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*
Division of Critical Care Medicine and
Division of Pulmonary Medicine, Childrens Hospital Medical Center, Cincinnati, OH 45229
| Abstract |
|---|
|
|
|---|
induced RANTES gene expression in a
concentration-dependent manner. Induction of the heat shock response
inhibited subsequent TNF-
-mediated RANTES mRNA expression and
secretion of immunoreactive RANTES. Transient transfection assays
involving a RANTES promoter-luciferase reporter plasmid demonstrated
that the heat shock response inhibited TNF-
-mediated activation of
the RANTES promoter. Inhibition of NF-
B nuclear translocation with
isohelenin inhibited TNF-
-mediated RANTES mRNA expression,
indicating that RANTES gene expression is NF-
B dependent in A549
cells. Induction of the heat shock response inhibited degradation of
the NF-
B inhibitory protein, I-
B
but did not significantly
inhibit phosphorylation of I-
B
. We conclude that the heat shock
response inhibits RANTES gene expression by a mechanism involving
inhibition of NF-
B nuclear translocation and subsequent inhibition
of RANTES promoter activation. The mechanism by which the heat shock
response inhibits NF-
B nuclear translocation involves stabilization
of I-
B
, without significantly affecting phosphorylation of
I-
B
. | Introduction |
|---|
|
|
|---|
and
IL-1ß). Apart from glucocorticoids and IL-4, very little is known
about factors that inhibit induction of RANTES gene
expression (12, 13, 14).
The heat shock response is a highly conserved genetic response
providing cells an adaptive mechanism to survive lethal stresses (for
reviews see Refs. 15, 16). The original descriptions of the heat shock
response involved the phenomenon known as thermotolerance, whereby
subjecting cells to a brief period of sublethal hyperthermia conferred
protection against subsequent exposure to otherwise lethal hyperthermia
(17). Induction of the heat shock response was also demonstrated to
protect against nonthermal forms of injury, such as acute lung injury.
Induction of the heat shock response protected rats against acute lung
injury secondary to either systemic administration of endotoxin (18, 19) or intratracheal instillation of phospholipase-A1 (20).
In vitro induction of the heat shock response protected lung cells
against endotoxin and oxidants (21, 22). The mechanisms by which the
heat shock response confers protection against acute lung injury are
not well understood. One potential mechanism of protection may involve
the ability of the heat shock response to inhibit proinflammatory
responses in lung cells. The heat shock response inhibited inducible
nitric oxide synthase gene expression in cultured lung cells treated
with cytokines and in whole lungs of rats treated with endotoxin
(23, 24, 25, 26). Recent data demonstrated that the heat shock response
inhibited nuclear translocation of the proinflammatory transcription
factor NF-
B and induced expression of the NF-
B inhibitory protein
I-
B
in cultured lung cells (25, 27). Collectively, these data
indicate that the heat shock response may have a broad antiinflammatory
role in the lung. To further explore this concept we determined the
effects of the heat shock response on RANTES gene expression. We
demonstrate that the heat shock response inhibits RANTES mRNA
expression, as well as secretion of immunoreactive RANTES. We further
demonstrate that the heat shock response inhibits activation of the
RANTES promoter, possibly by preventing nuclear translocation of
NF-
B.
| Materials and Methods |
|---|
|
|
|---|
A human lung adenocarcinoma cell line (A549 cells),
representative of distal respiratory epithelium, was used in all
experiments. A549 cells were previously demonstrated to express RANTES
in response to treatment with TNF-
(13). Cells were grown in plastic
tissue culture flasks and maintained in a room air/5% CO2
incubator using DMEM (Life Technologies, Gaithersburg, MD) containing
8% FBS (Life Technologies), sodium bicarbonate (2 gm/l), and
penicillin/streptomycin (Life Technologies).
Experimental conditions
The heat shock response was induced by incubating cells at
43°C for 1 h as previously described (27). RANTES was induced by
treating cells with recombinant human TNF-
(10 to 100 ng/ml,
Boehringer Mannheim, Indianapolis, IN) for 24 h. In transient
transfection assays, cells were treated with TNF-
for 4 h. To
determine the effects of the heat shock response on TNF-
-mediated
RANTES gene expression, one group of cells was heat shocked and allowed
to recover at 37°C for 1 h before treatment with TNF-
. To
determine the effects of NF-
B inhibition on TNF-
-mediated RANTES
gene expression, one group of cells was treated with the NF-
B
inhibitor isohelenin (Sigma, St. Louis, MO; 50 µM) for 1 h
before treatment with TNF-
. To determine the effects of the heat
shock response on phosphorylation of I-
B
, one group of cells was
treated with the proteosome inhibitor MG-132 (Sigma, 10 µM) for
1 h before treatment with TNF-
.
