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热休克蛋白 90 抑制剂治疗可预防 HCl 急性暴露后小鼠的慢性肺损伤和肺纤维化。

Post-treatment with a heat shock protein 90 inhibitor prevents chronic lung injury and pulmonary fibrosis, following acute exposure of mice to HCl.

机构信息

Frank Reidy Research Center for Bioelectrics, Old Dominion University, Norfolk, VA.

Policlinico Umberto I, La Sapienza University of Rome, Italy.

出版信息

Exp Lung Res. 2020 May-Aug;46(6):203-216. doi: 10.1080/01902148.2020.1764148. Epub 2020 May 13.

Abstract

Exposure to high levels of hydrochloric acid (HCl) is associated with severe lung injury including both acute inflammation and chronic lung disease, which leads to the development of pulmonary fibrosis. Currently, there are no specific therapeutic agents for HCl-induced lung injury. Heat shock protein 90 (HSP90) has been implicated in the pathogenesis of pulmonary fibrosis. Thus, we have used a murine model of intra-tracheal acid instillation to investigate the antidotal effects of AUY-922, a small molecule HSP90 inhibitor, already in clinical trials for various types of cancer, against HCl-induced chronic lung injury and pulmonary fibrosis. HCl (0.1 N, 2 μl/g body weight) was instilled into male C57Bl/6J mice at day 0. After 24 h, mice began receiving 1 mg/kg AUY-922, 2x/week for 15 or 30 days. AUY-922 suppressed the HCl-induced sustained inflammation, as reflected in the reduction of leukocyte and protein concentrations in bronchoalveolar lavage fluid, and inhibited the activation of pro-fibrotic biomarkers, ERK and HSP90. Furthermore, AUY-922 improved lung function, decreased the overexpression and accumulation of extracellular matrix proteins and dramatically reduced histologic evidence of fibrosis in the lungs of mice exposed to HCl. We conclude that AUY-922, and possibly other HSP90 inhibitors, successfully block the adverse effects associated with acute exposures to HCl and may represent an effective antidote against HCl-induced chronic lung injury and fibrosis.

摘要

暴露于高浓度盐酸(HCl)与严重的肺损伤有关,包括急性炎症和慢性肺病,这导致了肺纤维化的发展。目前,尚无针对 HCl 诱导的肺损伤的特定治疗药物。热休克蛋白 90(HSP90)已被牵连到肺纤维化的发病机制中。因此,我们使用气管内酸灌注的小鼠模型来研究小分子 HSP90 抑制剂 AUY-922 的解毒作用,AUY-922 已在临床试验中用于各种类型的癌症,以对抗 HCl 诱导的慢性肺损伤和肺纤维化。在第 0 天,将 HCl(0.1 N,2 μl/g 体重)注入雄性 C57Bl/6J 小鼠中。24 小时后,小鼠开始接受 1 mg/kg AUY-922,每周 2 次,持续 15 或 30 天。AUY-922 抑制了 HCl 诱导的持续炎症,反映在支气管肺泡灌洗液中白细胞和蛋白浓度的降低,并且抑制了促纤维化生物标志物 ERK 和 HSP90 的激活。此外,AUY-922 改善了肺功能,减少了细胞外基质蛋白的过度表达和积累,并显著减少了暴露于 HCl 的小鼠肺部的纤维化组织学证据。我们得出结论,AUY-922 以及可能的其他 HSP90 抑制剂,成功地阻止了与急性暴露于 HCl 相关的不良影响,并且可能代表了针对 HCl 诱导的慢性肺损伤和纤维化的有效解毒剂。

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