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[非肌肉肌球蛋白Ⅱ沉默的骨髓间充质干细胞移植对内毒素/脂多糖诱导的大鼠急性肺损伤后肺细胞外基质的影响]

[Effects of non-muscle myosin Ⅱ silenced bone marrow-derived mesenchymal stem cells transplantation on lung extracellular matrix in rats after endotoxin/lipopolysaccharide-induced acute lung injury].

作者信息

Yin X, Zhou W F, Hou W J, Fan M Z, Wu G S, Liu X B, Ma Q M, Wang Y S, Zhu F

机构信息

Department of Burns and Plastic Surgery, Zhangjiagang First People's Hospital (the Affiliated Zhangjiagang Hospital of Soochow University), Suzhou 215600, China.

Department of Burns, the First Affiliated Hospital of Naval Medical University, Shanghai 200433, China.

出版信息

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 May 20;38(5):422-433. doi: 10.3760/cma.j.cn501225-20220212-00024.

Abstract

To investigate the effects of non-muscle myosin Ⅱ () gene silenced bone marrow-derived mesenchymal stem cells (BMMSCs) on pulmonary extracellular matrix (ECM) and fibrosis in rats with acute lung injury (ALI) induced by endotoxin/lipopolysaccharide (LPS). The experimental research methods were adopted. Cells from femur and tibial bone marrow cavity of four one-week-old male Sprague-Dawley rats were identified as BMMSCs by flow cytometry, and the third passage of BMMSCs were used in the following experiments. The cells were divided into NMⅡ silenced group transfected with pHBLV-U6-ZsGreen-Puro plasmid containing small interference RNA sequence of gene, vector group transfected with empty plasmid, and blank control group without any treatment, and the protein expression of NMⅡ at 72 h after intervention was detected by Western blotting (=3). The morphology of cells was observed by an inverted phase contrast microscope and cells labeled with chloromethylbenzoine (CM-DiⅠ) in vitro were observed by an inverted fluorescence microscope. Twenty 4-week-old male Sprague-Dawley rats were divided into blank control group, ALI alone group, ALI+BMMSC group, and ALI+NMⅡ silenced BMMSC group according to the random number table, with 5 rats in each group. Rats in blank control group were not treated, and rats in the other 3 groups were given LPS to induce ALI. Immediately after modeling, rats in ALI alone group were injected with 1 mL normal saline via tail vein, rats in ALI+BMMSC group and ALI+NMⅡ silenced BMMSC group were injected with 1×10/mL BMMSCs and gene silenced BMMSCs of 1 mL labelled with CM-DiⅠ via tail vein, and rats in blank control group were injected with 1 mL normal saline via tail vein at the same time point, respectively. At 24 h after intervention, the lung tissue was collected to observe intrapulmonary homing of the BMMSCs by an inverted fluorescence microscope. Lung tissue was collected at 24 h, in 1 week, and in 2 weeks after intervention to observe pulmonary inflammation by hematoxylin eosin staining and to observe pulmonary fibrosis by Masson staining, and the pulmonary fibrosis in 2 weeks after intervention was scored by modified Ashcroft score (=5). The content of α-smooth muscle actin (α-SMA), matrix metalloproteinase 2 (MMP-2), and MMP-9 was detected by immunohistochemistry in 2 weeks after intervention (=3), the activity of superoxide dismutase (SOD), malondialdehyde, myeloperoxidase (MPO) was detected by enzyme-linked immunosorbent assay at 24 h after intervention (=3), and the protein expressions of CD11b and epidermal growth factor like module containing mucin like hormone receptor 1 (EMR1) in 1 week after intervention were detected by immunofluorescence staining (=3). Data were statistically analyzed with one-way analysis of variance, Bonferroni method, and Kruskal-Wallis test. At 72 h after intervention, the NMⅡprotein expression of cells in NMⅡ silenced group was significantly lower than those in blank control group and vector group (with values <0.01). BMMSCs were in long spindle shape and grew in cluster shaped like vortexes, which were labelled with