Weiss Yoram G, Bromberg Zohar, Raj Nichelle, Raphael Jacob, Goloubinoff Pierre, Ben-Neriah Yinon, Deutschman Clifford S
Department of Anesthesiology and Critical Care Medicine and the Goldyne Savad Institute of Gene Therapy, Hadassah Hebrew University School of Medicine, Jerusalem, Israel.
Crit Care Med. 2007 Sep;35(9):2128-38. doi: 10.1097/01.ccm.0000278915.78030.74.
Acute respiratory distress syndrome is a common and highly lethal inflammatory lung syndrome. We previously have shown that an adenoviral vector expressing the heat shock protein (Hsp)70 (AdHSP) protects against experimental sepsis-induced acute respiratory distress syndrome in part by limiting neutrophil accumulation in the lung. Neutrophil accumulation and activation is modulated, in part, by the nuclear factor-kappaB (NF-kappaB) signal transduction pathway. NF-kappaB activation requires dissociation/degradation of a bound inhibitor, IkappaBalpha. IkappaBalpha degradation requires phosphorylation by IkappaB kinase, ubiquitination by the SCFbeta-TrCP (Skp1/Cullin1/Fbox beta-transducing repeat-containing protein) ubiquitin ligase, and degradation by the 26S proteasome. We tested the hypothesis that Hsp70 attenuates NF-kappaB activation at multiple points in the IkappaBalpha degradative pathway.
Laboratory investigation.
University medical center research laboratory.
Adolescent (200 g) Sprague-Dawley rats and murine lung epithelial-12 cells in culture.
Lung injury was induced in rats via cecal ligation and double puncture. Thereafter, animals were treated with intratracheal injection of 1) phosphate buffer saline, 2) AdHSP, or 3) an adenovirus expressing green fluorescent protein. Murine lung epithelial-12 cells were stimulated with tumor necrosis factor-alpha and transfected. NF-kappaB was examined using molecular biological tools.
Intratracheal administration of AdHSP to rats with cecal ligation and double puncture limited nuclear translocation of NF-kappaB and attenuated phosphorylation of IkappaBalpha. AdHSP treatment reduced, but did not eliminate, phosphorylation of the beta-subunit of IkappaB kinase. In vitro kinase activity assays and gel filtration chromatography revealed that treatment of sepsis-induced lung injury with AdHSP induced fragmentation of the IkappaB kinase signalosome. This stabilized intermediary complexes containing IkappaB kinase components, IkappaBalpha, and NF-kappaB. Cellular studies indicate that although ubiquitination of IkappaBalpha was maintained, proteasomal degradation was impaired by an indirect mechanism.
Treatment of sepsis-induced lung injury with AdHSP limits NF-kappaB activation. This results from stabilization of intermediary NF-kappaB/IkappaBalpha/IkappaB kinase complexes in a way that impairs proteasomal degradation of IkappaBalpha. This novel mechanism by which Hsp70 attenuates an intracellular process may be of therapeutic value.
急性呼吸窘迫综合征是一种常见且致死率高的炎症性肺综合征。我们之前已经表明,表达热休克蛋白(Hsp)70的腺病毒载体(AdHSP)可部分通过限制中性粒细胞在肺中的积聚来预防实验性脓毒症诱导的急性呼吸窘迫综合征。中性粒细胞的积聚和激活部分受核因子-κB(NF-κB)信号转导通路调控。NF-κB的激活需要结合的抑制剂IκBα解离/降解。IκBα的降解需要IκB激酶磷酸化、SCFβ-TrCP(Skp1/Cullin1/Fbox含β转导重复序列蛋白)泛素连接酶进行泛素化以及26S蛋白酶体进行降解。我们检验了Hsp70在IκBα降解途径的多个环节减弱NF-κB激活的假说。
实验室研究。
大学医学中心研究实验室。
青春期(200克)的Sprague-Dawley大鼠和培养的小鼠肺上皮-12细胞。
通过盲肠结扎和双穿刺诱导大鼠肺损伤。此后,动物经气管内注射以下物质进行处理:1)磷酸盐缓冲盐水,2)AdHSP,或3)表达绿色荧光蛋白的腺病毒。用肿瘤坏死因子-α刺激并转染小鼠肺上皮-12细胞。使用分子生物学工具检测NF-κB。
对经盲肠结扎和双穿刺的大鼠气管内给予AdHSP可限制NF-κB的核转位并减弱IκBα的磷酸化。AdHSP处理减少了IκB激酶β亚基的磷酸化,但并未消除。体外激酶活性测定和凝胶过滤层析显示,用AdHSP治疗脓毒症诱导的肺损伤可诱导IκB激酶信号体的片段化。这使含有IκB激酶成分、IκBα和NF-κB的中间复合物稳定。细胞研究表明,尽管IκBα的泛素化得以维持,但蛋白酶体降解通过间接机制受到损害。
用AdHSP治疗脓毒症诱导的肺损伤可限制NF-κB激活。这是由于中间的NF-κB/IκBα/IκB激酶复合物稳定,从而损害了IκBα的蛋白酶体降解。Hsp70减弱细胞内过程的这一新颖机制可能具有治疗价值。