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Am J Physiol Lung Cell Mol Physiol. 2008 October; 295(4): L624–L636. Published online 2008 August 8. doi: 10.1152/ajplung.90215.2008. | PMCID: PMC2575948 |
Copyright © 2008, American Physiological Society Cigarette smoke-induced expression of heme oxygenase-1 in human lung fibroblasts is regulated by intracellular glutathione Carolyn J. Baglole,1,2 Patricia J. Sime,1,2,3 and Richard P. Phipps1,2 1Department of Environmental Medicine, 2Lung Biology and Disease Program, and 3Division of Pulmonary and Critical Care, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York Received February 28, 2008; Accepted August 2, 2008. Fibroblasts are key structural cells that can be damaged by cigarette smoke. Cigarette smoke contains many components capable of eliciting oxidative stress, which may induce heme oxygenase (HO)-1, a cytoprotective enzyme. There are no data on HO-1 expression in primary human lung fibroblasts after cigarette smoke extract (CSE) exposure. We hypothesized that human lung fibroblasts exposed to cigarette smoke would increase HO-1 though changes in intracellular glutathione (GSH). Primary human lung fibroblasts were exposed to CSE, and changes in HO-1 expression and GSH levels were assessed. CSE induced a time- and dose-dependent increase in expression of HO-1, but not HO-2 or biliverdin reductase, in two different primary human lung fibroblast strains, a novel finding. This induction of HO-1 paralleled a decrease in intracellular GSH, and a sustained reduction in GSH resulted in a dramatic increase in HO-1. Treatment with the antioxidants N-acetyl-l-cysteine or GSH reduced the expression of HO-1 induced by CSE. We also examined the signal transduction mechanism responsible for HO-1 induction. Nuclear factor erythroid-derived 2, like 2 (Nrf2) was not involved in HO-1 induction by CSE. Activator protein-1 (AP-1) is a redox-sensitive transcription factor shown in other systems to regulate HO-1 expression. CSE exposure resulted in nuclear accumulation of c-Fos and c-Jun, two key AP-1 components. Reduction of c-Fos and c-Jun nuclear translocation by SP-600125 attenuated the CSE-induced expression of HO-1. These data support the concept that changes in the cellular redox status brought on by cigarette smoke induce HO-1 in fibroblasts. This increase in HO-1 may help protect against cigarette smoke-induced inflammation and/or cell death. Keywords: oxidative stress, activator protein-1, biliverdin reductase, chronic obstructive pulmonary disease, nuclear factor erythroid-derived 2, like 2 heme oxygenase (HO) enzymes catalyze the rate-limiting step in the oxidative degradation of heme to form equimolar amounts of ferrous iron, carbon monoxide (CO), and biliverdin ( 60, 69). Biliverdin is subsequently converted to bilirubin by biliverdin reductase (BVR). Two isozymes of HO have been well-characterized: an inducible form, HO-1, and the constitutive form, HO-2. Under basal condition, HO-1 occurs at low to undetectable levels in most tissues, but its expression is rapidly increased in response to a variety of environmental stimuli, particularly those that produce oxidative stress and generate reactive oxygen species ( 49, 60). Cigarette smoke contains many compounds capable of eliciting oxidative stress, yielding an estimated 10 17 oxidant molecules per puff ( 14). Oxidative stress caused by cigarette smoke leads to bronchial and alveolar inflammation and lung cell death. This lung inflammation and cell death may lead to chronic obstructive pulmonary disease (COPD; chronic bronchitis and emphysema) and lung cancer in susceptible individuals. Cigarette smoke induces HO-1 expression in several cell types, including alveolar epithelial cells ( 23, 65), macrophages ( 5), and mouse embryonic fibroblasts ( 33, 43). We ( 41, 42) and others ( 10, 12) have identified human pulmonary fibroblasts as an important target of cigarette smoke. Fibroblasts are the main cell type in the lung interstitium and are vital in the production of extracellular matrix for tissue maintenance and repair. They provide structural support to the alveolar compartment and are potent producers of proinflammatory mediators ( 42). We recently reported ( 6) that fibroblasts from different human beings vary in their susceptibility to cigarette smoke-induced cell death, a feature that is proportional to the ability of the cell to regulate intracellular glutathione (GSH) levels. GSH is the principal antioxidant in the lung ( 31, 54). GSH homeostasis is essential for normal lung function, and alterations in GSH levels can submit cells to oxidative stress ( 53). GSH