Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Department of Critical Care Medicine, Landseed Hospital, Taoyuan, Taiwan.
PLoS One. 2019 Jul 18;14(7):e0219788. doi: 10.1371/journal.pone.0219788. eCollection 2019.
Axl is a cell surface receptor tyrosine kinase, and activation of the Axl attenuates inflammation induced by various stimuli. Growth arrest-specific 6 (Gas6) has high affinity for Axl receptor. The role of Gas6/Axl signaling in ischemia-reperfusion-induced acute lung injury (IR-ALI) has not been explored previously. We hypothesized that Gas6/Axl signaling regulates IR-induced alveolar inflammation via a pathway mediated by suppressor of cytokine signaling 3 (SOCS3).
IR-ALI was induced by producing 30 min of ischemia followed by 90 min of reperfusion in situ in an isolated and perfused rat lung model. The rats were randomly allotted to a control group and IR groups, which were treated with three different doses of Gas6. Mouse alveolar epithelium MLE-12 cells were cultured in control and hypoxia-reoxygenation (HR) conditions with or without Gas6 and Axl inhibitor R428 pretreatment.
We found that Gas6 attenuated IR-induced lung edema, the production of proinflammatory cytokines in perfusates, and the severity of ALI ex vivo. IR down-regulated SOCS3 expression and up-regulated NF-κB, and Gas6 restored this process. In the model of MLE-12 cells with HR, Gas6 suppressed the activation of TRAF6 and NF-κB by up-regulating SOCS3. Axl expression of alveolar epithelium was suppressed in IR-ALI but Gas6 restored phosphorylation of Axl. The anti-inflammatory effect of Gas6 was antagonized by R428, which highlighted that phosphorylation of Axl mediated the protective role of Gas6 in IR-ALI.
Gas6 up-regulates phosphorylation of Axl on alveolar epithelium in IR-ALI. The Gas6/Axl signaling activates the SOCS3-mediated pathway and attenuates IR-related inflammation and injury.
Axl 是一种细胞表面受体酪氨酸激酶,其激活可减轻各种刺激引起的炎症。Gas6(生长停滞特异性基因 6)与 Axl 受体具有高亲和力。Gas6/Axl 信号在缺血再灌注引起的急性肺损伤(IR-ALI)中的作用以前尚未探讨过。我们假设 Gas6/Axl 信号通过细胞因子信号转导抑制因子 3(SOCS3)介导的途径调节 IR 诱导的肺泡炎症。
在离体灌注大鼠肺模型中,通过 30 分钟缺血再灌注诱导 IR-ALI。将大鼠随机分为对照组和 IR 组,IR 组用三种不同剂量的 Gas6 处理。在有或没有 Gas6 和 Axl 抑制剂 R428 预处理的情况下,将小鼠肺泡上皮细胞 MLE-12 细胞在对照和缺氧再复氧(HR)条件下培养。
我们发现 Gas6 减轻了 IR 引起的肺水肿、灌流液中促炎细胞因子的产生和 ALI 的严重程度。IR 下调了 SOCS3 的表达并上调了 NF-κB,而 Gas6 恢复了这一过程。在 HR 条件下的 MLE-12 细胞模型中,Gas6 通过上调 SOCS3 抑制 TRAF6 和 NF-κB 的激活。IR-ALI 中肺泡上皮细胞的 Axl 表达受到抑制,但 Gas6 恢复了 Axl 的磷酸化。R428 拮抗了 Gas6 的抗炎作用,这突出表明 Axl 的磷酸化介导了 Gas6 在 IR-ALI 中的保护作用。
Gas6 在 IR-ALI 中上调肺泡上皮细胞的 Axl 磷酸化。Gas6/Axl 信号激活 SOCS3 介导的途径,减轻与 IR 相关的炎症和损伤。