Enalapril protects mice from pulmonary hypertension by inhibiting TNF-mediated activation of NF-κB and AP-1

LA Ortiz, HC Champion, JA Lasky… - … of Physiology-Lung …, 2002 - journals.physiology.org
LA Ortiz, HC Champion, JA Lasky, F Gambelli, E Gozal, GW Hoyle, MB Beasley, AL Hyman…
American Journal of Physiology-Lung Cellular and Molecular …, 2002journals.physiology.org
The present study was undertaken to investigate the effects of treatment with the angiotensin-
converting enzyme (ACE) inhibitor enalapril in a mouse model of pulmonary hypertension
induced by bleomycin. Bleomycin-induced lung injury in mice is mediated by enhanced
tumor necrosis factor-α (TNF) expression in the lung, which determines the murine strain
sensitivity to bleomycin, and murine strains are sensitive (C57BL/6) or resistant (BALB/c).
Bleomycin induced significant pulmonary hypertension in C57BL/6, but not in BALB/c, mice; …
The present study was undertaken to investigate the effects of treatment with the angiotensin-converting enzyme (ACE) inhibitor enalapril in a mouse model of pulmonary hypertension induced by bleomycin. Bleomycin-induced lung injury in mice is mediated by enhanced tumor necrosis factor-α (TNF) expression in the lung, which determines the murine strain sensitivity to bleomycin, and murine strains are sensitive (C57BL/6) or resistant (BALB/c). Bleomycin induced significant pulmonary hypertension in C57BL/6, but not in BALB/c, mice; average pulmonary arterial pressure (PAP) was 26.4 ± 2.5 mmHg (P < 0.05) vs. 15.2 ± 3 mmHg, respectively. Bleomycin treatment induced activation of nuclear factor (NF)-κB and activator protein (AP)-1 and enhanced collagen and TNF mRNA expression in the lung of C57BL/6 but not in BALB/c mice. Double TNF receptor-deficient mice (in a C57BL/6 background) that do not activate NF-κB or AP-1 in response to bleomycin did not develop bleomycin-induced pulmonary hypertension (PAP 14 ± 3 mmHg). Treatment of C57BL/6 mice with enalapril significantly (P < 0.05) inhibited the development of pulmonary hypertension after bleomycin exposure. Enalapril treatment inhibited NF-κB and AP-1 activation, the enhanced TNF and collagen mRNA expression, and the deposition of collagen in bleomycin-exposed C57BL/6 mice. These results suggest that ACE inhibitor treatment decreases lung injury and the development of pulmonary hypertension in bleomycin-treated mice.
American Physiological Society