RESUMEN
The discovery of the roles of nitric oxide (NO) in cardiovascular signaling has led to a revolution in the understanding of cardiovascular disease. A new perspective to this story involving zinc (Zn) is emerging. Zn and its associated Zn transporter proteins are important for the integrity and functions of both the large conduit vessels and the microvascular resistance vessels. The Zn and NO pathways are tightly coordinated. Zn ions are required for the dimerization of endothelial nitric oxide synthase and subsequent generation of NO while generation of NO leads to a rapid mobilization of endothelial Zn stores. Labile Zn may mediate important downstream actions of NO including vascular cytoprotection and vasodilation. Several vascular disease risk factors (including aging, smoking and diabetes) interfere with Zn homeostatic mechanisms and both hypozincaemia and Zn transporter protein abnormalities are linked to atherosclerosis and microvascular disease. Some vegetarian diets and long-term use of certain anti-hypertensives may also impact on Zn status. The available evidence supports the existence of a Zn regulatory pathway in the vascular wall that is coupled to the generation and actions of NO and which is compromised in Zn deficiency with consequent implications for the pathogenesis and therapy of vascular disease.
Asunto(s)
Enfermedad de la Arteria Coronaria , Homeostasis , Zinc/metabolismo , Endotelio Vascular , Humanos , Óxido Nítrico , VasodilataciónRESUMEN
The dietary group IIb metal zinc (Zn) plays essential housekeeping roles in cellular metabolism and gene expression. It regulates a number of cellular processes including mitosis, apoptosis, secretion and signal transduction as well as critical events in physiological processes as diverse as insulin release, T cell cytokine production, wound healing, vision and neurotransmission. Critical to these processes are the mechanisms that regulate Zn homeostasis in cells and tissues. The proteins that control Zn uptake and compartmentalization are rapidly being identified and characterized. Recently, the first images of sub-cellular pools of Zn in airway epithelium have been obtained. This review discusses what we currently know about Zn in the airways, both in the normal and inflamed states, and then considers how we might target Zn metabolism by developing strategies to monitor and manipulate airway Zn levels in airway disease.
Asunto(s)
Asma/tratamiento farmacológico , Proteínas Portadoras/fisiología , Zinc/fisiología , Absorción , Animales , Asma/metabolismo , Bronquios/metabolismo , Proteínas de Transporte de Catión/fisiología , Homeostasis , Humanos , Tráquea/metabolismo , Zinc/administración & dosificación , Zinc/deficienciaRESUMEN
The induction of apoptosis of tumor cells by the colonic fermentation product butyrate is thought to be an important mechanism in protection against colorectal cancer. Because a major action of butyrate is to inhibit histone deacetylase (leading to chromatin relaxation and altered gene expression), butyrate may induce apoptosis by derepression of specific cell death genes. Here we show that butyrate and trichostatin A (a more selective inhibitor of histone deacetylase) induce the same program of apoptosis in Jurkat lymphoid and LIM 1215 colorectal cancer cell lines that is strictly dependent on new protein synthesis (within 10 h) and that leads to the conversion of the proenzyme form of caspase-3 to the catalytically active effector protease (within 16 h) and apoptotic death (within 24 h). Cells primed with a low concentration of butyrate that itself did not induce activation of caspase-3 or apoptosis were, nevertheless, rendered highly susceptible to induction of apoptosis by staurosporine (an agent that has recently been shown to act by causing mitochondrial release of cytochrome c). Synergy between butyrate and staurosporine was due to the presence of a factor in the cytosol of butyrate-primed cells which enhanced over 7-fold the activation of caspase-3 induced by the addition of cytochrome c and dATP to isolated cytosol. We propose that changes at the level of chromatin structure, induced by a physiological substance butyrate, lead to the expression of a protein that facilitates the pathway by which mitochondria activate caspase-3 and trigger apoptotic death of lymphoid and colorectal cancer cells.
