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Am J Physiol Lung Cell Mol Physiol 289: L67-L74, 2005. First published March 18, 2005; doi:10.1152/ajplung.00475.2004
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Effect of doxycycline on sulfur mustard-induced respiratory lesions in guinea pigs

Christophe Guignabert,1 Laurent Taysse,2 Jean-Henri Calvet,2 Emmanuelle Planus,1 Séraphin Delamanche,2 Stéphane Galiacy,1 and Marie-Pia d'Ortho1,3

1Unité U492 de l'Institut National de la Santé et de la Recherche Médicale and Département de Physiologie, Faculté de Médecine, Université Paris XII, 94010 Créteil; 2Centre d'Etudes du Bouchet (Centre de Recherche Médicale de la Défense), 91710 Vert Le Petit; and 3Service de Physiologie-Explorations Fonctionnelles, Hôpital Henri Mondor Assistance Publique-Hôpitaux de Paris, 94010 Créteil, France

Submitted 22 December 2004 ; accepted in final form 1 March 2005

Respiratory tract lesions induced by the chemical warfare agent sulfur mustard (SM) are characterized by epithelial damages associated with inflammatory cell infiltration. Here we evaluated the imbalance between gelatinase and tissue inhibitors of metalloproteinases (TIMPs), and we tested pretreatment with the protease inhibitor doxycycline. Guinea pigs were intoxicated intratracheally with SM and evaluated 24 h after exposure. Matrix metalloproteinase (MMP) gelatinase activity of bronchial lavage (BL) fluid from SM-exposed guinea pigs was high compared with controls, as shown by both zymography and biotinylated substrate degradation, whereas TIMP-1 and -2 levels by immunoblotting were similar. Extensive areas of lysis were evidenced by in situ zymography, indicating imbalance between gelatinases and inhibitors towards net proteolytic activity. Doxycycline pretreatment resulted in 1) decreased gelatinase activity (zymography, free gelatinase activity assay, and in situ zymography); 2) decreased inflammation (BL fluid cellularity and protein level); and 3) dramatic decrease in histological epithelial lesions. Our results suggest inadequate levels of TIMP to counteract increased gelatinase activity and further support a role for MMP gelatinases in SM-induced respiratory lesions. They also suggest that doxycycline may hold promise as a therapeutic tool.

vesicant agents; blistering agents; proteases; doxycycline; protease inhibitors



Address for reprint requests and other correspondence: M.-P. d'Ortho, Service de Physiologie-Explorations Fonctionnelles, Hôpital Henri Mondor AP-HP, 51 Ave. du Maréchal de Lattre de Tassigny, 94010 Créteil, France (E-mail: marie-pia.dortho{at}creteil.inserm.fr)







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