levels decrease after cigarette smoke exposure ( 6, 53). Induction of HO-1 in response to GSH depletion has been shown in the mouse ( 58) and rat ( 49) liver; this GSH-related increase in HO-1 is proposed to have antiapoptotic and/or antioxidant properties ( 57, 60, 64, 72) that would serve to counteract the loss of intracellular GSH. We hypothesized that cigarette smoke would induce HO-1 in lung fibroblasts because of alterations in intracellular GSH levels. The molecular mechanisms involved in the induction of HO-1 are diverse and include transcription factors such as nuclear factor-κB (NF-κB), mitogen-activated protein kinases (MAPKs), activator protein-1 (AP-1) and nuclear factor, erythroid-derived 2, like 2 (Nrf2) ( 4, 33, 38, 39, 74). These transcription factors are sensitive to conditions of oxidative stress, particularly Nrf2. Nrf2 readily translocates to the nucleus in epithelial cells in response to cigarette smoke ( 34), and Nrf2 deficiency exacerbates cigarette smoke-induced emphysema ( 28, 55). We speculated that this induction of HO-1 by cigarette smoke would involve redox-sensitive transcription factors, particularly Nrf2. Here, we demonstrate that cigarette smoke induces HO-1 expression because of a sustained decrease in intracellular GSH levels. Importantly, Nrf2 was not responsible for the induction of HO-1 by cigarette smoke in human lung fibroblasts. Blockade of AP-1 and NF-κB partially attenuated CSE-induced HO-1. These new findings suggest that there are cell-specific differences in the regulation of HO-1 expression. The upregulation of HO-1 may have a protective role in lung fibroblasts to counteract oxidative stress caused by cigarette smoke. Chemicals N-acetyl-l-cysteine (NAC), glutathione reduced ethyl ester, 5,5′-dithiobis(2-nitrobenzoic acid) (DTNB), β-reduced nicotinamide adenine dinucleotide phosphate (β-NADPH), glutathione reductase, 5-sulfosalicylic acid, hemin, and dl-buthionine-[S,R]-sulfoximine (BSO) were purchased from Sigma (St. Louis, MO). SP-600125 was purchased from Axxora (San Diego, CA). The ERK1/2 inhibitor U0126 was obtained from Cell Signaling Technology (Danvers, MA). The NF-κB inhibitor SC-514 was purchased from Calbiochem (Gibbstown, NJ). Cell Culture Primary human fetal lung fibroblasts (HFL-1) and A549 epithelial cells were purchased from the American Type Culture Collection (Manassas, VA). The primary human neonatal lung fibroblast strain L828 was established by us as previously described ( 22) from lung biopsies of morphologically normal lung by a tissue explant technique ( 7). Mouse lung fibroblasts (MLFs) and the primary adult human lung fibroblast strain CH2 were derived in the same manner. These cells were previously identified as fibroblasts by their morphology, adherent nature, expression of vimentin and types I and III collagen, and lack of expression of cytokeratin, α-smooth muscle actin, factor VIII, and CD45 ( 7). All cells were cultured in minimum essential medium (MEM) supplemented with 2 mM glutamine (Invitrogen, Carlsbad, CA) and 10% fetal bovine serum (FBS) (Hyclone Labs, Logan UT). Cells were maintained at 37°C and incubated in humidified 5% CO 2-95% air. Fibroblasts were studied at passage 15 or below. Preparation of Cigarette Smoke Extract Research grade cigarettes (1R3F) with a filter were obtained from the Kentucky Tobacco Research Council (Lexington, KT). Cigarette smoke extract (CSE) was prepared by bubbling smoke from two cigarettes into 20 ml of serum-free MEM with a modification of the method developed by Carp and Janoff ( 11) and as previously described by us ( 6, 41, 42). The pH of the MEM was adjusted to 7.4, and the medium was sterile filtered with a 0.45-μm filter (25 mm Acrodisc; Pall, Ann Arbor, MI). The CSE (called 100%) was prepared immediately before use. To ensure consistency in the CSE between experiments, measurements of optical density were taken at a wavelength of 320 nm immediately after preparation of the CSE. An optical density of 0.65 was considered to represent 100% CSE. This CSE preparation was diluted to the appropriate concentration in serum-free MEM. Western Blot Analysis Equivalent numbers of primary human lung fibroblasts were grown to confluence and serum starved for 24 h. Cells were then treated with varying percentages of CSE for selected times. Total cellular protein was prepared from fibroblasts with 1% IGEPAL lysis buffer supplemented with a protease inhibitor cocktail (leupeptin, aprotinin, pepstatin, and PMSF; Sigma). Cell lysates were centrifuged (14,000 g, 4°C for 10 min) to remove debris, and protein quantitation was performed with the bicinchoninic acid (BCA) method according to the manufacturer's instructions (Pierce, Rockford, IL). Five micrograms of total cellular protein was fractionated on 10% SDS-PAGE gels, electroblotted onto Immun-blot polyvinylidene difluoride (PVDF) membrane (Bio-Rad Laboratories, Hercules, CA), and blocked with 5% nonfat dry milk in 0.1% Tween 20 (in PBS) overnight at 4°C. Antibodies against HO-1 (1:5,000), HO-2 (1:5,000), BVR (1:5,000; Stressgen Bioreagents, Victoria, BC, Canada), phospho-ERK1/2 (1:1,000; Cell Signaling Technology), and actin (1:20,000; Oncogene Research Products, San Diego, CA) were used to assess changes in protein levels following exposure of the fibroblasts to CSE. In some experiments, cells were pretreated with 10 μM U0126 for 2 h to inhibit ERK1/2 activation. To assess the effect of NF-κB inhibition on CSE-induced HO-1 expression, HFL-1 cells were pretreated for 1 h with SC-514 (20 μM) followed by cotreatment with CSE. The antibody against Nrf2 (R&D Systems, Minneapolis, MN) was used at 1:500. Protein was visualized by enhanced chemiluminescence (NEN Life Science Products, Boston, MA) and developed on Classic X-ray film (Laboratory Product Sales, Rochester, NY). Densitometric analysis of protein expression was performed with Kodak 1D Imaging Software (Kodak Scientific Imaging Systems, New Haven, CT); values are normalized to total actin. Real-Time RT-PCR After treatment with CSE, total RNA was isolated from human lung fibroblasts with the RNeasy RNA isolation kit according to the manufacturer's instructions (Qiagen, Crawley, UK). RNA was reverse transcribed to cDNA, and HO-1 and HO-2 mRNA were quantified with the following primers ( 24): HO-1: 5′-CAGGCAGAGAATGCTGAGTTC-3′ (sense) and 5′-GCTTCACATAGCGCTGCA-3′ (antisense); HO-2: 5′-GCAATGTCAGCGGAAGTGGAA-3′ (sense) and 5′-AAGTCACCTGAGGTGGTAGTT-3′ (antisense) ( 24); GAPDH: 5′-AGGTGAAGGTCGGAGTCAAC-3′ (sense) and 5′-TGGGTGGAATCATATTGGAAC-3′ (antisense). Cycle threshold values were determined with a standard curve and analyzed with Bio-Rad Icycler Software (Bio-Rad Laboratories). Values were normalized to GAPDH, and fold change was compared between untreated and CSE-treated fibroblasts. Immunocytochemical Staining Immunocytochemistry for HO-1 and HO-2. To assess HO induction, fibroblasts (HFL-1) were seeded on eight-well glass chamber slides at a density of 1 × 104 cells/well, allowed to adhere for 24 h, and serum starved for 24 h. Cells were either left untreated or treated with 1% CSE or BSO (100 μM) for 24 h. After this, cells were washed once with PBS-Tween 20 (0.1%), fixed with 3% H2O2 for 15 min, and blocked with 5% normal goat serum. Antibodies against HO-1 and HO-2 were diluted in PBS-BSA (1:500) and incubated overnight at 4°C. To assess the level of nonspecific staining, cells were incubated under the same conditions with a rabbit IgG isotype antibody (Santa Cruz Biotechnology, Santa Cruz, CA). Biotinylated anti-rabbit antibody was used for secondary binding (1:200). After application of the secondary antibody, the cells were incubated with streptavidin-horseradish peroxidase and antibody binding was visualized with the substrate 3-amino-9-ethylcarbazol (AEC; Zymed, South San Francisco, CA). Finally, cells were coverslipped in Immu-mount (Shanndon, Pittsburgh, PA), viewed with an Olympus BX51 microscope (New Hyde Park, NY), and photographed with a SPOT camera with SPOT RT software (New Hyde Park, NY). Nrf2 and HO-1 immunofluorescence. Human lung fibroblasts (HFL-1), MLFs, and epithelial cells (A549) were cultured on glass chamber slides as described above. After serum starvation for 24 h, cells were treated with CSE or hemin (5 μM) for 4 or 6 h; all three types of cells were treated at the same time with the identical stock reagents. Antibodies against HO-1 and Nrf2 (Santa Cruz Biotechnology; 1:200) were diluted in PBS-BSA. After secondary binding with biotinylated anti-rabbit antibody, cells were incubated with streptavidin-FITC. Cells were coverslipped in Vectashield and photographed. All photographs were taken at the same time with identical image settings. c-Fos and c-Jun immunofluorescence. After treatments, HFL-1 cells were washed in PBS-Tween 20 and nonspecific binding was blocked with 5% normal goat serum. Antibodies against c-Fos and c-Jun (1:200; Santa Cruz Biotechnology) were incubated overnight at 4°C, followed by incubation with the biotinylated secondary antibody and FITC-conjugated streptavidin as described above. Measurement of Total Intracellular GSH HFL-1 cells were grown to confluence in 25-cm 2 cell culture flasks and treated with control medium, BSO, or varying percentages of CSE for 1, 3, 6, and 24 