Asunto(s)
Apoptosis , Butiratos/farmacología , Caspasas , Cisteína Endopeptidasas/metabolismo , Histona Desacetilasas/farmacología , Ácidos Hidroxámicos/farmacología , Apoptosis/genética , Ácido Butírico , Caspasa 3 , Células Cultivadas , Cicloheximida/farmacología , Grupo Citocromo c/metabolismo , Fragmentación del ADN , ADN de Neoplasias/efectos de los fármacos , Inducción Enzimática , Humanos , Células Jurkat/efectos de los fármacos , Biosíntesis de Proteínas , Inhibidores de Proteínas Quinasas , Inhibidores de la Síntesis de la Proteína/farmacología , Proteínas Proto-Oncogénicas/metabolismo , Proteínas Proto-Oncogénicas c-bcl-2/metabolismo , Estaurosporina/metabolismo , Proteína X Asociada a bcl-2RESUMEN
The structure of some phospholipids that cause agglutination of mouse erythrocytes has been studied. Haemagglutination is a property of non-choline-containing phospholipids; the phosphate group is essential and unsaturated fatty acids optimal. A protein of Mr 70 000 was isolated from mouse erythrocyte membranes which completely inhibited phospholipid-mediated erythrocyte agglutination. It is proposed that this protein is the phospholipid binding site on mouse erythrocytes and the ligand for the human B-lymphocyte receptor for mouse erythrocytes. Preliminary investigations suggest that a similar inhibitor of phospholipid-mediated agglutination is found in serum. Agglutination of mouse erythrocytes by phospholipid and specific inhibition by the 70 kDa membrane protein constitute a simple system for studying the interaction of phospholipid with protein.
Asunto(s)
Proteínas Portadoras/sangre , Hemaglutinación , Lípidos de la Membrana/sangre , Proteínas de la Membrana/sangre , Proteínas de Transferencia de Fosfolípidos , Fosfolípidos/sangre , Animales , Bovinos , Membrana Eritrocítica/inmunología , Pruebas de Inhibición de Hemaglutinación , Pruebas de Hemaglutinación , Humanos , Ratones , Peso Molecular , Ovinos , Especificidad de la Especie , Relación Estructura-ActividadRESUMEN
Agglutination of mouse erythrocytes by non-choline phospholipids is inhibited by a factor in mammalian sera. The inhibitor cochromatographed with albumin on dye-agarose conjugates, was retained by an anti-albumin affinity column, was neutralized by anti-albumin antibody and found in a serum fraction in which only albumin could be detected. A variety of commercial preparations of albumin (fraction V, crystalline) did not inhibit. However, they acquired potent inhibitory activity when treated with low molecular weight thiols. The inhibitory activity of serum was increased 8-fold by treatment with dithiothreitol. Other proteins were not activated in this way. Inhibitory activity increased with average free sulphydryl content of treated albumin, up to six thiol groups per molecule. Alkylation of these sulphydryl groups did not diminish inhibitory activity. Thiols also induced polymerization of albumin. Inhibitory albumin in serum was largely monomeric. We propose that the inhibitor is a type of serum albumin which is lost or inactivated during preparation of commercial albumin, and which shares a structural feature, necessary for inhibition, with thiol-reduced albumin and the ligand on mouse erythrocytes.
Asunto(s)
Eritrocitos/inmunología , Hemaglutinación/efectos de los fármacos , Fosfatidiletanolaminas/farmacología , Albúmina Sérica/fisiología , Adulto , Animales , Eritrocitos/efectos de los fármacos , Pruebas de Inhibición de Hemaglutinación , Humanos , Ratones , Albúmina Sérica/aislamiento & purificación , Albúmina Sérica/farmacología , Especificidad de la Especie , Compuestos de Sulfhidrilo/farmacologíaRESUMEN
At micromolar concentrations, zinc (Zn) and cadmium, but not other metals, greatly augmented binding of [3H]phorbol dibutyrate ([3H]PDBu) to protein kinase C (PKC) in cell homogenates and intact cells (in the presence of ionophore). Increased binding persisted for several hours. The heavy-metal chelating agent 1,10-phenanthroline completely reversed the increased [3H]PDBu binding in cells pretreated with 65Zn and ionophore and this was associated with a decline of about 20% in cell-associated 65Zn, suggesting that a relatively small pool of intracellular Zn acts on PKC. This may be a membrane-associated pool, since 65Zn readily bound to isolated erythrocyte inside-out membranes. Phenanthroline also partially inhibited binding of [3H]PDBu to PKC in untreated cells and extracts in a Zn-reversible manner. Therefore, cellular Zn appears to regulate the interaction of ligand with PKC. PKC bound to a Zn affinity column and was eluted by metal-chelator, confirming that Zn interacts directly with PKC.
