Inhibition of c-Jun NH2-terminal kinase or extracellular signal-regulated kinase improves lung injury
© The Author(s) 2004
Received: 27 August 2004
Accepted: 27 November 2004
Published: 27 November 2004
Although in vitro studies have determined that the activation of mitogen-activated protein (MAP) kinases is crucial to the activation of transcription factors and regulation of the production of proinflammatory mediators, the roles of c-Jun NH2-terminal kinase (JNK) and extracellular signal-regulated kinase (ERK) in acute lung injury have not been elucidated.
Saline or lipopolysaccharide (LPS, 6 mg/kg of body weight) was administered intratracheally with a 1-hour pretreatment with SP600125 (a JNK inhibitor; 30 mg/kg, IO), or PD98059 (an MEK/ERK inhibitor; 30 mg/kg, IO). Rats were sacrificed 4 hours after LPS treatment.
SP600125 or PD98059 inhibited LPS-induced phosphorylation of JNK and ERK, total protein and LDH activity in BAL fluid, and neutrophil influx into the lungs. In addition, these MAP kinase inhibitors substantially reduced LPS-induced production of inflammatory mediators, such as CINC, MMP-9, and nitric oxide. Inhibition of JNK correlated with suppression of NF-κB activation through downregulation of phosphorylation and degradation of IκB-α, while ERK inhibition only slightly influenced the NF-κB pathway.
JNK and ERK play pivotal roles in LPS-induced acute lung injury. Therefore, inhibition of JNK or ERK activity has potential as an effective therapeutic strategy in interventions of inflammatory cascade-associated lung injury.
Lipopolysaccharide (LPS) causes acute lung injury associated with the activation of macrophages, an increase in alveolar-capillary permeability, neutrophil influx into the lungs, and parenchymal injury . This pulmonary response contributes to the pathogenesis of various acute inflammatory respiratory diseases. Mitogen-activated protein (MAP) kinases are crucial in intracellular signal transduction, mediating cell responses to a variety of inflammatory stimuli, such as LPS, tumor necrosis factor (TNF) and interleukin (IL)-1. Recently, various in vitro studies have shown that pharmacological inhibitors of MAP kinases strongly affect the production of inflammatory mediators [2, 3]. Through the use of specific inhibitors, the potential role of these kinases in inflammatory lung diseases is beginning to be studied. Treatment with p38 MAP Kinase inhibitors has been proposed as a selective intervention to reduce LPS-induced lung inflammation due to decreases in neutrophil recruitment to the air spaces [4, 5]. However, the functions of c-Jun NH2-terminal kinase (JNK) and extracellular signal-regulated kinase (ERK) in LPS-induced lung injury remain unclear.
Cytokine-induced neutrophil chemoattractant (CINC) has been shown, in rodent models of lung injury, to play an important role in neutrophil migration into the lung . Matrix metalloproteinases (MMPs), including MMP-9, allow activated neutrophils to permeate subsequent extracellular matrix (ECM) barriers after adhesion, and also for transendothelial cell migration, since these proteolytic enzymes digest most of the ECM components in the basement membranes and tissue stroma . Another inflammatory mediator, nitric oxide (NO), has been linked to a number of physiologic processes, including leukocyte-dependent inflammatory processes and oxidant-mediated tissue injury [8, 9]. Like CINC and MMP-9, overproduction of NO, which is dependent on the activity of inducible NO synthase, has been reported to contribute to endothelial or parenchymal injury, as well as to induce an increase in microvascular permeability, resulting in lung injury [10, 11]. These inflammatory mediators are produced in response to LPS, TNF and IL-1 [6, 11] and are regulated at the transcription level by nuclear factor-kappa B (NF-κB) [6, 12].
NF-κB activation is regulated by phosphorylation of the inhibitor protein, IκB-α, which dissociates from NF-κB in the cytoplasm. The active NF-κB can then translocate to the nucleus, where it binds to the NF-κB motif of a gene promoter and functions as a transcriptional regulator. In vivo activation of NF-κB, but not other transcription factors, has also been demonstrated in alveolar macrophages from patients with acute respiratory distress syndrome (ARDS) . Our previous study indicated that NF-κB activation is an important mechanism underlying both LPS-induced NO production, and also MMP-9 activity and resulting neutrophil recruitment . Therefore, the activation of NF-κB binding to various gene promoter regions appears to be a key molecular event in the initiation of LPS-induced pulmonary disease.
