Wang Xiangdong, Wang Yaoli, Zhao Xia, Andersson Roland, Song Zhenju, Yang Dong
Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, PR China.
Pulm Pharmacol Ther. 2009 Aug;22(4):318-25. doi: 10.1016/j.pupt.2009.01.004.
Multiple factors contribute to the pathogenesis and prognosis of chronic obstructive pulmonary disease(COPD), still requiring new therapeutic strategies and medications for the disease. The aim of the present study is to investigate the model of lipopolysaccharide (LPS)-induced chronic lung injury and hyperinflation and test therapeutic effects of peroxisome proliferator-activated receptor (PPAR)-gamma agonist. Wister rats were challenged with intra-tracheal instillation of LPS at concentrations of 0.006, 0.060, 0.600, and 6.000 mg/ml per kg, twice a week, for 1, 2, 4 and 6 weeks. PPAR activator, 15-deoxy-Delta12,14-prostaglandin J2 (15D-PGJ2), or vehicle (PBS) was administered orally and daily at the dose of 1 and 10 mg/ml per kg in animals challenged with LPS or PBS at the dose of 0.060 mg/ml per kg body weight twice a week for 4 weeks. We found that intra-tracheal exposure of LPS resulted in a dose-dependent pattern of chronic lung hyperinflation and hypertrophy, increased alveolar enlargement, reduced vascular endothelial growth factor (VEGF) and elevated tissue inhibitor of metalloproteinases (TIMP)-1 levels in bronchoalveolar lavage (BAL) fluid, and early changes of leukocyte influx and interferon (IFN)-gamma levels in bronchoalveolar lavage (BAL) fluid. PPAR-gamma agonist ameliorated these changes related with the dose used.LPS-induced lung disease model shows some similarities with human disease, and PPAR-gamma agonist maybe an alternative for COPD therapy.
多种因素导致慢性阻塞性肺疾病(COPD)的发病机制和预后,该病仍需要新的治疗策略和药物。本研究的目的是研究脂多糖(LPS)诱导的慢性肺损伤和肺过度充气模型,并测试过氧化物酶体增殖物激活受体(PPAR)-γ激动剂的治疗效果。将Wister大鼠通过气管内滴注浓度为每千克0.006、0.060、0.600和6.000毫克/毫升的LPS进行攻击,每周两次,持续1、2、4和6周。对于以每千克体重0.060毫克/毫升的剂量每周两次接受LPS或PBS攻击4周的动物,以每千克1和10毫克/毫升的剂量口服给予PPAR激活剂15-脱氧-Δ12,14-前列腺素J2(15D-PGJ2)或赋形剂(PBS),每日一次。我们发现气管内暴露于LPS会导致慢性肺过度充气和肥大的剂量依赖性模式,肺泡扩大增加,支气管肺泡灌洗(BAL)液中血管内皮生长因子(VEGF)降低,金属蛋白酶组织抑制剂(TIMP)-1水平升高,以及支气管肺泡灌洗(BAL)液中白细胞流入和干扰素(IFN)-γ水平的早期变化。PPAR-γ激动剂改善了与所用剂量相关的这些变化。LPS诱导的肺病模型与人疾病有一些相似之处,PPAR-γ激动剂可能是COPD治疗的一种选择。