Asunto(s)
Linfocitos B/enzimología , Cloruros/farmacología , Proteína Quinasa C/metabolismo , Compuestos de Zinc , Zinc/farmacología , Linfocitos B/efectos de los fármacos , Cromatografía de Afinidad , Citosol/efectos de los fármacos , Citosol/enzimología , Humanos , Ligandos , Forbol 12,13-Dibutirato/farmacologíaRESUMEN
BACKGROUND: The transition metal Zn(II) is thought to regulate cell and tissue growth by enhancing mitosis (cell proliferation) and suppressing the counterbalancing process of apoptosis (gene-directed cell death). To investigate the role of Zn(II) further, we have used a UV-excitable Zn(II)-specific fluorophore, Zinquin. The ester group of Zinquin is hydrolyzed by living cells, ensuring its intracellular retention; this allows the visualization and measurement of free or loosely-bound (labile) intracellular Zn(II) by fluorescence video image analysis or fluorimetric spectroscopy. RESULTS: Here we show that in cells undergoing early events of apoptosis, induced spontaneously or by diverse agents, there is a substantial increase in their Zinquin-detectable Zn(II). This increase occurred in the absence of exogenous Zn(II) and before changes in membrane permeability, consistent with a release of Zn(II) from intracellular stores or metalloproteins rather than enhanced uptake from the medium. We propose that there is a major redistribution of Zn(II) during the induction of apoptosis, which may influence or precipitate some of the later biochemical and morphological changes. CONCLUSIONS: The phenomenon of Zn(II) mobilization, revealed by Zinquin, presents a new element in the process of apoptosis for investigation and may permit rapid and sensitive identification of apoptotic cells, particularly in those tissues where their frequency is low.
Asunto(s)
Apoptosis/fisiología , Zinc/fisiología , Animales , Colorantes Fluorescentes , Microscopía por Video , Quinolonas , Ratas , Ratas Sprague-Dawley , Linfocitos T/metabolismo , Linfocitos T/ultraestructura , Compuestos de Tosilo , Zinc/metabolismoRESUMEN
Zinc is a trace element essential for the optimal function of a variety of biochemical and physiological processes. Its role in healthy aging is particularly important as it prevents neo plastic cell growth, is involved in mitotic cell division, DNA and RNA repair. Although zinc is widely available in food, the daily intake in many persons may be suboptimal. Other causes of low zinc concentrations may be due to small bowel conditions that cause mucosal damage and thus decrease absorption. Chronic diseases associated with alterations in zinc status are bronchial asthma, rheumatoid arthritis and Alzheimer disease. At present it is uncertain if therapy with zinc would assist in the management of these chronic diseases. In view of the important cellular functions of zinc in the human body, a diet with an adequate zinc content is beneficial in promoting healthy aging and maintaining good health.
Asunto(s)
Envejecimiento/fisiología , Estado de Salud , Fenómenos Fisiológicos de la Nutrición , Zinc/deficiencia , Zinc/fisiología , Envejecimiento/metabolismo , Enfermedad Crónica , Humanos , Política Nutricional , Necesidades Nutricionales , Zinc/farmacocinética , Zinc/uso terapéuticoRESUMEN
In the presence of pyrithione, which was used as a Zn2+ ionophore, Zn2+ (10-100 microM) increased phorbol ester binding by intact B-CLL cells in a dose-dependent fashion. Zn pyrithione increased 2-fold the number of phorbol ester receptors in B-cells (0.74 to 1.4 pmol/10(6) cells), neutrophil polymorphs (0.2 to 0.51 pmol/10(6) cells) and platelets (91 to 209 pmol/10(10) cells). Fractionation of cells after treatment with Zn pyrithione showed that increased binding of PDBu occurred in the particulate fraction of cells and this was accompanied by loss of phorbol ester receptors from the cytosol. These data are compatible with a role for Zn in the subcellular distribution and activation of protein kinase C.
