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肉豆蔻酰溶血磷脂酰胆碱是社区获得性肺炎的生物标志物和潜在治疗靶点。

Myristoyl lysophosphatidylcholine is a biomarker and potential therapeutic target for community-acquired pneumonia.

机构信息

Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Oujiang Laboratory (Zhejiang Lab for Regenerative Medicine, Vision and Brain Health), School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China.

出版信息

Redox Biol. 2022 Dec;58:102556. doi: 10.1016/j.redox.2022.102556. Epub 2022 Nov 26.

Abstract

There is no gold standard for evaluating the severity of community-acquired pneumonia (CAP), and it is still based on a score. This study aimed to use the metabolomics method to find promised biomarkers in assessing disease severity and potential therapeutic targets for CAP. The result found that the metabolites in the plasma samples of CAP patients had significantly different between the acute phase and the remission phase, especially lysophosphatidylcholine (LPCs) in glycerophospholipids, whose levels are negatively linked to the severity of the disease. Subsequently, the two key metabolites of myristoyl lysophosphatidylcholine (LPC 14:0) and LPC 16:1 were screened. We analyzed the predictive performance of the two metabolites using Spearman-related analysis and ROC curves, and LPC14:0 showed more satisfactory diagnostic performance than LPC16:1. Then we explored the protective role and mechanism of LPC 14:0 in animal and cell models. The results showed that LPC 14:0 could inhibit the LPS-induced secretion of IL-1β, IL-6, and TNF-α, lower the ROS and MDA levels, and decreased the depletion of SOD and GSH, thereby reducing lung tissue and cell damage, such as down-regulating the protein level in BALF, lung W/D ratio, MPO activity, and apoptosis. We found that LPC 14:0 inhibited LPS-induced inflammatory response and oxidative stress, and the above protection was achieved by inhibiting LPS-induced activation of the NLRP3 inflammasome. LPC 14:0 may serve as a novel biomarker for predicting the severity of CAP. In addition, our exploration of the role of LPC 14:0 in animal and cellular models has reinforced its promise as a therapeutic target to improve the clinical efficacy for CAP.

摘要

目前,评估社区获得性肺炎(CAP)严重程度尚无金标准,仍依赖评分系统。本研究旨在采用代谢组学方法寻找有潜力的生物标志物,以评估 CAP 严重程度和潜在的治疗靶点。结果发现,CAP 患者急性期和缓解期的血浆样本代谢物存在显著差异,特别是甘油磷脂中的溶血磷脂酰胆碱(LPC),其水平与疾病严重程度呈负相关。随后筛选出两种关键代谢物,即肉豆蔻酰溶血磷脂酰胆碱(LPC 14:0)和 LPC 16:1。我们通过 Spearman 相关分析和 ROC 曲线分析了这两种代谢物的预测性能,发现 LPC14:0 具有更满意的诊断性能。然后我们在动物和细胞模型中探索了 LPC 14:0 的保护作用和机制。结果表明,LPC 14:0 可抑制 LPS 诱导的 IL-1β、IL-6 和 TNF-α分泌,降低 ROS 和 MDA 水平,并减少 SOD 和 GSH 的耗竭,从而减轻肺组织和细胞损伤,如下调 BALF 中的蛋白水平、肺湿重/干重比、MPO 活性和细胞凋亡。我们发现 LPC 14:0 抑制 LPS 诱导的炎症反应和氧化应激,上述保护作用是通过抑制 LPS 诱导的 NLRP3 炎性小体激活来实现的。LPC 14:0 可能作为预测 CAP 严重程度的新型生物标志物。此外,我们在动物和细胞模型中对 LPC 14:0 作用的探索,进一步证实了其作为治疗靶点的潜力,可提高 CAP 的临床疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff08/9712772/3bd2cdacd776/ga1.jpg

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