Northern blot analysis
Treated cells were harvested for total RNA extraction using the
Trizol reagent (Life Technologies). Total RNA was quantified by
spectrophotometry (260 nM), and 15 µg of total RNA per condition
underwent electrophoresis on 1% agarose gels containing 3%
formaldehyde. The integrity of the RNA after electrophoresis was
confirmed by ethidium bromide staining and brief ultraviolet
illumination. RNAs were transferred to nylon membranes (Micron
Separation, Westboro, MA) and ultraviolet light cross-linked (UV
Stratalinker 1800, Stratagene, La Jolla, CA). After a 4-h
prehybridization at 42°C, membranes were hybridized overnight with a
radiolabeled human RANTES cDNA probe (a kind gift of Dr. Alan M.
Krensky, Stanford University School of Medicine; 28 . The cDNA
probe was radiolabeled with [
-32P]dCTP (sp. act. 3,000
Ci/mM, New England Research Products, Boston, MA) by random priming
(Pharmacia, Piscataway, NJ). The hybridized filters were serially
washed at 53°C using 2x sodium citrate/sodium chloride/0.1% SDS,
and 25 mM NaHPO4/1 mM EDTA/0.1% SDS solutions. After
washing, exposure was conducted overnight using a Phosphor Imager
screen (Molecular Dynamics, Sunnyvale, CA). To normalize results for
loading differences, membranes were stripped with boiling 5 mM EDTA and
rehybridized with an end-labeled [
-32P]dATP
oligonucleotide probe for 18s rRNA.
RANTES ELISA
Immunoreactive RANTES levels in the media of treated cells were quantified using a commercially available sandwich ELISA (R&D Systems, Minneapolis, MN). All procedures were performed according to the manufacturers instructions.
Nuclear protein extraction
Nuclear protein extracts were prepared from treated cells grown to 80% confluence in 100-mm2 dishes. All nuclear extraction procedures were performed on ice with ice-cold reagents. Cells were washed twice with PBS and harvested by scraping into 1 ml of PBS and pelleted at 6,000 rpm for 5 min. The pellet was washed twice with PBS, resuspended in one packed cell volume of lysis buffer (10 mM HEPES pH 7.9, 10 mM KCl, 0.1 mM EDTA, 1.5 mM MgCl2, 0.2% v/v Nonidet P-40, 1 mM DTT, and 0.1 mM PMSF), and incubated for 5 min with occasional vortexing. After centrifugation at 6,000 rpm, one cell pellet volume of extraction buffer (20 mM HEPES pH 7.9, 420 mM NaCl, 0.1 M EDTA, 1.5 mM MgCl2, 25% v/v glycerol, 1 mM DTT, and 0.5 mM PMSF) was added to the nuclear pellet and incubated on ice for 15 min with occasional vortexing. The nuclear proteins were isolated by centrifugation at 14,000 RPM for 15 min. Protein concentrations were determined by Bradford assay (Bio-Rad, Hercules, CA) and stored at -70°C until used for electrophoretic mobility shift assay (EMSA)3.
EMSA
The NF-
B oligonucleotide probe used for EMSA (5'-AGT TGA GGG
GAC TTT CCC AGG C-3') was purchased from Santa Cruz Biotechnology
(Santa Cruz, CA). The probe was labeled with [
-32P]ATP
using T4 polynucleotide kinase (Life Technologies) and purified in
Bio-Spin chromatography columns (Bio-Rad).
For EMSA, 10 µg of nuclear proteins were preincubated with EMSA buffer (12 mM HEPES pH 7.9, 4 mM Tris-HCl pH 7.9, 25 mM KCl, 5 mM MgCl2, 1 mM EDTA, 1 mM DTT, 50 ng/ml poly[d(I-C)], 12% glycerol v/v, and 0.2 mM PMSF) on ice for 10 min before addition of the radiolabeled oligonucleotide probe for an additional 10 min. Protein-nucleic acid complexes were resolved using a nondenaturing polyacrylamide gel consisting of 5% acrylamide (29:1 ratio of acrylamide:bisacrylamide) and run in 0.5x TBE (45 mM Tris-HCl, 45 mM boric acid, 1 mM EDTA) for 1 h at constant current (30 mA). Gels were transferred to Whatman 3 M paper, dried under a vacuum at 80°C for 1 h, and exposed to photographic film at -70°C with an intensifying screen.
