American Journal of Respiratory Cell and Molecular Biology

Oxidative stress is an important part of host innate immune response to foreign pathogens, such as bacterial LPS, but excessive activation of redox signaling may lead to pathologic endothelial cell (EC) activation and barrier dysfunction. Microtubules (MTs) play an important role in agonist-induced regulation of vascular endothelial permeability, but their impact in modulation of inflammation and EC barrier has not been yet investigated. This study examined the effects of LPS-induced oxidative stress on MT dynamics and the involvement of MTs in the LPS-induced mechanisms of Rho activation, EC permeability, and lung injury. LPS treatment of pulmonary vascular EC induced elevation of reactive oxygen species (ROS) and caused oxidative stress associated with EC hyperpermeability, cytoskeletal remodeling, and formation of paracellular gaps, as well as activation of Rho, p38 stress kinase, and NF-κB signaling, the hallmarks of endothelial barrier dysfunction. LPS also triggered ROS-dependent disassembly of the MT network, leading to activation of MT-dependent signaling. Stabilization of MTs with epothilone B, or inhibition of MT-associated guanine nucleotide exchange factor (GEF)-H1 activity by silencing RNA-mediated knockdown, suppressed LPS-induced EC barrier dysfunction in vitro, and attenuated vascular leak and lung inflammation in vivo. LPS disruptive effects were linked to activation of Rho signaling caused by LPS-induced MT disassembly and release of Rho-specific GEF-H1 from MTs. These studies demonstrate, for the first time, the mechanism of ROS-induced Rho activation via destabilization of MTs and GEF-H1–dependent activation of Rho signaling, leading to pulmonary EC barrier dysfunction and exacerbation of LPS-induced inflammation.

In pulmonary endothelium, LPS-induced reactive oxygen species production causes disassembly of microtubule (MT) network and dissociation of Rho-specific guanine nucleotide exchange factor (GEF), GEF-H1, from MTs, which leads to its activation and stimulation of Rho signaling. Activated Rho promotes activation of stress-induced mitogen-activated protein kinases and NF-κB inflammatory cascade, thus leading to endothelial cell barrier dysfunction, increased IL-8 production, intercellular adhesion molecule-1 expression, and IL-8–mediated neutrophil migration. The results of this study suggest that therapeutic strategies directed at mitigation of oxidative stress, stabilization of MTs, and suppression of GEF-H1 activities in the settings of acute lung injury may be a promising direction for future drug design.

Increased capillary endothelial permeability, along with reduced alveolar liquid clearance capacity, are major pathologic mechanisms of pulmonary edema and its life-threatening complication, the acute respiratory distress syndrome. Mechanisms of endothelial cell (EC) permeability involve dynamic cytoskeletal changes, assembly and disassembly of cell–cell junctions, and signaling crosstalk between various cytoskeletal compartments, such as actin networks and microtubules (MTs) (see review in Refs. 1 and 2). It also becomes evident that the cell cytoskeleton plays an important role in the modulation of inflammatory responses. Activation of vascular endothelium by inflammatory mediators increases expression of cell adhesion molecules (intercellular adhesion molecule [ICAM]-1, vascular cell adhesion molecule, E-selectin), which trigger adhesion and tissue transmigration of activated neutrophils (35). These events escalate general lung inflammation.

Oxidative stress resulting from activation of cellular reactive oxygen species (ROS) production is a part of the innate immune response to foreign pathogens, such as gram-negative bacterial cell wall LPS, and serves as an important mechanism leading to elimination of bacteria. However, uncontrolled activation of ROS production can cause tissue damage, vascular barrier dysfunction, and inflammation. Previous studies identified membrane/cytoplasmic (reduced nicotinamide adenine dinucleotide phosphate oxidase, xanthine oxidoreductase) (68) and mitochondrial sources of LPS-activated ROS production (9), and demonstrated redox-sensitive activation of inflammatory signaling, including stress-activated mitogen-activated protein kinases (MAPKs) and NF-κB complex, which further contribute to the mechanisms of inflammation and endothelial barrier dysfunction.