h. Measurements of intracellular GSH were as previously described ( 6, 52). Briefly, after treatments, monolayers of fibroblasts were washed with 2 ml of ice-cold PBS and scraped into 300 μl of ice-cold extraction buffer (0.1% Triton X-100-0.6% sulfosalicylic acid in 0.1 M phosphate buffer with 5 mM EDTA, pH 7.5). Cells were then sonicated (30 s), vortexed (20 s), and centrifuged (2,000 rpm for 5 min at 4°C). Determination of total intracellular levels of GSH was performed as originally described by Tietze ( 70) with DTNB-GSSG/glutathione reductase recycling ( 31). Results are in nanomoles of GSH per milligram of protein. Statistical Analysis Statistical analysis was performed with Statview V5.0 (SAS Institute, Cary, NC), and analysis of variance (ANOVA) and Fisher's post hoc test were used to assess differences between multiple treatment groups. P < 0.05 is considered to be statistically significant. CSE Increases HO-1 Protein and mRNA Expression in Primary Lung Fibroblast Strains Nothing is known about HO-1 expression in primary human lung fibroblasts. Therefore, we examined the expression of HO-1 and HO-2 in response to cigarette smoke in primary strains of human lung fibroblasts. To determine whether cigarette smoke could induce HO-1 expression, two primary strains of lung fibroblasts (both from different human beings) were left untreated (control medium) or were treated with increasing percentages of CSE (0.25–5%) for 24 h and HO-1 protein expression was examined by Western blot analysis. The basal level of HO-1 expression was low in both of the fibroblast strains tested (). In response to CSE, HO-1 expression dose-dependently increased. A slight induction in HO-1 was observed in the HFL-1 and L828 fibroblast strains when these cells were exposed to 0.5% CSE. This expression continued to increase with increasing percentages of CSE, with the strongest induction occurring when the fibroblasts were exposed to 5% CSE (). Next, the kinetics of HO-1 induction was examined in these fibroblast strains exposed to 1% CSE. We showed previously ( 42) that this percentage of CSE potently activates human lung fibroblasts but is nonapoptotic in these lung fibroblast strains ( 6). Induction of HO-1 following exposure to 1% CSE occurred between 2 and 8 h after exposure (). The expression of HO-1 decreased between 24 and 48 h in the HFL-1 fibroblast strain. By contrast, in the L828 fibroblast strain, HO-1 expression persisted through 72 h of CSE exposure, the latest time point examined (). The expression of HO-2 was constitutive in both fibroblast strains and did not change as a consequence of CSE exposure (). Because both fibroblast strains exhibited similar increases in HO-1 in response to CSE at 24 h, the majority of the remaining experiments were conducted with the commercially available HFL-1 fibroblast strain, with supplementation of key data from the L828 fibroblast strain. To investigate whether the increase in HO-1 expression also occurred at the mRNA level, we examined the induction of HO-1 and HO-2 mRNA in CSE-treated HFL-1 cells. Consistent with the expression of HO-1 protein, steady-state mRNA levels dramatically increased (≈12 fold) by 8 h after exposure to 2% CSE (). HO-1 mRNA levels decreased over time and by 24 h after exposure were similar to untreated mRNA levels. Steady-state HO-2 mRNA levels were unaffected by CSE exposure (data not shown). Human Lung Fibroblasts Express Biliverdin Reductase We next examined the expression of BVR in both HFL-1 and L828 human lung fibroblast strains. Whether BVR is expressed in human pulmonary cells, including fibroblasts, or whether BVR expression changes in response to cigarette smoke, is unknown. We therefore performed Western blot analysis to assess BVR expression in primary lung fibroblasts exposed to CSE. BVR was constitutively expressed in both the HFL-1 and L828 fibroblast strains, with a band of ≈41 kDa (), the mass of human BVR ( 40, 48). Unlike HO-1, BVR expression was unchanged as a result of CSE exposure (). CSE-Induced HO-1 in HFL-1 Cells is a Result of a Sustained Decrease in Intracellular GSH To first examine the link between GSH and HO-1, we used the GSH-depleting agent BSO to reduce intracellular GSH levels ( 25, 53). We treated HFL-1 cells with BSO (25, 50, and 100 μM) for 6 or 24 h and then examined GSH and HO-1 levels. Treatment with BSO dose-dependently decreased intracellular GSH levels in HFL-1 cells (). Exposure to 50 and 100 μM BSO for 6 h, and 100 μM for 24 h, induced a significant decrease in GSH. Concomitant with the decrease in GSH, there was a corresponding increase in HO-1 protein expression (), with