Department of Medicine, University of Pittsburgh, Pennsylvania, USA.
Am J Respir Cell Mol Biol. 2011 Aug;45(2):426-35. doi: 10.1165/rcmb.2010-0422OC. Epub 2010 Dec 10.
A defining feature of acute lung injury (ALI) is the increased lung vascular permeability and alveolar flooding, which leads to associated morbidity and mortality. Specific therapies to alleviate the unremitting vascular leak in ALI are not currently clinically available; however, our prior studies indicate a protective role for sphingosine-1-phosphate (S1P) in animal models of ALI with reductions in lung edema. As S1P levels are tightly regulated by synthesis and degradation, we tested the hypothesis that inhibition of S1P lyase (S1PL), the enzyme that irreversibly degrades S1P via cleavage, could ameliorate ALI. Intratracheal instillation of LPS to mice enhanced S1PL expression, decreased S1P levels in lung tissue, and induced lung inflammation and injury. LPS challenge of wild-type mice receiving 2-acetyl-4(5)-[1(R),2(S),3(R),4-tetrahydroxybutyl]-imidazole to inhibit S1PL or S1PL(+/-) mice resulted in increased S1P levels in lung tissue and bronchoalveolar lavage fluids and reduced lung injury and inflammation. Moreover, down-regulation of S1PL expression by short interfering RNA (siRNA) in primary human lung microvascular endothelial cells increased S1P levels, and attenuated LPS-mediated phosphorylation of p38 mitogen-activated protein kinase and I-κB, IL-6 secretion, and endothelial barrier disruption via Rac1 activation. These results identify a novel role for intracellularly generated S1P in protection against ALI and suggest S1PL as a potential therapeutic target.
急性肺损伤 (ALI) 的一个特征是肺血管通透性增加和肺泡积水,这导致相关的发病率和死亡率。目前临床上尚无缓解 ALI 持续血管渗漏的特定疗法;然而,我们之前的研究表明,鞘氨醇-1-磷酸 (S1P) 在 ALI 动物模型中具有保护作用,可以减少肺水肿。由于 S1P 水平受到合成和降解的严格调节,我们测试了这样一个假设,即抑制 S1P 裂解酶 (S1PL),即通过切割不可逆地降解 S1P 的酶,可以改善 ALI。LPS 气管内滴注增强了 S1PL 的表达,降低了肺组织中的 S1P 水平,并诱导了肺炎症和损伤。接受 2-乙酰-4(5)-[1(R),2(S),3(R),4-四羟基丁基]-咪唑抑制 S1PL 的野生型小鼠或 S1PL(+/-) 小鼠的 LPS 挑战导致肺组织和支气管肺泡灌洗液中的 S1P 水平增加,肺损伤和炎症减少。此外,在原代人肺微血管内皮细胞中通过短发夹 RNA (siRNA) 下调 S1PL 表达可增加 S1P 水平,并通过 Rac1 激活减弱 LPS 介导的 p38 丝裂原活化蛋白激酶和 I-κB 的磷酸化、IL-6 分泌和内皮屏障破坏。这些结果确定了细胞内产生的 S1P 在预防 ALI 中的新作用,并表明 S1PL 是一个有潜力的治疗靶点。