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心房利钠肽可预防金黄色葡萄球菌诱导的肺损伤和内皮屏障功能障碍。

Atrial natriuretic peptide protects against Staphylococcus aureus-induced lung injury and endothelial barrier dysfunction.

机构信息

Section of Pulmonary and Critical Care and Lung Injury Center, Department of Medicine, University of Chicago, Chicago, Illinois, USA.

出版信息

J Appl Physiol (1985). 2011 Jan;110(1):213-24. doi: 10.1152/japplphysiol.00284.2010. Epub 2010 Nov 4.

Abstract

Lung inflammation and alterations in endothelial cell (EC) permeability are key events to development of acute lung injury (ALI). Protective effects of atrial natriuretic peptide (ANP) have been shown against inflammatory signaling and endothelial barrier dysfunction induced by gram-negative bacterial wall liposaccharide. We hypothesized that ANP may possess more general protective effects and attenuate lung inflammation and EC barrier dysfunction by suppressing inflammatory cascades and barrier-disruptive mechanisms shared by gram-negative and gram-positive pathogens. C57BL/6J wild-type or ANP knockout mice (Nppa-/-) were treated with gram-positive bacterial cell wall compounds, Staphylococcus aureus-derived peptidoglycan (PepG) and/or lipoteichoic acid (LTA) (intratracheal, 2.5 mg/kg each), with or without ANP (intravenous, 2 μg/kg). In vitro, human pulmonary EC barrier properties were assessed by morphological analysis of gap formation and measurements of transendothelial electrical resistance. LTA and PepG markedly increased pulmonary EC permeability and activated p38 and ERK1/2 MAP kinases, NF-κB, and Rho/Rho kinase signaling. EC barrier dysfunction was further elevated upon combined LTA and PepG treatment, but abolished by ANP pretreatment. In vivo, LTA and PepG-induced accumulation of protein and cells in the bronchoalveolar lavage fluid, tissue neutrophil infiltration, and increased Evans blue extravasation in the lungs was significantly attenuated by intravenous injection of ANP. Accumulation of bronchoalveolar lavage markers of LTA/PepG-induced lung inflammation and barrier dysfunction was further augmented in ANP-/- mice and attenuated by exogenous ANP injection. These results strongly suggest a protective role of ANP in the in vitro and in vivo models of ALI associated with gram-positive infection. Thus ANP may have important implications in therapeutic strategies aimed at the treatment of sepsis and ALI-induced gram-positive bacterial pathogens.

摘要

肺炎症和内皮细胞(EC)通透性改变是急性肺损伤(ALI)发展的关键事件。心房利钠肽(ANP)已被证明具有抗炎信号和革兰氏阴性细菌细胞壁脂多糖诱导的内皮屏障功能障碍的保护作用。我们假设,ANP 可能具有更普遍的保护作用,并通过抑制炎症级联反应和革兰氏阴性和革兰氏阳性病原体共有的破坏屏障机制来减轻肺炎症和 EC 屏障功能障碍。C57BL/6J 野生型或 ANP 敲除小鼠(Nppa-/-)用革兰氏阳性细菌细胞壁化合物,金黄色葡萄球菌衍生的肽聚糖(PepG)和/或脂磷壁酸(LTA)(气管内,每 2.5mg/kg)处理,有或没有 ANP(静脉内,2μg/kg)。在体外,通过缝隙形成的形态分析和跨内皮电阻的测量来评估人肺 EC 屏障特性。LTA 和 PepG 显著增加了肺 EC 的通透性,并激活了 p38 和 ERK1/2 MAP 激酶、NF-κB 和 Rho/Rho 激酶信号。LTA 和 PepG 联合处理进一步增加了 EC 屏障功能障碍,但预先给予 ANP 可消除这种障碍。在体内,LTA 和 PepG 诱导的蛋白质和细胞在支气管肺泡灌洗液中的积累、组织中性粒细胞浸润和肺部 Evans 蓝渗出的增加,通过静脉注射 ANP 显著减弱。ANP-/-小鼠中 LTA/PepG 诱导的肺炎症和屏障功能障碍的支气管肺泡灌洗标志物的积累进一步增加,并通过外源性 ANP 注射减弱。这些结果强烈表明,ANP 在与革兰氏阳性感染相关的 ALI 的体外和体内模型中具有保护作用。因此,ANP 可能对旨在治疗脓毒症和 ALI 诱导的革兰氏阳性细菌病原体的治疗策略具有重要意义。

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