Once activated, MAP kinases appear to be capable of further signal transduction through kinase phosphorylation, as well as modulating phosphorylation of transcription factors [15–17]. Activator protein (AP)-1, another transcription factor mediating acute inflammation, is activated through MAP kinase signaling cascades in response to various factors, such as LPS, cytokines, and various stresses and in turn regulates genes encoding inflammatory cytokines, such as TNF-α, IL-1, IL-6, and IL-8 . Davis  reported that activated JNK is capable of binding the NH2-terminal activation domain of c-Jun, activating AP-1 by phosphorylating its component c-Jun. AP-1 can then translocate into the nucleus to promote transcription of downstream genes. However, action of MAP kinases on the upstream of NF-κB activation remains controversial [20–22]. Here, using a selective JNK inhibitor, SP600125, and the downstream MEK inhibitor of ERK, PD98059, we focused on the roles of JNK and ERK in LPS-induced acute lung injury and production of CINC, MMP-9, and NO. In addition, we investigated the regulatory effects of these MAP kinases on the NF-κB activation pathway during acute lung injury.
Specific pathogen-free male Sprague-Dawley rats (280–300 g) were purchased from Daehan Biolink Co. (Eumsung-Gun, Chungbuk, Korea). The Animal Care Committee of the Ewha Medical Research Institute approved the experimental protocol. The rats were cared for and handled according to the National Institute of Health (NIH) Guide for the Care and Use of Laboratory Animals.
Six groups of specific pathogen-free male Sprague-Dawley rats (280–300 g) were used: (1) controls received an intratracheal (IT) instillation of 0.5 ml of LPS-free saline (0.9 % NaCl); (2) an LPS-treated group received an IT instillation of 6 mg/kg body weight of LPS (Escherichia coli lipopolysaccharide, 055:B5, Sigma Chemical Co., St. Louis, MO) in 0.5 ml LPS-free saline; (3) an LPS-SP600125 group was injected with SP600125 (Calbiochem, La Jolla, CA) 1 hour before the IT instillation of 6 mg/kg body weight of LPS in 0.5 ml of LPS-free saline. (4) a saline-SP600125 group was injected with SP600125 1 hour before IT instillation of 0.5 ml of LPS-free saline (0.9 % NaCl); (5) an LPS-PD98059 group was injected with PD98059 (BIOMOL Research Laboratories, Plymouth, PA) 1 hour before IT instillation of 6 mg/kg body weight of LPS in 0.5 ml of LPS-free saline. (6) a saline-PD98059 group was injected with PD98059 1 hour before IT instillation of 0.5 ml of LPS-free saline (0.9 % NaCl). SP600125 or PD98059 was injected intraorally via a size 8 French feeding tube at a dose of 30 mg/kg body weight [5, 23]. For IT instillation, rats were treated with enflurane anesthesia. The trachea was then exposed after a 1 cm midline cervical incision, and LPS or saline was injected intratracheally through a 24-gauge catheter. LPS or saline administration was immediately followed by 3 insufflations of 1 ml of air through the catheter and by rotating the animals to attempt to homogeneously distribute LPS or saline in the lungs. After a few minutes, the rats recovered from the anesthesia and were immediately placed in a chamber. Animals were sacrificed 4 hours after LPS treatment, and the following parameters were monitored: (1) phosphorylation of JNK, ERK, and p38 MAP kinase in lung tissue; (2) cell differential count, and measurement of protein content and lactate dehydrogenase (LDH) activity in bronchoalveolar lavage (BAL) fluid; (3) cytokine-induced neutrophil chemoattractant (CINC) expression, matrix metalloproteinase (MMP)-9 activity or expression and nitrite production in lung tissue, BAL fluid or the supernatants of alveolar macrophage cultures; (4) DNA binding activity of nuclear factor-kappa B (NF-κB) in lung tissue and alveolar macrophages; (5) serine phosphorylation and degradation of IκB-α in lung tissue. In addition, phosphorylation of JNK and ERK was also determined at 2, 4, 14 or 24 hours after LPS treatment to determine the kinetics of the kinase activation in lung tissue.
