用户名: 密码: 验证码:
Nrf2在慢性阻塞性肺疾病中的作用及其与IKKα/β的关系
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
第一部分动物部分Nrf2在慢性阻塞性肺疾病大鼠模型中的作用及与IKKα/β的关系
     目的探讨核因子Nrf2在慢性阻塞性肺疾病发病中的作用及与NF-KB和IKKα/β之间的关系。
     方法36只Wistar大鼠随机分为A,B,C三个组,各12只,A组为对照组,B组为慢性阻塞性肺疾病模型组,C组为15d-PGJ2干预组,采用熏烟+气管内滴注脂多糖的方法建立模型;C组在建立模型的基础上第1天和第14天静脉注射15d-PGJ2(0.3 mg/kg)干预。各组分别进行一般情况的观察,30天后检测大鼠肺功能,经微机处理计算出FEV0.3/FVC、R1及Cdyn。测定肺功能后,进行肺泡灌洗左肺,取其上清液,检测总抗氧化能力和SOD的检测。取左肺组织固定、病理切片,部分HE染色光镜观察病理改变结果,部分切片免疫组化和右肺抽提mRNA,RT-PCR法检测Nrf2,NF-KB p65和IKKα/β的表达。所有结果应用SPSS12.0软件系统进行统计分析。
     结果(1)慢性阻塞性肺疾病的大鼠模型成功,模型组大鼠FEV0.3/FVC(%)和Cdyn(动态肺顺应性)明显低于正常对照组,差异有显著性(均P<0.05),R1(气道阻力)明显高于正常对照组,差异有显著性(均P<0.05),干预组介于了两组之间,气流受限和肺通气功能较模型组有明显改善,差异有统计学意义(P<0.05)。(2)大鼠肺组织肺泡灌洗液氧化能力的检测示:模型组的SOD和T-AOC的水平均明显低于对照组,干预组介入两者之间,差异均有统计学意义。(3)大鼠肺及支气管组织的病理学观察模型组病理切片示模型组的肺组织破坏、增殖及炎症程度明显大于对照组,干预组介于两者之间。(4)免疫组化测得模型组中Nrf2、NF-KBp65和IKKα/β的阳性表达明显高于对照组,干预组NF-KBp65和IKKα/β介于两者之间,而与Nrf2的表达明显高于模型组,差异有显著性(均P<0.05)。(5)RT-PCR测得模型组中Nrf2、NF-KB p65和IKKβ的mRNA的表达明显高于对照组,干预组NF-KBp65和IKKβ介于两者之间,而与Nrf2的表达明显高于模型组,差异有显著性(均P<0.05),IKKα在三组中都无显著异常。
     结论(1)采用被动香烟吸入以及气管内注入脂多糖,成功复制了COPD大鼠模型。
     (2) COPD模型组中15d-PGJ2有抗氧化应激和抗炎症的作用,这一作用可能与Nrf2的增加有关。
     (3) Nrf2可能通过抑制IKKβ的表达,而抑制NF-κBp65的表达水平。
     第二部分细胞部分Nrf2通过抑制IKKβ途径下调支气管上皮细胞NF-κBp65和IL-8的表达
     目的探讨香烟烟雾提取物刺激后支气管上皮细胞后Nrf2的表达,及其是否通过IKKβ途径下调气道上皮细胞NF-κBp65和IL-8的表达。
     方法培养支气管上皮细胞分为7组A:正常对照组;B:烟草提取物(CSE)刺激组;C:15d-PGJ2预处理后CSE刺激组;D:Nrf2siRNA后CSE刺激组;E:阴性干扰后CSE刺激组F组和G组为IKKInhibitor抑制后的C和D组。首先通过烟草提取物的刺激使细胞氧化应激的水平增加,再通过15d-PGJ2预处理和Nrf2siRNA的方法来增加或降低Nrf2的水平,并用RT-PCR法及westblot的方法观察各组细胞NF-κBp65和IL-8的表达与Nrf2的表达的关系,及抑制IKKs后NF-κBp65和IL-8的表达及与Nrf2的表达的关系。所有结果应用SPSS12.0软件系统进行统计分析。
     结果(1)支气管上皮细胞在CSE的刺激下,Nrf2、IKKα/β、NF-κb p65以及IL-8的表达水平均有明显升高,差异有统计学意义。
     (2)在支气管上皮细胞中,PGJ2可增加Nrf2的表达,而Nrf2siRNA可成功抑制了Nrf2的表达。Nrf2的表达增加,同时伴有IKKα/β、NF-κBp65和IL-8的明显降低;Nrf2的表达被抑制后,同时伴有IKKα/β、NF-κBp65和IL-8的明显增加,差异均有统计学意义。这些变化在转录水平和翻译水平是一致的。(3)用IKK inhibitor进行干预后发现,PGJ2仍然可以增加Nrf2的表达,而Nrf2siRNA也可成功抑制了Nri2的表达。在转录水平,IKK被抑制后,IKKα/β、NF-κBp65和IL-8的都有明显的降低,差异有统计学意义,但是并不随着Nrf2的增加而降低,同时也不伴随Nrf2的降低而升高。
     结论(1)Nrf2在支气管上皮细胞中有抗炎症作用。(2)Nrf2抑制炎症的作用点可能位于IKKs。(3)IKKβ在Nrf2抗炎作用中起关键作用。
Part 1 The function of Nrf2 in the chronic obstructive pulmonary disease and its relation Nrf2 and IKKα/βin rat model of chronic obstructive pulmonary disease
     Objective To study the effect of Nrf2 in the pathogenesis of chronic obstructive pulmonary disease and the relation between Nrf2 and IKKα/β.
     Methods 36 male rat are divided into 3 groups in random.A group were the normal control;B group were the rat models of COPD;C group were the drug intervened rat.Building the COPD model by passive smoking and endotracheal injection of LPS,and the drug intervention on the base of building the rat models of COPD,injection of 15d-PGJ2(0.3mg/kg). Watching the general condition,after 30 days,testing the pulmonary function,calculate the FEV0.3/FVC、R1 and Cdyn by computer.After that, alveolus lavaging,measure total antioxidant capacity in alveolus lavage fluid.We tested the pathological change in pulmonary tissue,the expression of Nrf2,NF-Kb and IKKα/βby the paraffin-embedded Immunohistochemistry and RT-PCR.All results were statistically analysed by SPSS 12.0 software.
