1. Determining the Role of GPX, an antixodant, in the Inflammatory Changes Associated with Emphysema Navida Bholanauth Dr. Jeanine D’Armiento Columbia University

2. Emphysema Definition: Pathological disease characterized by the abnormal enlargement of the distal airspaces of the lung. Cigarette smoking is the major factor associated with development of emphysema. Age Adjusted Mortality for COPD has increased by 71% between 1966 and 1995. 24 million Americans affected with 119,000 deaths annually. 32.1 billion dollars in costs annually in this country.

3. Oxidants and COPD Each puff of smoke contain 10 14 free radicals Free radicals cause direct damage to lipids, proteins and DNA Oxidants induce lung epithelial cells to release cytokines IL-1, IL-8 and TNF- α Induce influx of inflammatory cells Hypothesis: An oxidant/antioxidant imbalance can lead to the development of emphysema

4. Some Common Sources of Antioxidants Vitamin E Vitamin C Selenium

5. Antioxidants and Lung Rich network of antioxidants to protect the lung Antioxidants are increased in response to cigarette smoke Antioxidant responses are quite variable Differences in antioxidant responses may account for differences in disease susceptibility Epidemiologic data links antioxidants to COPD symptoms and disease severity (MORGEN Study).

6. Antioxidants and the Lung Kinnula, AJRCCM 2003

7. Experimental Protocol Mice that expressed human GPX1 were bred on a C57xCBA background Gene was under control of the mouse HMG CoA reductase promoter The activity of the enzyme was increased 3.9 fold in the lungs of transgenic mice Transgenic and littermate control mice were exposed to chronic cigarette smoke Comparative analyses were made with non- exposed transgenic and control mice.

8. Research Aims Determine the effect of GPX1 expression on the induction of inflammation by cigarette smoke. Evaluate the effect of GPX1 on smoke- mediated emphysema formation.

9. Glutathione Peroxidase-1 Decreases Smoke Induced Macrophage Influx control smoke __________ Wild-type __________ GPX1

10. Glutathione Peroxidase-1 Decreases Smoke Induced Neutrophil Influx Wild-type GPX SM SM

11. Control Smoke Exposed WT GPX1

12. Wild-type GPX1 * Con Sm GPX1 Prevents Cigarette Smoke-Induced Emphysema

13. Summary of Findings GPX1 expression in the lung prevented the inflammatory response to cigarette smoke exposure. The expression of GPX1 protected against the development of smoke-induced emphysema. The major research goals are to determine the how GPX1 expression regulates smoke-induced inflammation.

14. Oxidant Signaling and Inflammatory Cell Recruitment MAPK signaling -T cell differentiation and activation -induction of cellular adhesion molecules and chemokines -p38 inhibition decreased neutrophilia in response to cigarette smoke exposure NF-kB -regulates the expression of pro inflammatory genes

15. Smoke-Derived Oxidants and MAPK Activation

16. Smoke-Derived Oxidants and NF-κB Activation

17. p38 Actin p-JNK GPX1 Transgenic Wild-type Chronic Effects of Cigarette Smoke on MAPK Activation _____________ control _____________ smoke-exposed _____________ control _____________ smoke-exposed p-ERK

18. Wild-type GPX1 Transgenic p-IκB Actin Chronic Effects of GPX1 and Cigarette Smoke on NF-κB Activation _____________ control _____________ smoke-exposed _____________ control _____________ smoke-exposed

19. Results Lungs of GPX mice have less emphysematous changes than wildtype smoke exposed mice. Inflammatory markers, macrophages and neutrophils, are decreased in the lungs of GPX mice as compared to wildtype smoke exposed mice. P-JNK and P-38 seem to be regulated with smoke exposure. GPX as compared to WT have less p-38 and p-JNK at baseline and increase with smoke exposure but less than wildtype smoke exposed mice. There is no regulation of IκB with smoke exposure in wildtype mice and less for GPX baseline and smoke exposed mice.

20. Conclusions Smoke exposed GPX mice seem to display less emphysematous changes in than smoke exposed wildtype mice. There is a marked decrease in inflammation in GPX mice after smoke exposure. Though there seems to be regulation with p38 and pJNK, further studies need to be done to see why GPX mice have less baseline levels of these markers and what that means during smoke exposure.

21. Mentor Jeanine D’Armiento Robert Foronjy Vincent Lemaitre Tina Zelonina Jincy Thankachen Alison Wallace Mark Maxfield Divya Mehra David Sternberg Polina Golovach Summer Students: Leslie, Nakisha & Enoelia Collaborators Oleg Mirochnitchenko Olga Propokenko Yasunori Okada Masayori Inouye Kazushi Imai

22. References Author name et al. Year. Name of Journal (abbreviation at bottom).