Liu Jun, Zhang Pengshu, He Hongli, Yu Tao, Liu Ling, Guo Fengmei, Huang Yingzi, Yang Yi, Qiu Haibo
Department of Critical Care Medicine, Zhongda Hospital, Southeast University, Nanjing 210009, China.
Department of Critical Care Medicine, Zhongda Hospital, Southeast University, Nanjing 210009, China. Email:
Zhonghua Nei Ke Za Zhi. 2014 Oct;53(10):804-8.
To assess the effect of losartan, angiotensin II receptor type 1 (AT1) receptor antagonist, on the pulmonary T helper (Th) cell polarization response in acute lung injury (ALI) mice.
C57BL/6 mice were randomized into control group, ALI group and ALI + losartan group, which respectively were administrated with phosphate buffered saline(PBS), 2 mg/kg lipopolysaccharide (LPS) and 2 mg/kg LPS as well as 15 mg/kg losartan 30 minutes before intratracheal injection of LPS. Lung wet weight/body weight (LW/BW) was recorded to assess the severity of lung injury. The mRNA expression levels of T-box expressed in T cells (T-bet), GATA-binding protein-3 (GATA-3) and retinoid-related orphan nuclear receptor γt (RORγt) were quantitatively measured by real-time polymerase chain reaction (RT-PCR). Meanwhile, interleukin 6(IL-6), interferon γ (IFNγ) , IL-4 and IL-17 in lung homogenates were assessed by enzyme-linked immunosorbent assay (ELISA).
(1) LW/BW was significantly increased in ALI group compared with ALI+losartan group. (2) Histologically, widespread interstitial thickening with edema, severe alveolar hemorrhage, and diffuse interstitial infiltration of inflammatory cells were observed in the ALI group. Whereas, losartan effectively attenuated the LPS-induced alveolar hemorrhage and leukocyte infiltration. (3) The levels of IL-6 in lung tissue were significantly enhanced in the LPS-induced ALI mice, while it markedly decreased in ALI +losartan group. (4) The mRNA expression of T-bet and RORγt was up-regulated in ALI mice at 24 h and 48 h compared to control group (P < 0.05). There was no significant difference in the expression of GATA-3. In addition, compared with ALI group, ALI mice with pretreatment of losartan resulted in significantly reduced mRNA expression of T-bet at 24 h and 48 h and RORγt mRNA expression at 48 h (all P < 0.05). (5) Meanwhile, the levels of IFNγ, IL-4, IL-17 and IL-6 in lung tissue were significantly enhanced at 24 h and 48 h in the LPS-induced ALI mice. In addition, both IFNγ and IL-17 in lung tissue at 24 h and 48 h decreased significantly in losartan-pretreated mice compared with the ALI mice. However, the level of IL-4 in lungs was similar in ALI group and ALI+losartan group.
Losartan has a protective effect on LPS-induced ALI, which may be partly dependent on suppressions of Th1 and Th17 polarization response.
评估血管紧张素Ⅱ1型(AT1)受体拮抗剂氯沙坦对急性肺损伤(ALI)小鼠肺组织辅助性T(Th)细胞极化反应的影响。
将C57BL/6小鼠随机分为对照组、ALI组和ALI+氯沙坦组,分别给予磷酸盐缓冲液(PBS)、2mg/kg脂多糖(LPS)以及在气管内注射LPS前30分钟给予2mg/kg LPS和15mg/kg氯沙坦。记录肺湿重/体重(LW/BW)以评估肺损伤的严重程度。通过实时聚合酶链反应(RT-PCR)定量检测T细胞特异性转录因子(T-bet)、GATA结合蛋白3(GATA-3)和维甲酸相关孤儿核受体γt(RORγt)的mRNA表达水平。同时,采用酶联免疫吸附测定(ELISA)法检测肺匀浆中白细胞介素6(IL-6)、干扰素γ(IFNγ)、IL-4和IL-17的水平。
(1)与ALI+氯沙坦组相比,ALI组的LW/BW显著升高。(2)组织学检查显示,ALI组出现广泛的间质增厚伴水肿、严重的肺泡出血以及炎症细胞的弥漫性间质浸润。而氯沙坦可有效减轻LPS诱导的肺泡出血和白细胞浸润。(3)LPS诱导的ALI小鼠肺组织中IL-6水平显著升高,而在ALI+氯沙坦组中明显降低。(4)与对照组相比,ALI小鼠在24小时和48小时时T-bet和RORγt的mRNA表达上调(P<0.05)。GATA-3的表达无显著差异。此外,与ALI组相比,预先用氯沙坦处理的ALI小鼠在24小时和48小时时T-bet的mRNA表达以及48小时时RORγt mRNA表达均显著降低(均P<0.05)。(5)同时,LPS诱导的ALI小鼠在24小时和48小时时肺组织中IFNγ、IL-4、IL-17和IL-6水平显著升高。此外,与ALI小鼠相比,预先用氯沙坦处理的小鼠在24小时和48小时时肺组织中IFNγ和IL-17均显著降低。然而,ALI组和ALI+氯沙坦组肺组织中IL-4水平相似。
氯沙坦对LPS诱导的ALI具有保护作用,这可能部分依赖于对Th1和Th17极化反应的抑制。