We have demonstrated previously that agonist-induced MT disassembly leads to EC permeability, and release of MT-bound Rho GTPase-specific guanine nucleotide exchange factor (GEF)-H1 triggers a Rho-dependent pathway of actin cytoskeletal remodeling and EC hyperpermeability (10). However, the impact of inflammatory agonist-induced oxidative stress on MT cytoskeletal dynamics, MT-associated signaling, and MT-dependent regulation of EC inflammatory response has not been investigated.

This study tested a hypothesis that LPS-induced oxidative stress may affect MT stability and stimulate alterations in EC permeability and inflammatory signaling via a GEF-H1–dependent mechanism. We used functional, biochemical, imaging, and molecular approaches to characterize LPS-induced changes in MT dynamics, GEF-H1 release, and the resulting activation of inflammatory signaling and barrier dysfunction in pulmonary ECs, and evaluated the role of GEF-H1 in the LPS-induced lung injury in vivo.

Reagents and Cell Culture

Human pulmonary macrovascular ECs (HPAECs) were obtained from Lonza (Allendale, NJ). Antibodies to di-phospho–myosin light chain (MLC), phospho-p38 MAPK, phospho–heat shock protein (HSP) 27, IκBα, NF-κB, and GEF-H1 were from Cell Signaling (Beverly, MA); phospho–vascular endothelial (VE)-cadherin and ICAM1 were from Santa Cruz Biotechnology (Santa Cruz, CA); phospho-MLC phosphatase was from Millipore (Billerica, MA); phospho-tau antibodies were from Invitrogen (Carlsbad, CA). Epothilone B was purchased from EMD Chemicals (La Jolla, CA). Reagents for immunofluorescence were purchased from Molecular Probes (Eugene, OR). Unless specified, all biochemical reagents were obtained from Sigma (St. Louis, MO).

Measurements of transendothelial electrical resistance (TER) were performed using an electrical cell-substrate impedance sensing system (Applied Biophysics, Troy, NY) (11, 12).

ROS measurement was performed using the Image-iT LIVE Green ROS Detection Kit from Molecular probes (Eugene, OR), according to the manufacturer's recommendations.

MT Fractionation and Western Blot

Isolation of polymerized MTs was performed as previously described (13, 14). Isolation of MT-enriched fraction was performed as described elsewhere (15, 16). Protein extracts were separated by SDS-PAGE, transferred to polyvinylidene difluoride membranes, and incubated with specific antibodies. Equal protein loading was verified by reprobing of membranes with β-tubulin or β-actin antibodies. Immunoreactive proteins were detected using the enhanced chemiluminescent detection system (Amersham, Little Chalfont, UK).

Immunofluorescence Staining and Image Analysis

Immunofluorescence staining of MTs and actin filaments was performed as previously described (11, 12, 17). Slides were analyzed using Nikon video-imaging system (Nikon Instech, Tokyo, Japan). Images were processed using Adobe Photoshop 7.0 software (Adobe Systems, San Jose, CA).

Neutrophil Migration and IL-8 Assays

Neutrophil chemotaxis was measured in a 96-well chemotaxis chamber (Neuroprobe, Gaithersburg, MD), as described previously (18). Concentration of IL-8 was measured using an ELISA kit available from R&D Systems (Minneapolis, MN).

Silencing RNA. Knockdown of GEF-H1 in EC culture and in vivo was performed using predesigned standard purity StealthTM GEF-H1–specific silencing (si)RNA sets (Invitrogen, Carlsbad, CA); as previously described (11, 19). Nonspecific, nontargeting RNA (Dharmacon, Lafayette, CO) was used as a control treatment for in vitro and in vivo experiments.

