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* From Vanderbilt University School of Medicine and the Veterans Affairs Medical Center, Nashville, TN.
Correspondence to: Timothy S. Blackwell, MD, Department of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, T-1217 MCN, Nashville, TN 37232-2650
Production
of many inflammatory cytokines and adhesion molecules in
vitro is regulated by the ubiquitous transcription factor complex,
nuclear factor-kappa B (NF-
B), but the extent to which NF-
B
controls specific biological processes in vivo remains
unanswered. To examine the function of NF-
B in vivo, we
generated a line of transgenic mice expressing Photinusluciferase complementary DNA under the control of an
NF-
B-dependent promoter (from the 5' HIV-1 long terminal repeat).
Using these mice, we evaluated NF-
B-dependent luciferase production
in a variety of tissues following intraperitoneal injection of
Escherichia coli lipopolysaccharide (LPS) at 1 mg/kg. The
transgenic animals displayed a time-dependent, organ-specific pattern
of NF-
B-dependent luciferase expression, showing that NF-
B
activation is induced in multiple organs by systemic LPS
administration. Additionally, NF-
B activity in tissue nuclear
protein extracts was assayed by electrophoretic mobility shift assay
and found to have an organ-specific pattern of activation that
correlated well with luciferase activity.
NF-
B activation peaked in lung tissue at 2 h after LPS, in
liver at 1 to 2 h, and in spleen at 1 to 4 h.
NF-
B-dependent luciferase activity in lung and liver, as well as
serum concentrations of the mouse CXC chemokine KC and interleukin-6,
cytokines thought to be NF-
B-dependent, peaked at 4 to 6 h
after LPS injection. In this model, intraperitoneal injection of LPS
resulted in a significant neutrophilic alveolitis by 24 h as
assessed by differential cell counts from lung lavage. These studies
show that systemic LPS orchestrates a multiorgan response that is
tissue specific and time dependent, resulting in a defined pattern of
cytokine production and neutrophilic lung inflammation. Further
defining this complex series of events in this model system will
increase our understanding of the pathobiology of sepsis-induced ARDS
and may lead to novel treatment
strategies.
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