CM-DiⅠ successfully in vitro. At 24 h after intervention, cell homing in lung of rats in ALI+NMⅡ silenced BMMSC group was more pronounced than that in ALI+BMMSC group, while no CM-DiⅠ-labelled BMMSCs were observed in lung of rats in blank control group and ALI alone group. There was no obvious inflammatory cell infiltration in lung tissue of rats in blank control group at all time points, while inflammatory cell infiltration in lung tissue of rats in ALI+BMMSC group and ALI+NMⅡ silenced BMMSC group was significantly less than that in ALI alone group at 24 h after intervention, and alveolar wall turned to be thinner and a small amount of congestion in local lung tissue appeared in rats of the two groups in 1 week and 2 weeks after intervention. In 1 week and 2 weeks after intervention, collagen fiber deposition in lung tissue of rats in ALI alone group, ALI+BMMSC group, and ALI+NMⅡ silenced BMMSC group was significantly aggravated compared with that in blank control group, while collagen fiber deposition in lung tissue of rats in ALI+BMMSC group and ALI+NMⅡ silenced BMMSC group was significantly improved compared with that in ALI alone group. In 2 weeks after intervention, modified Ashcroft scores for pulmonary fibrosis of rats in ALI alone group, ALI+BMMSC group, and ALI+NMⅡ silenced BMMSC group were 2.36±0.22, 1.62±0.16, 1.06±0.26, respectively, significantly higher than 0.30±0.21 in blank control group (<0.01). Modified Ashcroft scores for pulmonary fibrosis of rats in ALI+BMMSC group and ALI+NMⅡ silenced BMMSC group were significantly lower than that in ALI alone group (<0.01), and modified Ashcroft score for pulmonary fibrosis of rats in ALI+NMⅡ silenced BMMSC group was significantly lower than that in ALI+BMMSC group (<0.01). In 2 weeks after intervention, the content of α-SMA in lung tissue of rats in ALI+BMMSC group and ALI+NMⅡ silenced BMMSC group were significantly decreased compared with that in ALI alone group (<0.05 or <0.01). The content of MMP-2 in lung tissue of rats in the 4 groups was similar (>0.05). The content of MMP-9 in lung tissue of rats in ALI alone group was significantly increased compared with that in blank control group (<0.01), and the content of MMP-9 in lung tissue of rats in ALI+BMMSC group and ALI+NMⅡ silenced BMMSC group was significantly decreased compared with that in ALI alone group (<0.01). At 24 h after intervention, the activity of malondialdehyde, SOD, and MPO in lung tissue of rats in ALI alone group, ALI+BMMSC group, and ALI+NMⅡ silenced BMMSC group were significantly increased compared with that in blank control group (<0.01), the activity of malondialdehyde in lung tissue of rats in ALI+NMⅡ silenced BMMSC group and the activity of SOD in lung tissue of rats in ALI+BMMSC group and ALI+NMⅡ silenced BMMSC group were significantly increased compared with that in ALI alone group (<0.05 or <0.01), and the activity of SOD in lung tissue of rats in ALI+NMⅡ silenced BMMSC group was significantly decreased compared with that in ALI+BMMSC group (<0.01). The activity of MPO in lung tissue of rats in ALI+BMMSC group and ALI+NMⅡ silenced BMMSC group was significantly decreased compared with that in ALI alone group (<0.01), and the activity of MPO in lung tissue of rats in ALI+NMⅡ silenced BMMSC group was significantly decreased compared with that in ALI+BMMSC group (<0.01). In 1 week after intervention, the protein expression of CD11b in lung tissue of rats in ALI+NMⅡ silenced BMMSC group was significantly increased compared with those in the other three groups (<0.05 or <0.01), while the protein expressions of EMR1 in lung tissue of rats in the four groups were similar (>0.05). Transplantation of gene silenced BMMSCs can significantly improve the activity of ECM components in the lung tissue in LPS-induced ALI rats, remodel its integrity, and enhance its antioxidant capacity, and alleviate lung injury and pulmonary fibrosis.