Asunto(s)
Linfocitos B/metabolismo , Plaquetas/metabolismo , Proteínas de Caenorhabditis elegans , Neutrófilos/metabolismo , Receptores de Droga/metabolismo , Zinc/farmacología , Linfocitos B/efectos de los fármacos , Plaquetas/efectos de los fármacos , Proteínas Portadoras , Humanos , Cinética , Leucemia Linfocítica Crónica de Células B/metabolismo , Neutrófilos/efectos de los fármacos , Fenantrolinas/farmacología , Forbol 12,13-Dibutirato/metabolismo , Proteína Quinasa C/metabolismo , Piridinas/farmacología , Receptores de Droga/efectos de los fármacos , Tionas , Células Tumorales CultivadasRESUMEN
Protein kinase C was measured in the cytoskeletal fraction of lymphocytes, platelets and HL60 cells, by specific binding of [3H]phorbol dibutyrate and by immunoblotting with antibody to a consensus sequence in the regulatory domain of alpha-, beta- and gamma-isozymes of protein kinase C. Treatment of cells for 40 min with a combination of zinc (2-50 microM), zinc ionophore pyrithione and unlabelled phorbol dibutyrate (200 nM) caused up to a ten-fold increase in cytoskeletal protein kinase C and a corresponding decrease in other cellular compartments. Omission of any of the reagents resulted in much less or no translocation. These effects were inhibited by 1,10-phenanthroline, which chelates zinc, and were not seen with calcium. Increase in cytoskeletal protein kinase C persisted for several hours and appeared to involve attachment of the enzyme to actin microfilaments. We propose that zinc, like calcium, regulates the distribution of PKC in cells. However, unlike calcium which controls the binding of PKC to the lipid component on cell membranes, zinc controls the distribution of PKC to membrane cytoskeleton, possibly actin.
Asunto(s)
Plaquetas/enzimología , Cloruros/farmacología , Citoesqueleto/enzimología , Linfocitos/enzimología , Forbol 12,13-Dibutirato/metabolismo , Proteína Quinasa C/metabolismo , Compuestos de Zinc , Zinc/farmacología , Línea Celular , Sinergismo Farmacológico , Humanos , Cinética , Forbol 12,13-Dibutirato/farmacología , Unión Proteica , Proteína Quinasa C/sangreRESUMEN
The calcium ionophore A23187 acted synergistically with phorbol dibutyrate (PDBu) to stimulate human neutrophil superoxide production. A23187 shortened the lag period and markedly increased the initial rate of neutrophil superoxide production induced by suboptimal concentrations of PDBu. 1 microM A23187 reduced the EC50 value for superoxide release from 56 to 8 nM PDBu. This effect of A23187 was correlated with enhanced binding of [3H]PDBu to its receptor and a reduction in the dissociation constant (Kd) from 27 to 10 nM, without altering the apparent total number of phorbol dibutyrate receptors. These actions of A23187 were abolished in the presence of EGTA or TMB-8, confirming a dependence on Ca2+.
Asunto(s)
Proteínas de Caenorhabditis elegans , Calcimicina/farmacología , Neutrófilos/metabolismo , Ésteres del Forbol/farmacología , Proteína Quinasa C , Receptores de Droga , Receptores Inmunológicos/metabolismo , Superóxidos/sangre , Proteínas Portadoras , Humanos , Cinética , Neutrófilos/efectos de los fármacos , Forbol 12,13-Dibutirato , Ésteres del Forbol/metabolismo , Receptores Inmunológicos/efectos de los fármacosRESUMEN
We used an intracellular zinc-specific fluorophore, Zinquin, in conjunction with fluorescence video image analysis, to reveal labile zinc in pancreatic islet cells, which concentrate this metal for use in synthesis, storage, and secretion of insulin. Zinquin vividly demonstrated zinc in the islet cell secretory granules, which formed a brightly labeled crescent in the cytoplasm between one side of the nucleus and the plasma membrane. Lower but still appreciable amounts of zinc were detected in the remaining cytoplasm, but there was little labeling in the nucleus. Fluorescence intensity varied among islet cells, suggesting differences in zinc content. Their average fluorescence intensity greatly surpassed that of the surrounding pancreatic acinar cells in frozen sections of pancreas and in all other types of cell studied, including lymphocytes, neutrophils, fibroblasts, and erythrocytes. Less labile zinc was detected in cells of the mouse insulinoma cell line NIT-1, regardless of whether they were maintained in long-term culture in the presence or absence of exogenous extracellular zinc. Exposure of islet or insulinoma cells to a high concentration of glucose or other secretagogue decreased the content of labile zinc. Zinquin should be a useful probe for revealing changes in zinc homeostasis in islet B-cells that may be important in their dysfunction and death during diabetes.
