RT Journal Article SR Electronic T1 Heme oxygenase–1 induced by quercetin attenuates TGF-β-stimulated collagen production in fibroblasts JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP p2003 VO 38 IS Suppl 55 A1 Tsutomu Kawabe A1 Toshinobu Nakamura A1 Miyoko Matsushima A1 Yuta Hayashi A1 Masataka Shibasaki A1 Kazuyoshi Imaizumi A1 Naozumi Hashimoto A1 Kaoru Shimokata A1 Yoshinori Hasegawa YR 2011 UL http://erj.ersjournals.com/content/38/Suppl_55/p2003.abstract AB Quercetin is a flavonoid with a wide variety of cytoprotective and modulatory functions. Heme oxygenase–1 (HO-1) is an inducible enzyme. Its reaction product, carbon monoxide (CO), confers cellular protection in a number of conditions and diseases associated with oxidative or inflammatory lung injury. Furthermore, quercetin was reported to be a potent inducer of HO-1 in several cell types. We hypothesized that quercetin suppresses the production of collagen in fibroblasts via the induction of HO-1. Here, we showed that quercetin suppresses transforming growth factor–β (TGF-β) induced collagen production in NIH3T3 cells and in normal human lung fibroblasts. This suppressive effect of quercetin was mediated by quercetin-induced HO-1. The suppression of collagen production was conferred by the reaction product of HO-1, CO, but not by bilirubin. Furthermore, the translocation of the nuclear factor E2–related factor–2 (Nrf2), an important transcription factor that regulates the expression of HO-1 from the cytoplasm to the nuclei, was demonstrated in NIH3T3 cells by exposure to quercetin. Assessment of the signal transduction pathway involved in TGF-β signaling showed that quercetin stimulated the Smad and mitogen-activated protein kinase pathway to varying degrees. Our results demonstrate that quercetin exerts suppressive effects on the expression of collagen by the induction of HO-1. Idiopathic pulmonary fibrosis is the most lethal diffuse fibrosing lung disease, and is characterized by the deposition of extracellular matrix. Quercetin or its derivatives, which effectively induced HO-1, will lead to new therapeutic strategies for promoting antifibrotic therapy in respiratory diseases.