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鉴定出 TL1A/DR3 缺乏在急性呼吸窘迫综合征中的新作用,其加剧了肺泡上皮的破坏。

Identification of a novel role for TL1A/DR3 deficiency in acute respiratory distress syndrome that exacerbates alveolar epithelial disruption.

机构信息

Department of Respiratory, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, 250021, Shandong, China.

Department of Respiratory and Intensive Care Unit, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Institute of Respiratory Diseases, Jinan, China.

出版信息

Respir Res. 2023 Jul 11;24(1):182. doi: 10.1186/s12931-023-02488-1.

Abstract

Alveolar epithelial barrier is a potential therapeutic target for acute respiratory distress syndrome (ARDS). However, an effective intervention against alveolar epithelial barrier has not been developed. Here, based on single-cell RNA and mRNA sequencing results, death receptor 3 (DR3) and its only known ligand tumor necrosis factor ligand-associated molecule 1A (TL1A) were significantly reduced in epithelium from an ARDS mice and cell models. The apparent reduction in the TL1A/DR3 axis in lungs from septic-ARDS patients was correlated with the severity of the disease. The examination of knockout (KO) and alveolar epithelium conditional KO (CKO) mice showed that TL1A deficiency exacerbated alveolar inflammation and permeability in lipopolysaccharide (LPS)-induced ARDS. Mechanistically, TL1A deficiency decreased glycocalyx syndecan-1 and tight junction-associated zonula occludens 3 by increasing cathepsin E level for strengthening cell-to-cell permeability. Additionally, DR3 deletion aggravated barrier dysfunction and pulmonary edema in LPS-induced ARDS through the above mechanisms based on the analyses of DR3 CKO mice and DR3 overexpression cells. Therefore, the TL1A/DR3 axis has a potential value as a key therapeutic signaling for the protection of alveolar epithelial barrier.

摘要

肺泡上皮屏障是急性呼吸窘迫综合征 (ARDS) 的潜在治疗靶点。然而,针对肺泡上皮屏障的有效干预措施尚未开发出来。在这里,基于单细胞 RNA 和 mRNA 测序结果,我们发现,在 ARDS 小鼠和细胞模型的上皮细胞中,死亡受体 3 (DR3) 及其唯一已知配体肿瘤坏死因子配体相关分子 1A (TL1A) 的表达显著降低。脓毒症性 ARDS 患者肺部中 TL1A/DR3 轴的明显减少与疾病的严重程度相关。敲除 (KO) 和肺泡上皮条件性 KO (CKO) 小鼠的检查表明,TL1A 缺乏加剧了脂多糖 (LPS) 诱导的 ARDS 中的肺泡炎症和通透性。在机制上,TL1A 缺乏通过增加组织蛋白酶 E 水平来减少糖萼连接蛋白聚糖 1 和紧密连接相关的闭合蛋白 3,从而增强细胞间通透性,从而导致肺泡上皮通透性增强。此外,基于 DR3 CKO 小鼠和 DR3 过表达细胞的分析,DR3 缺失通过上述机制加剧了 LPS 诱导的 ARDS 中的屏障功能障碍和肺水肿。因此,TL1A/DR3 轴作为保护肺泡上皮屏障的关键治疗信号具有潜在价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7021/10334539/43fb106a8012/12931_2023_2488_Fig1_HTML.jpg

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