Asunto(s)
Colorantes Fluorescentes , Procesamiento de Imagen Asistido por Computador , Islotes Pancreáticos/química , Quinolonas , Compuestos de Tosilo , Grabación de Cinta de Video , Zinc/análisis , Animales , Callithrix , Células Cultivadas , Glucosa/farmacología , Islotes Pancreáticos/metabolismo , Cinética , Ratones , Microscopía Fluorescente , Ratas , Ratas Sprague-Dawley , Sensibilidad y Especificidad , Células Tumorales Cultivadas , Zinc/metabolismoRESUMEN
The tumour promoter 12-O-tetradecanoylphorbol-13-acetate (TPA) induced differentiation in lymphocytes from patients with chronic lymphocytic leukaemia (CLL). The differentiation was detected by the appearance of cytoplasmic immunoglobulin (CIg) and a plasmacytoid morphology, and was accompanied by the loss of the ability of the CLL cells to rosette with mouse erythrocytes (M). Loss of M rosetting occurred rapidly (within 10 min), was not prevented by cycloheximide or actinomycin D and was elicited by low concentrations of TPA (ED50 8 X 10(-10) M). Inhibition of rosette formation was induced by other phorbol diester promoters, but not non-promoting derivatives. Loss of the capacity to form M rosettes occurs before events which are evidently related to genome activation.
Asunto(s)
Antineoplásicos Fitogénicos/farmacología , Linfocitos B/inmunología , Diterpenos , Leucemia Linfoide/inmunología , Ésteres del Forbol/farmacología , Forboles/farmacología , Receptores Inmunológicos/efectos de los fármacos , Terpenos , Animales , Linfocitos B/clasificación , Diferenciación Celular/efectos de los fármacos , Células Cultivadas , Eritrocitos/inmunología , Humanos , Ratones , Receptores de Antígenos de Linfocitos B/inmunología , Formación de Roseta , Factores de TiempoRESUMEN
Activated caspase-3-like proteases promote apoptotic cell death by cleaving cellular substrates. Caspase-3-like activity was measured in colonic carcinomas and in matched normal colonic mucosa from 31 patients and was significantly elevated in 25/ 31 colonic carcinomas and adenomas when compared to normal mucosa (P < 0.0001). Caspase-3-like activity was much higher in normal mucosa and tumours of female subjects than of males (P < 0.0001). No correlation was obtained between caspase-3-like activity and location of the tumour, tumour grade, stage, or patient age. The marked increase in caspase-3-like activity in colorectal carcinomas may reflect an increase in the proportion of cells undergoing spontaneous apoptosis.
Asunto(s)
Adenoma/enzimología , Carcinoma/enzimología , Caspasas/metabolismo , Neoplasias Colorrectales/enzimología , Precursores Enzimáticos/metabolismo , Adenoma/patología , Adulto , Anciano , Anciano de 80 o más Años , Clorometilcetonas de Aminoácidos/farmacología , Apoptosis , Carcinoma/patología , Caspasa 3 , Inhibidores de Caspasas , Neoplasias Colorrectales/patología , Cumarinas , Inhibidores de Cisteína Proteinasa/farmacología , Precursores Enzimáticos/antagonistas & inhibidores , Femenino , Humanos , Mucosa Intestinal/enzimología , Células Jurkat/enzimología , Masculino , Persona de Mediana Edad , OligopéptidosRESUMEN
Normal human B cells and leukaemic B-cell populations in common-type CLL undergo sequential shifts in proportions of the three B-cell subsets, defined by expression of mouse erythrocyte receptors R1 and R2, during TPA-induced differentiation to plasmacytoid cells in vitro, suggesting that the B-cell differentiation pathway is R1 +R2+ leads to R1 -R2+ leads to R1 -R2- leads to immature plasmacyte. Maturation of the less common type of CLL with a predominance of R1 -R2+ type cell was in agreement with this model. Changes in Fc gamma, Fc mu and C' receptors were also observed during maturation. A model of human B-cell maturation is presented on which common sites of blockage in leukaemia can be located.
