Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital of Giessen and Marburg, Giessen, Germany.
Department of Anaesthesiology and Intensive Care Medicine, Bundeswehr Central Hospital Koblenz, Koblenz, Germany.
Antimicrob Agents Chemother. 2021 Oct 18;65(11):e0066921. doi: 10.1128/AAC.00669-21. Epub 2021 Sep 7.
The mucociliary clearance of lower airways is modulated by different physiologic stimuli and also by pathophysiologic agents like polluting substances or pharmaceutical molecules. In the present investigation, we measured the particle transport velocity (PTV) of mouse tracheae as a surrogate for mucociliary clearance. In mouse tracheal preparations, we detected a sustained increase in the PTV under the application of the echinocandins caspofungin, anidulafungin, and micafungin. In further experiments, we observed the effects of echinocandins on the PTV were dependent on intracellular Ca homeostasis. In Ca-free buffer solutions, the amplitude of the echinocandin-evoked rise in the PTV was significantly reduced relative to that in the experiments in Ca-containing solutions. Depletion of intracellular Ca stores of the endoplasmic reticulum (ER) by caffeine completely prevented an increase in the PTV with subsequent caspofungin applications. Mitochondrial Ca stores seemed to be unaffected by echinocandin treatment. We also observed no altered generation of reactive oxygen species under the application of echinocandins as probable mediators of the PTV. Consequently, the observed echinocandin effects on the PTV depend upon the Ca influx and Ca contents of the ER. We assume that all three echinocandins act intracellularly on ER Ca stores to activate Ca-dependent signal transduction cascades, enhancing the PTV.
下呼吸道的黏液纤毛清除功能受到不同生理刺激以及污染物质或药物分子等病理生理因素的调节。在本研究中,我们测量了小鼠气管的颗粒输送速度(PTV),作为黏液纤毛清除功能的替代指标。在小鼠气管标本中,我们观察到应用棘白菌素类药物(包括卡泊芬净、阿尼芬净和米卡芬净)后 PTV 持续增加。在进一步的实验中,我们观察到棘白菌素类药物对 PTV 的影响取决于细胞内 Ca 稳态。在不含 Ca 的缓冲溶液中,与含 Ca 溶液中的实验相比,棘白菌素类药物诱导的 PTV 升高幅度明显降低。细胞内质网(ER)内 Ca 储存的耗竭通过咖啡因完全阻止了随后应用卡泊芬净后 PTV 的增加。线粒体 Ca 储存似乎不受棘白菌素类药物处理的影响。我们还观察到,在应用棘白菌素类药物时,没有观察到活性氧(ROS)的生成发生改变,ROS 可能是 PTV 的中介。因此,观察到的棘白菌素类药物对 PTV 的影响取决于 ER 的 Ca 内流和 Ca 含量。我们假设三种棘白菌素类药物都在细胞内作用于 ER Ca 储存,以激活 Ca 依赖性信号转导级联,从而增强 PTV。