Department of Emergency Internal Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
Department of Anesthesiology, Air Force Medical Center, Beijing, China.
Am J Physiol Lung Cell Mol Physiol. 2020 Apr 1;318(4):L801-L812. doi: 10.1152/ajplung.00108.2019. Epub 2020 Jan 29.
This study sets out to establish the comparative contribution of PD-L1 expression by pulmonary endothelial cells (ECs) and/or epithelial cells (EpiCs) to the development of indirect acute lung injury (iALI) by taking advantage of the observation that treatment with naked siRNA by intratracheal delivery in mice primarily affects lung EpiCs, but not lung ECs, while intravenous delivery of liposomal-encapsulated siRNA largely targets vascular ECs including the lung, but not pulmonary EpiCs. We showed that using a mouse model of iALI [induced by hemorrhagic shock followed by septic challenge (Hem-CLP)], PD-L1 expression on pulmonary ECs or EpiCs was significantly upregulated in the iALI mice at 24 h post-septic insult. After documenting the selective ability of intratracheal versus intravenous delivery of PD-L1 siRNA to inhibit PD-L1 expression on EpiCs versus ECs, respectively, we observed that the iALI-induced elevation of cytokine/chemokine levels (in the bronchoalveolar lavage fluid, lung lysates, or plasma), lung myeloperoxidase and caspase-3 activities could largely only be inhibited by intravenous, but not intratracheal, delivery of PD-L1 siRNA. Moreover, intravenous, but not intratracheal, delivery led to a preservation of normal tissue architecture, lessened pulmonary edema, and reduced neutrophils influx induced by iALI. In addition, in vitro mouse endothelial cell line studies showed that PD-L1 gene knockdown by siRNA or knockout by CRISPR/Cas9-mediated gene manipulation, reduced monolayer permeability, and maintained tight junction protein levels upon recombinant IFN-γ stimulation. Together, these data imply a critical role for pulmonary vascular ECs in mediating PD-1:PD-L1-driven pathological changes resulting from systemic stimuli such as Hem-CLP.
本研究旨在利用以下观察结果来确定肺内皮细胞 (ECs) 和/或上皮细胞 (EpiCs) 的 PD-L1 表达对间接性急性肺损伤 (iALI) 的发展的相对贡献:通过气管内给予裸 siRNA 治疗,在小鼠中主要影响肺 EpiCs,但不影响肺 ECs,而静脉内给予脂质体包裹的 siRNA 则主要靶向包括肺在内的血管 ECs,但不靶向肺 EpiCs。我们表明,在使用 iALI 小鼠模型[由出血性休克后继发脓毒症挑战 (Hem-CLP) 诱导]中,在脓毒症攻击后 24 小时,肺 ECs 或 EpiCs 上的 PD-L1 表达显著上调。在记录了气管内与静脉内给予 PD-L1 siRNA 分别选择性抑制 EpiCs 与 ECs 上的 PD-L1 表达的能力之后,我们观察到,iALI 诱导的细胞因子/趋化因子水平升高(在支气管肺泡灌洗液、肺裂解物或血浆中)、肺髓过氧化物酶和 caspase-3 活性仅能通过静脉内、而不能通过气管内给予 PD-L1 siRNA 来抑制。此外,静脉内、而非气管内给予 PD-L1 siRNA 可保存正常的组织结构、减轻肺水肿、并减少 iALI 诱导的中性粒细胞浸润。此外,体外小鼠内皮细胞系研究表明,通过 siRNA 或通过 CRISPR/Cas9 介导的基因操作敲除 PD-L1 基因,可降低单层通透性并在重组 IFN-γ刺激下维持紧密连接蛋白水平。总之,这些数据表明,肺血管 ECs 在介导全身性刺激(如 Hem-CLP)引起的 PD-1:PD-L1 驱动的病理变化中起关键作用。