Laboratory of Surgical Research, Department of Anesthesia, University of California, San Francisco, California, USA.
Shock. 2013 Feb;39(2):189-96. doi: 10.1097/SHK.0b013e31827e8ea3.
Acute lung injury (ALI) is a clinical syndrome characterized by hypoxia, which is caused by the breakdown of the alveolar capillary barrier. Interleukin 1β (IL-1β), a cytokine released within the airspace in ALI, downregulates the α subunit of the epithelial sodium channel (αENaC) transcription and protein expression via p38 MAP kinase-dependent signaling. Although induction of the heat shock response can restore alveolar fluid clearance compromised by IL-1β following the onset of severe hemorrhagic shock in rats, the mechanisms are not fully understood. In this study, we report that the induction of the heat shock response prevents IL-1β-dependent inhibition of αENaC mRNA expression and subsequent channel function. Heat shock results in IRAK1 detergent insolubility and a disruption of Hsp90 binding to IRAK1. Likewise, TAK1, another client protein of Hsp90 and signaling component of the IL-1β pathway, is also detergent insoluble after heat shock. Twenty-four hours after heat shock, both IRAK1 and TAK1 are again detergent soluble, which correlates with the IL-1β-dependent p38 activation. Remarkably, IL-1β-dependent p38 activation 24 h after heat shock did not result in an inhibition of αENaC mRNA expression and channel function. Further analysis demonstrates prolonged preservation of αENaC expression by the activation of the heat shock response that involves inducible Hsp70. Inhibition of Hsp70 at 24 h after heat shock results in p38-dependent IL-1β inhibition of αENaC mRNA expression, whereas overexpression of Hsp70 attenuates the p38-dependent IL-1β inhibition of αENaC mRNA expression. These studies demonstrate new mechanisms by which the induction of the heat shock response protects the barrier function of the alveolar epithelium in ALI.
急性肺损伤(ALI)是一种以缺氧为特征的临床综合征,是由肺泡毛细血管屏障破裂引起的。白细胞介素 1β(IL-1β)是一种在 ALI 气腔中释放的细胞因子,通过 p38 MAP 激酶依赖性信号通路下调上皮钠通道(αENaC)的α亚单位转录和蛋白表达。尽管在大鼠严重失血性休克发作后,诱导热休克反应可以恢复 IL-1β引起的肺泡液体清除受损,但机制尚不完全清楚。在这项研究中,我们报告热休克反应的诱导可以防止 IL-1β依赖性抑制αENaC mRNA 表达和随后的通道功能。热休克导致 IRAK1 去污剂不溶性和 HSP90 与 IRAK1 结合的破坏。同样,TAK1 是 HSP90 的另一种客户蛋白和 IL-1β 途径的信号成分,在热休克后也去污剂不溶性。热休克后 24 小时,IRAK1 和 TAK1 再次去污剂可溶性,这与 IL-1β 依赖性 p38 激活相关。值得注意的是,热休克后 24 小时 IL-1β 依赖性 p38 激活不会导致αENaC mRNA 表达和通道功能的抑制。进一步的分析表明,热休克反应的诱导通过诱导型 HSP70 对αENaC 表达的持续保存。热休克后 24 小时 HSP70 的抑制导致 p38 依赖性 IL-1β 抑制αENaC mRNA 表达,而 HSP70 的过表达减弱 p38 依赖性 IL-1β 抑制αENaC mRNA 表达。这些研究表明,诱导热休克反应保护 ALI 中肺泡上皮屏障功能的新机制。