     Results(1) The COPD model were succeed.Lung function tests showed that FEV0.3/FVC and Cdyn values were significantly lower in the group with COPD than in the normal control group(P<0.05);RI values were significantly higher in the group with COPD than in the normal control group(P<0.05),the intervened between the other two,airflow limitation and pulmonary ventilation were improved significantly(P<0.05).(2) The antioxidant capacity of Rat lung lavage fluid oxidation test showed: the model group of SOD and T-AOC were significantly lower than the control group,the intervention group between the other two,the differences were statistically significant.(3) Pathological observed the rat pulmonary and brochia tissue:the pathological slices of the model rat had the most destroyed,proliferation and inflammation;the intervened rat were better than the model.the differences were significant.(4) Comparing with the rats of normal,the expression of Nrf2,NF-KB and IKKα/βin lungs increased significantly(P<0.05)in the rat with COPD by Immunohistochemistry.the expression of NF-KB and IKKα/βin lungs of intervened rat was between the previous two;but the expression of Nrf2 increased more than the model rat.All of them were significantly different(P<0.05).(5) Comparing with the rats of normal,the expression of Nrf2,NF-κB and IKKβmRNA in lungs increased significantly in the rat with COPD by RT-PCR,the expression of NF-κB and IKKα/βin lungs of intervened rat was between the previous two;but the expression of Nrf2 increased more than the model rat.All of them were significantly different(P<0.05).and the expression of Nrf2 mRNA in lungs was positively related with the pulmonary function in the model group and the intervened group.but,the expression of IKKαhad no statistical difference in the three groups.All of the Results were statistical analysed by SPSS 12.0.
     Conclusion(1) The rat model of COPD were reproduced by passive inhalation of cigarette and intratracheal injection of LPS.
     (2) 15d-PGJ2 have the role of anti-oxidation and anti-inflammation in COPD model,which may be related to the increase of Nrf2.
     (3) Nrf2 inhibited the expression of NF-KBp65 level,which may be by inhibiting the expression of IKKβ.
     Part 2 Nrf2 reduced NF-KBp65 and IL-8 expression in bronchial epithelial cells by inhibiting IKKβ
     Objective Exploit the expression of Nrf2 in bronchial epithelial cells after the stimulation of cigarette smoke extract,and whether modulating the NF-KBp65 and IL-8 expression through the IKKβin airway epithelial cells.
     Methods Cultured the bronchial epithelial cells,divided into 7 group: group A:normal control group;group B:stimulated cigarete smoke extract(CSE);group C:pretreated with 15d-PGJ2 and stimulated CSE; group D:pretreated with Nrf2 siRNA and stimulated CSE;group E: pretreated with negative interference;Group F:pretreated with IKK Inhibitor and after CSE stimulation and 15d-PGJ2 pretreatment;group G: pretreated with IKK Inhibitor and after CSE stimulation and Nrf2 siRNA pretreatment.First of all,the level of oxidative stress of the cells increased by stimulation of CSE,and then through the 15d-PGJ2 pretreatment and Nrf2siRNA methods to increase or decrease the level of Nrf2,RT-PCR and westblot used to observe the expression of NF-KBp65 and IL-8 and their relationship with the expression of Nrf2,and after inhibited IKKs,the relationship between the expression of Nrf2 and NF-KBp65/IL-8 expression.All of the Results were statistical analysed by SPSS12.0.
     Results(1)CSE stimulated human bronchial epithelial cells,the expression of Nrf2,IKKs,NF-κBp65 and IL-8 were significantly increased.(2)Compared the intervention with 15d-PGJ2 pretreatment and CSE stimulation to the intervention with CSE single,Nrf2 expression was significantly increased,with the significantly decreasing of IKKs, NF-κBp65 and IL-8;Nrf2 siRNA successful inhibited the gene expression of Nrf2,Compared the intervention with Nrf2 siRNA and CSE to the intervention with a single CSE,Nrf2 expression was significantly reduced,with the significantly increasing of IKKs, NF-κBp65 and IL-8.(3) After inhibited the expression of IKKs by the IKK inhibitors,the expression of NF-κBp65 and IL-8 has decreased,and the expression of Nrf2 still be significantly increased by Nrf2 inducer and still be significantly decreased by Nrf2siRNA agent,but cannot changed the exprssion of NF-κBp65 and IL-8.
     Conclusions(1) Nrf2 in bronchial epithelial cells had the role anti-inflammatory.(2) Nrf2 inhibited the inflammation by IKKs.(3) IKKβplay a key role in the anti-inflammatory effects of Nrf2.
引文
[1]中华医学会呼吸病学分会COPD学组.COPD诊治指南.中华结核和呼吸杂志.2007,30(1):1-27.
    [2]Michaud CM,Murray C J,Bloom BR.Burden of disease implications for future research.JAMA 2001;285:535-9.
    [3]Sullivan S,Ramsey S,Lee T.The economic burden of COPD.Chest 2000;117(Suppl.):5S-9S.
    [4]Ochs-Balcom HM;Grant BJ;Muti P;Sempos CT.,et al.Antioxidants,oxidative stress,and pulmonary function in individuals diagnosed with asthma or COPD.European journal of clinical nutrition(2006) 60:991-9.
    [5]Iizuka T,Ishii Y,Itoh K,et al.Nff2-deficient mice are highly susceptible to cigarette smoke-induced emphysema[J].Genes Cells,2005 Dec;10(12):1113-25.
    [6]Tirumalai Rangasamy,Jia Guo etal,Disruption of Nrf2 enhances susceptibility to severe airway inflammation and asthma in mice.J Exp Med 2005;202:47-59.
    [7]Motohashi H,O'Connor T,Katsuoka F,et al.Integration and diversity of the regulatory network composed of Maf and CNC families of transcription factors[J].Gene,2002,294(1-2):1-12.
    [8]Moi P,Chan K,Asunis I,et al.Isolation of NF-E2-related factor 2(Nrf2),a NF-E2-like basic leucine zipper transcriptional activator that binds to the tandem NF-E2/AP 1 repeat of the beta-globin locus control region Proc[J].Natl Acad Sci USA,1994,91(21):9926-9930.
    [9]Itoh K,Chiba T,Takahashi S,et al.An Nrf2 small Mar heterodimer mediates the induction of phase Ⅱdetoxifying enzyme genes through antioxidant response lements[J].Biochem Biophys Res Commun,1997,236(2):313-3221
    [10]Ishii T,Itoh K,Takahashi S,et al.Transcription factor Nrf2 coordinately regulates a group of oxidative stress inducible genes in macrophages[J].J Biol Chem,2000,275(21):16023-16029.
    [11]McMahon M,Thomas N,ltoh K,et al.Redox-regulated remover of Nrf2 is determined by at least two spearate protein domains,the redox-sensitive Neh2degron and the redox-insensitive Neh6 degron[J].Biol Chem,2004,279(30):31556-31567.
    [12]Katoh Y,ltoh K,Yoshida E,et al.Two domains of Nrf2 cooperatively bind CBP,a CREB binding protein,and synergistically activate transfiption[J].Genes Cells,2001;6(10):857-868.
    [13]Venugopal R,Jaiswal AK.Nrfl and Nrf2 positively and c-Fos and Fral negatively regulate the human antioxidant response element-mediated expression of NAD(P) H:quinone oxidoreductasel gene[J].Proc Natl Acad Sci USA,1996,93(25):14960-14965.
    [14]Kobayashi M,Yamamoto M.Nrf2-Keapl regulation of cellular defense mechanisms against electrophiles and reactive oxygen species.Adv Enzyme Regul 2006;46:113-140.
