K. Tamagawa et al., Inhibitory effects of a lecithinized superoxide dismutase on bleomycin-induced pulmonary fibrosis in mice, AM J R CRIT, 161(4), 2000, pp. 1279-1284
Oxidant/antioxidant imbalance is thought to be involved in the pathogenesis
of idiopathic pulmonary fibrosis (IPF). Therefore, antioxidants, such as s
uperoxide dismutase (SOD), are expected to have an inhibitory potential aga
inst IPF. To elucidate whether a lecithinized SOD (phosphatidylcholine [PC]
-SOD) has the potential to be a new therapeutic agent for IPF, we investiga
ted the inhibitory effects of PC-SOD at doses of 1 mg/kg/d (low dose) and 1
0 mg/kg/d (high dose)and of methylprednisolone (mPSL) on bleomycin (BLM)-in
duced pulmonary fibrosis in mice. Histopathologic evaluation and lung hydro
xyproline content revealed that the severity of fibrosis was attenuated in
mice treated with low-dose PC-SOD, whereas no significant effect was observ
ed in other mice. In bronchoalveolar ravage fluid on Day 1 after treatment
with BLM, BLM-induced increases in total cell number, populations of lympho
cytes and neutrophils, and expression of messenger RNA for interleukin-1 be
ta and platelet-derived growth factor (PDCF)-A were significantly suppresse
d in PC-SOD-treated mice. The suppression of PDCF-A expression was signific
antly greater in mice treated with low-dose PC-SOD than in mice treated wit
h high-dose PC-SOD or mPSL. In summary, this study demonstrated the inhibit
ory effects of low-dose PC-SOD on the development of pulmonary fibrosis, wh
ich indicates the potential usefulness of PC-SOD as a new treatment agent f
or IPF or at least for BLM-induced pulmonary fibrosis in humans.