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Departments of 1 Medicine and 3 Cell Biology, Division of Pulmonary and Critical Care Medicine, Duke University Medical Center, Durham 27710; and 2 Immunotoxicology Branch, Experimental Toxicology Division, National Health and Environmental Effects Research Laboratory, United States Environmental Protection Agency, Research Triangle Park, North Carolina 27711
Reactive oxygen and
nitrogen species such as superoxide and nitric oxide are released into
the extracellular spaces by inflammatory and airway epithelial cells.
These molecules may exacerbate lung injury after influenza virus
pneumonia. We hypothesized that enhanced expression of extracellular
superoxide dismutase (EC SOD) in mouse airways would attenuate the
pathological effects of influenza pneumonia. We compared the pathogenic
effects of a nonlethal primary infection with mouse-adapted Hong Kong
influenza A/68 virus in transgenic (TG) EC SOD mice versus non-TG
(wild-type) littermates. Compared with wild-type mice, EC SOD TG mice
showed less lung injury and inflammation as measured by significant
blunting of interferon-
induction, reduced cell count and total
protein in bronchoalveolar lavage fluid, reduced levels of lung
nitrite/nitrate nitrotyrosine, and markedly reduced lung pathology.
These results demonstrate that enhancing EC SOD in the conducting and
distal airways of the lung minimizes influenza-induced lung injury by both ameliorating inflammation and attenuating oxidative stress.
transgenic mice; antioxidants; nitric oxide synthase
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