Kim In Kyoung, Rhee Chin Kook, Yeo Chang Dong, Kang Hyeon Hui, Lee Dong Gun, Lee Sang Haak, Kim Jin Woo
Crit Care. 2013 Jun 20;17(3):R114. doi: 10.1186/cc12786.
Neutrophil recovery has been implicated in deterioration of oxygenation and exacerbation of preexisting acute lung injury (ALI). The aim of this study was to investigate whether imatinib or nilotinib was effective on lipopolysaccharide (LPS)-induced ALI during neutropenia recovery in mice.
Mice were rendered neutropenic with cyclophosphamide prior to the intratracheal instillation of LPS. Imatinib or nilotinib was administrated by oral gavage during neutropenia recovery. In order to study the effects of drugs, mice were killed on day 5 and blood, bronchoalveolar lavage (BAL) fluid and lung tissue samples were obtained. The lung wet/dry weight ratio and protein levels in the BAL fluid or lung tissue were determined.
Treatment with imatinib or nilotinib significantly attenuated the LPS-induced pulmonary edema, and this result was supported by the histopathological examination. The concentrations of tumor necrosis factor-α, interleukin (IL)-1β, IL-6 and myeloperoxidase in BAL fluid were significantly inhibited by imatinib or nilotinib in mice of ALI during neutropenia recovery. The mRNA expressions of platelet-derived growth factor receptor-β and c-KIT in imatinib or nilotinib group were significantly lower than LPS group.
Our data indicated that imatinib or nilotinib effectively attenuated LPS-induced ALI during neutropenia recovery. These results provide evidence for the therapeutic potential of imatinib and nilotinib in ALI during neutropenia recovery.
中性粒细胞恢复与氧合恶化及既往急性肺损伤(ALI)的加重有关。本研究的目的是调查伊马替尼或尼洛替尼在小鼠中性粒细胞减少恢复期间对脂多糖(LPS)诱导的ALI是否有效。
在气管内注入LPS之前,用环磷酰胺使小鼠中性粒细胞减少。在中性粒细胞减少恢复期间,通过口服灌胃给予伊马替尼或尼洛替尼。为了研究药物的作用,在第5天处死小鼠并获取血液、支气管肺泡灌洗(BAL)液和肺组织样本。测定肺湿/干重比以及BAL液或肺组织中的蛋白质水平。
伊马替尼或尼洛替尼治疗显著减轻了LPS诱导的肺水肿,组织病理学检查支持了这一结果。在中性粒细胞减少恢复期间,伊马替尼或尼洛替尼显著抑制了ALI小鼠BAL液中肿瘤坏死因子-α、白细胞介素(IL)-1β、IL-6和髓过氧化物酶的浓度。伊马替尼或尼洛替尼组中血小板衍生生长因子受体-β和c-KIT的mRNA表达明显低于LPS组。
我们的数据表明,伊马替尼或尼洛替尼在中性粒细胞减少恢复期间有效减轻了LPS诱导的ALI。这些结果为伊马替尼和尼洛替尼在中性粒细胞减少恢复期间治疗ALI的潜力提供了证据。