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内质网应激通过 IRE1α-TRAF2-NF-κB 通路参与小鼠呼吸机诱导的肺损伤。

Endoplasmic reticulum stress is involved in ventilator-induced lung injury in mice via the IRE1α-TRAF2-NF-κB pathway.

机构信息

Department of Anesthesiology, Guangxi Medical University Cancer Hospital, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Perioperative Medicine Research Center, Guangxi Medical University Cancer Hospital, Nanning 530021, Guangxi Zhuang Autonomous Region, China.

Department of Anesthesiology, Guangxi Medical University Cancer Hospital, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Perioperative Medicine Research Center, Guangxi Medical University Cancer Hospital, Nanning 530021, Guangxi Zhuang Autonomous Region, China.

出版信息

Int Immunopharmacol. 2020 Jan;78:106069. doi: 10.1016/j.intimp.2019.106069. Epub 2019 Dec 13.

Abstract

Inflammation plays a criticalrole in the development of ventilator-induced lung injury (VILI). Endoplasmic reticulum (ER) stress is associated with a variety of diseases through the modulation of inflammatory responses. However, little is known about how ER stress is implicated in VILI. In this study, murine mechanical ventilation models were constructed. Total protein and inflammatory cytokines were measured in bronchoalveolar lavage fluid (BALF),and lung tissue injurywasassessedby histology. Our data revealed that mice subjected to high tidal ventilation (TV) for 4 h showed more severe pulmonary edema and inflammation than those of mice with spontaneous breathing and low TV-treatment. In addition, the high TV-treated animals upregulated the ER stress markers GRP78, CHOP, p-IRE1α, TRAF2, and p-NF-κB expression at both the mRNA and protein levels in lung tissue. Administration of thapsigargin exacerbated the histological changes, inflammation and expression of GRP78 and CHOP after high TV, but treatment with ER stress and IRE1α kinase inhibitors attenuated the pathological damage and downregulated the high expression of GRP78, CHOP, p-IRE1α, TRAF2, and p-NF-κB, suggesting that ER stress is involved in VILI though the IRE1α/TRAF2/NF-κB signaling pathway in mice.

摘要

在呼吸机诱导性肺损伤(VILI)的发展中,炎症起着关键作用。内质网(ER)应激通过调节炎症反应与多种疾病有关。然而,关于 ER 应激如何参与 VILI 的机制尚不清楚。在本研究中,构建了小鼠机械通气模型。通过支气管肺泡灌洗液(BALF)测量总蛋白和炎症细胞因子,并通过组织学评估肺组织损伤。我们的数据表明,接受高潮气量通气(TV)4 小时的小鼠比自主呼吸和低 TV 治疗的小鼠表现出更严重的肺水肿和炎症。此外,高 TV 处理的动物在肺组织中上调 ER 应激标志物 GRP78、CHOP、p-IRE1α、TRAF2 和 p-NF-κB 的 mRNA 和蛋白水平。内质网应激和 IRE1α 激酶抑制剂的处理减轻了高 TV 后组织学变化、炎症和 GRP78、CHOP 的高表达,并下调了 p-IRE1α、TRAF2 和 p-NF-κB 的高表达,表明 ER 应激通过 IRE1α/TRAF2/NF-κB 信号通路参与 VILI。

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