Department of Emergency, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jiangsu Key Laboratory of Neurodegeneration, Department of Pharmacology, Nanjing Medical University, Nanjing, China.
Int Immunopharmacol. 2019 Jul;72:243-251. doi: 10.1016/j.intimp.2019.04.015. Epub 2019 Apr 16.
Paraquat (PQ), a highly toxic herbicide, selectively accumulates in the lungs and causes pulmonary damage through oxidative and inflammatory processes after intentional or accidental poisoning. The resulting acute lung injury (ALI) is characterized by neutrophil infiltration and extensive inflammation with rapid respiratory failure. However, effective therapies are lacking. We tested the hypothesis that suppressing neutrophil-derived matrix metalloproteinase 9 (MMP9) would ameliorate the inflammatory milieu and alleviate PQ-induced ALI. Lung injury was assessed in mice intratracheally injected with PQ aerosol by measuring the lung static compliance, cell count and neutrophil percentage of the bronchoalveolar lavage fluid (BALF) and lung, alveolar-capillary permeability, and histopathological lung injury scores. MMP9/2 activity was assessed by gelatin zymography, and the location of neutrophils and MMP9 in the lung was evaluated by immunofluorescence costaining. In the neutrophil depletion experiment, mice received anti-Ly6G antibody intraperitoneally; for the MMP inhibition experiment, an MMP inhibitor, doxycycline (DOX), was administered by gavage. In PQ-induced ALI, the activity of neutrophil-derived MMP9 but not MMP2 increased significantly. Neutrophil depletion reduced the inflammatory burden, improved pulmonary edema, and reduced the PQ-induced overexpression of MMP9. Consistently, oral delivery of DOX to mice decreased the overexpression of MMP9 that was activated by PQ and phenocopied the resolution of PQ-induced ALI observed after neutrophil depletion. Taken together, our results show for the first time that DOX is involved in the resolution of PQ-induced ALI via a mechanism involving reducing the activity of neutrophil-derived MMP9. We speculate that DOX may represent a novel therapeutic strategy for PQ-induced ALI.
百草枯(PQ)是一种剧毒除草剂,在故意或意外中毒后,通过氧化和炎症过程选择性地在肺部积聚,导致肺损伤。由此产生的急性肺损伤(ALI)的特征是中性粒细胞浸润和广泛炎症,伴有快速呼吸衰竭。然而,缺乏有效的治疗方法。我们通过测量气管内注射 PQ 气溶胶的小鼠的肺静态顺应性、支气管肺泡灌洗液(BALF)和肺的细胞计数和中性粒细胞百分比、肺泡毛细血管通透性和组织病理学肺损伤评分,来检测抑制中性粒细胞衍生的基质金属蛋白酶 9(MMP9)是否会改善炎症环境并减轻 PQ 诱导的 ALI 的假说。通过明胶酶谱法评估 MMP9/2 活性,并通过免疫荧光共染色评估中性粒细胞和 MMP9 在肺中的位置。在中性粒细胞耗竭实验中,小鼠经腹腔注射抗 Ly6G 抗体;在 MMP 抑制实验中,通过灌胃给予 MMP 抑制剂多西环素(DOX)。在 PQ 诱导的 ALI 中,中性粒细胞衍生的 MMP9 但不是 MMP2 的活性显著增加。中性粒细胞耗竭减少了炎症负担,改善了肺水肿,并减少了 PQ 诱导的 MMP9 过表达。一致地,向小鼠口服给予 DOX 可降低 PQ 激活的 MMP9 的过表达,并模拟了中性粒细胞耗竭后观察到的 PQ 诱导的 ALI 的缓解。总之,我们的研究结果首次表明,DOX 通过减少中性粒细胞衍生的 MMP9 的活性参与了 PQ 诱导的 ALI 的缓解。我们推测 DOX 可能代表一种治疗 PQ 诱导的 ALI 的新的治疗策略。