Abstract

Increased levels of heat shock protein 90 (HSP90) have been recently implicated in the pathogenesis of pulmonary fibrosis and the use of HSP90 inhibitors constitutes a potential therapeutic approach. Similarly, acute exposure to nitrogen mustard (NM) is related to the development of chronic lung injury driven by TNF-α, TGF-β, ERK and HSP90. Thus, we developed a murine model of NM-induced pulmonary fibrosis by instilling C57BI/6J mice with 0.625 mg/kg mechlorethamine hydrochloride. After 24 h, mice began receiving AUY-922, a second generation HSP90 inhibitor, at 1 mg/kg 2 times per week or 2 mg/kg 3 times per week, for either 10 or 30 days. AUY-922 suppressed the NM-induced sustained inflammation, as reflected in the reduction of leukocyte and protein concentrations in bronchoalveolar lavage fluid (BALF), and inhibited the activation of pro-fibrotic biomarkers, ERK and HSP90. Furthermore, AUY-922 maintained normal lung function, decreased the overexpression and accumulation of extracellular matrix proteins, and dramatically reduced histologic evidence of fibrosis in the lungs of mice exposed to NM. The HSP90 inhibitor, AUY-922, successfully blocked the adverse effects associated with acute exposures to NM, representing a promising approach against NM-induced pulmonary fibrosis.

Highlights

  • Nitrogen mustards (NMs) are cytotoxic agents derived from mustard gas that has been used as chemical warfare in wars of the 20th century

  • We recently reported that a single exposure of mice to mechlorethamine hydrochloride, induces chronic lung injury and pulmonary fibrosis, representing a suitable animal model to study the long-term effects of NM on the lower respiratory tract and its possible countermeasures [18]

  • The decrease in body weight in mice instilled with NM was more severe than in the saline group (p < 0.001) and continued for 8–10 days

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Summary

Introduction

Nitrogen mustards (NMs) are cytotoxic agents derived from mustard gas that has been used as chemical warfare in wars of the 20th century. NM is capable of producing a persistent damage through DNA alkylation in guanine N-7 [6], DNA strand breaks, activation of DNA mediated apoptotic pathways, the release of pro-inflammatory cytokines such as TNF-α, IL-1, IL-6, IL-8 and inducible nitric oxide synthase (iNOS) [7,8]. These changes result in nitrosative stress and the overproduction of reactive nitrogen species (RNS), which, in patients with interstitial lung disease (ILD), has been implicated in the pathogenesis of the alveolar damage [9] and has been shown to be a promising biomarker for disease diagnosis and progression [10]

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