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1-磷酸鞘氨醇受体1激动作用可减轻肺缺血再灌注损伤。

Sphingosine-1-phosphate receptor 1 agonism attenuates lung ischemia-reperfusion injury.

作者信息

Stone Matthew L, Sharma Ashish K, Zhao Yunge, Charles Eric J, Huerter Mary E, Johnston William F, Kron Irving L, Lynch Kevin R, Laubach Victor E

机构信息

Department of Surgery, University of Virginia, Charlottesville, Virginia; and.

Department of Pharmacology, University of Virginia, Charlottesville, Virginia.

出版信息

Am J Physiol Lung Cell Mol Physiol. 2015 Jun 15;308(12):L1245-52. doi: 10.1152/ajplung.00302.2014. Epub 2015 Apr 24.

Abstract

Outcomes for lung transplantation are the worst of any solid organ, and ischemia-reperfusion injury (IRI) limits both short- and long-term outcomes. Presently no therapeutic agents are available to prevent IRI. Sphingosine 1-phosphate (S1P) modulates immune function through binding to a set of G protein-coupled receptors (S1PR1-5). Although S1P has been shown to attenuate lung IRI, the S1P receptors responsible for protection have not been defined. The present study tests the hypothesis that protection from lung IRI is primarily mediated through S1PR1 activation. Mice were treated with either vehicle, FTY720 (a nonselective S1P receptor agonist), or VPC01091 (a selective S1PR1 agonist and S1PR3 antagonist) before left lung IR. Function, vascular permeability, cytokine expression, neutrophil infiltration, and myeloperoxidase levels were measured in lungs. After IR, both FTY720 and VPC01091 significantly improved lung function (reduced pulmonary artery pressure and increased pulmonary compliance) vs. vehicle control. In addition, FTY720 and VPC01091 significantly reduced vascular permeability, expression of proinflammatory cytokines (IL-6, IL-17, IL-12/IL-23 p40, CC chemokine ligand-2, and TNF-α), myeloperoxidase levels, and neutrophil infiltration compared with control. No significant differences were observed between VPC01091 and FTY720 treatment groups. VPC01091 did not significantly affect elevated invariant natural killer T cell infiltration after IR, and administration of an S1PR1 antagonist reversed VPC01091-mediated protection after IR. In conclusion, VPC01091 and FTY720 provide comparable protection from lung injury and dysfunction after IR. These findings suggest that S1P-mediated protection from IRI is mediated by S1PR1 activation, independent of S1PR3, and that selective S1PR1 agonists may provide a novel therapeutic strategy to prevent lung IRI.

摘要

肺移植的预后是所有实体器官移植中最差的,而缺血再灌注损伤(IRI)限制了短期和长期预后。目前尚无预防IRI的治疗药物。鞘氨醇-1-磷酸(S1P)通过与一组G蛋白偶联受体(S1PR1 - 5)结合来调节免疫功能。虽然已证明S1P可减轻肺IRI,但负责保护作用的S1P受体尚未明确。本研究检验了以下假设:对肺IRI的保护主要通过S1PR1激活介导。在左肺进行缺血再灌注之前,用赋形剂、FTY720(一种非选择性S1P受体激动剂)或VPC01091(一种选择性S1PR1激动剂和S1PR3拮抗剂)对小鼠进行治疗。测量肺的功能、血管通透性、细胞因子表达、中性粒细胞浸润和髓过氧化物酶水平。缺血再灌注后,与赋形剂对照组相比,FTY720和VPC01091均显著改善了肺功能(降低肺动脉压并增加肺顺应性)。此外,与对照组相比,FTY720和VPC01091显著降低了血管通透性、促炎细胞因子(IL - 6、IL - 17、IL - 12/IL - 23 p40、CC趋化因子配体 - 2和TNF - α)的表达、髓过氧化物酶水平以及中性粒细胞浸润。在VPC01091和FTY720治疗组之间未观察到显著差异。VPC01091对缺血再灌注后升高的恒定自然杀伤T细胞浸润没有显著影响,并且给予S1PR1拮抗剂可逆转缺血再灌注后VPC01091介导的保护作用。总之,VPC01091和FTY720对缺血再灌注后的肺损伤和功能障碍提供了相当的保护作用。这些发现表明,S1P介导的对IRI的保护作用是由S1PR1激活介导的,独立于S1PR3,并且选择性S1PR1激动剂可能提供一种预防肺IRI的新治疗策略。

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