    [15]Cho HY;Jedlicka AE;Reddy SP,et al.Role of NRF2 in protection against hyperoxic lung injury in mice.American journal of respiratory cell and molecular biology.2002,26:175-182
    [16]Adair-Kirk TL;Atldnson JJ;Griffim GL,et al.Distal airways in mice exposed to cigarette smoke:Nrf2-regulated genes are increased in Clara cells[J]..American journal of respiratory cell and molecular biology.2008,39(4):400-411.
    [17]Rajesh K.Thimmulappa,1 Hannah Lee et al.Nrf2 is a critical regulator of the innate immune response and survival during experimental sepsis.The Journal of Clinical Investigation.2006,116:984-995.
    [18]Jin W;Zhu L;Guan Q;Chen Get al.Influence of Nrf2 genotype on pulmonary NF-kappaB activity and inflammatory response after traumatic brain injury[J].Annals of clinical and laboratory science.2008,38(3):221-227.
    [19]Ltoh K,Mochizld M,Lshii Y,et al.Transcription factor Nrf2 regulates inflammation by mediating the effect of 15-deoxy-Δ12,14-prostaglandin J2[J].Mol Cell Bio1,2004,24(1):36-45.
    [20]Mochizuki M;Ishii Y;Itoh K;Iizuka T,etal.Role of 15-deoxy delta(12,14)prostaglandin J2 and Nrf2 pathways in protection against acute lung injury[J].Am J Respir Crit Care Med,2005,
    [21] Alessandra Ciucci, Patrizia Gianferretti et al. Induction of Apoptosis in Estrogen Receptor-Negative Breast Cancer Cells by Natural and Synthetic Cyclopentenones:Role of the I_B Kinase/Nuclear Factor-_B Pathway [J]. Mol harmacol,2006, 70:1812-1821.
    [22] Li YJ;Takizawa H;Azuma A;Kohyama T et al.Disruption of Nrf2 enhances susceptibility to airway inflammatory responses induced by low-dose diesel exhaust particles in mice [J]. Clinical immunology.2008,128(3):366-373.
    [23] Tirumalai Rangasamy,Chung Y. Cho et al, Genetic ablation of Nrf2 enhances susceptibility to cigarette smoke-induced emphysema in mice.J clin Invest 2004; 114:1248-59.
    [24] Yukiolshii, Kenltoh, Yuko Morishima et al, Transcription Factor Nr£2 Plays a Pivotal Role in Protection against Elastase-Induced Pulmonary Inflammation and Emphysema. The Journal of Immunology, 2005,175: 6968-6975.
    [25] Kamata H, Manabe T, Oka S, Kamata K, Hirata H. Hydrogen peroxide activates IkappaB kinases through phosphorylation of serine residues in the activation loops. FEBS Lett 2002;519(1-3):231-7
    [26] Takada Y,Mukhopadhyay A, KunduGC, Mahabeleshwar GH, SinghS, Aggarwal BB. Hydrogen peroxide activates NF-kappa B through tyrosine phosphorylation of I kappa B alpha and serine phosphorylation of p65: evidence for the involvement of I kappa B alpha kinase and Syk protein-tyrosine kinase. J Biol Chem 2003;278(26):24233-41.
    [27] Di Stefano A, Caramon G, Oates T,et al. Increased expression of uclear factor K appaB in bronchial biopsies from smokers and patients w ith COPD. Eur RespirJ,2002 ,20:5562563
    [28] Watchorn T,Mulier B,MacNee W .Dose ncreasing intracellular glutathione inhibit cytokine-induced nitric oxide release and Nf-kB activation.Am J Respir Crit Care Med 1998;157:A889
    [29] Parmentier M,Drost E,Hirani N,et al,Thiol antioxidants inhibit neutrophil chemotaxis by decreasing release of IL-8 from macrophages and pulmonary epithelia cells. Am J Respir Crit Care Med 1999;159:A286
    [30] Baggiolini M, Dewald B, Moser B: IL-8 and related chemotactic cytokines-C-X-C and CC chemokines.Adv Immunol 1994;55:97-179.
    [31]Chung KF:Cytokine in chronic obstructive pulmonary disease.Eur Respir J 2001;18:34:50s-59s
    [32]Mio T,Romberger DJ,Thompson AB,Robbins RA,Heires A,Rennard SI:Cigarette smoke induces interleukin-8 release from human bronchial epithelial cells.Am J Respir Crit Care Med 1997;155:1770-1776.
    [33]De Boer WI,Sont JK,van Schadewijk,Stolk J,van Krieken JH,Hiemstra PS:Monocyte chemoattractant protein 1,interleuldn 8 and chronic airways inflammation in COPD.J Patho12000;190:619-626.
    [34]Jin W;Zhu L;Guan Q;Chen G et al.Influence of Nrf2 genotype on pulmonary NF-kappaB activity and inflammatory response after traumatic brain injury[J].Annals of clinical and laboratory science.2008,38(3):221-227.
    [35]宋一平,崔德健,茅培英,等.COPD大鼠模型气道重塑及生长因子的研究[J].中华结核和呼吸杂志,2001,24:283-287.
    [36]陈红梅,罗百灵,屈满英等.红霉素对COPD大鼠MMP-9的影响[J].中华结核和呼吸杂志,2008,31(9):702-703.
    [37]Laurell CB,Erikkson S.The electrophoretic alpha-globulinpattem of serum in alpha-antitrypsin deficiency.Stand J Clin Invest 1963;15:132-140
    [38]Gross P,Pfitzer E,Tolker M,et al.Experimental emphysema:its production with papain in normal and silicotic rats.Arch Environ Health 1965;11:50-58
    [39]Janoff A,Sloan B,Weinbaum G,et al.Experimental emphysema induced with purified human neutrophil elastase:tissue localization of the instilled protease.Am Rev Respir Dis 1977,115:461-478
    [40]Senior RM,Tegner H,Kuhn C,et al.The induction of pulmonary emphysema induced with human leukocyte elastase.Am Rev Respir Dis 1977;116:469-477
    [41]Kao RC,Wehner NG,Skubitz KM,et al.Proteinase 3:a distinct human polymorphonuclear leukocyte proteinase that produces emphysema in hamsters.J Clin Invest 1988;82:1693-1699
    [42]Snider GL,Lucey EC,Stone PJ.Animal models of emphysema.Am Rev Respir Dis 1986;133:149-169.
    [43]Snider GL.Emphysema:the first two centuries;and beyond,Part 1.Am Rev Respir Dis 1992;146:1334-1344.
    [44]Wright JL,Churg A.Cigarette smoke causes physiologic and mophologic changes of emphysema in the guinea pig.Am Rev Respir Dis 1990;142:1422-1428
    [45]Kodavanti UP,Jackson MC,Ledbeter AL,et al.The combination of elastase and sulfur dioxide exposure causes COPD-like lesions in the rat.Chest.2000;117(5):299s-302s.
    [46]许浒,熊密,黄庆华等.细菌感染导致慢性阻塞性肺病大鼠模型的探讨[J]中华结核和呼吸杂志,1999,22(12):739-742.
    [47]Paigen K.A miracke enough:the power of mice.Nature Med.1995;1:215-220.
    [48]许三林,吴人亮,陈春莲,等.E-cadherin在吸烟小鼠气道上皮损伤修复中表达的研究[J].中华结核和呼吸杂志,1999,22:417-419.