Animal Studies

All animal care and treatment procedures were approved by the University of Chicago Institutional Animal Care and Use Committee. Animals were handled according to the National Institutes of Health guidelines. Male C57BL/6J mice (Jackson Laboratories, Bar Harbor, ME) were anesthetized and bacterial LPS (0.63 mg/kg; Escherichia coli O55:B5, intratracheally) or sterile water was injected with or without epothilone B (4 × 10−6 mol/kg, intravenously) or N-acetyl cysteine (NAC) (2.5 × 10−3 mol/kg, intravenously). In experiments with siRNA, GEF-H1–specific or nonspecific siRNA (2 mg/kg) were intravenously injected 72 hours before LPS administration. After 18 hours, animals were killed under anesthesia. Bronchoalveolar lavage (BAL) was performed as previously described (20, 21).

Statistical Analysis

Results are expressed as means (±SD) of three to eight independent experiments. Stimulated samples were compared by unpaired Student’s t test. For multiple-group comparisons, one-way ANOVA and post hoc multiple comparisons tests were used, and results with P values less than 0.05 were considered statistically significant.

Role of Oxidative Stress in LPS-Induced Endothelial Barrier Dysfunction

LPS challenge induced sustained activation of ROS production, with a modest increase observed at 0.5 hour and pronounced ROS production observed after 5 hours of LPS challenge. This result correlated with the time course of LPS-induced permeability increase (Figure 1). Pretreatment with ROS scavenger, NAC, inhibited ROS production in response to LPS (Figure 1A), and significantly attenuated LPS-induced EC hyperpermeability detected by measurements of TER (Figure 1B).

ROS scavenging by NAC prevented LPS-induced actin cytoskeletal remodeling. Immunofluorescence staining of actin cytoskeleton performed after 5 hours of LPS treatment at the time point corresponding to pronounced EC barrier dysfunction showed LPS-induced actin stress fiber formation and disruption of EC monolayer integrity, indicated by paracellular gaps (Figure 1C). These changes were markedly reduced by cell pretreatment with NAC. NAC also attenuated LPS-induced VE-cadherin phosphorylation at Y731 (Figure 1D), known to promote disassembly of VE-cadherin containing cell–cell adhesive complexes (22, 23).

Analysis of cell signaling showed that NAC inhibited LPS-induced phosphorylation of myosin-binding subunit of myosin-associated phosphatase type 1 at the Rho kinase–specific site, Y850, and decreased MLC phosphorylation. It also suppressed p38 MAPK cascade, detected by decreased phosphorylation of p38 MAPK and its cytoskeletal target, HSP27, and inhibited NF-κB signaling, as detected by reduced degradation of IκBα-inhibitory subunit (Figure 1E). Collectively, these data emphasize a role of oxidative stress in the development of pulmonary EC barrier failure in response to LPS.

Oxidative Stress Is Involved in LPS-Induced MT Remodeling

MTs play an important role in the regulation of EC permeability (10, 13, 24). The next series of experiments investigated effects of LPS on MT network remodeling. In quiescent endothelium, MT organized into a faint, uniformly distributed lattice network, whereas LPS challenge caused pronounced MT disassembly (Figure 2A). LPS-induced changes in the pool of polymerized MTs were further analyzed using biochemical methods. MT polymerizing agent, epothilone B, and depolymerizing agent, colchicine, were used as positive and negative controls, respectively. Analysis of the MT-enriched fraction (Figure 2B) showed that a majority of tubulin in vehicle-treated cells was present in the polymerized form (assembled MTs). In contrast, LPS-induced MT disassembly detected by cell immunostaining correlated with decreased tubulin content in the MT-enriched fraction and increased depolymerized tubulin content in the cytosolic fraction. Remarkably, NAC pretreatment preserved the MT network against LPS-induced disassembly (Figures 2A and 2B).

The pool of stable MTs undergoes post-translational modifications, such as acetylation and detyrosination (25), which may reflect stability of the MT network under particular conditions (2628). We analyzed a pool of acetylated and tyrosinated MTs in the LPS-stimulated HPAECs. LPS treatment decreased the pool of acetylated tubulin and increased the pool of tyrosinated tubulin (Figure 2C). Similarly, LPS-induced reduction of acetylated tubulin was also observed in MT-enriched fractions (Figure 2D). Remarkably, suppression of oxidative stress by NAC restored levels of acetylated tubulin and decreased tubulin tyrosination in LPS-treated ECs (Figures 2C and 2D).

