
- Animals
Antibiotics, Antineoplastic pharmacology
Apoptosis
Arginine analogs & derivatives
Arginine metabolism
Bleomycin pharmacology
Cell Line
Cell Proliferation
Collagen metabolism
Female
Fibroblasts metabolism
Fibrosis chemically induced
Humans
Idiopathic Pulmonary Fibrosis pathology
Isoenzymes metabolism
Lung drug effects
Male
Mice
Mice, Inbred C57BL
Mice, Knockout
Middle Aged
Nitric Oxide Synthase Type II genetics
Nitric Oxide Synthase Type II metabolism
Random Allocation
Amidohydrolases metabolism
Idiopathic Pulmonary Fibrosis enzymology
Lung enzymology
Lung pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1946-6242
- Volume :
- 3
- Issue :
- 87
- Database :
- MEDLINE
- Journal :
- Science translational medicine
- Publication Type :
- Academic Journal
- Accession number :
- 21677199
- Full Text :
- https://doi.org/10.1126/scitranslmed.3001725