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尼达尼布通过调节 PI3K/Akt/mTOR 通路改善博来霉素诱导的小鼠肺纤维化、炎症、细胞凋亡和氧化应激。

Nintedanib Ameliorates Bleomycin-Induced Pulmonary Fibrosis, Inflammation, Apoptosis, and Oxidative Stress by Modulating PI3K/Akt/mTOR Pathway in Mice.

机构信息

Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.

Department of Respiratory and Critical Care Medicine, Guiyang First People's Hospital, Guiyang, 550004, China.

出版信息

Inflammation. 2023 Aug;46(4):1531-1542. doi: 10.1007/s10753-023-01825-2. Epub 2023 May 9.

Abstract

Idiopathic pulmonary fibrosis (IPF) seriously threatens human life and health, and no curative therapy is available at present. Nintedanib is the first agent approved by the US Food and Drug Administration (FDA) in order to treat IPF; however, its mechanism of inhibition of IPF is still elusive. According to recent studies, nintedanib is a potent inhibitor. It can antagonize platelet-derived growth factor (PDGF), basic fibroblast growth factor (b-FGF), vascular endothelial growth factor (VEGF), etc., to inhibit pulmonary fibrosis. Whether there are other signaling pathways involved in IPF remains unknown. This study focused on investigating the therapeutic efficacy of nintedanib in bleomycin-mediated pulmonary fibrosis (PF) mice through PI3K/Akt/mTOR pathway. Following the induction of pulmonary fibrosis in C57 mice through bleomycin (BLM) administration, the mice were randomized into five groups: (1) the normal control group, (2) the BLM model control group, (3) the low-dose Nintedanib administration model group, (4) the medium-dose nintedanib administration model group, and (5) the high-dose nintedanib administration model group. For lung tissues, morphological changes were found by HE staining and Masson staining, ELISA method was used to detect inflammatory factors, alkaline water method to estimate collagen content, and western blotting for protein levels. TUNEL staining and immunofluorescence methods were used to analyze the effect of nintedanib on lung tissue and the impacts and underlying mechanisms of bleomycin-induced pulmonary fibrosis. After 28 days, bleomycin-treated mice developed significant pulmonary fibrosis. Relative to bleomycin-treated mice, nintedanib-treated mice had markedly reduced degrees of PF. In addition, nintedanib showed lung-protective effects by up-regulating antioxidant levels, down-regulating inflammatory protein expression, and reducing collagen accumulation. We demonstrated that nintedanib ameliorated bleomycin-induced lung injury by inhibiting the P13K/Akt/mTOR pathway as well as apoptosis. In addition, significant improvement in pulmonary fibrosis was seen after nintedanib (30/60/120 mg/kg body weight/day) treatment through a dose-dependent way. Histopathological results further corroborated the effect of nintedanib treatment on remarkably attenuating bleomycin-mediated mouse lung injury. According to our findings, nintedanib restores the antioxidant system, suppresses pro-inflammatory factors, and inhibits apoptosis. Nintedanib can reduce bleomycin-induced inflammation by downregulating PI3K/Akt/mTOR pathway, PF, and oxidative stress (OS).

摘要

特发性肺纤维化(IPF)严重威胁人类生命和健康,目前尚无特效治疗方法。尼达尼布是美国食品药品监督管理局(FDA)批准的首个用于治疗 IPF 的药物;然而,其抑制 IPF 的机制仍不清楚。最近的研究表明,尼达尼布是一种有效的抑制剂,可拮抗血小板衍生生长因子(PDGF)、碱性成纤维细胞生长因子(b-FGF)、血管内皮生长因子(VEGF)等,从而抑制肺纤维化。是否存在其他参与 IPF 的信号通路尚不清楚。本研究通过 PI3K/Akt/mTOR 通路探讨尼达尼布治疗博来霉素诱导的肺纤维化(PF)小鼠的疗效。通过博来霉素(BLM)给药诱导 C57 小鼠发生肺纤维化后,将小鼠随机分为五组:(1)正常对照组,(2)BLM 模型对照组,(3)低剂量尼达尼布给药模型组,(4)中剂量尼达尼布给药模型组,(5)高剂量尼达尼布给药模型组。对肺组织进行 HE 染色和 Masson 染色观察形态学变化,ELISA 法检测炎症因子,碱性水法估计胶原含量,Western blot 法检测蛋白水平。TUNEL 染色和免疫荧光法分析尼达尼布对肺组织的影响及博来霉素诱导的肺纤维化的作用及其潜在机制。28 天后,博来霉素处理的小鼠出现明显的肺纤维化。与博来霉素处理的小鼠相比,尼达尼布处理的小鼠 PF 程度明显降低。此外,尼达尼布通过上调抗氧化水平、下调炎症蛋白表达和减少胶原积累来发挥肺保护作用。我们证明尼达尼布通过抑制 PI3K/Akt/mTOR 通路和凋亡来改善博来霉素诱导的肺损伤。此外,尼达尼布(30/60/120mg/kg 体重/天)以剂量依赖性方式治疗后,显著改善了肺纤维化。组织病理学结果进一步证实了尼达尼布治疗对明显减轻博来霉素诱导的小鼠肺损伤的作用。根据我们的发现,尼达尼布恢复了抗氧化系统,抑制了促炎因子,并抑制了细胞凋亡。尼达尼布通过下调 PI3K/Akt/mTOR 通路、PF 和氧化应激(OS)来减轻博来霉素诱导的炎症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e45/10359208/817f39d2d03f/10753_2023_1825_Fig1_HTML.jpg

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