HO-1 expression being strongly induced when there was a sustained decrease in GSH for 24 h. Immunocytochemical staining revealed similar changes in HO-1 expression. Here, treatment with either BSO (100 μM) or 1% CSE for 24 h resulted in an increase in HO-1 (, left). HO-2 levels were constitutive and did not change as a result of either BSO or CSE exposure (, center). To determine whether the CSE-induced increase in HO-1 correlated with decreased GSH levels, we treated HFL-1 fibroblasts with increasing percentages of CSE for 1, 3, 6, or 24 h and measured GSH and HO-1 levels. A small decrease in GSH occurred within 1 h of exposure with 1% CSE (). HFL-1 fibroblasts were able to recover GSH levels, and at 6 h after exposure to 1% CSE GSH levels were significantly greater compared with untreated. HO-1 levels were also increased at the 24 h time point (, compare lanes 1 and 5). Treatment with 2% CSE for 1 and 3 h caused a significant decrease in GSH (); here, HO-1 levels were detectable 1 h after exposure (, compare lanes 1 and 6). GSH levels recovered by 6 h, and by 24 h after exposure to 2% CSE the amount of intracellular GSH was significantly greater than that in non-CSE-treated fibroblasts. HO-1 increased slightly through 24 h (, lanes 6–9). Similarly, both 5% and 10% CSE also induced an immediate (i.e., 1 h after exposure) and sustained decrease in GSH and an accompanying time-dependent increase in HO-1 (). Thus the fibroblasts were unable to completely recover intracellular GSH levels. Although there was a time-dependent increase in GSH on exposure to 5% CSE, intracellular GSH remained significantly less than that in medium-treated cells (). Not surprisingly, the HFL-1 cells were also unable to recover GSH levels when exposed to 10% CSE for up to 24 h. This sustained decrease in GSH (from 5% and 10% CSE exposure) also resulted in a more dramatic increase in HO-1 at 3, 6, and 24 h (, lanes 11–13 and 15–17, respectively). The increase in HO-1 in HFL-1 cells induced by low percentages of CSE (e.g., 1% CSE) could be augmented by GSH depletion. Fibroblasts were treated with BSO (100 μM, to deplete GSH) followed by treatment with both BSO and 1% CSE for 6 or 24 h. BSO and 1% CSE, which significantly decreased intracellular GSH content (), synergized to significantly enhance HO-1 expression compared with treatment with 1% CSE alone (fold change of 1,172 ± 147 vs. 16 ± 3) (). The induction of HO-1 by BSO in conjunction with CSE was greater than that by treatment with BSO alone (). Treatment of HFL-1 Human Lung Fibroblasts with NAC and GSH Attenuates CSE-Induced HO-1 Expression To determine whether application of GSH or NAC could attenuate the CSE-induced increase in HO-1 mRNA and protein, we treated HFL-1 cells with either GSH reduced ethyl ester (5 mM) or NAC (1 mM) followed by incubation with 1% or 2% CSE for 24 h. The increase in HO-1 protein expression following treatment with 1% or 2% CSE alone (, lanes 4 and 7) was attenuated by treatment with either GSH or NAC (). Similar results were obtained with the L828 lung fibroblast strain (data not shown). BVR expression was also unchanged as a result of antioxidant pretreatment in the L828 or HFL-1 fibroblast strains (data not shown). To assess whether this occurred at the mRNA steady-state level, mRNA levels were analyzed by quantitative real-time PCR in HFL-1 cells. Here, both GSH and NAC reduced the induction of HO-1 (), but not HO-2 (data not shown), mRNA compared with exposure to 2% CSE alone. Collectively, these data suggest that alterations in intracellular GSH content mediate the CSE-induced upregulation of HO-1 expression in human lung fibroblasts. AP-1 and NF-κB, but Not Nrf2 or ERK1/2, Participate in the CSE-Induced Increase in HO-1 in HFL-1 Lung Fibroblasts There is little information regarding Nrf2 expression in human lung fibroblasts. Therefore, we first assessed whether Nrf2 was expressed in primary lung fibroblasts by Western blot. demonstrates that Nrf2 is expressed in three fibroblast strains, all isolated from different human beings. Next, we assessed whether Nrf2 translocates to the nucleus in response to hemin in HFL-1 cells or MLFs. In untreated MLFs, Nrf2 was located in the cytoplasm, with little nuclear localization (, MLF, left). There was little basal HO-1 expression (, MLF, right). When these cells were treated with hemin for 6 h, there was a dramatic increase in nuclear Nrf2 (, MLF, left, arrows); HO-1 was also increased (, MLF, right). In HFL-1 cells, there was some nuclear distribution (, HFL-1, left, arrows). However, hemin failed to increase nuclear Nrf2 (, HFL-1, left) even though HO-1 expression