Department of Pathogenic Biology and Immunology, Medical School of Southeast University, Nanjing, China.
Center for Experimental Therapeutics and Reperfusion Injury, Department of Anesthesiology, Perioperative & Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
FASEB J. 2020 Oct;34(10):13696-13710. doi: 10.1096/fj.202001402R. Epub 2020 Aug 12.
Acute lung injury (ALI) and its more severe form, acute respiratory distress syndrome are life-threatening diseases. Despite recent advances in intensive care medicine, the mortality is still as high as 50%, which stems from our insufficient understanding of the underlying mechanisms of the diseases. The roles of C/EBPβ and C/EBPδ have been extensively investigated in LPS- and IgG immune complexes-stimulated acute lung injury. However, the effect of C/EBPγ, belonging to the same family as C/EBPβ and C/EBPδ, on ALI has not been elucidated. Our previous data have shown that during LPS-/IgG immune complexes-induced ALI, the DNA binding activities of C/EBPγ are obviously reduced. In the present study, we determine whether ALI induced by LPS and IgG immune complexes is affected by C/EBPγ. We find that adenovirus-mediated C/EBPγ expression in the lung tissue alleviates LPS-/IgG immune complexes-stimulated acute pulmonary damage through reducing vascular permeability changes and recruitment of neutrophils into alveolar spaces, which might be linked to a decrease in the production of pro-inflammatory mediators, such as TNF-α and IL-6. Moreover, our data obtained from macrophages in vitro are consistent with the in vivo results. In terms of mechanisms, C/EBPγ might inhibit LPS-/IgG immune complexes-mediated inflammation via alleviating C/EBPβ and C/EBPδ transcription activities as reflected by luciferase assays. However, the NF-κB-dependent production of pro-inflammatory mediators is not affected by C/EBPγ. Taken together, C/EBPγ suppresses LPS- and IgG immune complexes-induced pro-inflammatory mediators' production through the downregulation of C/EBP but not NF-κB activation, leading to the subsequent attenuation of ALI. Collectively, our data provide an insight into the critical role of C/EBPγ in acute lung injury.
急性肺损伤(ALI)及其更严重的形式,急性呼吸窘迫综合征是危及生命的疾病。尽管重症监护医学最近取得了进展,但死亡率仍高达 50%,这源于我们对这些疾病潜在机制的理解不足。C/EBPβ 和 C/EBPδ 在脂多糖(LPS)和免疫球蛋白 G(IgG)免疫复合物刺激的急性肺损伤中的作用已得到广泛研究。然而,属于 C/EBPβ 和 C/EBPδ 同一家族的 C/EBPγ 对 ALI 的作用尚未阐明。我们之前的数据表明,在 LPS-/IgG 免疫复合物诱导的 ALI 中,C/EBPγ 的 DNA 结合活性明显降低。在本研究中,我们确定 LPS 和 IgG 免疫复合物诱导的 ALI 是否受 C/EBPγ 影响。我们发现肺组织中腺病毒介导的 C/EBPγ 表达通过降低血管通透性变化和中性粒细胞募集到肺泡空间来减轻 LPS-/IgG 免疫复合物刺激的急性肺损伤,这可能与促炎介质如 TNF-α 和 IL-6 的产生减少有关。此外,我们从体外巨噬细胞获得的数据与体内结果一致。就机制而言,C/EBPγ 可能通过减轻 C/EBPβ 和 C/EBPδ 的转录活性来抑制 LPS-/IgG 免疫复合物介导的炎症,这反映在荧光素酶测定中。然而,NF-κB 依赖性促炎介质的产生不受 C/EBPγ 影响。总之,C/EBPγ 通过下调 C/EBP 而不是 NF-κB 激活来抑制 LPS 和 IgG 免疫复合物诱导的促炎介质的产生,从而导致 ALI 的减轻。总之,我们的数据提供了 C/EBPγ 在急性肺损伤中的关键作用的见解。