Direct induction of oxidative stress in pulmonary EC cultures by incubation with hydrogen peroxide demonstrated effects similar to LPS with regard to decreased polymerized tubulin content and reduced acetylated tubulin pool (Figure 2E). Taken together, our results strongly suggest the direct involvement of LPS-induced oxidative stress in the alteration of MT network.

MT Disassembly Mediates LPS-Induced Endothelial Permeability

The studies described subsequently here addressed involvement of the observed MT remodeling in the development of LPS-induced EC barrier dysfunction. In these experiments, LPS-induced MT disassembly was prevented by cell pretreatment with MT stabilizer, epothilone B. Control biochemical analysis of the MT-enriched fraction confirmed preservation of the pool of polymerized tubulin by epothilone B against LPS-induced depolymerization (Figure 3A). Next, we analyzed the effects of MT preservation by epothilone B on the LPS-induced EC barrier disruption. Cell pretreatment with epothilone B attenuated LPS-induced hyperpermeability (Figure 3B), stress fibers, and paracellular gap formation (Figure 3C), and suppressed LPS-induced activation of Rho, p38 MAPK, and NF-κB signaling (Figure 3D).

Role of MT-Associated GEF-H1 in the Mechanisms of LPS-Induced MT Disassembly

Because the activation state of Rho-specific GEF, GEF-H1, depends on its association with MTs, and Rho signaling in turn may additionally regulate MT dynamics (10, 29), we examined the involvement of GEF-H1 in the LPS-induced MT changes and EC barrier disruption. EC stimulation with LPS decreased GEF-H1 content in the MT fractions. Importantly, ROS blocking by NAC or MT stabilization by epothilone B prevented LPS-induced decrease in the GEF-H1 content observed in the MT fractions (Figures 4A and 4B).

Molecular inhibition of GEF-H1 using siRNA-based knockdown preserved the MT network in the LPS-treated ECs, as compared with LPS-challenged cells transfected with nonspecific RNA (Figure 4C). GEF-H1 knockdown also preserved the pool of acetylated tubulin against LPS-induced deacetylation (Figure 4D). In addition, LPS induced phosphorylation of MT regulatory protein, Tau, at Rho kinase–dependent sites, S262 and S409, which leads to Tau dissociation from MTs and MT destabilization (3032). This phosphorylation was inhibited by GEF-H1 knockdown (Figure 4D). These results demonstrate a positive feedback mechanism of additional MT disassembly by GEF-H1–dependent Rho activation, which can be inhibited by GEF-H1 suppression.

Effects of GEF-H1 inhibition were further tested in the model of LPS-induced EC permeability. In comparison to LPS-stimulated EC monolayers transfected with nonspecific siRNA, GEF-H1 knockdown abolished the LPS-induced TER decrease, suggesting preservation of EC barrier function (Figure 5A). Down-regulation of GEF-H1 expression also attenuated cytoskeletal remodeling and intracellular signaling in response to LPS, characterized by a reduced number of paracellular gaps (Figure 5B), decreased VE-cadherin phosphorylation leading to preservation of cell–cell junctions, and inhibition of LPS-induced Rho, p38 MAPK, and NF-κB cascades (Figure 5C).

Role of MTs in LPS-Induced Inflammatory Endothelial Activation

Endothelial activation by inflammatory agonists plays an important role in the development of acute lung injury (ALI), because it stimulates neutrophil adhesion to the vascular ECs, followed by neutrophil transmigration through EC monolayer, and neutrophil infiltration to the lung parenchyma. We evaluated a role of MTs in LPS-induced endothelial activation. ICAM-1 is an endothelial surface adhesion molecule involved in neutrophil adhesion to the activated endothelium. LPS increased expression of ICAM-1 in the HPAECs, and this effect was significantly attenuated by EC pretreatment with NAC, MT stabilization by epothilone B, or siRNA-based GEF-H1 knockdown (Figures 6A and 6B).

