Department of General Surgery, Jinling Hospital, Medical School of Nanjing University , Nanjing , China.
Center of Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands.
Am J Physiol Lung Cell Mol Physiol. 2018 Mar 1;314(3):L397-L405. doi: 10.1152/ajplung.00288.2017. Epub 2017 Nov 9.
High-molecular-weight kininogen (HK), together with factor XI, factor XII and prekallikrein, is part of the contact system that has proinflammatory, prothrombotic, and vasoactive properties. We hypothesized that HK plays a role in the host response during pneumonia-derived sepsis. To this end mice were depleted of kininogen (KNG) to plasma HK levels of 28% of normal by repeated treatment with a specific antisense oligonucleotide (KNG ASO) for 3 wk before infection with the common human sepsis pathogen Klebsiella pneumoniae via the airways. Whereas plasma HK levels increased during infection in mice treated with a scrambled control ASO (Ctrl ASO), HK level in the KNG ASO-treated group remained reduced to 25-30% of that in the corresponding Ctrl ASO group both before and after infection. KNG depletion did not influence bacterial growth in lungs or dissemination to distant body sites. KNG depletion was associated with lower lung CXC chemokine and myeloperoxidase levels but did not impact neutrophil influx, lung pathology, activation of the vascular endothelium, activation of the coagulation system, or the extent of distant organ injury. These results were corroborated by studies in mice with a genetic deficiency of KNG, which were indistinguishable from wild-type mice during Klebsiella-induced sepsis. Both KNG depletion and KNG deficiency were associated with strongly reduced plasma prekallikrein levels, indicating the carrier function of HK for this zymogen. This study suggests that KNG does not significantly contribute to the host defense during gram-negative pneumonia-derived sepsis.
高分子量激肽原(HK)与因子 XI、因子 XII 和前激肽释放酶一起,构成了接触系统的一部分,具有炎症、血栓形成和血管活性特性。我们假设 HK 在肺炎相关性脓毒症期间的宿主反应中发挥作用。为此,我们通过重复用特异性反义寡核苷酸(KNG ASO)处理 3 周,将小鼠 HK 血浆水平降低至正常水平的 28%,然后通过气道感染常见的人类脓毒症病原体肺炎克雷伯菌,来耗尽激肽原(KNG)。虽然在接受 scrambled 对照 ASO(Ctrl ASO)治疗的小鼠感染期间血浆 HK 水平升高,但在 KNG ASO 治疗组中,其 HK 水平在感染前后仍保持在对照 Ctrl ASO 组的 25-30%。KNG 耗竭不影响肺部的细菌生长或向远处身体部位的扩散。KNG 耗竭与较低的肺部 CXC 趋化因子和髓过氧化物酶水平相关,但不影响中性粒细胞浸润、肺病理、血管内皮细胞激活、凝血系统激活或远处器官损伤的程度。这些结果在 KNG 基因缺失的小鼠研究中得到了证实,这些小鼠在肺炎克雷伯菌诱导的脓毒症期间与野生型小鼠没有区别。KNG 耗竭和 KNG 缺乏都与血浆前激肽释放酶水平显著降低相关,这表明 HK 对该酶原具有载体功能。这项研究表明,在革兰氏阴性菌肺炎相关性脓毒症期间,KNG 不会显著促进宿主防御。
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