Emergency Department, The Second Affiliated Hospital of Xi'an Jiaotong University, Xibei Hospital, Xi'an, China.
Emergency Department, The Second Affiliated Hospital of Xi'an Jiaotong University, Xibei Hospital, Xi'an, China.
Arch Med Res. 2021 Aug;52(6):603-610. doi: 10.1016/j.arcmed.2021.03.008. Epub 2021 May 2.
The main cause of sepsis-induced Acute kidney injury (AKI) is acute infection after surgery and subsequent progression. However, the mechanism by which AKI is caused and developed from sepsis are not completely known. Herein, we determined the role of CCAAT/enhancer-binding protein β (C/EBP β) in sepsis-induced AKI METHODS: C/EBP β expression was up or down-regulated in LPS-stimulated human renal tubular epithelial cells in vitro by recombinant adenoviruses or siRNA. Subsequent analyses included the test of TNF-α and IL-6 levels by ELISA, cell cycle assay by flow cytometry.
C/EBP β was aberrantly expressed in renal tubular epithelial HK-2 cells exposed to LPS. C/EBP β overexpression significantly enhanced, but C/EBP β silencing obviously decreased the production and secretion of inflammatory cytokines TNF-α and IL-6 induced by LPS stimulus in HK-2 cells. And the cell cycle arrest of HK-2 cells induced by LPS was also enhanced after C/EBP β overexpression while attenuated after C/EBP β silencing. Consistent pattern of changes in Cyclin D1 and p21 expression were observed in LPS-stimulated HK-2 cells after C/EBP β silencing and C/EBP β overexpression. Additionally, the increased p-NF-κB levels induced by LPS were found to be obviously decreased after C/EBP β silencing in HK-2 cells. And the enhanced TNF-α and IL-6 secretion as well as cell cycle arrest by C/EBP β overexpression were blocked by BAY11-7082 inhibitor of NF-κB pathway.
C/EBP β could mediate the LPS-induced aberrant inflammatory response and cell cycle arrest in tubular epithelial cells by NF-κB pathway.
脓毒症引起的急性肾损伤(AKI)的主要原因是手术后急性感染和随后的进展。然而,AKI 是如何由脓毒症引起和发展的机制尚不完全清楚。在此,我们确定 CCAAT/增强子结合蛋白β(C/EBPβ)在脓毒症诱导的 AKI 中的作用。
通过重组腺病毒或 siRNA 在体外 LPS 刺激的人肾小管上皮细胞中上调或下调 C/EBPβ 的表达。随后的分析包括通过 ELISA 检测 TNF-α 和 IL-6 水平,通过流式细胞术进行细胞周期测定。
LPS 暴露于肾小管上皮细胞 HK-2 中的 C/EBPβ 表达异常。C/EBPβ 的过表达显著增强,但 C/EBPβ 的沉默明显降低了 LPS 刺激诱导的 HK-2 细胞中炎症细胞因子 TNF-α 和 IL-6 的产生和分泌。LPS 诱导的 HK-2 细胞的细胞周期停滞也在 C/EBPβ 过表达后增强,而在 C/EBPβ 沉默后减弱。在 LPS 刺激的 HK-2 细胞中,C/EBPβ 沉默和 C/EBPβ 过表达后观察到 Cyclin D1 和 p21 表达的变化一致。此外,LPS 诱导的 p-NF-κB 水平的增加在 HK-2 细胞中 C/EBPβ 沉默后明显降低。并且,C/EBPβ 过表达增强的 TNF-α 和 IL-6 分泌以及细胞周期停滞被 NF-κB 通路的 BAY11-7082 抑制剂阻断。
C/EBPβ 可以通过 NF-κB 通路介导 LPS 诱导的管状上皮细胞异常炎症反应和细胞周期停滞。