Isolation of BAL cells, Lung Tissue, and Cell Counts
Four hours after LPS treatment, the rats were sacrificed, and BAL was then performed through a tracheal cannula with aliquots of 8 ml each using ice-cold Ca2+/Mg2+-free phosphate-buffered medium (145 mM NaCl, 5 mM KCl, 1.9 mM NaH2PO4, 9.35 mM Na2HPO4, and 5.5 mM dextrose; pH 7.4) for a total of 80 ml for each rat. The bronchoalveolar lavagate was centrifuged at 500 × g for 5 min at 4°C and cell pellets washed and resuspended in phosphate-buffered medium. Cell counts and differentials were determined using an electronic coulter counter with a cell sizing analyzer (Coulter Model ZBI with a channelizer 256; Coulter Electronics, Bedfordshire, UK), as described by Lane and Mehta . Red blood cells, lymphocytes, neutrophils, and alveolar macrophages were distinguished by their characteristic cell volumes . The recovered cells were 98% viable, as determined by trypan blue dye exclusion. Following lavage, lung tissue was removed, immediately frozen in liquid nitrogen, and stored at -70°C.
Measurement of Total Protein and lactate dehydrogenase (LDH) Activity
To assess the permeability of the bronchoalveolar-capillary barrier, total protein was measured according to the method of Hartree , using bovine serum albumin as the standard. Total protein and LDH activity were measured in the first aliquot of the acellular BAL fluid. LDH activity, a cytosolic enzyme used as a marker for cytotoxicity, was measured at 490 nm using an LDH determination kit according to the manufacturer's instructions (Roche Molecular Biochemicals, Mannheim, Germany). LDH activity was expressed as U/L, using an LDH standard.
Western Blot Analysis
Lung tissue homogenate samples (55 μg or 100 μg protein/lane for JNK, ERK, p38 MAP kinase, IκB-α and CINC) or aliquots of acellular BAL fluid (70 μl/lane for CINC and MMP-9) were separated on a 10% or 20% SDS-polyacrylamide gel. Separated proteins were electrophoretically transferred onto nitrocellulose paper and blocked for 1 hour at room temperature with Tris-buffered SAL containing 3% BSA. The membranes were then incubated with an anti-rabbit phospho-JNK/JNK antibody, anti-rabbit phospho-ERK/ERK, anti-rabbit phospho-p38 MAP kinase/p38 MAP kinase, antiserum against rat CINC, anti-human MMP-9 monoclonal antibody or anti-rabbit phospho-IκBα (Ser32)/IκBα at room temperature for 1 hour. Antibody labeling of protein bands was detected with enhanced chemiluminescence (ECL) reagents according to the supplier's protocol.
Zymographic Analysis of MMP-9
The gelatinolytic activities in BAL fluid, or the supernatants of alveolar macrophage cultures, were determined using zymography with gelatin copolymerized with acrylamide in the gel according to previously published methods . To obtain the supernatants of alveolar macrophage cultures, lavage cells were resuspended in RPMI-1640 medium (Mediatech, Washington, DC), containing 2 mM glutamine, 100 units/ml mycostatin without fetal bovine serum (FBS). Aliquots of 1 ml, containing 106 alveolar macrophages, were added to 24-well plates (Costar, Cambridge, MA) and incubated at 37°C in a humidified atmosphere of 5% CO2 for 2 hours. The nonadherent cells were then removed, and adherent cells were counted and further incubated in 1 ml RPMI medium. After a 24 hour incubation, the supernatant was collected and filtered.
Aliquots of BAL fluid and the culture supernatants, normalized for equal volume (8 μl) or amount of protein (8 μg), were electrophoresed on a 10% SDS-PAGE gel with 0.1% gelatin as a substrate without boiling under non-reducing conditions. After removing SDS with 2.5% Triton X-100 for 2 hours, gels were incubated for 20 hours at 37°C in 50 mM Tris-Cl (pH 7.4) containing 10 mM CaCl2 and 0.02% NaN3. The gels were then stained for 1 hour in 7.5% acetic acid/10% propanol-2 containing 0.5% Coomassie Brilliant Blue G250 and destained in same solution without dye. Positions of gelatinolytic activity are unstained on a darkly stained background. The clear bands on the zymograms were photographed on the negative (Polaroid's 665 film) and the signals were quantified by densitometric scanning using an UltroScan XL laser densitometer (LKB, Model 2222-020) to determine the intensity of MMP-9 activity as arbitrary densitometric units. To confirm MMP-9 activity, aliquots of BAL fluid were analyzed by Western blotting with anti-human MMP-9 monoclonal antibody, which was raised against MMP-9 secreted by human HT1080 fibrosarcoma cells  and cross-reacts with rat MMP-9 .
