Zhao Tao, Zhao Hongwei, Li Gang, Zheng Shengfa, Liu Mengjie, Gu Changping, Wang Yuelan
Department of Anesthesiology, Rizhao People's Hospital, Rizhao, China.
Department of Anesthesiology, Qianfoshan Hospital, Shandong University, Jinan, China.
Respirology. 2016 Nov;21(8):1404-1410. doi: 10.1111/resp.12858. Epub 2016 Jul 27.
Ventilator-induced lung injury (VILI) is commonly associated with respiratory barrier dysfunction; however, the mechanisms have not been fully elucidated. This study aimed to determine the order and components of the signalling pathway that mediates the degradation of adherin junction of p120-catenin in VILI.
For the in vivo study, C57BL/6 mice were pre-treated with inhibitors for 60 min prior to 4 h of mechanical ventilation. For the in vitro study, mouse lung epithelial 12 (MLE-12) cells were pre-treated with inhibitors for 60 min or small interfering RNA (siRNA) for 48 h prior to cyclic stretch at 20% for 4 h. The protein levels of protein kinase Cα (PKCα), activated c-Src and p120-catenin were determined via western blot analysis. Lung injury was determined via HE staining, immunofluorescence, wet/dry ratio and lung injury scores.
High tidal volume mechanical ventilation and 20% cyclic stretch resulted in the degradation of p120-catenin. Inhibitors of PKCα blocked c-Src kinase activation and p120-catenin degradation in VILI. Inhibitors of c-Src kinase or PP2 or siRNA blocked p120-catenin degradation but not PKCα activation.
The current findings demonstrates that PKCα and c-Src kinase participate in VILI. PKCα activation phosphorylates c-Src kinase and further decreases p120-catenin in VILI.
呼吸机诱导的肺损伤(VILI)通常与呼吸屏障功能障碍有关;然而,其机制尚未完全阐明。本研究旨在确定介导VILI中p120-连环蛋白黏附连接降解的信号通路的顺序和组成成分。
在体内研究中,C57BL/6小鼠在机械通气4小时前先用抑制剂预处理60分钟。在体外研究中,小鼠肺上皮12(MLE-12)细胞在20%的周期性拉伸4小时前先用抑制剂预处理60分钟或用小干扰RNA(siRNA)预处理48小时。通过蛋白质印迹分析测定蛋白激酶Cα(PKCα)、活化的c-Src和p120-连环蛋白的蛋白水平。通过苏木精-伊红染色、免疫荧光、湿/干比和肺损伤评分来确定肺损伤情况。
高潮气量机械通气和20%的周期性拉伸导致p120-连环蛋白降解。PKCα抑制剂可阻断VILI中c-Src激酶的激活和p120-连环蛋白的降解。c-Src激酶抑制剂或PP2或siRNA可阻断p120-连环蛋白的降解,但不能阻断PKCα的激活。
目前的研究结果表明PKCα和c-Src激酶参与了VILI。PKCα的激活使c-Src激酶磷酸化,并进一步降低VILI中的p120-连环蛋白。