Vascular Biology Center, Medical College of Georgia, Georgia Regents University , Augusta, GA , USA ; Department of Pharmacology and Toxicology, Medical College of Georgia, Georgia Regents University , Augusta, GA , USA ; Division of Pulmonary Medicine, Medical College of Georgia, Georgia Regents University , Augusta, GA , USA.
Front Immunol. 2013 Aug 7;4:228. doi: 10.3389/fimmu.2013.00228. eCollection 2013.
The integrity of epithelial and endothelial barriers in the lower airspaces of the lungs has to be tightly regulated, in order to prevent leakage and to assure efficient gas exchange between the alveoli and capillaries. Both G(-) and G(+) bacterial toxins, such as lipopolysaccharide and pneumolysin, respectively, can be released in high concentrations within the pulmonary compartments upon antibiotic treatment of patients suffering from acute respiratory distress syndrome (ARDS) or severe pneumonia. These toxins are able to impair endothelial barrier function, either directly, or indirectly, by induction of pro-inflammatory mediators and neutrophil sequestration. Toxin-induced endothelial hyperpermeability can involve myosin light chain phosphorylation and/or microtubule rearrangement. Endothelial nitric oxide synthase (eNOS) was proposed to be a guardian of basal barrier function, since eNOS knock-out mice display an impaired expression of inter-endothelial junction proteins and as such an increased vascular permeability, as compared to wild type mice. The enzyme arginase, the activity of which can be regulated by the redox status of the cell, exists in two isoforms - arginase 1 (cytosolic) and arginase 2 (mitochondrial) - both of which can be expressed in lung microvascular endothelial cells. Upon activation, arginase competes with eNOS for the substrate l-arginine, as such impairing eNOS-dependent NO generation and promoting reactive oxygen species generation by the enzyme. This mini-review will discuss recent findings regarding the interaction between bacterial toxins and arginase during acute lung injury and will as such address the role of arginase in bacterial toxin-induced pulmonary endothelial barrier dysfunction.
肺下呼吸道上皮和内皮屏障的完整性必须受到严格调控,以防止渗漏,并确保肺泡和毛细血管之间有效的气体交换。在患有急性呼吸窘迫综合征(ARDS)或严重肺炎的患者接受抗生素治疗时,革兰氏阴性(G(-))和革兰氏阳性(G(+))细菌毒素(如脂多糖和肺炎球菌溶血素)可分别以高浓度在肺区释放。这些毒素能够通过诱导促炎介质和中性粒细胞隔离来直接或间接损害内皮屏障功能。毒素诱导的内皮通透性增加可涉及肌球蛋白轻链磷酸化和/或微管重排。内皮型一氧化氮合酶(eNOS)被认为是基础屏障功能的守护者,因为 eNOS 敲除小鼠与野生型小鼠相比,表现出内皮细胞间连接蛋白表达受损,因此血管通透性增加。该酶精氨酸酶的活性可通过细胞的氧化还原状态进行调节,存在两种同工酶 - 胞质型精氨酸酶 1(arginase 1)和线粒体型精氨酸酶 2(arginase 2)- 均可在肺微血管内皮细胞中表达。在激活后,精氨酸酶与 eNOS 竞争底物 l-精氨酸,从而损害 eNOS 依赖的 NO 生成,并促进酶产生活性氧。这篇迷你综述将讨论关于急性肺损伤中细菌毒素和精氨酸酶之间相互作用的最新发现,并将讨论精氨酸酶在细菌毒素诱导的肺内皮屏障功能障碍中的作用。