Because LPS-induced production of proinflammatory cytokines by vascular endothelium is important for neutrophil transmigration as a second step of LPS-induced polymorphonuclear leukocytes (PMN) infiltration in the lung, we examined the role of MT stabilization and ROS inhibition on LPS-induced IL-8 production. LPS markedly increased IL-8 production by pulmonary ECs, which was significantly attenuated by pretreatment with epothilone B or NAC (Figure 6C). Next, we evaluated effects of preconditioned medium collected from LPS-stimulated EC cultures on directed neutrophil migration. LPS stimulation of EC cultures significantly increased neutrophil migration response to preconditioned medium from LPS-stimulated ECs, whereas EC pretreatment with epothilone B or NAC during LPS challenge suppressed neutrophil migration response (Figure 6D). Control PMN migration experiments using the same LPS dose added to fresh, nonpreconditioned culture medium showed background PMN migration rates compared with vehicle control (data not shown). Collectively, these data suggest potent protective effects of MT stabilization against activation of inflammatory signaling in pulmonary endothelium induced by LPS.

Role of MTs in the Development of LPS-Induced Lung Injury In Vivo

The role of MT-associated signaling was further tested in the septic model of ALI induced by intratracheal instillation of LPS. C57BL6 mice were challenged with LPS for 18 hours with or without epothilone B treatment, and lung injury was assessed by analysis of protein content and cell count in BAL fluid. Intratracheal LPS instillation caused pronounced increase in BAL protein concentration, total cell counts, and neutrophil counts (Figure 7A). Intravenous injection of epothilone B significantly decreased BAL protein content and reduced total and neutrophil cell counts in LPS-treated mice. In keeping with cell culture studies, MT stabilization also inhibited LPS-induced IκBα degradation and ICAM1 expression (Figure 7B), which was detected by Western blot analysis of lung tissue homogenates. We also evaluated the levels of acetylated tubulin, which represents a pool of stable MTs, in the lungs of mice exposed to LPS with and without NAC cotreatment. NAC markedly attenuated LPS-induced decrease in the acetylated tubulin content in the lung extracts (Figure 7C).

In the next studies, we performed in vivo knockdown of GEF-H1 using an siRNA approach. Mice were transfected with nonspecific or GEF-H1–specific siRNA for 72 hours, followed by LPS instillation for 18 hours. Similar to nontransfected animals (Figure 7A), in mice transfected with nonspecific RNA, LPS caused a prominent increase in BAL and protein concentration and total cell and neutrophil counts (Figure 7D), whereas GEF-H1 knockdown abolished these effects. Analysis of lung tissue samples also revealed a protective effect of GEF-H1 down-regulation against LPS-induced IκBα degradation and ICAM1 expression (Figure 7E). These results demonstrate the critical role of MT-associated GEF-H1–dependent signaling in the development of septic inflammation and vascular endothelial barrier dysfunction in cell culture and animal models of LPS-induced lung injury.

A role of redox signaling in the activation of inflammatory pathways in the lungs upon LPS challenge is well recognized (3335). The canonical pathway of NF-κB cascade activation by LPS involves activation of Toll-like receptor-4, leading to recruitment of the adaptor molecules, MyD88, IL-1R–associated kinase, and TNF receptor–associated factor 6, and activation of MAPKs, Jun amino-terminal kinase, p38, and extracellular signal–regulated kinase 1/2 (ERK 1/2) and IκB kinase complex, a cytoplasmic inhibitor of NF-κB (reviewed in Ref. 36). These cascades activate expression of inflammatory cytokines and surface adhesion molecules, leading to neutrophil and monocyte adhesion to vascular endothelium, extravasation, and activation of tissue inflammation.

