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二甲双胍通过 AMPK 依赖性调控 HDAC5 和 KLF2 改善内毒素血症诱导的内皮促炎反应。

Metformin ameliorates endotoxemia-induced endothelial pro-inflammatory responses via AMPK-dependent mediation of HDAC5 and KLF2.

机构信息

Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, PR China.

Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, PR China.

出版信息

Biochim Biophys Acta Mol Basis Dis. 2019 Jun 1;1865(6):1701-1712. doi: 10.1016/j.bbadis.2019.04.009. Epub 2019 Apr 16.

Abstract

Exaggerated endothelial pro-inflammatory response is a hallmark in the early stage of sepsis and contributes to the subsequent tissue injury and organ failure. The anti-inflammatory effects of AMP-activated protein kinase (AMPK) activator metformin in sepsis has been revealed. However, the underlying mechanisms remain not fully understood. In the present study, the potential roles of histone deacetylase 5 (HDAC5) and kruppel-like factor 2 (KLF2) in the effects of metformin on endothelial pro-inflammatory responses were investigated. The results showed that metformin pretreatment increased the phosphorylation of HDAC5 at serine 498, leading to the upregulation of KLF2, and eliminated lipopolysaccharide (LPS) and tumor necrosis factor ⍺ (TNF⍺)-induced upregulation of vascular cell adhesion molecule 1 (VCAM1). Furthermore, the adhesion of HL60 leukocytes to endothelial monolayer was effectively inhibited by metformin. In addition, the in vivo data confirmed that AMPK activation attenuated local and systemic inflammation in endotoxic mice induced by LPS via mediating phosphorylating HDAC5 and restoring KLF2 expression. Our findings revealed that AMPK activation-mediated HDAC5 phosphorylation and KLF2 restoration is, at least partially, responsible to the anti-inflammatory effects of metformin in endotoxemia-induced endothelial cells, which has important implications for the future development of interfering therapies of sepsis.

摘要

过度的内皮细胞促炎反应是脓毒症早期的一个标志,并导致随后的组织损伤和器官衰竭。二甲双胍作为 AMP 激活的蛋白激酶 (AMPK) 激活剂在脓毒症中的抗炎作用已被揭示。然而,其潜在的作用机制仍不完全清楚。在本研究中,研究人员探讨了组蛋白去乙酰化酶 5 (HDAC5) 和 Kruppel 样因子 2 (KLF2) 在二甲双胍对内皮细胞促炎反应的作用中的潜在作用。结果表明,二甲双胍预处理增加了 HDAC5 丝氨酸 498 的磷酸化,导致 KLF2 的上调,并消除了脂多糖 (LPS) 和肿瘤坏死因子 ⍺ (TNF⍺)诱导的血管细胞黏附分子 1 (VCAM1)的上调。此外,二甲双胍有效地抑制了 HL60 白细胞与内皮单层的黏附。此外,体内数据证实,AMPK 激活通过介导 HDAC5 磷酸化和恢复 KLF2 表达,减轻 LPS 诱导的内毒素血症小鼠的局部和全身炎症。我们的研究结果表明,AMPK 激活介导的 HDAC5 磷酸化和 KLF2 恢复至少部分解释了二甲双胍在脂多糖诱导的内皮细胞中抗炎作用,这对脓毒症的干预治疗的未来发展具有重要意义。

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