Pulmonary and Critical Care Unit, Dept. of Medicine, Massachusetts General Hospital, and Harvard Medical School, Boston, USA.
Swiss Med Wkly. 2011 Oct 12;141:w13255. doi: 10.4414/smw.2011.13255. eCollection 2011.
New evidence demonstrated that high tidal volume mechanical ventilation results in substantial bronchial airway mechanical strain. In addition, high tidal volume mechanical ventilation has been shown to increase IL-8 production in a mechanism mediated, at least in part, by low molecular weight hyaluronan (LWM-HA). In the present study, it was investigated whether LMW-HA synthesised in the lung, in response to cyclic stretch, increased IL-8 production in the bronchial epithelium.
This question was approached by stimulating a transformed human bronchial epithelial cell line with LMW-HA isolated from stretched human lung fibroblasts and probed for the activation of extracellular signal-regulated kinase pathways.
LMW-HA increased IL-8 secretion in transformed bronchial epithelial cells. Additionally, LMW-HA augmented the levels of phospho c-Jun NH2-terminal kinase (JNK) and phospho extracellular signal-regulated kinase 1/2 (ERK1/2), and also mobilised nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) from the cytoplasm to the nucleus. The inhibition of JNK, ERK1/2 and NF-κB blocked IL-8 secretion in response to LMW-HA.
The data suggest that LMW-HA produced by lung fibroblasts in response to cyclic stretch increases the secretion of IL-8 in transformed bronchial epithelial cells via AP-1 and NF-κB signalling pathways. These findings support the hypothesis that LMW-HA plays an active role in acute lung inflammation triggered by mechanical strain.
新的证据表明,大潮气量机械通气会导致支气管气道产生实质性的机械应变。此外,大潮气量机械通气已被证明会增加白细胞介素-8(IL-8)的产生,其机制至少部分是通过低分子量透明质酸(LWM-HA)介导的。在本研究中,研究了肺内合成的 LWM-HA 是否会响应周期性拉伸而增加支气管上皮细胞中的 IL-8 产生。
通过用从拉伸的人肺成纤维细胞中分离出的 LWM-HA 刺激转化的人支气管上皮细胞系,并探测细胞外信号调节激酶(ERK)途径的激活情况,来解决这个问题。
LWM-HA 增加了转化的支气管上皮细胞中 IL-8 的分泌。此外,LWM-HA 增加了磷酸化 c-Jun NH2-末端激酶(JNK)和磷酸化 ERK1/2 的水平,并使核因子 kappa-轻链增强子的 B 细胞(NF-κB)从细胞质转移到细胞核。JNK、ERK1/2 和 NF-κB 的抑制阻断了 LWM-HA 引起的 IL-8 分泌。
数据表明,肺成纤维细胞对周期性拉伸的反应产生的 LWM-HA 通过 AP-1 和 NF-κB 信号通路增加转化的支气管上皮细胞中 IL-8 的分泌。这些发现支持了 LWM-HA 在机械应变引发的急性肺炎症中发挥积极作用的假说。