摘要

探讨非肌肉肌球蛋白Ⅱ(NMⅡ)基因沉默的骨髓间充质干细胞(BMMSCs)对内毒素/脂多糖(LPS)诱导的急性肺损伤(ALI)大鼠肺细胞外基质(ECM)及纤维化的影响。采用实验研究方法。取4只1周龄雄性Sprague-Dawley大鼠股骨和胫骨骨髓腔细胞,通过流式细胞术鉴定为BMMSCs,取第3代BMMSCs用于后续实验。将细胞分为转染含基因小干扰RNA序列的pHBLV-U6-ZsGreen-Puro质粒的NMⅡ沉默组、转染空质粒的载体组和未作任何处理的空白对照组,干预72 h后采用蛋白质免疫印迹法检测NMⅡ蛋白表达(n = 3)。通过倒置相差显微镜观察细胞形态,通过倒置荧光显微镜观察体外经氯甲基苯并吲哚(CM-DiⅠ)标记的细胞。将20只4周龄雄性Sprague-Dawley大鼠按随机数字表法分为空白对照组、单纯ALI组、ALI + BMMSC组、ALI + NMⅡ沉默BMMSC组,每组5只。空白对照组大鼠不作处理,其他3组大鼠给予LPS诱导ALI。造模后即刻,单纯ALI组大鼠经尾静脉注射1 mL生理盐水,ALI + BMMSC组和ALI + NMⅡ沉默BMMSC组大鼠经尾静脉分别注射1×10⁶/mL BMMSCs和1 mL经CM-DiⅠ标记的基因沉默BMMSCs,空白对照组大鼠在同一时间点经尾静脉注射1 mL生理盐水。干预24 h后,取肺组织通过倒置荧光显微镜观察BMMSCs在肺内的归巢情况。干预后24 h、1周、2周取肺组织,苏木精-伊红染色观察肺内炎症情况,Masson染色观察肺纤维化情况,采用改良Ashcroft评分法对干预2周后的肺纤维化进行评分(n = 5)。干预2周后采用免疫组织化学法检测α-平滑肌肌动蛋白(α-SMA)、基质金属蛋白酶2(MMP-2)、MMP-9含量(n = 3),干预24 h后采用酶联免疫吸附测定法检测超氧化物歧化酶(SOD)、丙二醛、髓过氧化物酶(MPO)活性(n = 3),干预1周后采用免疫荧光染色法检测CD11b和含黏蛋白样激素受体1的表皮生长因子样模块(EMR1)蛋白表达(n = 3)。数据采用单因素方差分析、Bonferroni法及Kruskal-Wallis秩和检验进行统计学分析。干预72 h后,NMⅡ沉默组细胞的NMⅡ蛋白表达明显低于空白对照组和载体组(P值均<0.01)。BMMSCs呈长梭形,呈漩涡状簇状生长,体外成功被CM-DiⅠ标记。干预24 h后,ALI + NMⅡ沉默BMMSC组大鼠肺内细胞归巢比ALI + BMMSC组更明显,而空白对照组和单纯ALI组大鼠肺内未观察到CM-DiⅠ标记的BMMSCs。空白对照组大鼠各时间点肺组织均无明显炎性细胞浸润,干预24 h时,ALI + BMMSC组和ALI + NMⅡ沉默BMMSC组大鼠肺组织炎性细胞浸润明显少于单纯ALI组,干预1周和2周时,两组大鼠肺泡壁变薄,局部肺组织出现少量充血。干预1周和2周时,单纯ALI组、ALI + BMMSC组、ALI + NMⅡ沉默BMMSC组大鼠肺组织胶原纤维沉积较空白对照组均明显加重,而ALI + BMMSC组和ALI + NMⅡ沉默BMMSC组大鼠肺组织胶原纤维沉积较单纯ALI组明显改善。干预2周后,单纯ALI组、ALI + BMMSC组、ALI + NMⅡ沉默BMMSC组大鼠肺纤维化改良Ashcroft评分分别为2.36±0.22、1.62±0.16、1.06±0.26,均明显高于空白对照组的0.30±0.21(P<0.01)。ALI + BMMSC组和ALI + NMⅡ沉默BMMSC组大鼠肺纤维化改良Ashcroft评分明显低于单纯ALI组(P<0.01),ALI + NMⅡ沉默BMMSC组大鼠肺纤维化改良Ashcroft评分明显低于ALI + BMMSC组(P<0.01)。干预2周后,ALI + BMMSC组和ALI + NMⅡ沉默BMMSC组大鼠肺组织α-SMA含量较单纯ALI组明显降低(P<0.05或P<0.01)。4组大鼠肺组织MMP-2含量相近(P>0.05)。单纯ALI组大鼠肺组织MMP-9含量较空白对照组明显升高(P<0.01),ALI + BMMSC组和ALI + NMⅡ沉默BMMSC组大鼠肺组织MMP-9含量较单纯ALI组明显降低(P<0.01)。干预24 h时,单纯ALI组、ALI + BMMSC组、ALI + NMⅡ沉默BMMSC组大鼠肺组织丙二醛、SOD、MPO活性较空白对照组均明显升高(P<0.01),ALI + NMⅡ沉默BMMSC组大鼠肺组织丙二醛活性及ALI + BMMSC组和ALI + NMⅡ沉默BMMSC组大鼠肺组织SOD活性较单纯ALI组明显升高(P<0.05或P<0.01),ALI + NMⅡ沉默BMMSC组大鼠肺组织SOD活性较ALI + BMMSC组明显降低(P<0.01)。ALI + BMMSC组和ALI + NMⅡ沉默BMMSC组大鼠肺组织MPO活性较单纯ALI组明显降低(P<0.01),ALI + NMⅡ沉默BMMSC组大鼠肺组织MPO活性较ALI + BMMSC组明显降低(P<0.01)。干预1周后,ALI + NMⅡ沉默BMMSC组大鼠肺组织CD11b蛋白表达较其他3组明显升高(P<0.05或P<0.01),4组大鼠肺组织EMR1蛋白表达相近(P>0.05)。基因沉默BMMSCs移植可显著改善LPS诱导的ALI大鼠肺组织中ECM成分活性,重塑其完整性,增强其抗氧化能力,减轻肺损伤及肺纤维化。

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