Nitrite Assay in BAL fluid and Alveolar Macrophage Culture
NO levels in the first aliquot of the acellular BAL fluid, and the supernatants of alveolar macrophage cultures, were measured using a nitrite assay. Direct measurement of NO is difficult due to the very short half-life . However, the stable oxidation end product of NO production, nitrite, can be readily measured in biological fluids and has been used in vitro and in vivo as an indicator of NO production . Briefly, lavage cells were resuspended in RPMI-1640 medium (Mediatech, Washington, DC), containing 2 mM glutamine, 100 units/ml mycostatin, and 10% FBS. Aliquots of 1 ml, containing 106 alveolar macrophages were added to 24-well plates (Costar, Cambridge, MA) and incubated at 37°C in a humidified atmosphere of 5% CO2 for 2 hours. The non-adherent cells were then removed by vigorous washing with two 1 ml of RPMI medium. After incubating the cells for 24 hours, the supernatant was collected and filtered.
Nitrite was assayed after adding 100 μl Greiss reagent (1% sulfanilamide and 0.1% naphthylethylenediamide in 5% phosphoric acid) to 50 μl samples of BAL fluid and cell culture. Optical density at 550 nm (OD550) was measured using a microplate reader. Nitrite concentrations were calculated by comparison with OD550 of standard solutions of sodium nitrite prepared in cell culture medium. Data were presented as μM of nitrite.
Nuclear extracts were prepared by a modified method of Sun et al. . Lavage cells were resuspended in Dulbecco's modified Eagle's medium (DMEM; Mediatech, Washington, DC), supplemented with 5% FBS (HyClone, Logan, UT), 2 mM glutamine, and 1,000 units/ml penicillin-streptomycin. DMEM medium (5 ml), containing 5 × 106 alveolar macrophages, was added to 6-well plates and incubated at 37°C, in a humidified atmosphere of 5% CO2 for 2 hours. The nonadherent cells were then removed with two 1 ml aliquots of DMEM. At the end of the incubation, adherent cells (> 95% alveolar macrophages) were harvested and then resuspended in hypotonic buffer A (100 mM HEPES, pH 7.9, 10 mM KCl, 0.1 M ethylenediaminetetraacetic acid [EDTA], 0.5 mM dithiothreitol [DTT], 1% Nonidet P-40, and 0.5 mM phenylmethylsulfonyl fluoride [PMSF]) for 10 min on ice, then vortexed for 10 s. Nuclei were pelleted by centrifugation at 12,000 rpm for 30 s. Nuclear extracts were also prepared from lung tissue by the modified method of Deryckere and Gannon . Aliquots of frozen tissue were mixed with liquid nitrogen and ground to powder using a mortar and pestle. The ground tissue was placed in a Dounce tissue homogenizer (Kontes Co., Vineland, NJ) in the presence of 4 ml of buffer A to lyse the cells. The supernatant containing intact nuclei was incubated on ice for 5 min, and centrifuged for 10 min at 5,000 rpm. Nuclear pellets obtained from alveolar macrophages or lung tissue were resuspended in buffer C (20 mM HEPES, pH 7.9, 20% glycerol, 0.42 M NaCl, 1 mM EDTA, and 0.5 mM PMSF) for 30 min on ice. The supernatants containing nuclear proteins were collected by centrifugation at 10,000 rpm for 2 min, and stored at -70°C.
Electrophoretic Mobility Shift Assay (EMSA)
Binding reaction mixtures (10 μl), containing 5 μg (4 μl) nuclear extract protein, 2 μg poly (dI-dC)•poly (dI-dC) (Sigma Co., St. Louis. MO), and 40,000 cpm 32P-labeled probe in binding buffer (4 mM HEPES, pH 7.9, 1 mM MgCl2, 0.5 mM DTT, 2% glycerol, and 20 mM NaCl), were incubated for 30 min at room temperature. The protein-DNA complexes were separated on 5% non-denaturing polyacrylamide gels in 1 × TBE buffer, and autoradiographed. Autoradiographic signals for activated NF-κB were quantitated by densitometric scanning using an UltroScan XL laser densitometer (LKB, Model 2222-020, Bromma, Sweden) to determine the intensity of each band.
