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TGF-β is a critical mediator of acute lung injury
Authors:Jean-Francois Pittet   Mark J.D. Griffiths   Tom Geiser   Naftali Kaminski   Stephen L. Dalton   Xiaozhu Huang   Lou Anne S. Brown   Phillip J. Gotwals   Victor E. Koteliansky   Michael A. Matthay     Dean Sheppard
Affiliation:Departments of Anesthesia and Surgery, University of California San Francisco, San Francisco, California 94110, USA.
Abstract:We have shown that the integrin alphavbeta6 activates latent TGF-beta in the lungs and skin. We show here that mice lacking this integrin are completely protected from pulmonary edema in a model of bleomycin-induced acute lung injury (ALI). Pharmacologic inhibition of TGF-beta also protected wild-type mice from pulmonary edema induced by bleomycin or Escherichia coli endotoxin. TGF-beta directly increased alveolar epithelial permeability in vitro by a mechanism that involved depletion of intracellular glutathione. These data suggest that integrin-mediated local activation of TGF-beta is critical to the development of pulmonary edema in ALI and that blocking TGF-beta or its activation could be effective treatments for this currently untreatable disorder.
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