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2011 ; 3
(78
): 78ra32
Nephropedia Template TP
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Targeting Nrf2 signaling improves bacterial clearance by alveolar macrophages in
patients with COPD and in a mouse model
#MMPMID21490276
Harvey CJ
; Thimmulappa RK
; Sethi S
; Kong X
; Yarmus L
; Brown RH
; Feller-Kopman D
; Wise R
; Biswal S
Sci Transl Med
2011[Apr]; 3
(78
): 78ra32
PMID21490276
show ga
Patients with chronic obstructive pulmonary disease (COPD) have innate immune
dysfunction in the lung largely due to defective macrophage phagocytosis. This
deficiency results in periodic bacterial infections that cause acute
exacerbations of COPD, a major source of morbidity and mortality. Recent studies
indicate that a decrease in Nrf2 (nuclear erythroid-related factor 2) signaling
in patients with COPD may hamper their ability to defend against oxidative
stress, although the role of Nrf2 in COPD exacerbations has not been determined.
Here, we test whether activation of Nrf2 by the phytochemical sulforaphane
restores phagocytosis of clinical isolates of nontypeable Haemophilus influenza
(NTHI) and Pseudomonas aeruginosa (PA) by alveolar macrophages from patients with
COPD. Sulforaphane treatment restored bacteria recognition and phagocytosis in
alveolar macrophages from COPD patients. Furthermore, sulforaphane treatment
enhanced pulmonary bacterial clearance by alveolar macrophages and reduced
inflammation in wild-type mice but not in Nrf2-deficient mice exposed to
cigarette smoke for 6 months. Gene expression and promoter analysis revealed that
Nrf2 increased phagocytic ability of macrophages by direct transcriptional
up-regulation of the scavenger receptor MARCO. Disruption of Nrf2 or MARCO
abrogated sulforaphane-mediated bacterial phagocytosis by COPD alveolar
macrophages. Our findings demonstrate the importance of Nrf2 and its downstream
target MARCO in improving antibacterial defenses and provide a rationale for
targeting this pathway, via pharmacological agents such as sulforaphane, to
prevent exacerbations of COPD caused by bacterial infection.