    [49]Marino G.Vitamin C helps cigarette-smoking hamster[J].Science News,1994,146:86-86.
    [50]迟春花,何冰,汤秀英,等.烟草雾吸入导致慢阻肺机制的实验研究—大鼠Clara细胞结构及其分泌蛋白的变化[J].心肺血管病杂志,2000,19:224-227.
    [51]陈祥银,赵青,赵磊,等.中药制剂对烟雾刺激所致地鼠呼吸道炎症的保护作用[J].基础医学与临床,1999,19:69-72.
    [52]Tavares JL,Wangoo A,Dilworth P,et al Thalidomide reduces tumoumecrosis factor-alpha production by human alveolar macrophages[J].Respir Med,1997,91:31-39.
    [53]Li D,Godfky R,Rogers AV,et al.Endotoxin-induced airway intro-epithelial neutrophilia.Goblet cell hyperplasia and metaplasia in the rat:a light and electron microscopic study[J].Eur Respir J,1996,9:424.
    [54]马楠,崔德健,梁延杰,等.气道内注入脂多糖法建立大鼠慢性支气管炎模型[J].中华结核和呼吸杂志,1999,22:371-372.
    [55]Stolk J,Rudolphus A,Daviest P,et al.Induction of emphysema and bronchial mucus cell hyperplasia by intratracheal instillation of lipopolysaccharide in the hamster.J Pathol,1992,167(2):349-356
    [56]李红梅,崔德健,伶欣等.熏香烟加气管注内毒素和单纯熏香烟法建立大鼠COPD模型[J].中国病理生理杂志,2002,18(7):808-812.
    [57]Rahman I,Skwarska E,Macnee W.Attenuation of oxidant/antioxidant imbalance during treatment of exacerbations of chronic obstructive pulmonary disease.Throax,1997;52:5652568
    [58]胡一航,牛健康.超氧化物的研究进展[J].生物学教学.2005,30(1):2-4.
    [59]Keatings V,Collins P,Scott D,et al.Differences in intedeukin-8 and tumor necrosis factor-alpha in induced sputum from patients with chronic obstructive pulmonary disease or asthma.Am J Respir Crit Care Med.1996;153:530-4.
    [60]Schultz C,Wolf K,Harth M,etal.expression and release of intedeukin-8 by human bronchial epithelial cells from patients with chronic obstructive pulmonary disease,smokers,and never-smokers.Respiration 20.03;70:254-261.
    [61]屈满英,罗百灵.分泌型白细胞蛋白酶抑制剂对香烟烟雾提取物诱导人支气管上皮细胞炎症介质表达的影响[J].中华结核和呼吸杂志.2008;31(5)352-355.
    [62]Ratna Prasad,Shailendra Giri,Avtar K Singh and Inderjit Singh.15-deoxy-delta12,14-prostaglandin J2 attenuates endothelial-monocyte interaction:implication for inflammatory diseases.2008,5:14
    [63]Hilbert J,Mohsenin V.Adaptation of lung antioxidants to cigarette smoking in humans.Chest,1996;110:916-20.
    [64]Rahman I,Gilmour PS,Jimenez LA,MacNee W.Oxidative stress and TNF-alpha induce histone acetylation and NF-kappaB/AP-1 activation in alveolar epithelial cells:potential mechanism in gene transcription in lung inflammation.Mol Cell Biochem 2002;234-235(1-2):239-48.
    [65]Moodie FM,Marwick JA,Anderson CS,Szulakowski P,Biswas SK,Bauter MR,et al.Oxidative stress and cigarette smoke alter chromatin remodeling but differentially regulate NF-kappaB activation and proinflammatory eytokine release in alveolar epithelial ceils.FASEB J 2004;18(15):1897-9.
    [1]Rahrnan,I.,and W.MacNee.Oxidant/antioxidant imbalance in smokers and chronic obstructive pulmonary disease.Thorax 51:348-350,1996.
    [2]Rahrnan,I.,E.Skwarska,and W.MacNee.Attenuation of oxidant/antioxidant imbalance during treatment of exacerbations of chronic obstructive pulmonary disease.Thorax 52:565-568,1997.
    [3]Snider,G.Chronic obstructive pulmonary disease:risk factors,pathophysiology and pathogenesis.Annu.Rev.Med.40:411-429,1989.
    [4]中华医学会呼吸病分会COPD学组.COPD诊治指南[J].中华结核和呼吸杂志,2002,25(8):453-460.
    [5]Rahman,I.,and W.MacNee.Free Radio Biol Med,2000;28:1405-1420.
    [6]MacNee W.Oxidants/antioxidants and chronic obstructive pulmonary disease:pathogenesis to therapy.Novartis Found Syrup 2001;234:169-185.
    [7]Huang MF,Lin WL,Ma YC.A study of reactive oxygen species in mainstream of cigarette.Indoor Air 2005;15(2):135-40
    [8]Thompson AB,BohlingT,Heires A,etal.Lower respiraory tract iron burden is increased in assosciate with cigarette smoking .J Lab Clin Med 1991;117:494-499
    [9] Wesselius LJ,Nelson ME,Skikne BS.Increased released of ferritin and iron bu iron loaded alveolar macrophages in cigarette smokers.Am J Respir Crit Care Med 1994; 150:690-695
    [10] Lambeth, J. D. (2004) NOX enzymes and the biology of reactive oxygen. Nat. Rev. Immunol. 4,181-189.
    [11] Edderkaoui, M., Hong, P., Vaquero, E. C., Lee, J. K., Fischer, L., Friess, H., Buchler, M. W., Lerch, M. M, Pandol, S. J. and Gukovskaya, A. S. (2005) Extracellular matrix stimulates reactive oxygen species production and oxygenase and NADPH oxidase. Am. J. Physiol. Gastrointest. Liver. Physiol. 289, G1137-47. 19. Choi, J. A., Kim, E. Y., Song, H., Kim, C. and Kim, J.H.
    [12] Suh, Y. A., Arnold, R. S., Lassegue, B., Shi, J., Xu, X., Sorescu, D., Chung, A. B., Griendling, K. K. and Lambeth, J. D. (1999) Cell transformation by the superoxide-generating oxidase Mox1. Nature. 401, 79-82.
    [13] Simon, H. U., Haj-Yehia, A. and Levi-Schaffer, F. (2000) Role of reactive oxygen species (ROS) in apoptosis induction. Apoptosis. 5, 415-418.
    [14] Sorescu D., Weiss D., Lassegue B., Clempus R.E., Szocs K., Sorescu G.P., et al. Superoxide production and expression of nox family proteins in human atherosclerosis. Circulation (2002) 105:1429-1435.
    [15] Matsunaga T., Nakajima T., Miyazaki T., Koyama I., Hokari S., Inoue I., et al. Glycated high-density lipoprotein regulates reactive oxygen species and reactive nitrogen species in endothelial cells. Metabolism (2003) 52:42-49.
    [16] Rahimi R., Nikfar S., Larijani B., Abdollahi M. A review on the role of antioxidants in the management of diabetes and its complications. Biomed Pharmacother (2005) 59:365-373.