increased (, HFL-1, right). To determine whether Nrf2 played a role in CSE-induced HO-1 in HFL-1 cells, we next treated A549, MLF, and HFL-1 cells with CSE and assessed nuclear translocation of Nrf2 by immunofluorescence. In both A549 and MLF, Nrf2 was predominantly cytoplasmic in cells treated with control medium (). In A549 cells, CSE increased the expression of Nrf2 within the nucleus in a dose-dependent manner (, center and right, arrows). Similar results were obtained for MLFs. Here, Nrf2 also translocated to the nucleus in response to CSE (, fibroblasts, MLF, arrows). In contrast, exposure of HFL-1 cells to CSE at the same concentration as MLFs (i.e., 1% and 2%) failed to increase nuclear Nrf2 (). Collectively, these data suggest that Nrf2 is not the dominant transcription factor involved in the induction of HO-1 by CSE in the human lung fibroblast strain HFL-1. Because the ability of CSE to influence Nrf2 nuclear translocation was minimal in HFL-1 cells, we then assessed whether other transcription factors were regulating induction of HO-1 by CSE. We first used U0126, a selective pharmacological inhibitor of ERK1/2 ( 19). Treatment with 1% CSE for 15 min activated ERK1/2 (, panel 1). U0126 prevented the phosphorylation of ERK1/2 induced by CSE (, panel 1). Treatment with 10 μM U0126 alone for up to 24 h did not increase HO-1 expression in HFL-1 cells (, panel 2). Inhibition of ERK1/2 activation by U0126 was not able to prevent the induction of HO-1 by low percentages of CSE. Here, 1% CSE increased HO-1 expression between 2 and 6 h (, panel 3; compare with ), and this increase persisted for 24 h. Treatment with U0126 did not dramatically attenuate the induction of HO-1. These data suggest that ERK1/2, despite activation by 1% CSE, is not a dominant transcriptional regulator of CSE-induced HO-1 expression in HFL-1 lung fibroblasts. We also assessed whether the induction of HO-1 by CSE would be influenced by NF-κB inhibition. HFL-1 cells were pretreated with SC-514, a selective inhibitor of NF-κB-dependent gene expression ( 32), followed by treatment with either 2% CSE or IL-1β. SC-514 was able to attenuate IL-1β-induced Cox-2 induction (), suggesting that it was effective in blocking NF-κB-dependent gene expression. Western blot analysis revealed that SC-514 was also partially effective in blocking the induction of HO-1 by 2% CSE (). Densitometric analysis revealed that SC-514 inhibited HO-1 by ~45% (). Finally, we examined whether AP-1 was involved in the ability of CSE to induce HO-1 expression in HFL-1 cells. In fibroblasts that were treated with control medium, the expression of c-Fos and c-Jun was low (, A and B). After treatment with 1%, 2% (data not shown), or 5% () CSE for 1 h, the expression of both AP-1 dimers was increased, with cells treated with 5% CSE exhibiting the strongest induction. The intracellular distribution of CSE-induced c-Fos and c-Jun was predominantly nuclear (, A and B, arrows), consistent with previous reports demonstrating the nuclear concentration of AP-1 ( 13, 59). The participation of AP-1 in the expression of HO-1 by CSE in HFL-1 lung fibroblasts was analyzed with the pharmacological inhibitor SP-600125 ( 9). Treatment with SP-600125 (10 μM) dramatically reduced the CSE-induced nuclear accumulation of both c-Fos and c-Jun, even at the highest percentage of CSE tested, 5% CSE (, A and B). To assess whether prevention of Fos/Jun nuclear accumulation would attenuate the CSE-induced increase in HO-1, HFL-1 fibroblasts were treated with SP-600125 alone or in conjunction with 1%, 2%, and 5% CSE for 24 h and HO-1 expression was analyzed by Western blot. demonstrates that treatment with 1%, 2%, and 5% CSE for 24 h dose-dependently increased HO-1 expression (compare with ). Densitometric analysis revealed that there was ~9-, 34-, and 260-fold induction (1%, 2%, and 5% CSE, respectively) compared with non-CSE-treated fibroblasts (). Treatment with CSE along with 10 μM SP-600125 resulted in a partial reduction of HO-1 (, C and D). Collectively, these data suggest the involvement of AP-1 in the induction of HO-1 by CSE. Oxidative stress, arising from an imbalance between oxidants and antioxidants, plays a key role in the pathogenesis of pulmonary disease ( 64). The induction of HO-1 is an important cellular event during conditions of oxidative stress and inflammation. The oxidation of heme by HO-1 generates ferrous iron, biliverdin, and CO, all of which have cytoprotective properties ( 21, 51, 64). In the lung, exposure to environmental toxicants is associated with increased HO-1 ( 46, 64, 65). Cigarette smoke contains ≈5,000 chemicals, many of