Hewson Chris K, Capraro Alexander, Wong Sharon L, Pandzic Elvis, Zhong Ling, Fernando Bentotage S M, Awatade Nikhil T, Hart-Smith Gene, Whan Renee M, Thomas Shane R, Jaffe Adam, Bridge Wallace J, Waters Shafagh A
School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia.
Molecular and Integrative Cystic Fibrosis (miCF) Research Centre, University of New South Wales and Sydney Children's Hospital, Sydney, NSW 2052, Australia.
Antioxidants (Basel). 2020 Nov 30;9(12):1204. doi: 10.3390/antiox9121204.
Systemic glutathione deficiency, inflammation, and oxidative stress are hallmarks of cystic fibrosis (CF), an inherited disease that causes persistent lung infections and severe damage to the respiratory system and many of the body organs. Improvements to current antioxidant therapeutic strategies are needed. The dietary supplement, γ-glutamylcysteine (GGC), which is the immediate precursor to glutathione, rapidly boosts cellular glutathione levels following a single dose in healthy individuals. Efficacy of GGC against oxidative stress induced by , which is a common and chronic pathogen infecting lungs of CF patients, remains unassessed. Primary mucocilliary differentiated airway (bronchial and/or nasal) epithelial cells were created from four individuals with CF. Airway oxidative stress and inflammation was induced by lipopolysaccharide (LPS). Parameters including global proteomics alterations, cell redox state (glutathione, oxidative stress), pro-inflammatory mediators (IL-8, IDO-1), and cellular health (membrane integrity, stress granule formation, cell metabolic viability) were assayed under six experimental conditions: (1) Mock, (2) LPS-challenged (3) therapeutic, (4) prophylactic (5) therapeutic and prophylactic and (6) GGC alone. Proteomic analysis identified perturbation of several pathways related to cellular respiration and stress responses upon LPS challenge. Most of these were resolved when cells were treated with GGC. While GGC did not resolve LPS-induced IL-8 and IDO-1 activity, it effectively attenuated LPS-induced oxidative stress and stress granule formation, while significantly increasing total intracellular glutathione levels, metabolic viability and improving epithelial cell barrier integrity. Both therapeutic and prophylactic treatments were successful. Together, these findings indicate that GGC has therapeutic potential for treatment and prevention of oxidative stress-related damage to airways in cystic fibrosis.
全身性谷胱甘肽缺乏、炎症和氧化应激是囊性纤维化(CF)的特征,CF是一种遗传性疾病,会导致持续性肺部感染以及对呼吸系统和身体许多器官的严重损害。目前需要改进抗氧化治疗策略。膳食补充剂γ-谷氨酰半胱氨酸(GGC)是谷胱甘肽的直接前体,在健康个体中单次给药后能迅速提高细胞内谷胱甘肽水平。GGC对由铜绿假单胞菌(一种感染CF患者肺部的常见慢性病原体)诱导的氧化应激的疗效尚未得到评估。从四名CF患者中获取了原代黏液纤毛分化气道(支气管和/或鼻腔)上皮细胞。通过脂多糖(LPS)诱导气道氧化应激和炎症。在六种实验条件下检测了包括整体蛋白质组学改变、细胞氧化还原状态(谷胱甘肽、氧化应激)、促炎介质(IL-8、吲哚胺2,3-双加氧酶1)和细胞健康(膜完整性、应激颗粒形成、细胞代谢活力)等参数:(1)模拟组,(2)LPS刺激组,(3)治疗组,(4)预防组,(5)治疗与预防组,(6)单独使用GGC组。蛋白质组学分析确定了LPS刺激后与细胞呼吸和应激反应相关的几条途径受到干扰。当细胞用GGC处理时,其中大部分得以解决。虽然GGC不能消除LPS诱导的IL-8和吲哚胺2,3-双加氧酶1活性,但它能有效减轻LPS诱导的氧化应激和应激颗粒形成,同时显著提高细胞内总谷胱甘肽水平、代谢活力并改善上皮细胞屏障完整性。治疗和预防治疗均取得成功。总之,这些发现表明GGC在治疗和预防囊性纤维化气道氧化应激相关损伤方面具有治疗潜力。