In addition to this canonical pathway, LPS activates ROS production (7, 37, 38) and Rho signaling (3942), and these mechanisms further enhance LPS-induced NF-κB and stress kinase activation. A recent report by Zhang and colleagues (43) shows Rho activation downstream of ROS production; however, the exact mechanism of this signaling sequence remained unclear. This study demonstrates, for the first time, the mechanism of activation of Rho signaling by LPS, which involves ROS-dependent MT destabilization and release of MT-associated GEF-H1. These events stimulate Rho-dependent EC permeability and activation of NF-κB cascade and p38 stress MAPK signaling.

LPS-induced MT disassembly was documented by immunofluorescence microscopy and additionally verified by a decreased pool of polymerized tubulin detected in a sedimentation assay. LPS also decreased the pool of stable MTs, as judged by decreased content of acetylated tubulin (26), and increased the pool of unstable (tyrosinylated) MTs (44). Both the ROS quencher, NAC, and MT stabilizer, epothilone B, prevented the LPS-induced MT disassembly and attenuated LPS-induced EC permeability. Collectively, these results suggest the direct link between redox-dependent control of the pool of polymerized MTs, Rho signaling, activation of NF-κB, and p38 stress kinase and EC barrier properties. In LPS-stimulated ECs, the MT-stabilizing effect of NAC was comparable to epothilone B. These data suggest that intrinsic redox signaling may serve as a critical regulator of MT dynamics and MT-dependent cellular processes. These interesting aspects of ROS-dependent regulation of cell functions require further investigation.

MT-associated Rho activator, GEF-H1, has been implicated in the activation of Rho signaling, contractile cell morphology, and EC permeability (10, 45, 46). Our results show LPS-induced release of GEF-H1 from MTs, which leads to its activation (29). GEF-H1 release from MT cytoskeleton was attenuated by NAC and epothilone B, and correlated with attenuation of LPS-induced EC permeability, p38 and NF-κB activation, ICAM-1 and IL-8 expression, and neutrophil adhesion to activated ECs. These results strongly support the mechanism of MT-dependent control of Rho signaling, EC permeability, and innate immunity response to LPS. It has been noted before that NF-κB, ERK 1/2, and p38/MK-2 MAPK pathways may be directly regulated in a redox-sensitive manner (37, 47, 48). The results of this study do not exclude this mechanism, but provide an additional MT-dependent mechanism of inflammatory signaling regulation by release and activation of MT-bound GEF-H1.

Knockdown of GEF-H1 using an siRNA approach attenuated LPS-induced EC permeability, stress fibers and paracellular gap formation in EC monolayers, decreased phosphorylation of MLC, VE-cadherin, p38 stress kinase target, HSP-27, and suppressed LPS-induced degradation of the NF-κB inhibitory subunit, IκBα. As a result, GEF-H1 knockdown suppressed LPS-induced activation of ICAM-1 and IL-8 expression and neutrophil adhesion. Interestingly, besides effects on EC permeability, GEF-H1 knockdown also partially suppressed LPS-induced MT disassembly and prevented a decline in the stable (acetylated) MT pool. These results suggest a positive feedback mechanism of MT control by GEF-H1. Tau is another MT-associated protein that stabilizes polymerized MTs, whereas tau phosphorylation by several kinases decreases its capacity to bind MTs and leads to MT disassembly (30, 31). Tau amino acid residues Ser262 and Ser409 have been identified as Rho kinase–mediated phosphorylation sites (32), and our previous studies demonstrated that Rho kinase–mediated tau phosphorylation decreased MT assembly (13, 14). Our results show LPS-induced tau phosphorylation at Ser262 and Ser409, which was abolished by GEF-H1 knockdown. In agreement with the role of tau in the MT stabilization, inhibition of Rho kinase–mediated tau phosphorylation as a result of GEF-H1 knockdown also partially prevented MTs from LPS-induced disassembly. These data suggest the positive feedback activation of Rho signaling via the following mechanism: LPS-induced partial MT disassembly → dissociation and activation of GEF-H1 → stimulation of Rho-Rho kinase → phosphorylation of tau → further destabilization of MT cytoskeleton → additional GEF-H1 release and propagation of Rho signaling. It is also important to note that initiation, plateau, and resolution phases of inflammatory response are controlled by multiple and complex mechanisms. Subsiding inflammation leads to reduction of ROS production, which reverses ROS-induced MT instability, promotes the restoration of MT network structure, and increases the pool of MT-bound (inactivated) GEF-H1. Thus, restoration of native MT structure under normalized redox conditions may be very rapid.