Western blot analysis
Treated cells were washed once in PBS and lysed in ice-cold
buffer containing 50 mM Tris (pH 8.0), 110 mM NaCL, 5 mM EDTA, 1%
Triton X-100, and PMSF (100 µg/ml). Protein concentrations were
determined using the Bradford assay. Whole cell lysates were boiled in
equal volumes of loading buffer (125 mM Tris-HCl, pH 6.8, 4% SDS, 20%
glycerol, and 2% 2-ME) and 50 µg of protein loaded per lane on an 8
to 16% Tris-glycine gradient gel (Novex, San Diego, CA). Proteins were
separated electrophoretically and transferred to nitrocellulose
membranes (Novex) using the Novex Xcell MiniGel system. For
immunoblotting, membranes were blocked with 10% nonfat dried milk in
Tris-buffered saline (TBS) for 1 h. Primary Ab against human
I
-B
(polyclonal, Santa Cruz Biotechnology) was applied at a 1:200
dilution for 1 h. After washing two times in TBS containing 0.05%
Tween 20 (TTBS), secondary Ab (peroxidase-conjugated goat
anti-rabbit IgG, Sigma) was applied at a 1:10,000 dilution for
1 h. Blots were washed in TTBS two times over 30 min, incubated in
commercial enhanced chemiluminescence reagents (ECL, Amersham,
Buckinghamshire, England), and exposed to photographic film.
Transient transfections, functional promoter analyses, and luciferase assays
The effect of the heat shock response on TNF-
-mediated RANTES
promoter activation was analyzed by transiently transfecting cells with
a RANTES promoter-luciferase reporter plasmid (a kind gift of Dr. Alan
M. Krensky, Stanford University School of Medicine). This plasmid
contains a -421-bp 5' flanking sequence of the human RANTES gene and
has been previously described in detail (28).
Another group of cells was transfected with a reporter plasmid in which
the human I-
B
promoter was cloned upstream from the luciferase
reporter gene. Oligonucleotide primers were designed by the University
of Cincinnati DNA Core Facility corresponding to the most 5' and 3'
regions of the published human I-
B
promoter sequence (29). Using
these primers a 1.3-kb human I-
B
promoter fragment was recovered
from a human genomic DNA template using PCR. The PCR product was
ligated into the plasmid pCR2.1 (Invitrogen, San Diego, CA) and
sequenced by the Sanger dideoxy method. Sequence analysis demonstrated
>99% correlation between the PCR product and the published human
I-
B
promoter sequence (29). A KpnI/XhoI
fragment incorporating the 1.3-kb I-
B
promoter fragment was
excised from pCR2.1 and subcloned into the plasmid pGL2 (Promega,
Madison, WI) such that the I-
B
promoter regulated expression of
the reporter gene firefly luciferase.
Cells were transfected in duplicate, in six-well plates, at a density of 300,000 cells per well by incubation with cationic liposomes (Lipofectin, Life Technologies) for 5 h in Opti-MEM (Life Technologies). After transfection, cells were washed once with PBS and allowed to recover overnight. After exposure to experimental conditions, cellular proteins were extracted and analyzed for luciferase activity according to the manufacturers instructions (Promega) using a Berthold AutoLumat LB953 luminometer. Luciferase activity is reported as light units corrected for total cellular protein.
Cell Viability
Cell viability after exposure to the experimental conditions was determined by MTT assay as previously described (24). This is a colorimetric assay based on the ability of viable cells to reduce the tetrazolium dye 3-(4, 5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) to formazan. Percent cell viability is calculated as (absorbance of treated cells)/(absorbance of control cells) x 100.
Statistical analysis
Differences in immunoreactive RANTES expression, luciferase activity, and cell viability between the experimental groups were evaluated by one-way ANOVA and Student Newman Keuls test. A p < 0.05 was considered statistically significant.
| Results |
|---|
|
|
|---|
-mediated
RANTES mRNA expression
Treatment of A549 cells with TNF-
for 24 h increased
RANTES mRNA expression in a concentration-dependent manner, compared
with unstimulated control cells (Fig. 1
).
