Inhibition of c-Jun NH2-terminal kinase or extracellular signal-regulated kinase improves lung injury

Background 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. Methods 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. Results 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. Conclusion 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.


Background
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 [1]. 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 NH 2 -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 [6]. 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 [7]. 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) [13]. 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 [14]. 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][16][17]. Activator protein (AP)-1, another tran-scription 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 [18]. Davis [19] reported that activated JNK is capable of binding the NH 2 -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][21][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 LPSinduced 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.

Experimental Animals
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.

Experimental Protocols
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 Ca 2+ /Mg 2+ -free phosphate-buffered medium (145 mM NaCl, 5 mM KCl, 1.9 mM NaH 2 PO 4 , 9.35 mM Na 2 HPO 4 , 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 [24]. Red blood cells, lymphocytes, neutrophils, and alveolar macrophages were distinguished by their characteristic cell volumes [25]. 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 [26], 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 [14]. 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 10 6 alveolar macrophages, were added to 24-well plates (Costar, Cambridge, MA) and incubated at 37°C in a humidified atmosphere of 5% CO 2 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 nonreducing 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 CaCl 2 and 0.02% NaN 3 . 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 [27] and cross-reacts with rat MMP-9 [28].

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 [29]. 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 [30]. 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 10 6 alveolar macrophages were added to 24-well plates (Costar, Cambridge, MA) and incubated at 37°C in a humidified atmosphere of 5% CO 2 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 (OD 550 ) was measured using a microplate reader. Nitrite concentrations were calculated by comparison with OD 550 of standard solutions of sodium nitrite prepared in cell culture medium. Data were presented as µM of nitrite.

Nuclear Extracts
Nuclear extracts were prepared by a modified method of Sun et al. [31]. 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 × 10 6 alveolar macrophages, was added to 6-well plates and incubated at 37°C, in a humidified atmosphere of 5% CO 2 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 [32]. 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.

Statistical Analysis
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
To determine JNK and ERK activation in the lung tissue from LPS treated animals, Western blot analysis with a phospho-specific JNK antibody or ERK antibody was employed. Figures 1A and 1B showed time courses of LPSinduced phosphorylation, or activation, of JNK1/2 and ERK1/2. Phosphorylation of these MAP kinases substantially increased beginning 4 hours after LPS treatment, and progressively further increased (JNK activation) or were maintained (ERK activation) for up to 24 hours after LPS treatment. SP600125 pretreatment partially inhibited LPS-induced phosphorylation of JNK1/2 in lung tissue at 4 hours after LPS treatment (Figure 2A), but this inhibitor had little effect on the activation of ERK1/2 (2C) and p38 MAP kinse (2E). PD98059 pretreatment specifically inhibited the activation of ERK1/2 ( Figure 2D), but neither the activation of JNK1/2 (2B) nor p38 MAP kinase (2F). Both JNK and ERK activation were barely detectable in the animals treated with saline or saline-kinase inhibitors.