    [17] Storz P. Reactive oxygen species in tumor progression. Front Biosci (2005) 10:1881-1896.
    [18] Rahman I. The role of oxidative stress in the pathogenesis of COPD: implications for therapy. Treat Respir Med 2005;4: 175-200.
    [19]Block,ML;Hong,JS.Microglia and inflammation-mediated neurodegeneration:multiple triggers with a common mechanism.Prog Neurobiol.2005;76:77-98.
    [20]Block,ML;Hong,JS.Chronic microglial activation and progressive dopaminergic neurotoxicity.Biochem Soc Trans.2007;35:1127-1132.
    [21]Rahman I,MacNee W.Role of transcription factors in inflammatory lung diseases.Thorax 1998;53:601-612.
    [22]Rahman I.Oxidative stress,transcription factors and chromatin remodelling in lung inflammation.Biochem Pharmaco12002;64:935-942.
    [23]Rahman I,MacNee W.Role of transcription factors in inflammatory lung diseases.Thorax 1998;53:601-612.
    [24]Karnata H,Honda S,Maeda S,Chang L,Hirata H,Karin M.Reactive oxygen species promote TNFalphainduced death and sustained JNK activiation by inhibiting MAP kinase phosphatases.Cell 2005;120:649-661.
    [25]Barnes P J,Adcock IM,Ito K.Histone acetylation and deacetylation:importance in inflammatory lung diseases.Eur Respir J 2005;25:552-563.
    [26]Parmentier M,Hirani N,Rahrnan I,Donaldson K,MacNee W,Antonicelli F.Regulation of lipopolysaccharide-mediated interleukin-lbeta release by N-acetylcysteine in THP-1 cells.Eur Respir J 2000;16:933-939.
    [27]Crowther AJ,Rahrnan I,Antonicelli F,Jimenez LA,Salter D,MacNee W.Oxidative stress and transcription factors AP-1 and NF-B in human lung tissue.Am J Respir Crit Care Med 1999;159:A816.
    [28]Ochs-Balcom HM;Grant BJ;Muti P;Sempos CT.,et al.Antioxidants,oxidative stress,and pulmonary function in individuals diagnosed with asthma or COPD.European journal of clinical nutrition(2006) 60:991-9.
    [29]Dekhuijzen PN,Aben KK,Dekker I,et al.Increased exhalation of hydrogen peroxide in patients with stableand unstable chronic obstructive pulmonary disease.Am J Respir Crit Care Med 1996;154:813-816.
    [30]Nowak D,Kasielski M,Pietras T,Bialasiewicz P,Antczak A.Cigarette smoking does not increase hydrogen peroxide levels in expired breath condensate of patients with stable COPD.Monaldi Arch Chest Dis 1998;53:268-273.
    [31]Maziak W,Loukides S,Culpitt S,Sullivan P,Kharitonov SA,Barnes PJ. Exhaled nitric oxide in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1998; 157: 998-1002.
    [32] Corradi M, Majori M, Cacciani GC, Consigli GF,de'Munari E, Pesci A. Increased exhaled nitric oxide in patients with stable chronic obstructive pulmonary disease. Thorax 1999; 54: 572-575.
    [33] Rutgers SR, van der Mark TW, Coers W, et al. Markers of nitric oxide metabolism in sputum and exhaled air are not increased in chronic obstructive pulmonary disease.Thorax 1999; 54: 576-580.
    [34] Hilbert J ,Mohsenin V.Adaptation of lung antioxidants to cigarette smoking in humans.Chest,1996; 110:916-20
    [35] Tsukagoshi H, Shimizu Y, Iwamae S, et al. Evidence of oxidative stress in asthma and COPD: potential inhibitory effect of theophylline. Respir Med 2000; 94: 584-588.
    [36] Corradi M, Rubinstein I, Andreoli R, et al. Aldehydes in exhaled breath condensate of patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2003; 167: 1380-1386.
    [37] Sahin U;Unlu M;Ozguner F, et al. Lipid peroxidation and glutathione peroxidase activity in chronic obstructive pulmonary disease exacerbation: prognostic value of malondialdehyde [J]. Journal of basic and clinical physiology and pharmacology.2001,12 (1) :59-68.
    [38] Marklund SL. Human copper-containing superoxide dismutase of high molecular weight. Proc Natl Acad Sci USA 1982;79:7634-7638.
    [39] McCord JM, Fridovich I. Superoxide dismutase: an enzymic function for erythrocuprein (hemocuprein). J Biol Chem 1969;244:6049-6055.
    [40] Weisiger RA, Fridovich I. Mitochondrial superoxide simutase: site of intramitochondrial localization. J Biol Chem 1973;248:4793-4796
    [41] 胡一航,牛健康.超氧化物的研究进展[J].生物学教学.2005,30(1):2-4.
    [42] De Raeve HR;Thunnissen FB;Kaneko FT, et al. Decreased Cu,Zn-SOD activity in asthmatic airway epithelium: correction by inhaled corticosteroid in vivo. Am J Physiol[J].1997,272:148-154.
    [43] Kim H;Morimoto Y;Ogami A;Nagatomo H, et al .Differential expression of EC-SOD,Mn-SOD and CuZn-SOD in rat lung exposed to crystalline silica[J].Journal of occupational health.2007,49(3):242-248.
    [44]Sugimoto R;Kumagai Y;Nakai Y,et al.9,10-Phenanthraquinone in diesel exhaust particles downregulates Cu,Zn-SOD and HO-1 in human pulmonary epithelial cells:intracellular iron scavenger 1,10-phenanthroline affords protection against apoptosis[J].Free Radio Biol Med.2005,38(3):388-395.
    [45]Russell P B.James D C.Oxidative stress in airways[J].Am J Physiol Lung Cell Mol Physiol.Am J Respir Crit Care Med,2002,166(11):338-343.
    [46]Oury,TD;Day,BJ;Crapo,JD.Extracellular superoxide dismutase:a regulator of nitric oxide bioavailability.Lab.Invest.1996;75:617-636.
    [47]Nozik-Grayck E,Suliman HB,Majka S,et al.Lung EC-SOD overexpression attenuates hypoxic induction of Egr-1 and chronic hypoxic pulmonary vascular remodeling[J].Am J Physiol Lung Cell Mol Physiol,2008,295(3):422-430.
    [48]Gallagher,DS,Jr.;Gibbs,LS;Shaffer,JB;Womack,JE.Somatic cell mapping of bovine EC-SOD and sodll loci[J].Genomics.1992;12:610-612.
    [49]Loenders,B;Van Mechelen,E;Nicolai,S;Buyssens,N;Van Osselaer,N;Jorens,PG;Willems,J;Herman,AG;Slegers,H.Localization of extracellular superoxide dismutase in rat lung:neutrophils and macrophages as carriers of the enzyme[J].Free Radio.Biol.Med.1998;24:1097-1106.
    [50]Sullman,HB;Ryan,LK;Bishop,L;Folz,RJ.Prevention of influenza-induced lung injury in mice overexpressing extracellular superoxide dismutase[J].Am.J.Physiol.Lung Cell.Mol.Physiol.2001;280:L69-L78.
