Wang Yiduo, Zhang Wenzheng, Yu Guangzhe, Liu Qian, Jin Yingyu
Department of Laboratory Diagnosis, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, P.R. China.
Department of Emergency Surgery, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, P.R. China.
Exp Ther Med. 2018 May;15(5):4243-4252. doi: 10.3892/etm.2018.5992. Epub 2018 Mar 22.
Sepsis is the most common underlying disease of disseminated intravascular coagulation. Acute kidney injury is a common and serious complications of sepsis. In the present study, a lipopolysaccharide (LPS)-induced human proximal tubule cell line (HK-2 cells) was selected as an model of septic acute kidney injury. The aim of the present study was to investigate whether aquaporin 1 (AQP-1) has a cytoprotective role in LPS-induced HK-2 cells. HK-2 cells were treated with 0-16 µg/ml LPS for 0-24 h to establish the model of sepsis. The results demonstrated that AQP-1 levels were the lowest of the eight AQP genes expressed in LPS-induced HK-2 cells. Prior to LPS treatment, HK-2 cells were transfected with pcDNA-AQP-1 or small interfering-AQP-1 and cell counting kint-8 and flow cytometry assays were performed to assess cell viability and apoptosis rate, respectively. Changes in the expression of proinflammatory cytokines and chemokines, as well as important factors in the p38, extracellular signal-regulated kinase (ERK)1/2 and c-Jun N-terminal kinase (JNK) pathways, were assessed using reverse transcription-quantitative polymerase chain reaction, western blotting and ELISA, respectively. LPS treatment reduced viability, increased apoptosis and upregulated the expression of proinflammatory cytokines and chemokines in HK-2 cells. AQP-1 overexpression significantly reversed the effects of LPS and downregulated the expression of tumor necrosis factor-α, interleukin (IL)-8, IL-1β and monocyte chemoattractant protein-1. The p38, ERK1/2 and JNK pathways were activated by LPS; however, the p38 and ERK1/2 pathways were blocked in AQP-1-overexpressing cells. AQP-1 overexpression was demonstrated to confer a survival advantage to LPS-injured HK-2 cells by controlling cell viability, apoptosis and inflammation, possibly via modulation of the p38 and ERK1/2 pathways. The results of the present study suggest that AQP-1 may be an effective treatment for acute kidney injury caused by sepsis.
脓毒症是弥散性血管内凝血最常见的潜在病因。急性肾损伤是脓毒症常见且严重的并发症。在本研究中,选择脂多糖(LPS)诱导的人近端肾小管细胞系(HK - 2细胞)作为脓毒症急性肾损伤模型。本研究的目的是探讨水通道蛋白1(AQP - 1)在LPS诱导的HK - 2细胞中是否具有细胞保护作用。用0 - 16μg/ml LPS处理HK - 2细胞0 - 24小时以建立脓毒症模型。结果表明,AQP - 1水平是LPS诱导的HK - 2细胞中表达的8种AQP基因中最低的。在LPS处理前,用pcDNA - AQP - 1或小干扰 - AQP - 1转染HK - 2细胞,并分别进行细胞计数试剂盒 - 8和流式细胞术检测以评估细胞活力和凋亡率。分别使用逆转录 - 定量聚合酶链反应、蛋白质印迹法和酶联免疫吸附测定法评估促炎细胞因子和趋化因子的表达变化,以及p38、细胞外信号调节激酶(ERK)1/2和c - Jun氨基末端激酶(JNK)通路中的重要因子。LPS处理降低了HK - 2细胞的活力,增加了凋亡,并上调了促炎细胞因子和趋化因子的表达。AQP - 1过表达显著逆转了LPS的作用,并下调了肿瘤坏死因子 - α、白细胞介素(IL) - 8、IL - 1β和单核细胞趋化蛋白 - 1的表达。LPS激活了p38、ERK1/2和JNK通路;然而,在AQP - 1过表达的细胞中p38和ERK1/2通路被阻断。AQP - 1过表达被证明可能通过调节p38和ERK1/2通路来控制细胞活力、凋亡和炎症,从而赋予LPS损伤的HK - 2细胞生存优势。本研究结果表明,AQP - 1可能是脓毒症所致急性肾损伤的一种有效治疗方法。