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Interstitial lung disease induced by gefitinib and Toll-like receptor ligands is mediated by Fra-1

  作者 Takada, Y; Gresh, L; Bozec, A; Ikeda, E; Kamiya, K; Watanabe, M; Kobayashi, K; Asano, K; Toyama, Y; Wagner, EF; Matsuo, K  
  选自 期刊  Oncogene;  卷期  2011年30-36;  页码  3821-3832  
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[摘要]The role of the AP-1 transcription factor Fra-1 (encoded by Fosl1) in inflammatory responses associated with lung disease is largely unknown. Here, we show that Fra-1 overexpression in mice reduced proinflammatory cytokine production in response to injection of lipopolysaccharide (LPS), a Toll-like receptor (TLR)-ligand. Unexpectedly, Fra-1 transgenic mice died rapidly following LPS treatment, showing severe interstitial lung disease and displaying massive accumulation of macrophages and overproduction of several chemokines, including macrophage chemoattractant protein-1 (MCP-1, encoded by Ccl2). To assess the clinical relevance of Fra-1 in lung pathology, mice were treated with the anticancer drug gefitinib (Iressa), which can lead to interstitial lung disease in patients. Gefitinib-treated mice showed increased Fosl1 and Ccl2 expression and developed interstitial lung disease in response to LPS, endogenous TLR ligands and chemotherapy. Moreover, deletion of Fra-1 or blocking MCP-1 receptor signaling in mice attenuated gefitinib-enhanced lethality in response to LPS. Importantly, human alveolar macrophages showed enhanced LPS-induced FOSL1 and CCL2 expression after gefitinib treatment. These results indicate that Fra-1 is an important mediator of interstitial lung disease following gefitinib treatment. Oncogene (2011) 30, 3821-3832;doi:10.1038/onc.2011.101; published online 4 April 2011

 
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