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维生素 D 通过蛋白激酶 A 信号通路保护呼吸道上皮细胞免受呼吸道合胞病毒诱导的屏障功能障碍。

Vitamin D protects against respiratory syncytial virus-induced barrier dysfunction in airway epithelial cells via PKA signaling pathway.

机构信息

Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, USA; Center for Pediatric Pulmonary Medicine, Cleveland Clinic Children's, Cleveland, OH, USA.

出版信息

Eur J Cell Biol. 2023 Sep;102(3):151336. doi: 10.1016/j.ejcb.2023.151336. Epub 2023 Jun 22.

Abstract

Respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory tract infection in infants and young children globally and is responsible for hospitalization and mortality in the elderly population. Virus-induced airway epithelial barrier damage is a critical step during RSV infection, and emerging studies suggest that RSV disrupts the tight junctions (TJs) and adherens junctions (AJs) between epithelial cells, increasing the permeability of the airway epithelial barrier. The lack of commercially available vaccines and effective antiviral drugs for RSV emphasizes the need for new management strategies. Vitamin D is a promising intervention for viral infection due to its critical role in modulating innate immune responses. However, there is limited evidence on the effect of vitamin D on RSV pathogenies. Here, we investigated the impact of vitamin D on RSV-induced epithelial barrier dysfunction and the underlying mechanisms. We found that pre-incubation with 1,25(OH)D, the active form of vitamin D, alleviated RSV-induced epithelial barrier disruption in a dose-dependent manner without affecting viability in 16HBE cells. 1,25(OH)D induced minor changes in the protein expression level of TJ/AJ proteins in RSV-infected cells. We observed increased CREB phosphorylation at Ser133 during 1,25(OH)D exposure, indicating that vitamin D triggered protein kinase A (PKA) activity in 16HBE. PKA inhibitors modified the restoration of barrier function by 1,25(OH)D in RSV-infected cells, implying that PKA signaling is responsible for the protective effects of vitamin D against RSV-induced barrier dysfunction in airway epithelial cells. Our findings suggest vitamin D as a prophylactic intervention to protect the respiratory epithelium during RSV infections.

摘要

呼吸道合胞病毒(RSV)是全球婴幼儿急性下呼吸道感染的主要原因,也是导致老年人住院和死亡的原因。病毒诱导的气道上皮屏障损伤是 RSV 感染过程中的一个关键步骤,新的研究表明 RSV 破坏了上皮细胞之间的紧密连接(TJ)和黏附连接(AJ),增加了气道上皮屏障的通透性。目前缺乏针对 RSV 的商业疫苗和有效抗病毒药物,这强调了需要新的管理策略。维生素 D 因其在调节先天免疫反应方面的关键作用,是一种有前途的病毒感染干预措施。然而,关于维生素 D 对 RSV 发病机制的影响的证据有限。在这里,我们研究了维生素 D 对 RSV 诱导的上皮屏障功能障碍的影响及其潜在机制。我们发现,1,25(OH)D(维生素 D 的活性形式)的预孵育以剂量依赖的方式缓解了 RSV 诱导的上皮屏障破坏,而不影响 RSV 感染细胞的活力。1,25(OH)D 诱导 RSV 感染细胞中 TJ/AJ 蛋白的蛋白表达水平发生微小变化。我们观察到 1,25(OH)D 暴露时 CREB 在 Ser133 处的磷酸化增加,表明维生素 D 触发了 16HBE 中的蛋白激酶 A(PKA)活性。PKA 抑制剂修饰了 1,25(OH)D 在 RSV 感染细胞中恢复屏障功能的作用,这表明 PKA 信号通路负责维生素 D 对 RSV 诱导的气道上皮细胞屏障功能障碍的保护作用。我们的研究结果表明,维生素 D 可以作为一种预防干预措施,在 RSV 感染期间保护呼吸道上皮细胞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f67/10773979/2d3b9b6875f9/nihms-1956010-f0001.jpg

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