Han Dong, Sun Junjun, Fan Dikun, Zhang Chao, Du Shoufeng, Zhang Wang
Department of Cardiovascular Surgery, The Central Hospital of Nanyang Nanyang, Henan, PR China.
Department of Critical Care Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University Hangzhou, Zhejiang, PR China.
Am J Transl Res. 2020 Sep 15;12(9):5586-5596. eCollection 2020.
Endothelial barrier dysfunction is a critical pathophysiological process of pulmonary ischemia/reperfusion (I/R) injury in patients scheduled for cardiopulmonary bypass. Impaired actin cytoskeleton dynamics and cell-cell junctions are the main causes of endothelial dysfunction. Statins have protective effects on I/R-induced lung injury; however, the mechanism is unclear. We explored the therapeutic potential of simvastatin (SV) in endothelial cells subjected to oxygen-glucose deprivation/reoxygenation (OGD/R). SV pretreatment promoted the barrier function of human pulmonary microvascular endothelial cells (HPMECs) subjected to OGD/R. LY294002 was used to evaluate the role of the PI3K/Akt pathway in regulating the barrier function of HPMECs subjected to OGD/R. LY294002 suppressed the barrier function of HPMECs. SV restored the endothelial barrier function by rescuing endothelial cell migration and permeability, which are involved in the regulation of cytoskeleton dynamics and intercellular junction expression via the PI3K/Akt signaling pathway.
内皮屏障功能障碍是体外循环患者肺缺血/再灌注(I/R)损伤的关键病理生理过程。肌动蛋白细胞骨架动力学和细胞间连接受损是内皮功能障碍的主要原因。他汀类药物对I/R诱导的肺损伤具有保护作用;然而,其机制尚不清楚。我们探讨了辛伐他汀(SV)对氧糖剥夺/复氧(OGD/R)处理的内皮细胞的治疗潜力。SV预处理促进了OGD/R处理的人肺微血管内皮细胞(HPMECs)的屏障功能。LY294002用于评估PI3K/Akt途径在调节OGD/R处理的HPMECs屏障功能中的作用。LY294002抑制了HPMECs的屏障功能。SV通过挽救内皮细胞迁移和通透性恢复了内皮屏障功能,这涉及通过PI3K/Akt信号通路调节细胞骨架动力学和细胞间连接表达。