""""""""Role of Inflammation in Pulmonary Injury"""""""" seeks to better understand molecular and cellular mechanisms responsible for pathological inflammation of the lung and consequent myocardial dysfunction. Diapedesis of immune cells is central to the inflammatory process and appears to be regulated differently in the systemic and pulmonary microcirculations. Project by Linden, """"""""Molecular and Cellular Targets of Adenosine in Lung"""""""" focuses on identifying how cytokines and the A2A Adenosine receptor (A2AAR) regulate leukocytes and endothelial cells (EC) and how adenosine inhibits bleomycin-induced pulmonary inflammation. The project and PPG leader, Joel Linden, is an authority on adenosine receptors and adenosine regulation of inflammation and tissue injury. The A2AAR will be selectively deleted from targeted inflammatory cells. Project by Duling, """"""""Neutrophil traffickinq to normal and inflamed lung"""""""" will identify adhesion molecules and cytokines and their receptors that are responsible for regulating leukocyte trafficking to the lung inflamed by aerosolized, intratracheal or systemic LPS. Dr. C. Ed Rose, an expert on the pulmonary response to LPS, will assist Klaus Ley, a leading authority on the regulation of the leukocyte adhesion and diapedesis. Project by French, """"""""Cardiopulmonary Response to Lung Injury"""""""" will investigate the mechanisms by which in situ pulmonary IRI diminishes heart function. Brent French, an expert on the use of magnetic resonance imaging to non-invasively measure myocardial regional wall motion will collaborate with Jurgen Schrader, an authority in magnetic resonance spectroscopy to assess myocardial energetics. The PPG is supported by state-of-the art core facilities: mouse genetics, inflammatory cell trafficking, and quantification of mRNA and protein. The program is well integrated, focusing on common themes of pulmonary inflammation and mechanisms of lung protection by adenosine. These studies will provide new insights into the cells and cytokines that control lung and heart inflammation and injury and is likely to spawn new therapies.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Program Projects (P01)
Project #
5P01HL073361-05
Application #
7415122
Study Section
Heart, Lung, and Blood Initial Review Group (HLBP)
Program Officer
Harabin, Andrea L
Project Start
2004-08-16
Project End
2011-04-30
Budget Start
2008-05-01
Budget End
2011-04-30
Support Year
5
Fiscal Year
2008
Total Cost
$1,610,690
Indirect Cost
Name
University of Virginia
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
065391526
City
Charlottesville
State
VA
Country
United States
Zip Code
22904
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Cekic, Caglar; Linden, Joel (2014) Adenosine A2A receptors intrinsically regulate CD8+ T cells in the tumor microenvironment. Cancer Res 74:7239-49
Cekic, Caglar; Sag, Duygu; Day, Yuan-Ji et al. (2013) Extracellular adenosine regulates naive T cell development and peripheral maintenance. J Exp Med 210:2693-706
Li, Li; Huang, Liping; Ye, Hong et al. (2012) Dendritic cells tolerized with adenosine A?AR agonist attenuate acute kidney injury. J Clin Invest 122:3931-42
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Awad, Alaa S; Rouse, Michael D; Khutsishvili, Konstantine et al. (2011) Chronic sphingosine 1-phosphate 1 receptor activation attenuates early-stage diabetic nephropathy independent of lymphocytes. Kidney Int 79:1090-8
Li, Li; Huang, Liping; Vergis, Amy L et al. (2010) IL-17 produced by neutrophils regulates IFN-gamma-mediated neutrophil migration in mouse kidney ischemia-reperfusion injury. J Clin Invest 120:331-42
Reutershan, J; Saprito, M S; Wu, D et al. (2010) Phosphoinositide 3-kinase gamma required for lipopolysaccharide-induced transepithelial neutrophil trafficking in the lung. Eur Respir J 35:1137-47
Sharma, Ashish K; Laubach, Victor E; Ramos, Susan I et al. (2010) Adenosine A2A receptor activation on CD4+ T lymphocytes and neutrophils attenuates lung ischemia-reperfusion injury. J Thorac Cardiovasc Surg 139:474-82

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