异丙酚治疗后可抑制脂多糖诱导的肺泡Ⅱ型上皮细胞的炎症反应。
Post-treatment with propofol inhibits inflammatory response in LPS-induced alveolar type II epithelial cells.
作者信息
Yang Xilun, Ma Ling
机构信息
Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, P.R. China.
出版信息
Exp Ther Med. 2022 Apr;23(4):249. doi: 10.3892/etm.2022.11174. Epub 2022 Jan 31.
Over-inflammation and severe lung injury are major causes of morbidity and mortality in patients with coronavirus disease 2019 (COVID-19). With the COVID-19 pandemic, an increasing number of patients with preexisting lung injury and inflammation are undergoing surgery or artificial ventilation under sedation in intensive care units, where 2,6-diisopropylphenol (propofol) is a commonly used drug for sedation. The aim of the present study was to investigate whether post-inflammation treatment with propofol protects epithelial type II cells against inflammation in an model of inflammation. The A549 cell line, characterised as epithelial type II cells, were exposed to lipopolysaccharide (LPS) for 2 h and subsequently treated with different concentrations of propofol (0, 10, 25 or 50 µM) for 3 h. Western blot and reverse transcription-quantitative PCR analyses were used to detect the protein and mRNA expression levels, respectively, of CD14 and Toll-like receptor 4 (TLR4). Immunofluorescence staining was used to detect the CD14 and TLR4 expression in epithelial type II cells. Tumor necrosis factor (TNF)-α production was also examined using ELISA. LPS significantly increased the expression of CD14 and TLR4, as well as the secretion of TNF-α. Post-treatment with 25 and 50 µM propofol of the LPS-treated cells significantly decreased CD14 and TLR4 expression, as well as TNF-α secretion, compared with the cells treated with LPS only, indicating that post-treatment with propofol alleviated inflammation and this effect was dose-dependent. The present study suggested that treatment with propofol after LPS administration has a protective effect on epithelial type II cells.
过度炎症反应和严重肺损伤是2019冠状病毒病(COVID-19)患者发病和死亡的主要原因。随着COVID-19大流行,越来越多患有既往肺损伤和炎症的患者在重症监护病房接受手术或在镇静下进行人工通气,其中2,6-二异丙基苯酚(丙泊酚)是常用的镇静药物。本研究的目的是在炎症模型中研究丙泊酚的炎症后治疗是否能保护II型上皮细胞免受炎症影响。将具有II型上皮细胞特征的A549细胞系暴露于脂多糖(LPS)2小时,随后用不同浓度的丙泊酚(0、10、25或50μM)处理3小时。分别采用蛋白质印迹法和逆转录定量PCR分析检测CD14和Toll样受体4(TLR4)的蛋白质和mRNA表达水平。采用免疫荧光染色检测II型上皮细胞中CD14和TLR4的表达。还使用酶联免疫吸附测定法检测肿瘤坏死因子(TNF)-α的产生。LPS显著增加了CD14和TLR4的表达以及TNF-α的分泌。与仅用LPS处理的细胞相比,用25和50μM丙泊酚对LPS处理的细胞进行后处理显著降低了CD14和TLR4的表达以及TNF-α的分泌,表明丙泊酚后处理减轻了炎症,且这种作用呈剂量依赖性。本研究表明,LPS给药后用丙泊酚治疗对II型上皮细胞具有保护作用。