    [51]Sadowska AM;van Overveld FJ;Gorecka D,et al.The interrelationship between markers of inflammation and oxidative stress in chronic obstructive pulmonary disease:modulation by inhaled steroids and antioxidant[J].Respiratory medicine.2005,99(2):241-249.
    [52]Tug T,Karatas F,Terzi SM.Antioxidant vitamins(A,C and E) and malondialdehyde levels in acute exacerbation and stable periods of patients with chronic obstructive pulmonary disease.Clinical and investigative medicine.2004,27:123-8.
    [53]Rabinovich RA;Ardite E;Troosters T.Reduced muscle redox capacity after endurance training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med.2001,164:1114-8
    [54] MacNee W, Wiggs B, Belzberg AS, Hogg JC. The effect of cigarette moking on neutrophil kinetics in human lungs. NEnglJMed 1989;321:924-928.
    [55] Macnee W,Donaldson K. Exacerbations of COPD:environmental mehanisms. Chest ,2000;117:303s-317s
    [56] Kamata H, Manabe T, Oka S, Kamata K, Hirata H. Hydrogen peroxide activates IkappaB kinases through phosphorylation of serine residues in the activation loops. FEBS Lett 2002;519(l-3):231-7
    [57] Takada Y,Mukhopadhyay A, KunduGC, Mahabeleshwar GH, SinghS, Aggarwal BB. Hydrogen peroxide activates NF-kappa B through tyrosine phosphorylation of I kappa B alpha and serine phosphorylation of p65: evidence for the involvement of I kappa B alpha kinase and Syk protein-tyrosine kinase. J Biol Chem 2003;278(26):24233-41.
    [58] Di Stefano A, Caramori G, Oates T,et al. Increased expression of uclear factor K appaB in bronchial biopsies from smokers and patients w ith COPD. Eur Respir J,2002 ,20:5562563
    [59] Watchorn T,Mulier B,MacNee W .Dose ncreasing intracellular glutathione inhibit cytokine-induced nitric oxide release and Nf-kB activation.Am J Respir Crit Care Med 1998;157:A889
    [60] Parmentier M,Drost E,Hirani N,et al,Thiol antioxidants inhibit neutrophil chemotaxis by decreasing release of IL-8 from macrophages and pulmonary epithelia cells. Am J Respir Crit Care Med 1999;159:A286
    [61] Rahman I,Antonicelli F,MacNee W.Molecular mechamisms of the regulation of glutathione synthesis by tumor necrosis factor-α and dexamthason in human alveloar epithelia cells.J Biol Chem 1999;274:5008-5096
    [62] Iles KE, Dickinson DA, Watanabe N, Iwamoto T, Forman HJ. AP-1 activation through endogenous H[2]O[2] generation by alveolar macrophages. Free Radic Biol Med 2002;32(12):1304-13
    [63] Li DW, Spector A. Hydrogen peroxide-induced expression of the proto-oncogenes, c-jun, c-fos and c-myc in rabbit lens epithelial cells. Mol Cell Biochem 1997;173(1-2):59-69.
    [64]Nicholson WJ,Slight J,Donaldson K.Inhibition of the transcription factors NF-kappa B and AP-1 underlies loss of cytokine gene expression inrat alveolar macrophages treated with adiffusible product from the spores of Aspergillus fumigatus.Am J Respir Cell Mol Biol 1996;15(1):88-96.
    [65]Zhou L,Tan A,Iasvovskaia S,Li J,Lin A,Hershenson MB.Ras and mitogen-activated protein kinase kinasekinase-1 coregulate activator protein-1and nuclear factor-kappaB-mediated gene expression in air-way epithelial cells.Am J Respir Cell Mol Biol 2003;28(6):762-9.
    [66]Walters MJ,Paul-Clark MJ,McMaster SK,Ito K,Adcock IM,Mitchell JA.Cigarette smoke activates human monocytes by an oxidant-AP-1 signalling pathway:implications for steroid resistance.Mol Pharmacol 2005;68:1343-53.
    [67]Lapperre,T.S.;Jimenez,L.A.;Antonicelli,F.;Drost,E.M.;Hiemstra,P.J.;Stolk,J.;MacNee,W.;Rahman,I.Apocynin increases glutathione synthesis and activates AP-1 in human alveolar epithelial cells.FEBS Lett.443:235-239;1999.
    [68]Adler,V.;Yin,Z.;Fuchs,S.Y.;Benezra,M.;Rosario,L.;Tew,K.D.;Pincus,M.R.;Sardana,M.;Henderson,C.J.;Wolf,C.R.;Davis,R.J.;Ronai,Z.Regulation of JNK signaling by GSTp.EMBO J.18:1321-1334;1999.
    [69]Iizuka T,Ishii Y,Itoh K,et al.Nrf2-deficient mice are highly susceptible to cigarette smoke-induced emphysema[J].Genes Cells,2005Dec;10(12):1113-25.
    [70]Tirumalai Rangasamy,Jia Guo etal,Disruption of Nrf2 enhances susceptibility to severe airway inflammation and asthma in mice.J Exp Med 2005;202:47-59.
    [71]Motohashi H,O'Connor T,Katsuoka F,et al.Integration and diversity of the regulatory network composed of Maf and CNC families of transcription factors[J].Gene,2002,294(1-2):1-12.
    [72]Moi P,Chan K,Asunis I,et al.Isolation of NF-E2-related factor 2(Nrf2),a NF-E2-like basic leucine zipper transcriptional activator that binds to the tandem NF-E2/AP1 repeat of the beta-globin locus control region Proc[J].Natl Acad Sci USA,1994,91(21):9926-9930.
    [73] Itoh K, Chiba T, Takahashi S , et al. An Nrf2 small Maf heterodimer mediates the induction of phase II detoxifying enzyme genes through antioxidant response lements [J ] .Biochem Biophys Res Commun ,1997 ,236(2) :313-3221
    [74] Ishii T, Itoh K, Takahashi S , et al. Transcription factor Nrf2 coordinately regulates a group of oxidative stress inducible genes in macrophages [J ] . J Biol Chem , 2000 ,275 (21): 16023-16029.
    [75] McMahon M,Thomas N ,ltoh K,et al . Redox-regulated turnover of Nrf2 is determined by at least two spearate protein domains ,the redox-sensitive Neh2 degron and the redox-insensitive Neh6 degron [ J ] . Biol Chem,2004 ,279 (30) :31556-31567.
    [76] Katoh Y,ltoh K,Yoshida E ,et al . Two domains of Nrf2 cooperatively bind CBP ,a CREB binding protein ,and synergistically activate transription[J ] . Genes Cells ,2001 ;6 (10) :857 - 868.
    [77] Venugopal R , Jaiswal AK. Nrfl and Nrf2 positively and c-Fos and Fral negatively regulate the human antioxidant response element-mediated expression of NAD(P) H:quinone oxidoreductasel gene [ J ] . Proc Natl Acad Sci USA, 1996 ,93(25) :14960-14965.
