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成纤维细胞生长因子-2 减轻脓毒症中的毛细血管渗漏和炎症。

Fibroblast growth factor-2 alleviates the capillary leakage and inflammation in sepsis.

机构信息

Department of Intensive Care Unit, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, P. R. China.

Department of Intensive Care Unit, Hangzhou Third Hospital, Hangzhou, 310000, Zhejiang, P. R. China.

出版信息

Mol Med. 2020 Nov 13;26(1):108. doi: 10.1186/s10020-020-00221-y.

Abstract

BACKGROUND

Acute lung injury (ALI), which is induced by numerous pathogenic factors, especially sepsis, can generate alveolar damage, pulmonary edema and vascular hyper-permeability ultimately leading to severe hypoxemia. Fibroblast growth factor-2 (FGF2) is an important member of the FGF family associated with endothelial cell migration and proliferation, and injury repairment. Here, we conducted this study aiming to evaluate the therapeutic effect of FGF2 in sepsis-induced ALI.

METHODS

Recombinant FGF2 was abdominally injected into septic mice induced by cecal ligation and puncture (CLP), and then the inflammatory factors of lung tissue, vascular permeability and lung injury-related indicators based on protein levels and gene expression were detected. In vitro, human pulmonary microvascular endothelial cells (HPMEC) and mouse peritoneal macrophages (PMs) were challenged by lipopolysaccharides (LPS) with or without FGF2 administration in different groups, and then changes in inflammation indicators and cell permeability ability were tested.

RESULTS

The results revealed that FGF2 treatment reduced inflammation response, attenuated pulmonary capillary leakage, alleviated lung injury and improved survival in septic mice. The endothelial injury and macrophages inflammation induced by LPS were inhibited by FGF2 administration via AKT/P38/NF-κB signaling pathways.

CONCLUSION

These findings indicated a therapeutic role of FGF2 in ALI through ameliorating capillary leakage and inflammation.

摘要

背景

急性肺损伤(ALI)由多种致病因素引起,特别是脓毒症,可导致肺泡损伤、肺水肿和血管通透性增加,最终导致严重的低氧血症。成纤维细胞生长因子 2(FGF2)是 FGF 家族的重要成员,与内皮细胞迁移和增殖以及损伤修复有关。在这里,我们进行了这项研究,旨在评估 FGF2 对脓毒症诱导的 ALI 的治疗作用。

方法

通过盲肠结扎和穿孔(CLP)诱导脓毒症小鼠,腹腔注射重组 FGF2,然后检测肺组织炎症因子、血管通透性和基于蛋白水平和基因表达的肺损伤相关指标。在体外,用脂多糖(LPS)处理人肺微血管内皮细胞(HPMEC)和小鼠腹腔巨噬细胞(PMs),或在不同组中用 LPS 处理并给予 FGF2,然后检测炎症指标和细胞通透性能力的变化。

结果

结果表明,FGF2 治疗可减轻脓毒症小鼠的炎症反应,减轻肺毛细血管渗漏,减轻肺损伤,提高生存率。通过 AKT/P38/NF-κB 信号通路,FGF2 可抑制 LPS 诱导的内皮损伤和巨噬细胞炎症。

结论

这些发现表明,FGF2 通过改善毛细血管渗漏和炎症在 ALI 中具有治疗作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a704/7663886/c94d7140a4d0/10020_2020_221_Fig4_HTML.jpg

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