Asunto(s)
Linfocitos B/citología , Diferenciación Celular/efectos de los fármacos , Leucemia Linfoide/patología , Forboles/farmacología , Acetato de Tetradecanoilforbol/farmacología , Células Cultivadas , Humanos , Neoplasias Experimentales , Receptores Inmunológicos/análisis , Formación de RosetaRESUMEN
Immunological surface marker techniques were applied in a study of 29 cases of chronic lymphocytic leumaemia and 22 of non-Hodgkin's lymphoma. Surface marker characteristics distinguished 2 subtypes of B lymphocytes. Chronic lymphocytic leukaemia was a monoclonal proliferation of B lymphocytes which produced spontaneous rosettes with mouse erythrocytes and had faintly immunofluorescent surface immunoglobulin. The majority of non-Hodgkin's lymphomas also had their origin from B lymphocytes but in contrast, this subtype did not show receptors for mouse erythrocytes and their surface immunoglobulin was brightly staining and demonstrated "capping". The clonal origin of nodular lymphomas could also be demonstrated on frozen sections stained for surface immunoglobulin. Two cases of true histiocytic lymphoma were identified. The current information available on surface marker characteristics of the leukaemias and lymphomas is reviewed.
Asunto(s)
Antígenos de Superficie , Leucemia Linfoide/diagnóstico , Linfoma/diagnóstico , Adulto , Linfocitos B/inmunología , Enfermedad Crónica , Técnica del Anticuerpo Fluorescente , Humanos , Leucemia Linfoide/inmunología , Leucemia Linfoide/patología , Linfoma/inmunología , Linfoma/patología , Persona de Mediana Edad , Formación de Roseta , Linfocitos T/inmunologíaRESUMEN
The Zn(II)-specific fluorophore Zinquin was used to determine the regional distribution of free or loosely-bound Zn(II) in mouse spermatozoa. Spermatozoa from the testes exhibited bright fluorescence over the entire head; those from the caput epididymides generally fluoresced more brightly in the post-acrosomal region; and spermatozoa from the caudae epididymides fluoresced less brightly, with foci of fluorescence over the sperm head which were lost after extraction with Triton X-100 and hence appeared to be membrane-associated. Treatment of cauda sperm with sodium dodecyl sulfate resulted in a bright uniform Zinquin fluorescence in the heads, similar to that observed in caput sperm, indicating that the two types of sperm have similar amounts of head Zn(II) but that the availability of Zn(II) for binding Zinquin is different. By contrast, the intensity of tail fluorescence was similar in spermatozoa from different regions of the male reproductive tract and was largely unaffected by Triton X-100 extraction, consistent with an intracellular location. Similar differences were observed between caput sperm and cauda sperm in the rat. It is concluded that visualization and measurement of free or loosely-bound Zn(II) in subcellular compartments of spermatozoa should facilitate investigation of the role of this metal in the development and function of spermatozoa and abnormalities that might accompany infertility and Zn(II) deficiency.
Asunto(s)
Epidídimo/citología , Colorantes Fluorescentes , Quinolonas , Espermatozoides/química , Compuestos de Tosilo , Zinc/análisis , Animales , Quelantes/farmacología , Cromatina/ultraestructura , Ácido Edético/farmacología , Etilenodiaminas/farmacología , Femenino , Masculino , Ratones , Microscopía Fluorescente , Octoxinol , Ratas , Espermatozoides/crecimiento & desarrollo , Espermatozoides/ultraestructura , Útero/citología , Zinc/metabolismoRESUMEN
Airway epithelium (AE) lines the conducting airways of the respiratory system and functions to maintain airway integrity by providing both a physical barrier to inhaled noxious agents and a mechanism for their clearance via the mucociliary escalator. Normal AE cells are relatively refractory to a number of apoptotic stimuli and survival mechanisms are in place to maintain the integrity of the epithelial barrier that is exposed to agents such as reactive oxygen species (ROS) and death receptor ligands secreted by immune cells during inflammation. When damage to AE does occur, there is increased AE apoptosis, such as in the airway damage that occurs in the chronically inflamed airways in diseases like asthma where rates of AE apoptosis can be increased many-fold. The usual treatment for persistent asthma in humans involves a combination of bronchodilator and inhaled corticosteroid; there is however a need to develop strategies to better control other aspects of the disease, including minimizing the ongoing damage to AE and consequent airway remodeling. Targeting of the major apoptosis-regulatory factors in AE may be one such strategy. Here we review what is known about apoptosis and its regulatory factors in normal AE and abnormalities in these factors in the inflamed airways of mice and humans.