Division of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany.
Mount Desert Island Biological Laboratory, Bar Harbor, ME, USA.
Crit Care. 2021 Feb 22;25(1):76. doi: 10.1186/s13054-021-03500-0.
Capillary leakage is a key contributor to the pathological host response to infections. The underlying mechanisms remain incompletely understood, and the role of microRNAs (MIR) has not been investigated in detail. We hypothesized that specific MIRs might be regulated directly in the endothelium thereby contributing to vascular leakage.
SmallRNA sequencing of endotoxemic murine pulmonary endothelial cells (ECs) was done to detect regulated vascular MIRs. In vivo models: transgenic zebrafish (flk1:mCherry/l-fabp:eGFP-DPB), knockout/wildtype mouse (B6.Cg-Mir155tm1.1Rsky/J); disease models: LPS 17.5 mg/kgBW and cecal ligation and puncture (CLP); in vitro models: stimulated human umbilical vein EC (HUVECs), transendothelial electrical resistance.
Endothelial MIR155 was identified as a promising candidate in endotoxemic murine pulmonary ECs (25 × upregulation). Experimental overexpression in a transgenic zebrafish line and in HUVECs was sufficient to induce spontaneous vascular leakage. To the contrary, genetic MIR155 reduction protects against permeability both in vitro and in endotoxemia in vivo in MIR155 heterozygote knockout mice thereby improving survival by 40%. A tight junction protein, Claudin-1, was down-regulated both in endotoxemia and by experimental MIR155 overexpression. Translationally, MIR155 was detectable at high levels in bronchoalveolar fluid of patients with ARDS compared to healthy human subjects.
We found that MIR155 is upregulated in the endothelium in mouse and men as part of a systemic inflammatory response and might contribute to the pathophysiology of vascular leakage in a Claudin-1-dependent manner. Future studies have to clarify whether MIR155 could be a potential therapeutic target.
毛细血管渗漏是感染导致宿主病理性反应的关键因素。其潜在机制尚不完全清楚,microRNAs(miRNA)的作用也尚未得到详细研究。我们假设特定的 miRNA 可能在血管内皮细胞中受到直接调控,从而导致血管渗漏。
采用小 RNA 测序技术检测内毒素血症小鼠肺血管内皮细胞(EC)中受调控的血管 miRNA。体内模型:转基因斑马鱼(flk1:mCherry/l-fabp:eGFP-DPB)、基因敲除/野生型小鼠(B6.Cg-Mir155tm1.1Rsky/J);疾病模型:LPS 17.5mg/kgBW 和盲肠结扎穿孔(CLP);体外模型:刺激人脐静脉内皮细胞(HUVEC)、跨内皮电阻。
内皮细胞 miRNA155 被鉴定为内毒素血症小鼠肺血管内皮细胞中一种很有前景的候选物(上调 25 倍)。在转基因斑马鱼系和 HUVEC 中过表达 miRNA155 足以诱导自发性血管渗漏。相反,在 miRNA155 杂合子基因敲除小鼠中,miRNA155 的遗传缺失可减少体外和体内内毒素血症中的通透性,从而使存活率提高 40%。紧密连接蛋白 Claudin-1 在内毒素血症和实验性 miRNA155 过表达中均下调。在翻译水平上,与健康人类受试者相比,ARDS 患者的支气管肺泡灌洗液中 miRNA155 水平显著升高。
我们发现,miRNA155 在小鼠和人类的内皮细胞中呈上调表达,作为全身炎症反应的一部分,可能以 Claudin-1 依赖的方式导致血管渗漏的病理生理改变。未来的研究需要阐明 miRNA155 是否可以作为一种潜在的治疗靶点。