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Publication : NOX4 regulates macrophage apoptosis resistance to induce fibrotic progression.

First Author  Larson-Casey JL Year  2021
Journal  J Biol Chem Volume  297
Issue  1 Pages  100810
PubMed ID  34023385 Mgi Jnum  J:306284
Mgi Id  MGI:6713150 Doi  10.1016/j.jbc.2021.100810
Citation  Larson-Casey JL, et al. (2021) NOX4 regulates macrophage apoptosis resistance to induce fibrotic progression. J Biol Chem :100810
abstractText  Pulmonary fibrosis is a progressive lung disease often occurring secondary to environmental exposure. Asbestos exposure is an important environmental mediator of lung fibrosis and remains a significant cause of disease despite strict regulations to limit exposure. Lung macrophages play an integral role in the pathogenesis of fibrosis induced by asbestos (asbestosis), in part by generating reactive oxygen species (ROS) and promoting resistance to apoptosis. However, the mechanism(s) by which macrophages acquire apoptosis resistance is not known. Here, we confirm that macrophages isolated from asbestosis subjects are resistant to apoptosis and show they are associated with enhanced mitochondrial content of NADPH oxidase 4 (NOX4), which generates mitochondrial ROS generation. Similar results were seen in chrysotile-exposed WT mice, while macrophages from Nox4(-/-) mice showed increases apoptosis. NOX4 regulated apoptosis resistance by activating Akt1-mediated BAD phosphorylation. Demonstrating the importance of NOX4-mediated apoptosis resistance in fibrotic remodeling, mice harboring a conditional deletion of Nox4 in monocyte-derived macrophages exhibited increased apoptosis and were protected from pulmonary fibrosis. Moreover, resolution occurred when Nox4 was deleted in monocyte-derived macrophages in mice with established fibrosis. These observations suggest that NOX4 regulates apoptosis resistance in monocyte-derived macrophages and contributes to the pathogenesis of pulmonary fibrosis. Targeting NOX4-mediated apoptosis resistance in monocyte-derived macrophages may provide a novel therapeutic target to protect against the development and/or progression of pulmonary fibrosis.
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