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*
Department of Pathology, University of Michigan, Ann Arbor, MI 48109; and
Pathology and Experimental Toxicology and Biotechnology Department, Parke-Davis Pharmaceutical Research, Warner-Lambert Co., Ann Arbor, MI 48105
Inflammatory lung injury is probably regulated by the balance
between proteases and protease inhibitors together with oxidants and
antioxidants, and proinflammatory and anti-inflammatory cytokines.
Rat tissue inhibitor of metalloprotease-2 (TIMP-2) and secreted
leukoprotease inhibitor (SLPI) were cloned, expressed, and shown to be
up-regulated at the levels of mRNA and protein during lung inflammation
in rats induced by deposition of IgG immune complexes. Using
immunoaffinity techniques, endogenous TIMP-2 in the inflamed lung was
shown to exist as a complex with 72- and 92-kDa metalloproteinases
(MMP-2 and MMP-9). In inflamed lung both TIMP-2 and SLPI appeared to
exist as enzyme inhibitor complexes. Lung expression of both TIMP-2 and
SLPI appeared to involve endothelial and epithelial cells as well as
macrophages. To assess how these endogenous inhibitors might affect the
lung inflammatory response, animals were treated with polyclonal rabbit
Abs to rat TIMP-2 or SLPI. This intervention resulted in significant
intensification of lung injury (as revealed by extravascular leak of
albumin) and substantially increased neutrophil accumulation, as
determined by cell content in bronchoalveolar lavage (BAL) fluids.
These events were correlated with increased levels of C5a-related
chemotactic activity in BAL fluids, while BAL levels of TNF-
and
chemokines were not affected by treatment with anti-TIMP-2 or
anti-SLPI. The data suggest that endogenous TIMP-2 and SLPI
dynamically regulate the intensity of lung inflammatory injury, doing
so at least in part by affecting the generation of the inflammatory
mediator, C5a.
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