These data are consistent with previous studies involving A549 cells
(13). We previously demonstrated that incubation at 43°C for 1 h
induced the heat shock response in A549 cells, as measured by induction
of heat shock protein-70 (27). To determine whether induction of the
heat shock response alters RANTES mRNA expression, one group of cells
was incubated at 43°C for 1 h, recovered at 37°C for 1 h,
then treated with varying concentrations of TNF-
for 24 h.
Induction of the heat shock response inhibited subsequent
TNF-
-mediated RANTES mRNA expression (Fig. 1
). For all doses of
TNF-
tested, prior induction of the heat shock response reduced
RANTES mRNA expression to a similar level found in unstimulated control
cells. Cells subjected to heat shock alone had no detectable changes in
RANTES mRNA levels compared with unstimulated control cells. Cell
viability was greater than 90% after all experimental conditions (data
not shown). These data demonstrate that induction of the heat shock
response inhibits TNF-
-mediated RANTES mRNA expression in A549
cells.
|
Having demonstrated that the heat shock response inhibited
RANTES mRNA expression, we next determined if the heat shock
response would alter secretion of immunoreactive RANTES. Treatment with
TNF-
for 24 h increased secretion of immunoreactive RANTES into
the media of treated cells in a concentration-dependent manner (Fig. 2
). Induction of the heat shock response
inhibited secretion of immunoreactive RANTES after all doses of
TNF-
. Immunoreactive RANTES was not detectable in the media of
unstimulated control cells and in the media of cells that were heat
shocked alone (data not shown). Collectively, these data demonstrate
that induction of the heat shock response inhibits TNF-
-mediated
RANTES gene expression in A549 cells.
|
Because RANTES expression is primarily regulated
transcriptionally, we next determined if the heat shock response alters
TNF-
-mediated activation of the RANTES promoter. A549 cells were
transiently transfected with a plasmid in which the reporter gene
firefly luciferase was under the control of the RANTES promoter.
Treatment with 30 ng/ml of TNF-
for 4 h increased luciferase
activity
14-fold above that of control cells (transfected and
treated with basal growth media), demonstrating that TNF-
activated
the RANTES promoter (Fig. 3
). Induction
of the heat shock response inhibited TNF-
-mediated increases in
luciferase activity. Heat shock alone did not affect luciferase
activity compared with control cells.
|
B
promoter-luciferase
reporter plasmid. This model was chosen because we previously
demonstrated that the heat shock response did not inhibit
TNF-
-mediated I-
B
mRNA expression (27). In the current
experiments, treatment with TNF-
for 4 h increased luciferase
activity in cells transiently transfected with the I-
B
promoter-luciferase plasmid, demonstrating that TNF-
activated the
I-
B
promoter (Fig. 4
-mediated increases in
luciferase activity. In fact, the combination of heat shock and TNF-
increased luciferase activity above that of cells treated with TNF-
alone.
|
-mediated activation of the RANTES promoter in A549
cells. The specificity of this effect is evident by the demonstration
that the heat shock response does not inhibit TNF-
-mediated
activation of the I-
B
promoter.
Effect of NF-
B inhibition on TNF-
-mediated RANTES mRNA
expression
The RANTES promoter contains several NF-
B binding sites, and
recent evidence supports NF-
B-dependent regulation of
RANTES (28, 30, 31). To determine whether NF-
B is involved
in the regulation of RANTES mRNA expression in A549 cells, we treated
cells with isohelenin, a sesquiterpene lactone recently described to be
a specific inhibitor of NF-
B activation (32). Treatment of A549
cells with TNF-
for 0.5 h caused nuclear translocation of
NF-
B (Fig. 5
, lane 2). The
specificity of this band was previously demonstrated by competitor and
supershift assays (27). Treatment with isohelenin inhibited
TNF-
-mediated nuclear translocation of NF-
B (Fig. 5
, lane
3), consistent with a previous report (32).
|
-mediated NF-
B
nuclear translocation in A549 cells, we next determined the effect of
isohelenin on TNF-
-mediated RANTES mRNA expression. Treatment with
isohelenin inhibited TNF-
-mediated RANTES mRNA expression
(Fig. 6
-mediated
RANTES mRNA expression is dependent on NF-
B activation in A549
cells. Because the heat shock response was previously demonstrated to
inhibit TNF-
-mediated NF-
B nuclear translocation in A549 cells
(27), these data indirectly suggest that the heat shock response
inhibits RANTES gene expression by inhibiting NF-
B nuclear
translocation.
|
B
NF-
B nuclear translocation is regulated by a family of
intracellular proteins called I-
B (reviewed in 33 . I-
B
retains NF-
B in the cytoplasm by physically masking its nuclear
translocation sequences. An important early event in the activation of
NF-
B involves phosphorylation of I-
B
. Phosphorylated I-
B
is targeted for ubiquitination and subsequent degradation by the 26S
proteosome pathway. Degradation of I-
B
unmasks NF-
B nuclear
translocation sequences, allowing translocation of active NF-
B to
the nucleus.
