Department of Respiratory Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, No. 23rd Art Museum Backstreet, Dongcheng District, Beijing, China.
Department of Immunology, School of Basic Medical Sciences, Capital Medical University, No. 10rd Xitoutiao, You'anmenwai street, Fengtai District, Beijing, China.
BMC Pulm Med. 2019 Feb 4;19(1):27. doi: 10.1186/s12890-019-0792-z.
Chronic cough is a difficult-to-treat comorbidity of idiopathic pulmonary fibrosis (IPF), and significantly impacts on the quality of life of patients with IPF. Transient receptor potential (TRP) channel proteins may play an important role in chronic cough. However, expression of these proteins in lung of IPF is largely unknown.
Guinea pig model of pulmonary fibrosis was established by single intratracheal delivery of bleomycin. Respiratory ungated micro-CT scans were performed on days 7, 14, 21 and 28 to assess progression of pulmonary fibrosis. Cough sensitivity to capsaicin was evaluated in conscious animals on days 13 and 27. Real-time PCR (qPCR) and immunohistochemistry were employed to measure expression of TRPV1 and TRPA1 in lung tissue.
Micro-CT showed that lung consolidation was detectable from day 7 distributing mainly in the middle and lower lung fields, which was significantly correlated to Ashcroft fibrosis score (r = 0.7993, p < 0.001). Cough sensitivity to capsaicin in bleomycin-treated animals was significantly increased on days 13 and 27. qPCR showed that expression of TRPV1 and TRPA1 was positively correlated each other and significantly upregulated in lung tissues of model group compared with that of controls, which was further supported by immunohistochemistry. Furthermore, immunoreactivity for TRPV1 and TRPA1 was negatively correlated with Ashcroft fibrosis score.
Expression of TRPV1/TRPA1 was upregulated in the chronic cough related to bleomycin induced pulmonary fibrosis in guinea pigs, which provided new insights into the mechanism of IPF-associated cough hypersensitivity. Micro-CT is very helpful methodology to access pulmonary fibrosis progression in small animal models.
慢性咳嗽是特发性肺纤维化(IPF)的一种难以治疗的合并症,严重影响 IPF 患者的生活质量。瞬时受体电位(TRP)通道蛋白可能在慢性咳嗽中发挥重要作用。然而,这些蛋白在 IPF 肺中的表达在很大程度上尚不清楚。
通过单次气管内给予博来霉素建立豚鼠肺纤维化模型。在第 7、14、21 和 28 天进行呼吸非门控微 CT 扫描,以评估肺纤维化的进展。在第 13 和 27 天,通过清醒动物评估辣椒素引起的咳嗽敏感性。采用实时 PCR(qPCR)和免疫组织化学方法测量肺组织中 TRPV1 和 TRPA1 的表达。
微 CT 显示,从第 7 天开始可检测到肺实变,主要分布在中、下肺野,与 Ashcroft 纤维化评分显著相关(r=0.7993,p<0.001)。博来霉素处理动物的辣椒素咳嗽敏感性在第 13 和 27 天显著增加。qPCR 显示 TRPV1 和 TRPA1 的表达呈正相关,模型组肺组织中的表达明显高于对照组,免疫组织化学进一步支持了这一结果。此外,TRPV1 和 TRPA1 的免疫反应性与 Ashcroft 纤维化评分呈负相关。
TRPV1/TRPA1 的表达在与博来霉素诱导的豚鼠肺纤维化相关的慢性咳嗽中上调,这为 IPF 相关咳嗽高敏反应的机制提供了新的见解。微 CT 是评估小动物模型中肺纤维化进展的非常有用的方法。