Wang Yahui, Wu Yanqi, Shen Feng, Liu Bo, Cheng Yumei, Li Shuwen, He Tianhui
Department of Intensive Care Unit, Guizhou Medical University Affiliated Hospital, Guiyang 550004, Guizhou, China.
Guizhou Medical University, Guiyang 550004, Guizhou, China. Wang Yahui is working on the Department of Emergency, the People's Hospital of Weining County, Weining 553100, Guizhou, China. Corresponding author: Shen Feng, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2021 Apr;33(4):410-415. doi: 10.3760/cma.j.cn121430-20201106-00704.
To investigate the effect of NEMO binding domain peptide (NBDP) on lung inflammation and apoptosis in mice with acute respiratory distress syndrome (ARDS) and its mechanism.
Thirty-six male BALB/c mice were divided into normal saline (NS) control group, ARDS model group, NBDP negative control group and 6, 12 and 18 μg NBDP pretreatment group by random number table method, with 6 mice in each group. ARDS mouse model was reproduced by aerosol inhalation lipopolysaccharide (LPS) 50 μL. An equivalent among of NS was inhaled in NS control group. The mice in NBDP negative control group were inhaled the materials similar to the non-functional NBDP 30 minutes before the aerosol inhalation LPS; 6, 12 and 18 μg of NBDP 50 μL were respectively inhaled in NBDP pretreatment groups. After inhalation of LPS for 6 hours, mice were sacrificed to get lung tissue and observe the degree of pathological injury and edema. Western blotting was used to detect the phosphorylation of nuclear factor-κB (NF-κB) pathway related proteins [NF-κB inhibitor (IκB) kinaseα/β(IKKα/β), IκBα and NF-κB p65; p-IKKα/β, p-IκBα, p-p65] and the expression of caspase-3 in lung tissue. The bronchoalveolar lavage fluid (BALF) was collected and the levels of inflammatory markers such as myeloperoxidase (MPO), interleukins (IL-1β, IL-8), and tumor necrosis factor-α (TNF-α) were detected by enzyme linked immunosorbent assay (ELISA).
ARDS model group had severe edema and hemorrhage, alveolar structure destruction, pulmonary hemorrhage and hyaline membrane formation etc. under light microscope, consistent with the pathological characteristics of ARDS lung tissue, suggesting that the ARDS model was successfully reproduced. ELISA showed that MPO, IL-1β, IL-8 and TNF-α levels of BALF in ARDS model group were obviously higher than those in NS control group. There were no significant differences in the above inflammatory indicators between NBDP negative control group and ARDS model group. The levels of MPO, IL-1β, IL-8 and TNF-α in NBDP pretreatment groups were significantly lower than those in ARDS model group in a dose-dependent manner, especially in 18 μg NBDP, the differences were statistically significant as compared with ARDS model group [MPO (ng/L): 393.32±19.35 vs. 985.87±101.50, IL-1β (ng/L): 43.05±5.11 vs. 97.68±10.88, IL-8 (ng/L): 84.64±2.32 vs. 204.00±17.37, TNF-α (ng/L): 229.13±17.03 vs. 546.73±62.72, all P < 0.05]. Western blotting showed that p-IKKα/β, p-IκBα, p-p65 and caspase-3 protein expressions in ARDS model group were significantly higher than those in NS control group. There was no significant difference in above NF-κB pathway and apoptosis-related protein expression between the NBDP negative control group and ARDS model group. The p-IKKα/β, p-IκBα, p-p65 and caspase-3 protein expression in NBDP pretreatment groups were significantly lower than those in ARDS model group in a dose-dependent manner, especially in 18 μg NBDP, the differences were statistically significant as compared with ARDS model group [p-IKKα/β protein (p-IKKα/β/β-actin): 0.15±0.02 vs. 0.42±0.04, p-IκBα protein (p-IκBα/β-actin): 0.10±0.01 vs. 0.93±0.30, p-p65 protein (p-p65/β-actin): 0.22±0.05 vs. 1.37±0.21, all P < 0.05].
NBDP can inhibit inflammatory response and apoptosis in ARDS lung tissue in a dose-dependent manner, and its mechanism is associated with interference NF-κB signaling pathway transduction.
探讨核因子κB(NF-κB)必需调节蛋白结合域肽(NBDP)对急性呼吸窘迫综合征(ARDS)小鼠肺组织炎症及细胞凋亡的影响及其机制。
将36只雄性BALB/c小鼠采用随机数字表法分为生理盐水(NS)对照组、ARDS模型组、NBDP阴性对照组以及6、12和18μg NBDP预处理组,每组6只。采用雾化吸入50μL脂多糖(LPS)复制ARDS小鼠模型,NS对照组吸入等量的NS。NBDP阴性对照组在雾化吸入LPS前30分钟吸入与无功能NBDP相似的物质;NBDP预处理组分别雾化吸入50μL 6、12和18μg NBDP。吸入LPS 6小时后处死小鼠,取肺组织观察病理损伤及水肿程度。采用蛋白质印迹法检测肺组织中NF-κB信号通路相关蛋白[NF-κB抑制蛋白激酶α/β(IKKα/β)、IκBα和NF-κB p65;磷酸化IKKα/β(p-IKKα/β)、磷酸化IκBα(p-IκBα)、磷酸化p65(p-p65)]的磷酸化水平以及半胱天冬酶-3(caspase-3)的表达。收集支气管肺泡灌洗液(BALF),采用酶联免疫吸附测定(ELISA)法检测髓过氧化物酶(MPO)、白细胞介素(IL-1β、IL-8)和肿瘤坏死因子-α(TNF-α)等炎症标志物水平。
光镜下ARDS模型组可见严重水肿、出血,肺泡结构破坏,肺出血及透明膜形成等,符合ARDS肺组织的病理特征,提示ARDS模型复制成功。ELISA结果显示,ARDS模型组BALF中MPO、IL-1β、IL-8及TNF-α水平明显高于NS对照组。NBDP阴性对照组与ARDS模型组上述炎症指标比较差异无统计学意义。NBDP预处理组MPO、IL-1β、IL-8及TNF-α水平均低于ARDS模型组,且呈剂量依赖性,尤其18μg NBDP组与ARDS模型组比较差异有统计学意义[MPO(ng/L):393.32±19.35比985.87±101.50,IL-1β(ng/L):43.05±5.11比97.68±10.88,IL-8(ng/L):84.64±2.32比204.00±17.37,TNF-α(ng/L):229.13±17.03比546.73±62.72,均P<0.05]。蛋白质印迹法结果显示,ARDS模型组p-IKKα/β、p-IκBα、p-p65及caspase-3蛋白表达明显高于NS对照组。NBDP阴性对照组与ARDS模型组上述NF-κB信号通路及凋亡相关蛋白表达差异无统计学意义。NBDP预处理组p-IKKα/β、p-IκBα、p-p65及caspase-3蛋白表达均低于ARDS模型组,且呈剂量依赖性,尤其18μg NBDP组与ARDS模型组比较差异有统计学意义[p-IKKα/β蛋白(p-IKKα/β/β-肌动蛋白):0.15±0.02比0.42±0.04,p-IκBα蛋白(p-IκBα/β-肌动蛋白):0.10±0.01比0.93±0.30,p-p65蛋白(p-p^{65}/β-肌动蛋白):0.22±0.05比1.37±0.21,均P<0.05]。
NBDP可剂量依赖性抑制ARDS肺组织的炎症反应及细胞凋亡,其机制可能与干扰NF-κB信号通路转导有关。