Zhang Min, Zhang Xiaoyue, Chu Xiaoyun, Cheng Lihua, Cai Cheng
Department of Neonatology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Transl Pediatr. 2021 Feb;10(2):265-275. doi: 10.21037/tp-20-200.
Bronchopulmonary dysplasia (BPD) is a common respiratory disease in premature infants and is characterized by alveolar and pulmonary vascular dysplasia. Long-term oxygen exposure can cause BPD in preterm infants. Numerous studies have shown that long non-coding ribonucleic acid (lncRNA) is involved in the process of biological metabolism; however, its role in the development of BPD is unclear. Apoptosis-induced factor (AIF) is a key component involved in apoptosis. The Kelch-like ECH-associated protein 1/nuclear factor erythroid-2-related factor 2 (Keap1/Nrf2) signaling pathway is a body-derived antioxidant signaling pathway.
In this study, the relative expression of metastasis-associated lung adenocarcinoma transcript 1 (MALAT1), AIF, Keap1, and Nrf2 was detected by real-time polymerase chain reaction (PCR). Also, the apoptosis of A549 cells was detected by flow cytometry.
The results showed that, compared to the control group, the expression of MALAT1 increased significantly, and AIF decreased substantially in BPD premature infants. In the A549 hyperoxic lung injury model, compared with the air group, the expression of MALAT1 in the hyperoxia group decreased markedly, while the expression of Keap1 and Nrf2 increased considerably. Furthermore, compared with the control plasmid transfection air group (NC group), the expression of Keap1 and Nrf2 increased significantly in the small interfering RNA (siRNA) group.
These results indicate that MALAT1 can play a protective role in BPD via the reduction of apoptosis and anti-oxidation, offering clinicians a new way to prevent and treat BPD.
支气管肺发育不良(BPD)是早产儿常见的呼吸系统疾病,其特征为肺泡和肺血管发育异常。长期吸氧可导致早产儿发生BPD。众多研究表明,长链非编码核糖核酸(lncRNA)参与生物代谢过程;然而,其在BPD发生发展中的作用尚不清楚。凋亡诱导因子(AIF)是参与细胞凋亡的关键成分。kelch样ECH相关蛋白1/核因子红细胞2相关因子2(Keap1/Nrf2)信号通路是机体自身的抗氧化信号通路。
本研究采用实时聚合酶链反应(PCR)检测转移相关肺腺癌转录本1(MALAT1)、AIF、Keap1和Nrf2的相对表达水平。同时,采用流式细胞术检测A549细胞的凋亡情况。
结果显示,与对照组相比,BPD早产儿中MALAT1表达显著增加,而AIF表达大幅下降。在A549高氧肺损伤模型中,与空气组相比,高氧组MALAT1表达明显降低,而Keap1和Nrf2表达显著增加。此外,与对照质粒转染空气组(NC组)相比,小干扰RNA(siRNA)组中Keap1和Nrf2表达显著增加。
这些结果表明,MALAT1可通过减少细胞凋亡和抗氧化作用对BPD起到保护作用,为临床医生预防和治疗BPD提供了新途径。