which have oxidant activities. Cigarette smoke is also the principal cause of diseases such as COPD and lung cancer. HO-1 induction in response to cigarette smoke (or components of cigarette smoke) has been shown in endothelial cells ( 73) and alveolar epithelial cells ( 65). In the present study, we demonstrate for the first time that exposure of human lung fibroblasts to CSE results in a time- and dose-dependent increase in HO-1 mRNA and protein ( and ). The induction of HO-1 occurred at percentages of CSE as low as 1%. This percentage of CSE has previously been shown by us to activate, but not induce, apoptosis in the two human lung fibroblast strains used in this study ( 6, 42). CSE is widely used as a model system to study in vitro effects of tobacco smoke ( 34, 42, 50), but this is not without limitations. Although CSE contains many components inhaled by smokers ( 62), this feature makes it difficult to determine the component(s) of cigarette smoke mediating a given biological effect. Additionally, the generation of CSE in aqueous solutions (such as cell culture media) results in the collection of the water-soluble (particulate) components of whole cigarette smoke, which constitute only 5% ( 15). However, water-soluble components of cigarette smoke can readily reach both the systemic circulation ( 16) and interstitial cells such as fibroblasts ( 30), suggesting that compounds found in CSE may mimic in vivo situations. This is further supported by observations that in vivo smoke exposure can mimic in vitro CSE challenge ( 16, 50). Another limitation is the difficulty in predicting whether the concentrations of CSE (i.e., 1%) used in our studies are physiologically relevant. On the basis of levels of nicotine present in CSE ( 27), we speculate that exposure of fibroblasts to 1% CSE approximates what pulmonary interstitial cells might encounter in a regular smoker ( 2, 26, 27). We speculated that the induction in HO-1 caused by CSE would be due to alterations in cellular redox (oxidation-reduction) status and, in particular, the level of intracellular GSH. GSH is the principal antioxidant in the lung ( 54), and exposure to cigarette smoke depletes GSH ( 6, 53); a sustained reduction in GSH is associated with enhanced CSE-induced cell death ( 6). The depletion of GSH induces HO-1 in brain ( 18) and liver ( 58) as well as skin fibroblasts ( 36). We used BSO, an inhibitor of GSH synthesis, to first demonstrate that reducing intracellular GSH resulted in an increase in HO-1 ( and ). We next correlated the induction of HO-1 with the CSE-induced depletion of GSH. Treatment with lower percentages of CSE (i.e., 1% and 2%) resulted in a moderate increase in HO-1 (). There was a small, but not statistically significant, decrease in GSH when cells were treated with 1% CSE for 1 and 3 h; this was followed by a significant increase in GSH by 6 h. Similar results were obtained when cells were exposed to 2% CSE, where there was an initial decrease in GSH followed by a significant increase. These results are in agreement with a recent report by Rahman and colleagues ( 35), where in primary small airway epithelial cells cigarette smoke induced an initial decrease, followed by an increase, in GSH levels. We found that mRNA encoding the catalytic subunit of γ-glutamylcysteine ligase (GCL), the rate-limiting enzyme of GSH biosynthesis, was also upregulated after exposure to CSE (data not shown). This rebound effect is likely the result of the compensatory upregulation of GCL. At higher percentages of CSE, however, GSH levels were not able to recover (), possibly because of the overwhelming oxidant burden to the lung fibroblasts exerted by the CSE. This sustained reduction in GSH led to a robust increase in HO-1. Treatment with 1% CSE in conjunction with BSO also led to a sustained decrease in GSH and a dramatic increase in HO-1, compared with treatment with 1% CSE alone (). Finally, treatment of lung fibroblasts with exogenous GSH, as well as the GSH precursor NAC, dramatically reduced the induction of HO-1 by 1% and 2% CSE (). The administration of GSH reduced ethyl ester augments intracellular GSH levels in human lung fibroblasts ( 6), thus supporting our hypothesis that CSE induction of HO-1 is regulated by changes in intracellular GSH. Changes in the cellular redox status regulate signal transduction ( 68). The de novo synthesis of HO-1 can involve multiple signaling pathways, including MAPKs, AP-1, NF-κB, Nrf2, BACH-1, and phosphatidylinositol 3-kinase, among others ( 3, 29, 39, 61, 71). Many of these transcription factors are potently activated by cigarette smoke and are sensitive to