Nayak Pritha S, Wang Yulian, Najrana Tanbir, Priolo Lauren M, Rios Mayra, Shaw Sunil K, Sanchez-Esteban Juan
Department of Pediatrics, Women and Infants Hospital of Rhode Island and the Warren Alpert Medical School of Brown University, 101 Dudley Street, Providence, RI, 02905, USA.
Respir Res. 2015 May 27;16(1):60. doi: 10.1186/s12931-015-0224-4.
Mechanical ventilation plays a central role in the injury of premature lungs. However, the mechanisms by which mechanical signals trigger an inflammatory cascade to promote lung injury are not well-characterized. Transient receptor potential vanilloid 4 (TRPV4), a calcium-permeable mechanoreceptor channel has been shown to be a major determinant of ventilator-induced acute lung injury in adult models. However, the role of these channels as modulators of inflammation in immature lungs is unknown. In this study, we tested the hypothesis that TRPV4 channels are important mechanotransducers in fetal lung injury.
Expression of TRPV4 in the mouse fetal lung was investigated by immunohistochemistry, Western blot and qRT-PCR. Isolated fetal epithelial cells were exposed to mechanical stimulation using the Flexcell Strain Unit and inflammation and differentiation were analyzed by ELISA and SP-C mRNA, respectively.
TRPV4 is developmentally regulated in the fetal mouse lung; it is expressed in the lung epithelium and increases with advanced gestation. In contrast, in isolated epithelial cells, TRPV4 expression is maximal at E17-E18 of gestation. Mechanical stretch increases TRPV4 in isolated fetal epithelial cells only during the canalicular stage of lung development. Using the TRPV4 agonist GSK1016790A, the antagonist HC-067047, and the cytokine IL-6 as a marker of inflammation, we observed that TRPV4 regulates release of IL-6 via p38 and ERK pathways. Interestingly, stretch-induced differentiation of fetal epithelial cells was also modulated by TRPV4.
These studies demonstrate that TRPV4 may play an important role in the transduction of mechanical signals in the fetal lung epithelium by modulating not only inflammation but also the differentiation of fetal epithelial cells.
机械通气在早产肺损伤中起核心作用。然而,机械信号触发炎症级联反应以促进肺损伤的机制尚未完全明确。瞬时受体电位香草酸受体4(TRPV4)是一种钙通透性机械感受器通道,在成年模型中已被证明是呼吸机诱导的急性肺损伤的主要决定因素。然而,这些通道作为未成熟肺炎症调节因子的作用尚不清楚。在本研究中,我们检验了TRPV4通道是胎儿肺损伤中重要的机械转导分子这一假说。
通过免疫组织化学、蛋白质印迹和定量逆转录聚合酶链反应研究TRPV4在小鼠胎儿肺中的表达。使用Flexcell应变装置对分离的胎儿上皮细胞进行机械刺激,并分别通过酶联免疫吸附测定和表面活性蛋白C(SP-C)信使核糖核酸分析炎症和分化情况。
TRPV4在胎儿小鼠肺中受发育调控;它在肺上皮中表达,并随孕周增加而增加。相比之下,在分离的上皮细胞中,TRPV4表达在妊娠第17 - 18天达到最大值。机械牵张仅在肺发育的小管期增加分离的胎儿上皮细胞中的TRPV4。使用TRPV4激动剂GSK1016790A、拮抗剂HC-067047以及细胞因子白细胞介素-6(IL-6)作为炎症标志物,我们观察到TRPV4通过p38和细胞外信号调节激酶(ERK)途径调节IL-6的释放。有趣的是,TRPV4也调节牵张诱导的胎儿上皮细胞分化。
这些研究表明,TRPV4可能不仅通过调节炎症,还通过调节胎儿上皮细胞的分化,在胎儿肺上皮机械信号转导中发挥重要作用。