In these experiments we determined the effect of the heat shock
response on phosphorylation of I-
B
. Phosphorylated I-
B
is
inherently unstable and difficult to detect by Western blot analysis.
To detect phosphorylated I-
B
, cells were pretreated with the
relatively specific 26s proteosome inhibitor, MG-132, as previously
described (34). MG-132 inhibits proteosome-mediated degradation of
I-
B
but does not affect its phosphorylation. Treatment with
TNF-
caused a rapid disappearance of immunoreactive I-
B
within
15 min, consistent with its degradation (Fig. 7
, lane 2). Treatment with
MG-132 partially inhibited TNF-
-mediated degradation of
immunoreactive I-
B
and caused the appearance of a slower
migrating band corresponding to phosphorylated I-
B
(Fig. 7
, lane 3, 34 . A similar band was noted when cells were
pretreated with both heat shock and MG-132, before treatment with
TNF-
(Fig. 7
, lane 5). Induction of the heat shock
response alone inhibited TNF-
-mediated degradation of I-
B
and
caused the appearance of a faint, slower migrating band similar to that
seen in cells pretreated with MG-132 alone (Fig. 7
, compare lanes
4 and 3). Collectively, these data demonstrate that the
heat shock response inhibits TNF-
-mediated degradation of I-
B
but does not strongly affect phosphorylation of I-
B
.
|
| Discussion |
|---|
|
|
|---|
-mediated expression of RANTES mRNA and
secretion of immunoreactive RANTES. These effects were not secondary to
cytotoxicity, and are consistent with previous data demonstrating that
the heat shock response inhibited proinflammatory responses of lung
cells (23, 24, 25, 26, 27). We propose that the observed inhibition is not a
generalized effect of the heat shock response. Rather, it appears that
the heat shock response has a relatively specific inhibitory effect on
lung proinflammatory responses. Evidence to support this assertion
includes the observation that the heat shock response did not affect
surfactant protein gene expression in cultured respiratory epithelium
(24). Moreover, the heat shock response increased I-
B
gene
expression in cultured respiratory epithelium, a protein that normally
functions to inhibit NF-
B nuclear translocation and is not currently
considered to be one of the heat shock proteins (27).
Transient transfection assays involving a RANTES promoter-luciferase
reporter plasmid demonstrated that the heat shock response inhibited
TNF-
-mediated induction of luciferase activity. These data suggest
that the mechanism by which the heat shock response inhibits RANTES
gene expression involves inhibition of the RANTES promoter. In parallel
experiments involving cells transiently transfected with an I-
B
promoter-luciferase plasmid, the heat shock response did not inhibit
TNF-
-mediated induction of luciferase activity. These data allow us
to conclude that the observed inhibition of the RANTES promoter was a
relatively specific effect, rather than a generic effect of the heat
shock response.
The RANTES promoter contains four NF-
B binding sites, and recent
data indicate that the RANTES gene is NF-
B dependent (28, 30, 31).
Isohelenin, a recently described and relatively specific inhibitor of
NF-
B activation (32), inhibited TNF-
-mediated NF-
B nuclear
translocation and TNF-
-mediated RANTES mRNA expression in A549
cells. These data provide evidence that RANTES gene expression is
NF-
B dependent in A549 cells. Since the heat shock response
profoundly inhibited TNF-
-mediated nuclear translocation of NF-
B
in A549 cells (29), it is reasonable to propose that the heat shock
response inhibits activation of the RANTES promoter and subsequent
induction of the RANTES gene by preventing nuclear
translocation of NF-
B.
Under basal conditions NF-
B is retained in the cytoplasm by the
I-
B protein family (reviewed in 33 . In response to a
proinflammatory signal, I-
B
is rapidly degraded by a
phosphorylation- and ubiquitination-dependent pathway. Phosphorylated
and ubiquitinated I-
B
is targeted for degradation by 26S
proteosome. Upon degradation of I-
B
, NF-
B nuclear
translocation sequences are unmasked, and activated NF-
B
translocates to the nucleus to direct transcription of proinflammatory
genes. Inhibition of NF-
B nuclear translocation can occur at several
steps along this pathway, including inhibition of I-
B
phosphorylation, inhibition of I-
B
ubiquitination, and/or
inhibition of the 26S proteosome.