Total Protein and LDH Activity in BAL Fluid and Neutrophil Influx into Lungs
BAL protein contents ( Figure 3A) and LDH activity ( Figure  3B) in LPS-treated animals were significantly increased (p < 0.05). BAL protein increased 2.9-fold, and LDH activity increased 4.7-fold. This indicates that IT LPS treatment of rats induced acute lung injury. However, SP600125 or PD98059 pretreatment significantly inhibited LPSinduced changes in protein contents, by 63 and 74%, respectively, and BAL LDH activity by 71 and 86%, respectively (P < 0.05). There were no significant differences in these parameters between saline-SP600125, saline-PD98059, and saline control animals (p < 0.05).
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
CINC, MMP-9 and NO were chosen in our experiments as representative inflammatory mediators, because of their important roles in neutrophil influx and lung damage, and also because their gene regulation is dependent on NF-κB. Figure 4 illustrates representative Western blots of lung tissue and BAL fluid for CINC. CINC protein expression was undetectable in the samples of saline control animals, but was markedly increased by LPS treatment for 4 hours. By densitometric analysis, CINC protein in lung tissue ( Figure 4A and 4Clane 2) and BAL fluid ( Figure 4B and 4Dlane 2) from LPS animals was approximately 7and 2.5-fold higher than in saline control animals, respectively. SP600125 or PD98059 significantly decreased the level of LPS-induced CINC expression, by 50 and 62%, respectively, in lung tissue ( Figure 4A  BAL fluid ( Figure 5A and 5D), and the supernatants from alveolar macrophage cultures ( Figure 5B and 5E), were analyzed for evidence of MMP-9 activity, using gelatin zymography. The BAL fluid from the saline control animals showed undetectable gelatinolytic bands. LPS treatment induced a distinct increase in the amount of gelatinolytic activity and the most prominent band was found to be a 92 kD species in the BAL fluid, corresponding to a molecular weight identical to MMP-9 [25,26]. This was confirmed to be MMP-9 by Western blot analysis with the antiMMP-9 monoclonal antibody ( Figure 5C and 5Flane 2). In the supernatants from alveolar macrophage cultures of saline control animals, MMP-9 activity was also barely detectable, but was also markedly increased in the sample from LPS animals. SP600125 pretreatment significantly inhibited LPS-induced MMP-9 activity by 54% in BAL fluid, and by 30% in the supernatants from alveolar macrophage cultures ( Figure 5A and 5Blane 3, p < 0.05). Similarly, PD98059 pretreatment significantly inhibited LPS-induced MMP-9 activity by approximately 67% in BAL fluid and the supernatants from alveolar macrophage cultures ( Figure 5D and 5Elane 3, p < 0.05). MMP-9 activity was completely undetectable in the samples from saline-kinase inhibitor animals. The inhibitory effect of these kinase inhibitors on MMP-9 expression in BAL fluid was also observed ( Figure 5C and 5Flane 3).
NO levels in BAL fluid and alveolar macrophages in culture were determined by measurement of nitrite in their supernatants. Figure 6A illustrates that in vivo exposure to LPS for 4 hours resulted in a 6.2-fold increase in NO level in BAL fluid, compared with the control animals. This increase was significantly inhibited by SP600125 or PD98059 (69% and 81% inhibition, respectively, p < 0.05, vs LPS animals). In LPS treated animals, nitrite production from alveolar macrophages cultured for 24 hours was increased 3.2-fold ( Figure 6B). SP600125 or PD 98059 significantly suppressed LPS-induced NO production by alveolar macrophages by 89 and 58%, respectively (p < 0.05). NO level was only slightly changed in the samples from saline-kinase inhibitor animals. Figure 7 shows NF-κB activation in lung tissue and alveolar macrophages, identified 4 hours after IT instillation of saline or LPS. In LPS-treated animals, the DNA-binding activities of NF-κB in lung tissue were markedly enhanced ( Figure 7A and 7Clane 2). This enhancement was significantly depressed (67% inhibition, p < 0.05, vs LPS animals) by a 1-hour pretreatment with SP600125 ( Figure  7Alane 3), whereas pretreatment with PD98059 did not inhibit LPS-induced activation of NF-κB (7C lane 3). Significant activation of NF-κB was also shown in alveolar macrophages from LPS-treated animals, compared to that seen in the saline control animals ( Figure 7B and 7Dlane 2, p < 0.05). SP600125 resulted in significant decreases (45%, p < 0.05) in LPS-induced NF-κB activation in alveolar macrophages (Figure 7Blane 3). However, PD98059 did not inhibit LPS-induced NF-κB activation in alveolar macrophages (Figure 7Dlane 3). Saline or kinase inhibitors alone had little effect on NF-κB activation in lung tissue and 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 7Dlane 5). . Animals were sacrificed 4 hours after LPS treatment. Alveolar macrophages (10 6 /m1 of RPMI medium) were incubated for 24 hours. BAL fluid and culture supernatants were analyzed by sensitive zymography, followed by scanning densitometry. 92 kD and 66 kD gelatinolytic bands correspond to MMP-9 and MMP-2, respectively. Densitometry of 92 kD bands is expressed in arbitrary densitometric units. Western blots of BAL fluid with anti-MMP-9 antibodywere employed to monitor MMP-9. Values are represented as means ± SEM of results from 5 rats in each group. * Significant differences between saline, p < 0.05, and + significant difference compared with LPS group, p < 0.05.