The oligonucleotide used as a probe for EMSA was a double-stranded DNA fragment, containing the NF-κB consensus sequence (5'-CCTGTGCTCCGGGAATTTCCCTGGCC-3'), labeled with [α-32P]-dATP (Amersham, Buckinghamshire, UK), using DNA polymerase Klenow fragment (Life Technologies, Gaithersburg, MD). Cold competition was performed by adding 100 ng unlabeled double-stranded probe to the reaction mixture.
Values were expressed as means ± standard errors. Data were compared among the groups by one-way ANOVA followed by a Tukey's post hoc test. A P value of < 0.05 was considered to be statistically significant.
Phosphorylation of JNK and ERK in Lung Tissue
Total Protein and LDH Activity in BAL Fluid and Neutrophil Influx into Lungs
BAL cells were differentially analyzed, in order to evaluate the effects of these kinase inhibitors on LPS-induced neutrophil influx. As shown in Figure 3C, neutrophil counts of the total lung lavage cells in LPS-treated animals significantly increased by a factor of 26, compared to values in saline-treated animals, indicating a significant increase in neutrophil influx into the alveolar spaces (p < 0.05). SP600125 or PD98059 significantly suppressed BAL neutrophil counts by 53 or 46 %, respectively (vs LPS animals, p < 0.05). The BAL neutrophil counts in saline-kinase inhibitor animals were not significantly different from those of the saline control animals (p < 0.05).
CINC, MMP-9 and NO Production in Lungs or Alveolar Macrophages
NF-κB Activation in Lung Tissue and Alveolar Macrophages
The addition of the cold competitor eliminated the specific bands in the samples from LPS-treated animals, indicating that the band on the autoradiogram was specific for NF-κB binding (Figure 7A,7B,7C and 7D lane 5).
Phosphorylation and Degradation of IκB-α in Lung Tissue
In the present study, we determined: (1) the in vivo relation between activation of JNK or ERK and LPS-induced acute lung injury; (2) the inhibition of JNK or ERK resulted in reductions of LPS-induced increases in lung injury parameters, such as total protein content and LDH activity in BAL fluid, neutrophil influx into the lungs, and proinflammatory gene products, such as CINC, MMP-9 and NO; and (3) the activation of JNK is involved in the LPS signaling pathway leading to NF-κB activation through phosphorylation of IκB-α and sequential degradation of IκB-α, whereas activation of ERK signaling is not associated with these NF-κB pathways.
JNK and ERK are known to play important roles as upstream regulators of the induced expression of inflammatory mediators in response to cytokines, stress, and cytoskeletal reorganization [19, 33]. However, these results were exclusively obtained during in vitro experiments. Therefore, it is important to clarify the functions of these MAP kinases under pathological conditions. Furthermore, up to date, there have been no studies addressing the issues of the significance of JNK and ERK signaling in LPS-induced acute lung injury. Data from the present study clearly indicate that JNK and ERK were both activated after in vivo LPS exposure in models of acute lung injury. The degree of JNK and ERK activation from the baseline seems to be similar between these kinases, and to be generally higher than that of p38 MAP kinase (data not shown). The time course of JNK activation (progressive increase up to 24 hours after LPS treatment) appears to occur in parallel with those of the biochemical lung injury variables and neutrophil influx into the lungs after intratracheal treatment with LPS . Consistent with our in vivo data, Ishii et al.  have reported that both JNK and ERK were simultaneously activated in the lung during ischemia and reperfusion. To explore a new therapeutic strategy for preventing the occurrence of LPS-induced lung inflammation and injury, we attempted to inhibit JNK or ERK activity by pretreatment with a selective JNK inhibitor, SP600125, or a specific inhibitor of MEK/ERK, PD98059, 1 hour before LPS treatment. Inhibition of either JNK or ERK activity resulted in reduction of LPS-induced increases in lung injury parameters, as well as neutrophil influx into the lungs, indicating that aggravating signals related to both JNK and ERK are associated with LPS-induced acute lung injury.
