Department of Emergency, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Reproductive Medicine Center, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
J Cell Physiol. 2020 Jan;235(1):563-572. doi: 10.1002/jcp.28995. Epub 2019 Jul 18.
Sepsis is a severe clinical disease, which is resulted from the excessive host inflammation response to the infection. Growing evidence indicates that Staphylococcus aureus pneumonia is a significant cause of sepsis, which can lead to intestinal injury, inflammation, and apoptosis. Studies have shown that miR-182-5p can serve as a tumor oncogene or a tumor suppressive microRNA in various cancers, however, its biological role in sepsis is still uninvestigated. Here, we reported that miR-182-5p was obviously increased in S. aureus pneumonia mice models. Loss of miR-182-5p inhibited intestinal damage and intestinal apoptosis as indicated by the terminal deoxynucleotidyl transferase dUTP nick end labeling assay. In addition, we observed the lack of miR-182-5p altered the local inflammatory response to pneumonia in the intestine. Elevated tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) levels were observed in intestinal tissue of pneumonia groups compared with the shams. Furthermore, miR-182-5p knockout (KO) pneumonia group demonstrated decreased levels of intestinal TNF-α and IL-6. Primary murine intestinal epithelial cells were isolated and cultured in our investigation. We exhibited downregulation of miR-182-5p repressed intestinal epithelial cells apoptosis and rescued the cell viability. Meanwhile, miR-182-5p caused elevated cell apoptosis and reduced cell proliferation. Moreover, the surfactant protein D (SP-D) binds with the bacterial pathogens and remove the pathogens and apoptotic bodies, which exhibits important roles in modulating immune responses. It was displayed in our study that SP-D was greatly decreased in pneumonia mice models. SP-D was predicted as a downstream target of miR-182-5p. These data concluded that miR-182-5p promoted intestinal injury in S. aureus pneumonia-induced sepsis via targeting SP-D.
脓毒症是一种严重的临床疾病,是由宿主对感染的过度炎症反应引起的。越来越多的证据表明,金黄色葡萄球菌肺炎是脓毒症的一个重要原因,可导致肠道损伤、炎症和细胞凋亡。研究表明,miR-182-5p 在各种癌症中可以作为肿瘤癌基因或肿瘤抑制性 microRNA 发挥作用,但其在脓毒症中的生物学作用尚待研究。在这里,我们报道了 miR-182-5p 在金黄色葡萄球菌肺炎小鼠模型中明显增加。末端脱氧核苷酸转移酶 dUTP 缺口末端标记法(TUNEL)检测结果表明,miR-182-5p 缺失抑制了肠道损伤和细胞凋亡。此外,我们观察到缺乏 miR-182-5p 改变了肺炎在肠道中的局部炎症反应。与假手术组相比,肺炎组肠道组织中肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平升高。此外,miR-182-5p 敲除(KO)肺炎组肠道 TNF-α和 IL-6 水平降低。在我们的研究中,我们分离并培养了原代鼠肠道上皮细胞。我们发现下调 miR-182-5p 抑制了肠道上皮细胞凋亡,挽救了细胞活力。同时,miR-182-5p 导致细胞凋亡增加和细胞增殖减少。此外,表面活性蛋白 D(SP-D)与细菌病原体结合并清除病原体和凋亡体,在调节免疫反应中发挥重要作用。在我们的研究中显示,SP-D 在肺炎小鼠模型中大大减少。SP-D 被预测为 miR-182-5p 的下游靶标。这些数据表明,miR-182-5p 通过靶向 SP-D 促进金黄色葡萄球菌肺炎诱导的脓毒症中的肠道损伤。