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1 Department of Pediatrics, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan; Institute for Advanced Medical Sciences, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
2 Institute for Advanced Medical Sciences, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
3 Department of Surgical Pathology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
4 Department of Medical Physicochemistry, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
5 Department of Gynecology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
6 Department of Pediatrics, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
* To whom correspondence should be addressed. E-mail: haruoka{at}hyo-med.ac.jp.
Role of interleukin (IL) -18 in the protection from interstitial pneumonia and pulmonary fibrosis induced by Bleomycin (BLM) was investigated by comparing the severity of BLM-induced lung injuries between wild- type and C57BL/6 mice with a targeted knockout mutation of the IL-18 gene (IL-18 -/- mice). IL-18 -/- mice showed much worse lung injuries than wild-type mice, as assessed by the survival rate, histological images, leukocyte infiltration in the bronchoalveolar lavage fluid (BALF) and myeloperoxidase activity. In wild-type mice, administration of IL-18 prior to BLM instillation resulted in suppression of lung injuries, increases in the hydroxyproline content and decreases in the granulocyte-macrophage colony-stimulating factor (GM-CSF) content in the lung. Pre-administration of IL-18 also resulted in prevention of the reduction of the lung IL-10 content caused by BLM-induced damage of alveolar epithelial. BLM instillation suppressed superoxide dismutase (SOD) activity in IL-18 -/- mice to a greater extent than in wild-type mice. Pre-treatment of IL-18 augmented Mn-containing superoxide dismutase (Mn-SOD) messenger RNA expression and SOD activity in the lung and prevented the reduction of SOD activity caused by BLM in both wild-type and IL-18 -/- mice. These results suggest that IL-18 plays a protective role against BLM-induced lung injuries by up-regulating a defensive molecule, Mn-SOD.
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