Ding Chao, Yang Jack, Van't Veer Cornelis, van der Poll Tom
Department of Gastric Surgery, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Center of Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Meibergdreef 9, Room G2-130, 1105 AZ, Amsterdam, the Netherlands.
Intensive Care Med Exp. 2019 Mar 12;7(1):14. doi: 10.1186/s40635-019-0228-3.
Kinins are short peptides with a wide range of proinflammatory properties that are generated from kininogens in the so-called kallikrein-kinin system. Kinins exert their biological activities through stimulation of two distinct receptor subtypes, the kinin or bradykinin B1 and B2 receptors (B1R, B2R). Acute challenge models have implicated B1R and B2R in the pathogenesis of sepsis. However, their role in the host response during sepsis originating from the lung is not known.
To determine the role of B1R and B2R in pneumonia-derived sepsis, B1R/B2R-deficient mice and wild-type mice treated with the B1R antagonist R-715 or the B2R antagonist HOE-140 were studied after infection with the common gram-negative pathogen Klebsiella pneumoniae via the airways. Neither B1R/B2R deficiency nor B1R or B2R inhibition influenced bacterial growth at the primary site of infection or dissemination to distant body sites. In addition, B1R/B2R deficiency or inhibition did not impact local or systemic inflammatory responses during Klebsiella induced pneumosepsis.
These data argue against an important role for kinins in the host response to pneumonia-derived sepsis caused by a clinically relevant pathogen.
激肽是一类具有广泛促炎特性的短肽,由所谓的激肽释放酶-激肽系统中的激肽原产生。激肽通过刺激两种不同的受体亚型,即激肽或缓激肽B1和B2受体(B1R、B2R)发挥其生物学活性。急性挑战模型表明B1R和B2R参与脓毒症的发病机制。然而,它们在源自肺部的脓毒症宿主反应中的作用尚不清楚。
为了确定B1R和B2R在肺炎源性脓毒症中的作用,在通过气道感染常见革兰氏阴性病原体肺炎克雷伯菌后,对B1R/B2R缺陷小鼠以及用B1R拮抗剂R-715或B2R拮抗剂HOE-140处理的野生型小鼠进行了研究。B1R/B2R缺陷以及B1R或B2R抑制均不影响感染原发部位的细菌生长或向远处身体部位的播散。此外,B1R/B2R缺陷或抑制在肺炎克雷伯菌诱导的肺源性脓毒症期间不影响局部或全身炎症反应。
这些数据表明激肽在宿主对由临床相关病原体引起的肺炎源性脓毒症的反应中不起重要作用。