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CaMKII inhibition in type II pneumocytes protects from bleomycin-induced pulmonary fibrosis by preventing Ca2+-dependent apoptosis
Journal article   Open access   Peer reviewed

CaMKII inhibition in type II pneumocytes protects from bleomycin-induced pulmonary fibrosis by preventing Ca2+-dependent apoptosis

Christopher J Winters, Olha Koval, Shubha Murthy, Chantal Allamargot, Sara C Sebag, John D Paschke, Omar A Jaffer, A Brent Carter and Isabella M Grumbach
American journal of physiology. Lung cellular and molecular physiology, Vol.310(1), pp.L86-L94
01/01/2016
DOI: 10.1152/ajplung.00132.2015
PMCID: PMC4698436
PMID: 26545899
url
https://doi.org/10.1152/ajplung.00132.2015View
Published (Version of record) Open Access

Abstract

The calcium and calmodulin-dependent kinase II (CaMKII) translates increases in intracellular Ca(2+) into downstream signaling events. Its function in pulmonary pathologies remains largely unknown. CaMKII is a well-known mediator of apoptosis and regulator of endoplasmic reticulum (ER) Ca(2+). ER stress and apoptosis of type II pneumocytes lead to aberrant tissue repair and progressive collagen deposition in pulmonary fibrosis. Thus we hypothesized that CaMKII inhibition alleviates fibrosis in response to bleomycin by attenuating apoptosis and ER stress of type II pneumocytes. We first established that CaMKII was strongly expressed in the distal respiratory epithelium, in particular in surfactant protein-C-positive type II pneumocytes, and activated after bleomycin instillation. We generated a novel transgenic model of inducible expression of the CaMKII inhibitor peptide AC3-I limited to type II pneumocytes (Tg SPC-AC3-I). Tg SPC-AC3-I mice were protected from development of pulmonary fibrosis after bleomycin exposure compared with wild-type mice. CaMKII inhibition also provided protection from apoptosis in type II pneumocytes in vitro and in vivo. Moreover, intracellular Ca(2+) levels and ER stress were increased by bleomycin and significantly blunted with CaMKII inhibition in vitro. These data demonstrate that CaMKII inhibition prevents type II pneumocyte apoptosis and development of pulmonary fibrosis in response to bleomycin. CaMKII inhibition may therefore be a promising approach to prevent or ameliorate the progression of pulmonary fibrosis.
Endoplasmic Reticulum Stress - drug effects Apoptosis - drug effects Calcium - metabolism Endoplasmic Reticulum - metabolism Mice, Transgenic Alveolar Epithelial Cells - metabolism Pulmonary Fibrosis - pathology Alveolar Epithelial Cells - drug effects Calcium-Calmodulin-Dependent Protein Kinase Type 2 - antagonists & inhibitors Animals Endoplasmic Reticulum - drug effects Bleomycin - pharmacology Protein Kinase Inhibitors - pharmacology Pulmonary Fibrosis - metabolism Pulmonary Fibrosis - drug therapy Endoplasmic Reticulum Stress - physiology

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