MT destabilization upon LPS treatment may also involve alternative mechanisms and be controlled by ROS-dependent tubulin oxidation. Tubulin oxidation demonstrated in cells treated with certain anticancer agents was associated with reduced tubulin polymerization (49, 50), although these additional mechanisms were not addressed in this study.

In addition to protective effects of MT stabilization and GEF-H1 knockdown against LPS-induced permeability and inflammatory activation in pulmonary EC cultures, attenuation of LPS-induced lung dysfunction and inflammation was also observed in mice with GEF-H1 knockdown or in LPS-challenged mice treated with epothilone B or NAC. In agreement with these data, treatment with another NAC-like antioxidant compound, amifostine, was also protective against LPS-induced lung vascular permeability and inflammation in vivo (21). Altogether, these data demonstrate that prevention of LPS-induced MT destabilization by antioxidants or direct stabilizers of MTs down-regulates GEF-H1–dependent Rho signaling and contributes to both increased vascular permeability and inflammatory effects of LPS.

Our results show direct involvement of GEF-H1 in the two pathologic Rho-dependent cascades triggered by LPS: lung vascular leak and inflammation. GEF-H1 inhibition has also been observed to be protective in the model of ventilator-induced lung injury (46). Besides functional activation, expression levels of GEF-H1 can be additionally stimulated by LPS (51), bringing about an even more significant role for GEF-H1 in LPS-induced lung dysfunction. Because these two conditions are often intertwined in clinical practice, and may lead to severe ALI/acute respiratory distress syndrome and high mortality, pharmacologic targeting of GEF-H1 may be strongly considered as a therapeutic option. Taken together, these data strongly support the novel mechanism of modulation of LPS-induced innate immune response and lung injury in vivo via redox-dependent regulation of MT stability and GEF-H1/Rho signaling.

In summary, this work describes a novel role of MTs in the regulation of EC responses triggered by inflammatory agonists. We have demonstrated, for the first time, the redox-sensitive mechanism of Rho pathway activation by MT-associated GEF-H1. Based on these results, we propose the following model of MT-dependent signaling in LPS-treated ECs (Figure 8): LPS treatment activates ROS production by ECs via activation of reduced nicotinamide adenine dinucleotide phosphate oxidase (6, 7) or xanthine oxidoreductase (8), which promotes partial MT disassembly by yet-to-be-defined mechanisms; one mechanism may involve direct tubulin oxidation. MT disassembly results in dissociation of GEF-H1 from MTs and its activation, which stimulates Rho signaling and Rho-dependent potentiation of stress kinases and NF-κB cascade, thus leading to EC barrier dysfunction, activation of IL-8 and ICAM-1 expression by pulmonary ECs, and IL-8–mediated PMN migration. The results of this study suggest that therapeutic strategies directed at mitigation of oxidative stress, stabilization of MTs, and suppression of GEF-H1 activities in the settings of ALI may be a promising direction for future drug design.

The authors thank Katherine Higginbotham for proofreading and editing the manuscript.

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Correspondence and requests for reprints should be addressed to Anna Birukova, M.D., Lung Injury Center, Section of Pulmonary and Critical Medicine, Department of Medicine, University of Chicago, 5841 S. Maryland Avenue, Office N-613, Chicago, IL 60637. E-mail:

This work was supported by the National Heart, Lung, and Blood Institute grants HL089257 and HL107920, and by an American Heart Association Midwest Affiliate Grant-in-Aid.

Originally Published in Press as DOI: 10.1165/rcmb.2012-0161OC on July 27, 2012

Author disclosures are available with the text of this article at www.atsjournals.org.

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