Shao Xue, Li Meng, Luo Chong, Wang Ying-ying, Lu Ying-ying, Feng Shi, Li Heng, Lang Xia-Bing, Wang Yu-Cheng, Lin Chuan, Shen Xiu-jin, Zhou Qin, Jiang Hong, Chen Jiang-hua
Kidney Disease Center, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China.
J Zhejiang Univ Sci B. 2015 Jan;16(1):52-61. doi: 10.1631/jzus.B1400229.
Ingestion of paraquat (PQ), a widely used herbicide, can cause severe toxicity in humans, leading to a poor survival rate and prognosis. One of the main causes of death by PQ is PQ-induced pulmonary fibrosis, for which there are no effective therapies. The aim of this study was to evaluate the effects of rapamycin (RAPA) on inhibiting PQ-induced pulmonary fibrosis in mice and to explore its possible mechanisms.
Male C57BL/6J mice were exposed to either saline (control group) or PQ (10 mg/kg body weight, intraperitoneally; test group). The test group was divided into four subgroups: a PQ group (PQ-exposed, non-treated), a PQ+RAPA group (PQ-exposed, treated with RAPA at 1 mg/kg intragastrically), a PQ+MP group (PQ-exposed, treated with methylprednisolone (MP) at 30 mg/kg intraperitoneally), and a PQ+MP+RAPA group (PQ-exposed, treated with MP at 30 mg/kg intraperitoneally and with RAPA at 1 mg/kg intragastrically). The survival rate and body weight of all the mice were recorded every day. Three mice in each group were sacrificed at 14 d and the rest at 28 d after intoxication. Lung tissues were excised and stained with hematoxylin-eosin (H&E) and Masson's trichrome stain for histopathological analysis. The hydroxyproline (HYP) content in lung tissues was detected using an enzyme-linked immunosorbent assay (ELISA) kit. The expression of transforming growth factor-β1 (TGF-β1) and α-smooth muscle actin (α-SMA) in lung tissues was detected by immunohistochemical staining and Western blotting.
A mice model of PQ-induced pulmonary fibrosis was established. Histological examination of lung tissues showed that RAPA treatment moderated the pathological changes of pulmonary fibrosis, including alveolar collapse and interstitial collagen deposition. HYP content in lung tissues increased soon after PQ intoxication but had decreased significantly by the 28th day after RAPA treatment. Immunohistochemical staining and Western blotting showed that RAPA treatment significantly down-regulated the enhanced levels of TGF-β1 and α-SMA in lung tissues caused by PQ exposure. However, RAPA treatment alone could not significantly ameliorate the lower survival rate and weight loss of treated mice. MP treatment enhanced the survival rate, but had no significant effects on attenuating PQ-induced pulmonary fibrosis or reducing the expression of TGF-β1 and α-SMA.
This study demonstrates that RAPA treatment effectively suppresses PQ-induced alveolar collapse and collagen deposition in lung tissues through reducing the expression of TGF-β1 and α-SMA. Thus, RAPA has potential value in the treatment of PQ-induced pulmonary fibrosis.
摄入百草枯(PQ)这种广泛使用的除草剂可导致人类严重中毒,生存率和预后较差。PQ致死的主要原因之一是PQ诱导的肺纤维化,对此尚无有效治疗方法。本研究旨在评估雷帕霉素(RAPA)对抑制小鼠PQ诱导的肺纤维化的作用,并探讨其可能机制。
将雄性C57BL/6J小鼠分为生理盐水组(对照组)和PQ组(腹腔注射10 mg/kg体重的PQ;试验组)。试验组再分为四个亚组:PQ组(暴露于PQ,未治疗)、PQ+RAPA组(暴露于PQ,经口给予1 mg/kg RAPA治疗)、PQ+MP组(暴露于PQ,腹腔注射30 mg/kg甲泼尼龙(MP)治疗)和PQ+MP+RAPA组(暴露于PQ,腹腔注射30 mg/kg MP并经口给予1 mg/kg RAPA治疗)。每天记录所有小鼠的生存率和体重。中毒后14天每组处死3只小鼠,其余在28天处死。切除肺组织,用苏木精-伊红(H&E)染色和Masson三色染色进行组织病理学分析。使用酶联免疫吸附测定(ELISA)试剂盒检测肺组织中羟脯氨酸(HYP)含量。通过免疫组织化学染色和蛋白质印迹法检测肺组织中转化生长因子-β1(TGF-β1)和α-平滑肌肌动蛋白(α-SMA)的表达。
建立了PQ诱导的小鼠肺纤维化模型。肺组织的组织学检查显示,RAPA治疗减轻了肺纤维化的病理变化,包括肺泡塌陷和间质胶原沉积。PQ中毒后肺组织中HYP含量很快升高,但RAPA治疗后第28天显著降低。免疫组织化学染色和蛋白质印迹法显示,RAPA治疗显著下调了PQ暴露导致的肺组织中TGF-β1和α-SMA升高的水平。然而,单独的RAPA治疗不能显著改善受试小鼠较低的生存率和体重减轻。MP治疗提高了生存率,但对减轻PQ诱导的肺纤维化或降低TGF-β1和α-SMA的表达没有显著影响。
本研究表明,RAPA治疗通过降低TGF-β1和α-SMA的表达有效抑制PQ诱导的肺组织肺泡塌陷和胶原沉积。因此,RAPA在治疗PQ诱导的肺纤维化方面具有潜在价值。