Bleomycin induces apoptosis in human alveolar macrophages in vitro; inhibition of heat shock protein 72 induction is an early indicator of cell injury. Hamilton, Raymond F., Jr, Li Li, Tyrone B. Felder, and Andrij Holian. Division of Pulmonary and Critical Care Medicine, Departments of Internal Medicine and Pharmacology, Toxicology Program, University of Texas Medical School, Houston, Texas 77030
APStracts 2:0092L, 1995.
Bleomycin (BLM) is an effective antineoplastic drug, however cumulative dosage is often associated with inflammation that can progress to pulmonary fibrosis. The mechanisms by which this occurs is not understood, but it has been proposed to involve the alveolar macrophage (AM). I this study, we examined the in vitro effects of BLM on human AM cytotoxicity and the role of heat shock proteins (HSP or stress proteins) in this process. While BLM did not cause marked necrosis, it caused significant DNA fragmentation detected by in situ DNA labelling and confirmed by BLM-induced DNA ladder formation, after 24 hours. The DNA fragmentation was significantly blocked by 10 and 50 [mu]M ZnCl2, suggesting that BLM was inducing apoptosis. BLM did not alter intracellular bcl-2 or GSH levels. However, BLM significantly (50%) blocked HSP72 expression by 4 hours during a mild heat stress (39.8 C). This inhibition occurs without affecting mRNA levels (in situ hybridization) for HSP72 or overall protein synthesis (35S-methionine incorporation), suggesting that BLM is blocking the stress response relatively specifically and post-transcriptionally. In summary, these results suggest that BLM causes apoptosis in human AM in vitro that is preceded by the inhibition of HSP72 induction that appears to be by a post-transcriptional mechanism.

Received 1 February 1995; accepted in final form 19 April 1995.
APS Manuscript Number L32-5.
Article publication pending Am. J. Physiol. (Lung Cell. Mol.
Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 30 May 1995.