Phosphorylation and Degradation of IκB-α in Lung Tissue
In order to investigate a possible mechanism underlying the actions of these kinase inhibitors on LPS induction of pathways leading to NF-κB activation, serine phosphorylation and degradation of IκB-α, in lung tissue from LPS and LPS-kinase inhibitor animals were analyzed by Western blotting with anti-phospho-IκB-α (serine 32), and anti-IκB-α Ab. As shown in Figure 8, LPS treatment resulted in the induction of serine phosphorylation of IκB-α, and a substantial reduction in IκB-α protein content in lung tissue (8A and 8C lane 2), whereas these events were significantly inhibited by SP600125 (8A and  8C lane 3). PD98059, however, caused no significant changes in the LPS-induced phosphorylation and degradation of IκB-α ( Figure 8B and 8Dlane 3). These kinase inhibitors, alone, had little effect on the phosphorylation and degradation of IκB-α.

Discussion
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 [14]. Consistent with our in vivo data, Ishii et al. [34] 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 NO production in BAL fluid (A) and alveolar macrophages in culture (B) Figure 6 NO production in BAL fluid (A) and alveolar macrophages in culture (B). The groups represent rats treated as follows: Saline, saline (IT); LPS, LPS (IT); LPS-SP600125, LPS (IT) and a pretreatment with SP600125 (IO), Saline-SP600125, saline (IT) and a pretreatment with SP600125 (IO); LPS-PD98059, LPS (IT) and a pretreatment with PD98059 (IO), Saline-PD98059, saline (IT) and a pretreatment with PD98059 (IO). Animals were sacrificed 4 hours after LPS treatment. Alveolar macrophages (10 6 /m1 of RPMI medium) were incubated for 24 hours. BAL fluid and culture supernatants were analyzed using nitrite assays. Values are represented as means ± SEM of results from 5 rats in each group. * Significant differences compared with saline, p < 0.05, and + significant difference compared with LPS group, p < 0.05. and a pretreatment with PD98059 (IO). Animals were sacrificed 4 hours after LPS treatment. Western blots with anti-serine phospho-IκBα (Ser32)/IκBα antibody were employed to monitor phosphorylated IκB-α and IκB-α. Densitometry of phospho-IκB-α/IκB-α bands is expressed in arbitrary densitometric units. Values represent means ± SEM of results from 5 rats in each group. * Significant differences compared with saline, p < 0.05, and + significant difference compared with LPS group, p < 0.05. either JNK or ERK activity resulted in reduction of LPSinduced 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 [34] and IL-1-induced MMP expression in synoviocytes and in joint arthritis [23]. 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 hyperoxiainduced lung injury [35]. 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 [36] or Helicobacter pylori [16]. Consistent with our data with ERK, Zhang et al. [37] 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 [38], and in myoglobinuric acute renal injury [39]. 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 [42] and asthma [43]. 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 [9]. 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. [46] have reported that CIKS, a NF-κB essential modulator (NEMO)/IκB-α kinase (IKK)γβ-asso-ciated 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][48][49][50][51]. For instance, over-expression of either MEK1 or ERK1 resulted in a constitutive nuclear localization of NF-κB DNA binding activity [47]. Conversely, transfection with dominant negative MEK1 suggested that the ERK pathway does not regulate NF-κB DNA binding, stimulated by Helicobacter pylori [49]. Considering, by inference, a critical role of NF-κB in the LPSinduced 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 [21]. 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 elementbinding protein (CREB).

Conclusion
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.