The heat shock response was previously demonstrated to inhibit
degradation of I-
B
after a proinflammatory stimulus (27, 35),
thus providing a potential mechanism by which the heat shock response
inhibits NF-
B nuclear translocation. In the current study we
determined if the heat shock response inhibits phosphorylation of
I-
B
using a qualitative assay. Our data confirm that the heat
shock response inhibits TNF-
-mediated degradation of I-
B
. If
the heat shock response significantly impacts TNF-
-mediated
phosphorylation of I-
B
, then we would have expected to not see a
slower migrating band in cells pretreated with the combination of heat
shock and MG-132 (Fig. 7
, lane 5). In cells pretreated with
the combination of heat shock and MG-132, before treatment with
TNF-
, there is a clear demonstration of a slower migrating band that
corresponds to phosphorylated I-
B
. Although it is possible that
the heat shock response had a small effect on phosphorylation of
I-
B
that we could not detect with our qualitative assay, from
these data we can at least conclude that the heat shock response does
not have a major impact on phosphorylation of I-
B
. Furthermore,
these data indicate that the primary inhibitory effect of the heat
shock response on degradation of I-
B
involves a mechanism distal
to phosphorylation. Possible mechanisms include inhibition of
ubiquitination or direct inhibition of the 26S proteosome. We are
currently investigating these issues.
The heat shock response protects against inflammation-associated acute
lung injury (reviewed in 15 . The mechanisms of this protective
effect are not fully understood, but recent evidence suggests that
modulation of lung proinflammatory responses may be involved in
protection. The current study supports this concept by demonstrating
that the heat shock response inhibits RANTES gene expression. We
propose that the heat shock response protects against
inflammation-associated lung injury by modulating the expression of
various NF-
B-dependent genes (e.g., RANTES) that are involved in the
pathophysiology of inflammation-associated lung injury. Models such as
the one described here will help to further test this hypothesis and to
better understand the mechanisms by which the heat shock response
modulates proinflammatory gene expression.
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Hector R. Wong, Division of Critical Care Medicine-OSB5, Childrens Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229. E-mail address: ![]()
3 Abbreviation used in this paper: EMSA, electrophoretic mobility shift assay. ![]()
Received for publication December 24, 1997. Accepted for publication May 5, 1998.
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B nuclear translocation and increases I-
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expression in A549 cells. J. Clin. Invest. 99:2423.[Medline]
B sites in the I-
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L. A. Sonna, J. Fujita, S. L. Gaffin, and C. M. Lilly Molecular Biology of Thermoregulation: Invited Review: Effects of heat and cold stress on mammalian gene expression J Appl Physiol, April 1, 2002; 92(4): 1725 - 1742. [Abstract] [Full Text] [PDF] |
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J F Pittet, L N Lu, T Geiser, H Lee, M A Matthay, and W J Welch Stress preconditioning attenuates oxidative injury to the alveolar epithelium of the lung following haemorrhage in rats J. Physiol., January 15, 2002; 538(2): 583 - 597. [Abstract] [Full Text] [PDF] |
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K. G. Leidal, K. L. Munson, and G. M. Denning Small Molecular Weight Secretory Factors from Pseudomonas aeruginosa Have Opposite Effects on IL-8 and RANTES Expression by Human Airway Epithelial Cells Am. J. Respir. Cell Mol. Biol., August 1, 2001; 25(2): 186 - 195. [Abstract] [Full Text] [PDF] |
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E. Moyse, M. Lyon, G. Cordier, J.-F. Mornex, L. Collet, and P. Froehlich Viral RNA in Middle Ear Mucosa and Exudates in Patients With Chronic Otitis Media With Effusion Arch Otolaryngol Head Neck Surg, September 1, 2000; 126(9): 1105 - 1110. [Abstract] [Full Text] [PDF] |
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C.-G. Yoo, S. Lee, C.-T. Lee, Y. W. Kim, S. K. Han, and Y.-S. Shim Anti-Inflammatory Effect of Heat Shock Protein Induction Is Related to Stabilization of I{kappa}B{alpha} Through Preventing I{kappa}B Kinase Activation in Respiratory Epithelial Cells J. Immunol., May 15, 2000; 164(10): 5416 - 5423. [Abstract] [Full Text] [PDF] |
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