Department of Anaesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Department of Pain Medicine, Wuhan Pu-Ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430033, China.
Curr Med Sci. 2018 Aug;38(4):672-678. doi: 10.1007/s11596-018-1929-7. Epub 2018 Aug 20.
Mechanical ventilation (MV) with large tidal volumes can increase lung alveolar permeability and initiate inflammatory responses, resulting in ventilator-induced lung injury (VILI). The mechanisms of the injurious effects of MV and the genetic susceptibility remain unclear. VILI-related genes such as cysteine-rich angiogenic inducer 61 (Cyr61) have been demonstrated to play a detrimental role in the aggressive ventilation strategies. In the present study, we investigated the involvement of Cyr61 in the VILI and the underlying mechanism. A549 cells were exposed to cyclic stretch of varying durations and then the mRNA and protein levels of Cyr61 were measured by real-time PCR and Western blotting, respectively. Additionally, after exposure of A549 cells to cyclic stretch for 5 min to 1 h,the expression levels of nuclear factor kappaB (NF-κB) and IL-8 were detected by E L I S A and Western blotting. Thereafter, Cyr61 expression was depressed in A549 cells with the siRNA pGenesil1.1-Cyr61-3 before the cyclic stretch, and IL-8 secretion and the activation of NF-κB pathways were probed by ELISA and Western blotting, respectively. Moreover, A NF-κB inhibitor (PDTC) and an activator (TNF) were used before mechanical stretch. Realtime PCR and ELISA were performed to detect the mRNA and protein of IL-8, respectively. The results showed that the mechanical cyclic stretch led to increased Cyr61 expression at mRNA and protein levels in A549 cells. Additionally, cyclic stretch also mobilized NF-κB from the cytoplasm to the nucleus and increased IL-8 secretion in A549 cells. The inhibition of Cyr61 blocked the NF-κB activation and IL-8 secretion in response to cyclic stretch. Inhibition of NF-κB attenuated the mRNA and protein expression of IL-8 in A549 cells transfected with Cyr61 siRNA. It was suggested that Cyr61/NF-κB signaling pathway mediates the upregulation of IL-8 in response to cyclic stretch in A594 cells. These findings support the hypothesis that Cyr61 plays a critical role in acute lung inflammation triggered by mechanical strain.
机械通气(MV)时采用大潮气量可增加肺泡的通透性并引发炎症反应,导致呼吸机相关性肺损伤(VILI)。MV 的损伤作用机制和遗传易感性尚不清楚。已经证实,与 VILI 相关的基因,如富含半胱氨酸的血管生成诱导因子 61(Cyr61),在激进的通气策略中发挥有害作用。在本研究中,我们研究了 Cyr61 在 VILI 中的作用及其潜在机制。用不同时间的循环拉伸来刺激 A549 细胞,然后分别通过实时 PCR 和 Western blot 来测量 Cyr61 的 mRNA 和蛋白水平。此外,在 A549 细胞接受 5 分钟至 1 小时的循环拉伸后,通过 ELISA 和 Western blot 检测核因子 kappaB(NF-κB)和白细胞介素 8(IL-8)的表达水平。然后,在进行循环拉伸之前,用 Cyr61 siRNA pGenesil1.1-Cyr61-3 下调 A549 细胞中的 Cyr61 表达,然后通过 ELISA 和 Western blot 分别检测 IL-8 的分泌和 NF-κB 通路的激活情况。此外,在机械拉伸之前使用 NF-κB 抑制剂(PDTC)和激活剂(TNF)。分别进行实时 PCR 和 ELISA 来检测 IL-8 的 mRNA 和蛋白。结果表明,机械循环拉伸可使 A549 细胞中 Cyr61 的 mRNA 和蛋白水平增加。此外,循环拉伸还可使 NF-κB 从细胞质转移到细胞核,并增加 A549 细胞中 IL-8 的分泌。Cyr61 的抑制作用阻断了 NF-κB 的激活和对循环拉伸的 IL-8 分泌。在转染 Cyr61 siRNA 的 A549 细胞中,NF-κB 的抑制减弱了 Cyr61 对 IL-8 的 mRNA 和蛋白表达的影响。这表明 Cyr61/NF-κB 信号通路介导了 A549 细胞对循环拉伸的 IL-8 上调。这些发现支持了 Cyr61 在机械应变引起的急性肺炎症中起关键作用的假说。