Department of Geriatric Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Wuhan, Hubei, China.
Institute of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Shock. 2020 Jun;53(6):761-771. doi: 10.1097/SHK.0000000000001408.
Sepsis is a life-threatening organ dysfunction initiated by a dysregulated response to infection, with imbalanced inflammation and immune homeostasis. Macrophages play a pivotal role in sepsis. N-[1-(1-oxopropyl)-4-piperidinyl]-N'-[4-(trifluoromethoxy)phenyl)-urea (TPPU) is an inhibitor of soluble epoxide hydrolase (sEH), which can rapidly hydrolyze epoxyeicosatrienoic acids (EETs) to the bio-inactive dihydroxyeicosatrienoic acids. TPPU was linked with the regulation of macrophages and inflammation. Here, we hypothesized that sEH inhibitor TPPU ameliorates cecal ligation and puncture (CLP)-induced sepsis by regulating macrophage functions.
A polymicrobial sepsis model induced by CLP was used in our study. C57BL/6 mice were divided into four groups: sham+ phosphate buffer saline (PBS), sham+TPPU, CLP+PBS, CLP+TPPU. Mice were observed 48 h after surgery to assess the survival rate. For other histological examinations, mice were sacrificed 6 h after surgery. Macrophage cell line RAW264.7 was used for in vitro studies.
TPPU treatment, accompanied with increased EETs levels, markedly improved the survival of septic mice induced by CLP surgery, which was associated with alleviated organ damage and dysfunction triggered by systemic inflammatory response. Moreover, TPPU treatment significantly inhibited systemic inflammatory response via EETs-induced inactivation of mitogen-activated protein kinase signaling due to enhanced macrophage phagocytic ability and subsequently reduced bacterial proliferation and dissemination, and decreased inflammatory factors release.
sEH inhibitor TPPU ameliorates cecal ligation and puncture-induced sepsis by regulating macrophage functions, including improved phagocytosis and reduced inflammatory response. Our data indicate that sEH inhibition has potential therapeutic effects on polymicrobial-induced sepsis.
脓毒症是一种危及生命的器官功能障碍,由感染引起的失调反应引发,伴有炎症和免疫稳态失衡。巨噬细胞在脓毒症中起着关键作用。N-[1-(1-氧代丙基)-4-哌啶基]-N'-[4-(三氟甲氧基)苯基]-脲(TPPU)是可溶性环氧化物水解酶(sEH)的抑制剂,可迅速将环氧二十碳三烯酸(EETs)水解为无活性的二羟二十碳三烯酸。TPPU 与巨噬细胞和炎症的调节有关。在这里,我们假设 sEH 抑制剂 TPPU 通过调节巨噬细胞功能来改善盲肠结扎和穿刺(CLP)诱导的脓毒症。
我们使用 CLP 诱导的多微生物脓毒症模型进行了这项研究。C57BL/6 小鼠分为四组:假手术+磷酸盐缓冲液(PBS)、假手术+TPPU、CLP+PBS、CLP+TPPU。手术后 48 小时观察小鼠以评估存活率。对于其他组织学检查,手术后 6 小时处死小鼠。使用巨噬细胞系 RAW264.7 进行体外研究。
TPPU 治疗可显著提高 CLP 手术诱导的脓毒症小鼠的存活率,同时增加 EETs 水平,这与全身炎症反应引起的器官损伤和功能障碍的减轻有关。此外,TPPU 治疗通过 EETs 诱导的丝裂原活化蛋白激酶信号失活显著抑制全身炎症反应,这是由于增强了巨噬细胞的吞噬能力,从而减少了细菌的增殖和扩散,并减少了炎症因子的释放。
sEH 抑制剂 TPPU 通过调节巨噬细胞功能改善盲肠结扎和穿刺诱导的脓毒症,包括改善吞噬作用和减轻炎症反应。我们的数据表明,sEH 抑制对多微生物诱导的脓毒症具有潜在的治疗作用。