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间歇性禁食通过调节巨噬细胞极化来减轻脂多糖诱导的小鼠急性肺损伤。

Intermittent fasting attenuates lipopolysaccharide-induced acute lung injury in mice by modulating macrophage polarization.

机构信息

Department of Anesthesiology, Liuzhou People's Hospital, Liuzhou, Guangxi, 545006, China.

Department of Infection, Liuzhou People's Hospital, Liuzhou, Guangxi, 545001, China.

出版信息

J Nutr Biochem. 2022 Dec;110:109133. doi: 10.1016/j.jnutbio.2022.109133. Epub 2022 Aug 24.

Abstract

Acute lung injury (ALI) is a spectrum of acute and life-threatening pulmonary inflammatory conditions. Treatment of ALI remains a clinical challenge. Recently, intermittent fasting (IF) has been shown to improve health and alleviate many diseases. In this study, we tested whether IF attenuated ALI and investigated the mechanism underlying this process. In vivo, the effects of IF on ALI were evaluated in a lipopolysaccharide (LPS)-induced murine ALI model. We found that two times of 24-h fasting in a week before ALI efficiently ameliorated LPS-induced lung injury in mice, characterized by alleviated lung lesions, wet-to-dry weight ratio, myeloperoxidase activity, malondialdehyde content, and lower levels of tumor necrosis factor-α, interleukin-6, and interleukin-1β. In vitro, functional assays were conducted to assess IF on the inflammatory response and macrophage polarization of bone marrow-derived macrophages (BMDMs) treated with LPS or IL-4. And PPARγ antagonist GW9662 and AMPK siRNA were used to test the role of PPARγ and AMPK in the IF-mediated improvement of ALI. The results showed that IF (serum deprivation) suppressed macrophage M1 activation and promoted M2 activation in LPS-treated BMDMs. While, IF also augmented macrophage M2 polarization in IL-4-treated BMDMs. Further mechanistic studies showed that the promotive effect of IF on M2 polarization was related to the activation of the PPARγ and AMPK pathways. In conclusion, this study suggests that IF enhances M2 polarization by activating the AMPK and PPARγ pathways, thus facilitating anti-inflammatory response and ameliorating ALI.

摘要

急性肺损伤(ALI)是一种急性的、危及生命的肺部炎症性疾病谱。ALI 的治疗仍然是一个临床挑战。最近,间歇性禁食(IF)已被证明可以改善健康状况并缓解许多疾病。在本研究中,我们测试了 IF 是否可以减轻 ALI,并研究了这一过程的潜在机制。在体内,我们在脂多糖(LPS)诱导的小鼠 ALI 模型中评估了 IF 对 ALI 的影响。我们发现,在 ALI 之前一周内进行两次 24 小时禁食可以有效地改善 LPS 诱导的小鼠肺损伤,表现为肺损伤减轻、湿重/干重比、髓过氧化物酶活性、丙二醛含量以及肿瘤坏死因子-α、白细胞介素-6 和白细胞介素-1β水平降低。在体外,通过功能测定评估 IF 对 LPS 或 IL-4 处理的骨髓来源巨噬细胞(BMDMs)炎症反应和巨噬细胞极化的影响。并使用 PPARγ 拮抗剂 GW9662 和 AMPK siRNA 测试 IF 改善 ALI 过程中 PPARγ 和 AMPK 的作用。结果表明,IF(血清剥夺)抑制了 LPS 处理的 BMDMs 中巨噬细胞 M1 的激活,并促进了 M2 的激活。而 IF 也增强了 IL-4 处理的 BMDMs 中巨噬细胞 M2 的极化。进一步的机制研究表明,IF 对 M2 极化的促进作用与 PPARγ 和 AMPK 通路的激活有关。总之,本研究表明,IF 通过激活 AMPK 和 PPARγ 通路增强 M2 极化,从而促进抗炎反应并改善 ALI。

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