Lei Jiaxi, Wang Lu, Zou Lijuan, Wang Huijuan, Zhang Yunlong, Liu Shiping, Pan Mingliang, Zhu Xue, Zhan Liying
Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Pharmaceuticals (Basel). 2024 Feb 20;17(3):268. doi: 10.3390/ph17030268.
Sepsis-induced ALI is marked by physiological, pathological, and biochemical irregularities caused by infection. Growth differentiation factor 3 (GDF3) is closely associated with the inflammatory response. Accumulating evidence has demonstrated a close relationship between GDF3 expression and the severity and prognosis of sepsis. However, the precise mechanism by which GDF3 protects against ALI induced by sepsis is still unclear. Following the intravenous administration of GDF3 in this research, we noted a rise in the survival rate, a decrease in the severity of histopathological damage as evaluated through HE staining, a decline in the count of inflammatory cells in bronchoalveolar lavage fluid (BALF), a reduction in the ratio of lung wet/dry (W/D) weight, and a noteworthy decrease in the levels of pro-inflammatory cytokines in both serum and BALF when compared to septic mice who underwent cecal ligation and puncture (CLP). These collective findings unequivocally indicate the protective effects of GDF3 against sepsis-induced ALI. In addition, the GDF3 group showed a significant reduction in the mRNA expression of Caspase-1 and NLRP3 when compared to the CLP group. Following this, we performed in vitro tests to confirm these discoveries and obtained comparable outcomes, wherein the administration of GDF3 notably decreased the levels of Caspase-1 and NLRP3 mRNA and protein in macrophages in comparison to the LPS group. Furthermore, GDF3 exhibited the capacity to reduce the secretion of inflammatory molecules from macrophages. By illuminating the mechanism by which GDF 3 regulates macrophages, this offers a theoretical basis for preventing and treating sepsis-induced ALI.
脓毒症诱导的急性肺损伤以感染引起的生理、病理和生化异常为特征。生长分化因子3(GDF3)与炎症反应密切相关。越来越多的证据表明GDF3表达与脓毒症的严重程度和预后密切相关。然而,GDF3保护免受脓毒症诱导的急性肺损伤的确切机制仍不清楚。在本研究中静脉注射GDF3后,我们注意到与接受盲肠结扎和穿刺(CLP)的脓毒症小鼠相比,存活率上升,通过HE染色评估的组织病理学损伤严重程度降低,支气管肺泡灌洗液(BALF)中炎症细胞计数下降,肺湿/干(W/D)重量比降低,血清和BALF中促炎细胞因子水平显著降低。这些共同发现明确表明GDF3对脓毒症诱导的急性肺损伤具有保护作用。此外,与CLP组相比,GDF3组Caspase-1和NLRP3的mRNA表达显著降低。在此之后,我们进行了体外试验以证实这些发现并获得了类似的结果,其中与LPS组相比,给予GDF3显著降低了巨噬细胞中Caspase-1和NLRP3的mRNA和蛋白水平。此外,GDF3表现出减少巨噬细胞炎症分子分泌的能力。通过阐明GDF3调节巨噬细胞的机制,这为预防和治疗脓毒症诱导的急性肺损伤提供了理论基础。