Lou Liming, Hu Dandan, Chen Suzhen, Wang Shiqiang, Xu Yikai, Huang Yuenuo, Shi Yali, Zhang Hong
Department of Respiratory Medicine, The Third Affiliated Hospital of Zhejiang Chinese Medical University Hangzhou, Zhejiang, China.
Int J Clin Exp Pathol. 2019 Feb 1;12(2):528-538. eCollection 2019.
Whether the c-Jun N-terminal kinase (JNK) pathway mediates apoptosis in sepsis-induced acute lung injury is not known. Here we investigated the effect of JNK inhibition in a rat model of sepsis-induced lung injury, and assessed expression of JNK and endoplasmic reticulum stress-related proteins.
Sepsis was established by cecal ligation and puncture (CLP) in 48 male Sprague-Dawley rats. 32 additional rats underwent sham surgery. 24 CLP rats and 24 sham rats received tail vein injection of 30 mg/kg SP600125. The rest received saline injection. At 6, 12 and 24 h after surgery, blood, bronchoalveolar lavage fluid (BALF) and lung tissue were collected. p-JNK, XBP-1, ATF-4 and CHOP levels of the lung tissue were measured by western blot; and the JNK mRNA levels were measured by qPCR.
The W/D ratios of lungs in the CLP group were significantly higher than those in the sham group, but lower those in the CLP+JNK inhibitor group (P<0.05). TUNEL staining revealed significantly more apoptotic cells in the lungs of the CLP group than the sham group, and in the CLP+JNK inhibitor group the apoptotic index was significantly reduced (P<0.05). XBP-1, ATF-4, CHOP and p-JNK protein levels and JNK mRNA levels were significantly elevated in the CLP group (P<0.05), but significantly ameliorated in the CLP+JNK inhibitor group (P<0.05).
Inhibition of the JNK signaling pathway mitigates sepsis-induced lung injury. Our results suggest that JNK signaling promotes endoplasmic reticulum stress and thus apoptosis in sepsis-induced lung injury.
c-Jun氨基末端激酶(JNK)通路是否介导脓毒症诱导的急性肺损伤中的细胞凋亡尚不清楚。在此,我们研究了JNK抑制在脓毒症诱导的肺损伤大鼠模型中的作用,并评估了JNK及内质网应激相关蛋白的表达。
通过盲肠结扎和穿刺(CLP)建立48只雄性Sprague-Dawley大鼠的脓毒症模型。另外32只大鼠接受假手术。24只CLP大鼠和24只假手术大鼠经尾静脉注射30 mg/kg SP600125。其余大鼠接受生理盐水注射。术后6、12和24小时,采集血液、支气管肺泡灌洗液(BALF)和肺组织。通过蛋白质印迹法测量肺组织中p-JNK、XBP-1、ATF-4和CHOP的水平;通过qPCR测量JNK mRNA水平。
CLP组肺组织的湿干比显著高于假手术组,但低于CLP+JNK抑制剂组(P<0.05)。TUNEL染色显示,CLP组肺组织中的凋亡细胞明显多于假手术组,而CLP+JNK抑制剂组的凋亡指数显著降低(P<0.05)。CLP组中XBP-1、ATF-4、CHOP和p-JNK蛋白水平以及JNK mRNA水平显著升高(P<0.05),但在CLP+JNK抑制剂组中显著改善(P<0.05)。
抑制JNK信号通路可减轻脓毒症诱导的肺损伤。我们的结果表明,JNK信号通路促进内质网应激,从而在脓毒症诱导的肺损伤中引发细胞凋亡。