William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Department of Neurosciences "Rita Levi Montalcini", University of Turin, Turin, Italy.
Front Immunol. 2023 Sep 12;14:1223014. doi: 10.3389/fimmu.2023.1223014. eCollection 2023.
Sepsis is one of the major complications of surgery resulting in high morbidity and mortality, but there are no specific therapies for sepsis-induced organ dysfunction. Data obtained under Gene Expression Omnibus accession GSE131761 were re-analyzed and showed an increased gene expression of Janus Kinase 2 (JAK2) and Signal Transducer and Activator of Transcription 3 (STAT3) in the whole blood of post-operative septic patients. Based on these results, we hypothesized that JAK/STAT activation may contribute to the pathophysiology of septic shock and, hence, investigated the effects of baricitinib (JAK1/JAK2 inhibitor) on sepsis-induced cardiac dysfunction and multiple-organ failure (MOF). In a mouse model of post-trauma sepsis induced by midline laparotomy and cecal ligation and puncture (CLP), 10-week-old male (n=32) and female (n=32) C57BL/6 mice received baricitinib (1mg/kg; i.p.) or vehicle at 1h or 3h post-surgery. Cardiac function was assessed at 24h post-CLP by echocardiography , and the degree of MOF was analyzed by determination of biomarkers in the serum. The potential mechanism underlying both the cardiac dysfunction and the effect of baricitinib was analyzed by western blot analysis in the heart. Trauma and subsequent sepsis significantly depressed the cardiac function and induced multiple-organ failure, associated with an increase in the activation of JAK2/STAT3, NLRP3 inflammasome and NF- κβ pathways in the heart of both male and female animals. These pathways were inhibited by the administration of baricitinib post the onset of sepsis. Moreover, treatment with baricitinib at 1h or 3h post-CLP protected mice from sepsis-induced cardiac injury and multiple-organ failure. Thus, baricitinib may be repurposed for trauma-associated sepsis.
脓毒症是手术的主要并发症之一,导致高发病率和死亡率,但目前尚无针对脓毒症引起的器官功能障碍的特定治疗方法。重新分析了 Gene Expression Omnibus 注册号为 GSE131761 的数据,结果显示手术后脓毒症患者全血中 Janus 激酶 2(JAK2)和信号转导和转录激活因子 3(STAT3)的基因表达增加。基于这些结果,我们假设 JAK/STAT 激活可能导致脓毒性休克的病理生理学,因此研究了巴瑞替尼(JAK1/JAK2 抑制剂)对脓毒症引起的心脏功能障碍和多器官衰竭(MOF)的影响。在通过中线剖腹术和盲肠结扎穿刺术(CLP)诱导的创伤后脓毒症小鼠模型中,10 周龄雄性(n=32)和雌性(n=32)C57BL/6 小鼠在手术后 1 小时或 3 小时接受巴瑞替尼(1mg/kg;腹腔注射)或载体。通过超声心动图在 CLP 后 24 小时评估心脏功能,并通过测定血清中的生物标志物分析 MOF 的程度。通过心脏中的 Western blot 分析,分析了心脏功能障碍和巴瑞替尼作用的潜在机制。创伤和随后的脓毒症显著抑制了心脏功能,并导致多器官衰竭,与雄性和雌性动物心脏中 JAK2/STAT3、NLRP3 炎症小体和 NF-κβ 途径的激活增加相关。这些途径在脓毒症发作后给予巴瑞替尼可被抑制。此外,在 CLP 后 1 小时或 3 小时给予巴瑞替尼治疗可防止小鼠发生脓毒症引起的心脏损伤和多器官衰竭。因此,巴瑞替尼可能被重新用于与创伤相关的脓毒症。
Biomed Pharmacother. 2024-9
Fundam Clin Pharmacol. 2025-6
Drug Des Devel Ther. 2025-2-14
Front Microbiol. 2024-8-26
Front Immunol. 2023
Ann Med Surg (Lond). 2022-7-13