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This Article Full Text Full Text (PDF) All Versions of this Article: 288/5/L942    most recent 00260.2004v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (4) Citing Articles via Google Scholar Google Scholar Articles by Shukla, M. Articles by Haddad, I. Y. Search for Related Content PubMed PubMed Citation Articles by Shukla, M. Articles by Haddad, I. Y.

Absence of host tumor necrosis factor receptor 1 attenuates manifestations of idiopathic pneumonia syndrome

¹Department of Pediatrics, Divisions of Pulmonary and Critical Care Medicine, and ²Bone Marrow Transplantation and Cancer Center, University of Minnesota, Minneapolis, Minnesota

Submitted 9 July 2004 ; accepted in final form 12 December 2004

The interaction of TNF- with TNF receptor 1 (TNFR1) activates several signal transduction pathways that lead to apoptosis or NF-B-dependent inflammation and immunity. We hypothesized that host TNFR1 expression contributes to noninfectious lung injury and inflammation commonly observed after bone marrow transplantation (BMT), termed idiopathic pneumonia syndrome (IPS). C57BL/6 TNFR1-sufficient (TNFR1^+/+) and -deficient (TNFR1^–/–) mice were total body irradiated with or without cyclophosphamide conditioning and were given bone marrow plus IPS-inducing donor spleen T cells from B10.BR wild-type mice. TNFR1^–/– recipient mice exhibited improved early post-BMT survival associated with decreased permeability edema. In addition, the low lung compliance measured in anesthetized, ventilated TNFR1^+/+ mice on day 7 after BMT was restored to baseline during TNFR1 deficiency. Importantly, bronchoalveolar lavage fluid (BALF) inflammatory cells from TNFR1^–/– vs. TNFR1^+/+ mice generated less nitric oxide (·NO) and nitrating species and exhibited suppressed programmed cell death as assessed using flow cytometry. However, cellular infiltration and levels of proinflammatory cytokines and chemokines were generally higher in BALF collected on day 7 after BMT from TNFR1^–/– compared with TNFR1^+/+ recipient mice. Our results support a major role of host TNFR1 in regulation of ·NO production and lung dysfunction after allogeneic BMT.

cytokines; nitric oxide; peroxynitrite; apoptosis; bone marrow transplantation

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