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通气机导致的肺损伤可以通过抑制 NLRP3 炎性小体的激活来缓解。

Ventilator-induced lung injury is alleviated by inhibiting NLRP3 inflammasome activation.

机构信息

Department of Anesthesiology and Perioperative Medicine, Shandong Provincial Qianfoshan Hospital, Shandong University, No. 16766 Jingshi Road, Jinan, 250014, Shandong Province, China.

Department of Anesthesiology and Perioperative Medicine, Shandong Provincial Qianfoshan Hospital, Shandong University, No. 16766 Jingshi Road, Jinan, 250014, Shandong Province, China.

出版信息

Mol Immunol. 2019 Jul;111:1-10. doi: 10.1016/j.molimm.2019.03.011. Epub 2019 Apr 2.


DOI:10.1016/j.molimm.2019.03.011
PMID:30952009
Abstract

BACKGROUND: Mechanical ventilation (MV) is frequently used but can aggravate or cause lung injury, known as ventilator-induced lung injury (VILI). However, the mechanisms are unclear. The NLR family pyrin domain containing 3 (NLRP3) inflammasome is a vital component of innate immunity and is closely related to VILI. METHODS: Mouse lung epithelial (MLE-12) cells were transfected with NLRP3 small interfering RNA (siRNA) or scramble siRNA (sc siRNA) and subjected to 20% cyclic stretch (CS). Wild-type C57BL/6 mice were injected with a liquid complex of NLRP3 siRNA/sc siRNA-Lipofectamine 2000 through the fundus venous plexus before mechanical ventilation. Western blots, immunoprecipitation, ELISAs, flow cytometry, immunofluorescence, and hematoxylin-eosin staining were used to assess the effects of the NLRP3 inflammasome on VILI and the mechanisms of those effects. RESULTS: CS activated the NLRP3 inflammasome by activating NIMA-related kinase 7 (NEK7). NLRP3 depletion inhibited NLRP3 inflammasome activation; alleviated the degradation of cell junction proteins, including p120-catenin (p120) and occludin; ameliorated the colocalization of p120 and E-cadherin; and mitigated the decrease in mitochondrial membrane potential caused by mechanical stretch. Furthermore, after NLRP3 depletion, VILI was attenuated by decreasing IL-1β secretion and pulmonary edema. CONCLUSIONS: Inhibiting NLRP3 inflammasome activation ameliorated VILI, suggesting a potential therapeutic target for the clinical treatment of VILI.

摘要

背景:机械通气(MV)经常被使用,但会加重或导致肺损伤,称为呼吸机诱导性肺损伤(VILI)。然而,其机制尚不清楚。NLR 家族包含pyrin 结构域的 3(NLRP3)炎性小体是先天免疫的重要组成部分,与 VILI 密切相关。

方法:用 NLRP3 小干扰 RNA(siRNA)或 scramble siRNA(sc siRNA)转染小鼠肺上皮(MLE-12)细胞,并进行 20%的循环拉伸(CS)。在机械通气前,通过基底静脉丛向野生型 C57BL/6 小鼠注射 NLRP3 siRNA/sc siRNA-Lipofectamine 2000 的液体复合物。使用 Western blot、免疫沉淀、ELISA、流式细胞术、免疫荧光和苏木精-伊红染色来评估 NLRP3 炎性小体对 VILI 的影响及其作用机制。

结果:CS 通过激活 NIMA 相关激酶 7(NEK7)激活 NLRP3 炎性小体。NLRP3 耗竭抑制 NLRP3 炎性小体激活;减轻细胞连接蛋白(包括 p120-连环蛋白(p120)和闭合蛋白)的降解;改善 p120 与 E-钙粘蛋白的共定位;并减轻机械拉伸引起的线粒体膜电位下降。此外,NLRP3 耗竭后通过减少 IL-1β 分泌和肺水肿减轻 VILI。

结论:抑制 NLRP3 炎性小体激活可改善 VILI,为 VILI 的临床治疗提供了潜在的治疗靶点。

相似文献

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Mol Immunol. 2019-4-2

[2]
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[3]
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[4]
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[5]
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[6]
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[10]
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Role of STIM1 in stretch-induced signaling in human airway smooth muscle.

Am J Physiol Lung Cell Mol Physiol. 2024-8-1

[2]
Regulation of cell proliferation and transdifferentiation compensates for ventilator-induced lung injury mediated by NLRP3 inflammasome activation.

Immun Inflamm Dis. 2023-10

[3]
Rutin alleviates ventilator-induced lung injury by inhibiting NLRP3 inflammasome activation.

iScience. 2023-9-9

[4]
Association between ondansetron use and mortality of patients on mechanical ventilation in the intensive care unit: a retrospective cohort study.

Ann Transl Med. 2023-1-31

[5]
Beating the Clock in Ventilator-induced Lung Injury.

Am J Respir Crit Care Med. 2023-6-1

[6]
Aerobic exercise alleviates ventilator-induced lung injury by inhibiting NLRP3 inflammasome activation.

BMC Anesthesiol. 2022-12-1

[7]
Human Neutrophil Defensins Disrupt Liver Interendothelial Junctions and Aggravate Sepsis.

Mediators Inflamm. 2022

[8]
The Role of Circadian Clock Genes in Critical Illness: The Potential Role of Translational Clock Gene Therapies for Targeting Inflammation, Mitochondrial Function, and Muscle Mass in Intensive Care.

J Biol Rhythms. 2022-8

[9]
Roxadustat Attenuates the Disruption of Epithelial Tight Junction in Caco2 Cells and a Rat Model of CKD Through MicroRNA-223.

Front Med (Lausanne). 2022-4-13

[10]
The Elk1/MMP-9 axis regulates E-cadherin and occludin in ventilator-induced lung injury.

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