    [78] Kobayashi M, Yamamoto M. Nrf2-Keapl regulation of cellular defense mechanisms against electrophiles and reactive oxygen species.Adv Enzyme Regul 2006;46:113-140.
    [79] Cho HY;Jedlicka AE;Reddy SP,et al.Role of NRF2 in protection against hyperoxic lung injury in mice. American journal of respiratory cell and molecular biology.2002,26:175-182
    [80] Adair-Kirk TL;Atkinson JJ;Griffin GL, et al.Distal airways in mice exposed to cigarette smoke: Nrf2-regulated genes are increased in Clara cells[J].. American journal of respiratory cell and molecular biology.2008,39(4):400-411.
    [81] Rajesh K. Thimmulappa,1 Hannah Lee et al. Nrf2 is a critical regulator of the innate immune response and survival during experimental sepsis. The Journal of Clinical Investigation.2006,116:984-995.
    [82] Jin W;Zhu L;Guan Q;Chen G et al. Influence of Nrf2 genotype on pulmonary NF-kappaB activity and inflammatory response after traumatic brain injury[J]. Annals of clinical and laboratory science.2008,38(3):221-227.
    [83]Ltoh K,Mochizki M,Lshii Y,et al.Transcription factor Nrf2 regulates inflammation by mediating the effect of 15-deoxy-△12,14-prostaglandin J2[J].Mol Cell Biol,2004,24(1):36-45.
    [84]Mochizuki M;Ishii Y;Itoh K;Iizuka T,etal.Role of 15-deoxy delta(12,14)prostaglandin J2 and Nrf2 pathways in protection against acute lung injury[J].Am J Respir Crit Care Med,2005,
    [85]Alessandra Ciucci,Patrizia Gianferretti et al.Induction of Apoptosis in Estrogen Receptor-Negative Breast Cancer Cells by Natural and Synthetic Cyclopentenones:Role of the I_B Kinase/Nuclear Factor-_B Pathway[J].Mol harmacol,2006,70:1812-1821.
    [86]Li YJ;Takizawa H;Azuma A;Kohyama T et al.Disruption of Nrf2 enhances susceptibility to airway inflammatory responses induced by low-dose diesel exhaust particles in mice[J].Clinical immunology.2008,128(3):366-373.
    [87]Tirumalai Rangasamy,Chung Y.Cho et al,Genetic ablation of Nrf2 enhances susceptibility to cigarette smoke-induced emphysema in mice.J clin Invest 2004;114:1248-59.
    [88]YukioIshii,KenItoh,Yuko Morishima et al,Transcription Factor Nrf2 Plays a Pivotal Role in Protection against Elastase-Induced Pulmonary Inflammation and Emphysema.The Journal of Immunology,2005,175:6968-6975.
    [89]Grandjean EM,Berthet P,Ruffman R,Leuenberger P.Efficacy of oral long-term N-acetylcysteine in chronic bronchopulmonary disease:a meta-analysis of published double-blind,placebo-controlled clinical trials.Clin Ther 2000;22:209-221.
    [90]Stey C,Steurer J,Bachmann S,Medici TC,Tramer MR.The effect of oral N-acetylcysteine in chronic bronchitis:a quantitative systematic review.Eur Respir J 2000;16:253-262.
    [91]Poole PJ,Balck PH.Oral mucolytic drugs for exacerbations of chronic obstructive pulmonary disease:systematic review.BMJ 2001;322:1271-1274.
    [92]Gerrits CM,Herings RM,Leufkens HG,Lammers JW.N-acetylcysteine reduces the risk of re-hospitalisation among patients with chronic obstructive pulmonary disease. Eur Respir J 2003;21:795 - 798.
    [93] Kasielski M , Nowak D. Long-term administration of N2 acetylcysteine decreases hydrogen peroxide exhalation in subjects with chronic obstructive pulmonary disease. Respir Med ,2001 ;95 :448-456
    [94] Decramer M, Rutten-van Molken M, Dekhuijzen PN, Troosters T,van Herwaarden C, Pellegrino R, van Schayck CP, Olivieri D,Del Donno M, De Baker W, et al. Effects of N-acetylcysteine on outcomes in chronic obstructive pulmonary disease (Bronchitis Randomized on NAC Cost-Utility Study, BRONCUS): a randomised placebo-controlled trial. Lancet 2005;365:1552 - 1560
    [95] Sprang RC , Winkelhuyzen J , Aarsman CJ , et al. Low2dose N-acetylcysteine protects rats against endotoxin2mediated oxidative stress , but high2dose increases mortality. Am J Respir Crit Care Med ,1998 ;157 :1283-1293.[96]
    [96] Gillissen A, Jaworska M, Orth M, et al. N acystelyn anovel lysine salt of N-acetylcysteine to augment cellular antioxidant defence in vitro. Respir Med 1997; 91: 159-168.
    [97] Antonicelli F, Parmentier M, Drost EM, et al. Nacystelyn inhibits hydrogen peroxide mediated interleukin-8 expression in human alveolar epithelial cells. Free Radic Biol Med 2002; 32: 492-502.
    [98] Pacht ER, Kaseki H, Mohammed JR, Cornwell DG,Davis WR. Deficiency of vitamin E in the alveolar fluid of cigarette smokers. Influence on alveolar macrophage cytotoxicity. J Clin Invest 1988; 77: 789-796.
    [99] Cantin AM, North SL, Hubbard RC, Crystal RG. Normal alveolar epithelial lining fluid contains high levels of glutathione. J Appl Physiol 1987; 63: 152-157.
    [100] Rahman I. Oxidative stress in pathogenesis of chronic obstructive pulmonary disease: cellular and molecular mechanisms. Cell Biochem Biophys 2005; 43: 167-188.
    [101] Li XY, Rahman I, Donaldson K, MacNee W. Mechanisms of cigarette smoke induced increased airspace permeability. Thorax 1996; 51: 465-471.
    [102] Harju T, Kaarteenaho-Wiik R, Soini Y, Sormunen R,Kinnula VL. Diminished immunoreactivity of gammaglutamylcysteine synthetase in the airways of smokers'lung.Am J Respir Crit Care Med 2002;166:754-759.
    [103]Rahman I,MacNee W.Lung glutathione and oxidative stress:implications in cigarette smoke-induced airway disease.Am J Physiol 1999;277:L1067-L1088.
    [104]Rahrnan I.The role of oxidative stress in the pathogenesis of COPD:implications for therapy.Treat Respir Med 2005;4:175-200.
    [105]Moretti M,Bottrighi P,Dallari R,et al.The effect of longterm treatment with erdosteine on chronic obstructive pulmonary disease:the EQUALIFE Study.Drugs Exp Clin Res 2004;30:143-152.
    [106]Felix K,Pairet M,Zimmermarnn R.The antioxidative activity of the mucoregulatory agents:ambroxol,brornhexine and N-acetyl-L-cysteine.A pulse radiolysis study.Life sciences.1996,59:1141-7.
    [107]Gillissen A;Bartling A;Schoen Set al.Antioxidant function of ambroxol in mononuclear and polymorphonuclear cells in vitro..Lung.1997,175:235-42.
