Lu Mingfeng, Fan Lu, Xu Min, Ji Ling, Xu Jiyang
Department of Emergency Medicine, Clinical Medical College, Yangzhou University, Yangzhou 225001, Jiangsu, China. Corresponding author: Xu Jiyang , Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2022 Sep;34(9):947-951. doi: 10.3760/cma.j.cn121430-20210317-00389.
To explore the protective effect of Lindera aggregata on acute respiratory distress syndrome (ARDS) induced by lipopolysaccharide (LPS) in mice and its possible mechanism.
Forty C57BL/6 mice were randomly divided into sham operation group, ARDS model group, low-dose Lindera aggregata (L-LA) group and high-dose Lindera aggregata (H-LA) group, with 10 mice in each group. ARDS model was established by injecting 5 mg/kg LPS through the trachea. The L-LA group and H-LA group were orally administrated 1 g/kg and 5 g/kg of the Lindera aggregate extract once a day, respectively, while the ARDS model group was given the same volume of normal saline, the sham group received no treatment. The Lindera aggregata was preadministered for 3 days before modeling, and continued for 2 days after modeling, then the animals were sacrificed, and bronchoalveolar lavage fluid (BALF) and lung tissue were collected. The pathological changes of lung tissue in each group of mice were observed under the microscope and the wet/dry weight ratio (W/D) of the lung were measured. Enzyme linked immunosorbent assay (ELISA) was used to examine the levels of tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) in mice serum and BALF, and flow cytometry was used to detect the expression rate of CD40 on the surface of BALF macrophages. The phosphorylation levels of p38 and extracellular signal-regulated protein kinase 1/2 (ERK1/2) proteins in lung tissue were measured by Western blotting.
Lung histopathology under light microscope showed that the damage of alveolar structure, thickening of alveolar septum and infiltration of inflammatory cells in the H-LA group were less severe than those in the ARDS model group, while the pathological characteristics of ARDS in the L-LA group were not significantly different from those in the ARDS model group. Compared with the sham operation group, the lung W/D ratio, TNF-α and IL-6 protein contents in serum and BALF, BALF macrophage CD40 expression rate and lung tissue p38 and ERK1/2 protein phosphorylation levels were significantly increased in ARDS model group. The W/D ratio, the concentrations of TNF-α and IL-6 in serum and BALF, the expression rate of CD40 in BALF macrophages, and the phosphorylation levels of p38 and ERK1/2 protein in lung tissue in the L-LA group were not significantly different from those in the ARDS model group. The above indexes in the H-LA group were significantly lower than those in the ARDS model group and the L-LA group [W/D ratio: 5.70±0.19 vs. 6.20±0.31, 6.01±0.17; serum TNF-α (ng/L): 83.63±15.04 vs. 111.75±18.45, 108.12±13.98; serum IL-6 (ng/L): 111.38±8.75 vs. 244.13±26.85, 227.50±9.37; BALF TNF-α (ng/L): 36.25±2.82 vs. 51.13±5.44, 47.50±5.78; BALF IL-6 (ng/L): 35.63±2.20 vs. 49.63±4.90, 46.38±3.50; CD40 expression rate (%): 23.28±2.45 vs. 30.32±2.40, 28.17±1.98; p-p38/p38: 0.50±0.04 vs. 0.74±0.07, 0.69±0.04; p-ERK1/2/ERK1/2: 0.47±0.07 vs. 0.72±0.07, 0.68±0.05; all P < 0.01].
Lindera aggregata can inhibit LPS-induced lung inflammation and alleviate lung injury in ARDS mice. The mechanism may be related to the inhibition of the activation of p38 mitogen activated protein kinase/ERK (p38MAPK/ERK) signaling pathway.
探讨乌药对脂多糖(LPS)诱导的小鼠急性呼吸窘迫综合征(ARDS)的保护作用及其可能机制。
将40只C57BL/6小鼠随机分为假手术组、ARDS模型组、低剂量乌药(L-LA)组和高剂量乌药(H-LA)组,每组10只。通过气管注射5 mg/kg LPS建立ARDS模型。L-LA组和H-LA组分别每天口服1 g/kg和5 g/kg乌药提取物,而ARDS模型组给予相同体积的生理盐水,假手术组不做处理。在建模前乌药预处理3天,建模后继续给药2天,然后处死动物,收集支气管肺泡灌洗液(BALF)和肺组织。在显微镜下观察每组小鼠肺组织的病理变化,并测量肺组织的湿/干重比(W/D)。采用酶联免疫吸附测定(ELISA)法检测小鼠血清和BALF中肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)的水平,采用流式细胞术检测BALF巨噬细胞表面CD40的表达率。通过蛋白质免疫印迹法检测肺组织中p38和细胞外信号调节蛋白激酶1/2(ERK1/2)蛋白的磷酸化水平。
光镜下肺组织病理学检查显示,H-LA组肺泡结构破坏、肺泡间隔增厚及炎性细胞浸润程度均较ARDS模型组轻,而L-LA组ARDS病理特征与ARDS模型组无明显差异。与假手术组相比,ARDS模型组肺W/D比值、血清和BALF中TNF-α及IL-6蛋白含量、BALF巨噬细胞CD40表达率及肺组织p38和ERK1/2蛋白磷酸化水平均显著升高。L-LA组肺W/D比值、血清和BALF中TNF-α及IL-6浓度、BALF巨噬细胞CD40表达率及肺组织p38和ERK1/2蛋白磷酸化水平与ARDS模型组无明显差异。H-LA组上述指标均显著低于ARDS模型组和L-LA组[W/D比值:5.70±0.19 vs. 6.20±0.31,6.01±0.17;血清TNF-α(ng/L):83.63±15.04 vs. 111.75±18.45,108.12±13.98;血清IL-6(ng/L):111.38±8.75 vs. 244.13±26.85,227.50±9.37;BALF TNF-α(ng/L):36.25±2.82 vs. 51.13±5.44,47.50±5.78;BALF IL-6(ng/L):35.63±2.20 vs. 49.63±4.90,46.38±3.50;CD40表达率(%):23.28±2.45 vs. 30.32±2.40,28.17±1.98;p-p38/p38:0.50±0.04 vs. 0.74±0.07,0.69±0.04;p-ERK1/2/ERK1/2:0.47±0.07 vs. 0.72±0.07,0.68±0.05;均P<0.01]。
乌药可抑制LPS诱导的肺部炎症,减轻ARDS小鼠的肺损伤。其机制可能与抑制p38丝裂原活化蛋白激酶/ERK(p38MAPK/ERK)信号通路的激活有关。