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TIE2 激活诱导的血管保护作用改善脓毒症。

Amelioration of sepsis by TIE2 activation-induced vascular protection.

机构信息

Samsung Advanced Institute of Technology, Suwon, 446-712, Republic of Korea. Center for Vascular Research, Institute for Basic Science, Daejeon 305-701, Republic of Korea.

Center for Vascular Research, Institute for Basic Science, Daejeon 305-701, Republic of Korea. Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon 305-701, Republic of Korea.

出版信息

Sci Transl Med. 2016 Apr 20;8(335):335ra55. doi: 10.1126/scitranslmed.aad9260.

Abstract

Protection of endothelial integrity has been recognized as a frontline approach to alleviating sepsis progression, yet no effective agent for preserving endothelial integrity is available. Using an unusual anti-angiopoietin 2 (ANG2) antibody, ABTAA (ANG2-binding and TIE2-activating antibody), we show that activation of the endothelial receptor TIE2 protects the vasculature from septic damage and provides survival benefit in three sepsis mouse models. Upon binding to ANG2, ABTAA triggers clustering of ANG2, assembling an ABTAA/ANG2 complex that can subsequently bind and activate TIE2. Compared with a conventional ANG2-blocking antibody, ABTAA was highly effective in augmenting survival from sepsis by strengthening the endothelial glycocalyx, reducing cytokine storms, vascular leakage, and rarefaction, and mitigating organ damage. Together, our data advance the role of TIE2 activation in ameliorating sepsis progression and open a potential therapeutic avenue for sepsis to address the lack of sepsis-specific treatment.

摘要

保护内皮完整性已被认为是缓解脓毒症进展的一线方法,但目前尚无有效的内皮完整性保护剂。本研究使用一种不寻常的抗血管生成素 2(ANG2)抗体 ABTAA(ANG2 结合和 TIE2 激活抗体),结果表明,内皮受体 TIE2 的激活可保护血管免受脓毒症损伤,并在三种脓毒症小鼠模型中提供生存获益。ABTAA 与 ANG2 结合后,可触发 ANG2 聚集,组装 ABTAA/ANG2 复合物,随后该复合物可结合并激活 TIE2。与传统的 ANG2 阻断抗体相比,ABTAA 通过增强内皮糖萼、减少细胞因子风暴、血管渗漏和稀疏以及减轻器官损伤,在增强脓毒症生存方面非常有效。总之,我们的数据推进了 TIE2 激活在改善脓毒症进展中的作用,并为脓毒症治疗提供了一种潜在的治疗途径,以解决缺乏脓毒症特异性治疗的问题。

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