    [108]Zhang B;Liu Y.Prophylaxis against ventilator-induced lung injury by Ambroxol.Zhonghua yi xue za zhi.2000,80:51-53
    [109]Nowak D.Antioxidative features of ambroxol—usefulness in COPD.Pneumonol Alergol Pol.2001,69:590-593.
    [110]Guidot DM,Brown LA.Mitochondrial glutathione replacement restores surfactant synthesis and secretion in alveolar epithelial cells of ethanol-fed rats.Alcohol Clin Exp Res 2000;24:1070-1076.
    [111]Schwartz J,Weiss ST.Relationship between dietary vitamin C intake and pulmonary function in the First National Health and Nutrition Examination Survey(NHANES I).Am J Clin Nutr 1994;59:110-114.
    [112]Schwartz J,Weiss ST.Dietary factors and their relation to respiratory symptoms.The Second National Health and Nutrition Examination Survey.Am J Epidemiol 1990;132:67-76.
    [113]Hu G,Cassano PA.Antioxidant nutrients and pulmonary function:the Third National Health and Nutrition Examination Survey(NHANES Ⅲ).Am J Epidemiol 2000;151:975-981.
    [114] Romieu I, Trenga C. Diet and obstructive lung diseases.Epidemiol Rev 2001; 23: 268-287.
    [115] Daga MK, Chhabra R, Sharma B, Mishra TK. Effects of exogenous vitamin E supplementation on the levels of oxidants and antioxidants in chronic obstructive pulmonary disease. J Biosci 2003; 28: 7-11.
    [116] Smit HA, Grievink L, Tabak C. Dietary influences on chronic obstructive lung disease and asthma: a review of the epidemiological evidence. Proc Nutr Soc 1999; 58: 309-319.
    [117] Smith KR, Uyeminami DL, Kodavanti UP, Crapo JD,Chang LY, Pinkerton KE. Inhibition of tobacco smokeinduced lung inflammation by a catalytic antioxidant. Free Rad Biol Med 2002; 15: 1106-1114.
    [118] Henderson WR Jr, Chi EY, Teo JL, Nguyen C, Kahn M. A small molecule inhibitor of redox-regulated NF-kappa B and activator protein-1 transcription blocks allergic airway inflammation in a mouse asthma model. Immunol 2002; 169: 5294-5299.
    [119] Sakurai A, Yuasa K, Shoji Y, et al. Overexpression of thioredoxin reductase 1 regulates NF-kappa B activation.J Cell Physiol 2004; 198: 22-30.
    [120] Arts IC, Hollman PC. Polyphenols and disease risk in epidemiologic studies. Am J Clin Nutr 2005; 81: Suppl. 1,317S-325S.
    [121] Biswas SK, McClure D, Jimenez LA, Megson IL,Rahman I. Curcumin induces glutathione biosynthesis and inhibits NF-kB activation and interleukin-8 releae in alveolar epithelial cells: mechanism of free radical scavenging activity. Antioxid Redox Signal 2005;7: 32-41.
    [122] Balogun E;Hoque M;Gong P, et al.Curcumin activates the haem oxygenase-1 gene via regulation of Nrf2 and the antioxidant-responsive element. The Biochemical journal.2003,371:887-895.
    [123] Jeong SO;Oh GS;Ha HY et al. Dimethoxycurcumin, a Synthetic Curcumin Analogue, Induces Heme Oxygenase-1 Expression through Nrf2 Activation in RAW264.7 Macrophages. Journal of clinical biochemistry and nutrition.2009,44:79-84.
    [124] Farombi EO;Shrotriya S;Na HK et al.Curcumin attenuates dimethylnitr- osamine-induced liver injury in rats through Nrf2-mediated induction of heme oxygenase-1.Food and chemical toxicology.2008,46:1279-1287.
    [125]Na HK;Surh YJ.Modulation of Nrf2-mediated antioxidant and detoxifying enzyme induction by the green tea polyphenol EGCG.Food and chemical toxicology.2008,46:1271-1278.
    [126]Tanigawa S;Fujii M;Hou DX.Action of Nrf2 and Keapl in ARE-mediated NQO1 expression by quercetin.Free radical biology & medicine 2007,42:1690-1703.
    [127]Rahrnan I,Bauter MR,Meja K,Kirkham P.Curcumin restores glucocorticoid function and inhibits cigarette smoke-mediated IL-8 release in oxidant stressed monocytic U937 cell.Am J Respir Crit Care Med 2005;2:A395
    [128]Willoughby,D.A.,A.R.Moore,and P.R.Colville-Nash..Cyclopentenone prostaglandins-new allies in the war on inflammation.Nat.Med.2000,6:137-138.
    [129]Fukushima,M.Biological activities and mechanisms of action of PGJ2 and related compounds:an update.Prostaglandins Leukot.Essential Fatty Acids.1992.47:1-12.
    [130]Negishi,M.,T.Koizumi,and A.Ichikawa.Biological actions of delta 12-prostaglandin J2.J.Lipid Mediat.1995.Cell Signal.12:443-448.
    [131]Jiang,C.,A.T.Ting,and B.Seed.PPAR-_agonists inhibit production of monocyte inflammatory cytokines.Nature.1998,391:82-86.
    [132]Ricote,M.,A.C.Li,T.M.Willson,C.J.Kelly,and C.K.Glass.The peroxisome proliferator-activated receptor-_is a negative regulator of macrophage activation.Nature.1998,391:79-82.
    [133]Rossi,A.,P.Kapahi,G.Natoli,T.Takahashi,Y.Chen,M.Karin,and M.G.Santoro.Anti-inflammatory cyclopentenone prostaglandins are direct inhibitors ofI B kinase.Nature 2000,403:103-108.
    [134]Ken Itoh,Mie Mochizuki,Yuldo Ishii et al.Transcription Factor Nrf2 Regulates Inflammation by Mediating the Effect of 15-Deoxy-_12,14-Prostaglandin J2[J].MOLECULAR AND CELLULAR BIOLOGY,2004,24:36-45.
    [135]Mie Mochizuki,Yukio Ishii,Ken Itoh et al.Role of 15-Deoxy_12,14 Prostaglandin J2 and Nrf2 Pathways in Protection against Acute Lung Injury. Am J Respir Crit Care Med. 2005,171: 1260-1266.
    [136]Rahman I, Gilmour PS, Jimenez LA, MacNee W. Oxidative stress and TNF-alpha induce histone acetylation and NF-kappaB/AP-1 activation in alveolar epithelial cells: potential mechanism in gene transcription in lung inflammation. Mol Cell Biochem 2002;234-235(l-2):239-48.
    [137]Moodie FM, Marwick JA, Anderson CS, Szulakowski P, Biswas SK, Bauter MR, et al. Oxidative stress and cigarette smoke alter chromatin remodeling but differentially regulate NF-kappaB activation and proinflammatory cytokine release in alveolar epithelial cells. FASEB J 2004; 18(15): 1897-9.
    [138]Tomita K, Barnes PJ, Adcock IM. The effect of oxidative stress on histone acetylation and IL-8 release.Biochem Biophys Res Commun 2003;301(2):572-7.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700