alterations in cellular GSH ( 33, 42). We showed previously ( 42) that the doses of CSE used in the present study can activate MAPK, ERK1/2, and NF-κB pathways. However, pharmacological inhibition of ERK1/2 did not prevent the induction of HO-1 by CSE (). In addition, inhibition of NF-κB by the IKK-2 inhibitor SC-514 only partially reduced CSE-induced HO-1 (). We also examined the ability of CSE to activate Nrf2. Nrf2 is proposed to be a principal inducer of antioxidant genes, including HO-1 ( 1). Exposure of NIH 3T3 mouse lung fibroblasts to CSE results in HO-1 induction through a dose-dependent increase in Nrf2 protein expression, translocation to the nucleus, and subsequent activation ( 33). In addition, Nrf2 is activated by cigarette smoke in human epithelial cells ( 34). However, the ability of CSE to activate Nrf2 in human lung fibroblasts is unknown. Interestingly, hemin (an inducer of both HO-1 expression and Nrf2 translocation; Refs. 45, 47) was unable to translocate Nrf2 to the nucleus in the human lung fibroblast strain HFL-1 (). MLFs, by contrast, were responsive to hemin, and there was an increase in both HO-1 and nuclear expression of Nrf2 after hemin treatment (). Despite the ability of CSE to induce Nrf2 nuclear translocation in primary MLFs generated by us as well as human A549 epithelial cells, exposure of human lung fibroblasts to doses of CSE that potently upregulate HO-1 did not result in a detectable increase in nuclear Nrf2 (). These data indicate that Nrf2 is not the key transcription factor responsible for the CSE-induced increase in HO-1 in primary human lung fibroblasts (), a feature that reflects key differences in the signaling pathways between human and mouse cells as well as between epithelial cells and fibroblasts. AP-1 is a redox-sensitive transcription factor consisting of Jun oncoproteins that homo- or heterodimerize with other Jun or Fos proteins ( 61). The participation of AP-1 in the induction of HO-1 is cell- and stimulus specific. Although AP-1 was not involved in tobacco smoke-induced HO-1 in the human premonocytic cell line U937 ( 20), cigarette smoke contains a variety of prooxidant compounds that regulate AP-1 protein expression and activation ( 44, 56). Therefore, we examined the ability of CSE to increase the expression of the two main AP-1 proteins, c-Fos and c-Jun, by immunofluorescence. Basal expression of c-Fos and c-Jun was low (, A and B, untreated). Treatment with CSE (1%, 2%, or 5%) for 1 h resulted in a dose-dependent increase in the nuclear expression of both AP-1 proteins (), indicating that cigarette smoke induces AP-1 in human lung fibroblasts, a novel finding. AP-1 is a target of the c-Jun NH 2-terminal kinase (JNK). SP-600125, a selective inhibitor of JNK ( 63) that reduced c-Fos and c-Jun nuclear accumulation, partially prevented the induction of HO-1 by CSE ( and ). Cigarette smoke is a complex mixture containing >4,800 compounds, and it contains many molecules that are potent ligands for other receptor pathways, such as the aryl hydrocarbon receptor ( 17, 41). Thus it is likely that the upregulation of HO-1 in response to CSE in human lung fibroblasts involves more than one intracellular pathway, which would explain the lack of complete inhibition by SP-600125 as well as other pharmacological inhibitors used in this study. The induction of HO-1 is believed to protect against oxidative stress. Indeed, the generation of bilirubin, iron, and CO from HO activity can protect against cell death ( 21, 64), and pharmacological induction of HO-1 is protective in a nonautoimmune arthritis mouse model ( 8). While modest HO-1 expression is cytoprotective, exacerbation of oxidative injury correlates with high HO-1 expression ( 37, 66, 67). We found that there was a dose-dependent increase in HO-1 expression in response to CSE ( and ). Here, lower doses of CSE (i.e., 1% and 2%) resulted in modest HO-1 expression; these concentrations of CSE are nonapoptotic in HFL-1 fibroblasts ( 6). In contrast, 10% CSE robustly increases HO-1 expression () and provokes oxidative stress-induced cell death ( 6). Fibroblasts are a vital structural component of the alveolar air space, and their ability to withstand CSE-mediated apoptosis may relate to the level of HO-1 induction. A better understanding of the role of HO-1 in pulmonary biology may provide new therapeutic opportunities to treat tobacco-related lung disease. This research was supported by National Institutes of Health (NIH) Grants DE-011390, ES-01247, ES-07026, HL-075432, and HL-088325; NIH/NCRR-ULIRR024160-1; and a Parker B. 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