학술논문

Glycogen synthase kinase-3[beta] modulation of glucocorticoid responsiveness in COPD. (CALL FOR PAPERS: Biomarkers in Lung Diseases: from Pathogenesis to Prediction to New Therapies)
Document Type
Author abstract
Source
American Journal of Physiology (Consolidated). Nov, 2015, Vol. 309 Issue 5, pL1112, 12 p.
Subject
Corticosteroids -- Research
Corticosteroids -- Influence
Lung diseases, Obstructive -- Research
Lung diseases, Obstructive -- Care and treatment
Lung diseases, Obstructive -- Complications and side effects
Biological markers -- Usage
Biological sciences
Language
English
ISSN
0002-9513
Abstract
In chronic obstructive pulmonary disease (COPD), oxidative stress regulates the inflammatory response of bronchial epithelium and monocytes/macrophages through kinase modulation and has been linked to glucocorticoid unresponsiveness. Glycogen synthase-3[beta] (GSK3[beta]) inactivation plays a key role in mediating signaling processes upon reactive oxygen species (ROS) exposure. We hypothesized that GSK3[beta] is involved in oxidative stress-induced glucocorticoid insensitivity in COPD. We studied levels of phospho-GSK3[beta]-Ser9, a marker of GSK3[beta] inactivation, in lung sections and cultured monocytes and bronchial epithelial cells of COPD patients, control smokers, and nonsmokers. We observed increased levels of phospho-GSK3[beta]-Ser9 in monocytes, alveolar macrophages, and bronchial epithelial cells from COPD patients and control smokers compared with nonsmokers. Pharmacological inactivation of GSK3[beta] did not affect CXCL8 or granulocytemacrophage colony-stimulating factor (GM-CSF) expression but resulted in glucocorticoid insensitivity in vitro in both inflammatory and structural cells. Further mechanistic studies in monocyte and bronchial epithelial cell lines showed that GSK3[beta] inactivation is a common effector of oxidative stress-induced activation of the MEK/ERK-1/2 and phosphatidylinositol 3-kinase/Akt signaling pathways leading to glucocorticoid unresponsiveness. In primary monocytes, the mechanism involved modulation of histone deacetylase 2 (HDAC2) activity in response to GSK3[beta] inactivation. In conclusion, we demonstrate for the first time that ROS-induced glucocorticoid unresponsiveness in COPD is mediated through GSK3[beta], acting as a ROS-sensitive hub. COPD; oxidative stress; inflammatory responses; monocytes; epithelial cells doi: 10.1152/ajplung.00077.2015.

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