Since the increases in production or activity of CINC, MMP-9 and NO in BAL fluid were correlated with neutrophil influx and lung injury [6, 8, 9, 11], the inhibitory effects of JNK or ERK on production of these inflammatory mediators are functionally important, and can thus be adopted as therapeutic interventions. Recently, it has been demonstrated that JNK inhibition by SP600125, in both ischemia and reperfusion periods, almost completely suppressed TNFα release into BAL fluid  and IL-1-induced MMP expression in synoviocytes and in joint arthritis . These in vivo data with the specific JNK inhibitor are clearly consistent with an aggravating role of JNK in inflammation and tissue destruction. However, JNK1-/- mice have increased susceptibility to hyperoxia-induced lung injury . Through in vitro studies of primary monocytes and macrophage cell lines, ERK has been linked to production of MMP-9, and to IL-8 release in response to LPS  or Helicobacter pylori . Consistent with our data with ERK, Zhang et al.  reported that inhibition of ERK by PD98059 in vivo suppressed hyperoxia-induced cell death in lung tissues. ERK, however, also plays a protective role in myocardial ischemia/reperfusion injury , and in myoglobinuric acute renal injury . Taken together, the primary role of JNK or ERK may play either a protective or injurious role under different experimental conditions.
The activation of NF-κB has been associated with lung injury in LPS- and silica-treated rats [6, 40, 41], and patients with ARDS  and asthma . Data from our previous study indicate that in vivo activation of NF-κB in LPS-treated rats preceded the transcription of genes for proinflammatory mediators or lung inflammation and injury, i.e. the increases in neutrophil numbers, total protein, and LDH activity in BAL fluid . These results suggest that NF-κB is an important intracellular target for the early detection and prevention of lung injury. Since the NF-κB element is believed to be the main regulator of CINC, MMP-9 and iNOS expression, and MAP kinase pathways have been demonstrated to contribute to the activation of NF-κB [15, 44, 45], we attempted to investigate the action of MAP kinases on the upstream of NF-κB signal transduction pathways in LPS-induced acute lung injury. Data from the present study indicate that inhibition of JNK suppresses LPS-induced increases in the DNA binding activity of NF-κB, through down-regulation of phosphorylation and degradation of IκB-α. Recently, Leonardi et al.  have reported that CIKS, a NF-κB essential modulator (NEMO)/IκB-α kinase (IKK)γβ-associated protein, connects to both the IKK and JNK signaling complexes, and activates an NF-κB-dependent reporter. Consequently, our and Leonardi et al.'s data support the possibility of JNK's role as an upstream activator of NF-κB, although the apparent complexity may reflect the fact that many diverse signals affect these two pathways. However, inhibition of ERK did not influence LPS induction of NF-κB activation, or the phosphorylation and degradation of IκB-α. The action of MAP kinases on the upstream of NF-κB pathways remains controversial in the context of in vitro experiments [20, 47–51]. For instance, over-expression of either MEK1 or ERK1 resulted in a constitutive nuclear localization of NF-κB DNA binding activity . Conversely, transfection with dominant negative MEK1 suggested that the ERK pathway does not regulate NF-κB DNA binding, stimulated by Helicobacter pylori . Considering, by inference, a critical role of NF-κB in the LPS-induced inflammatory cascade, we speculate that ERK may exert effects on gene expression of these inflammatory mediators by modulating TATA-binding protein activation without affecting DNA binding activity . Further study is absolutely necessary, however, to clarify the pathways of these MAP kinases associated with NF-κB, as well as other transcription factors, including AP-1 and cyclic adenosine 5'-monophosphate response element-binding protein (CREB).
Data from this study suggest that JNK or ERK activation would play a detrimental role in LPS-induced acute lung injury. The inhibition of JNK or ERK should effectively block amplification of the LPS-induced catalytic cascade, through significant reductions in protein leakage, LDH release and neutrophil influx into the lung, and also in levels of CINC, MMP-9 and NO after LPS treatment. In addition, the inhibition of JNK activity, but not ERK activity, led to a decrease in NF-κB DNA binding activity through the suppression of phosphorylation and degradation of IκB-α. Based on these findings, we propose that inhibition of JNK or ERK may be an effective therapeutic strategy against the early stages of lung injury, via attenuation of the inflammatory cascade.
c-Jun NH2-terminal kinase
extracellular signal-regulated kinase
nuclear factor-kappa B
tumor necrosis factor
cytokine-induced neutrophil chemoattractant
acute respiratory distress syndrome
fetal bovine serum
Dulbecco's modified Eagle's medium
Electrophoretic Mobility Shift Assay
NF-κB essential modulator (NEMO)
cyclic adenosine 5'-monophosphate response element-binding protein
This work was supported by Korea Research Foundation Grant (KRF-2002-041-E00021).
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