Zhong Yanfen, Liang Binbin, Zhang Xiaofeng, Li Jingtao, Zeng Decai, Huang Tongtong, Wu Ji
Department of Ultrasonic Medicine The First Affiliated Hospital of Guangxi Medical University Nanning China.
Pulm Circ. 2024 Apr 4;14(2):e12357. doi: 10.1002/pul2.12357. eCollection 2024 Apr.
Pulmonary thromboembolism caused by thrombi blocking major pulmonary artery and its branches, is a frequently encountered phenomenon and an important cause of high morbidity and mortality in lung diseases and may develop into persistent pulmonary hypertension (PH). Nuclear factor-κB (NF-κB) signaling pathway had been reported participated in the formation and development of PH by promoting inflammatory response. The aim of this study was to investigate the effects of NF-κB activation on the serum levels of tumor necrosis factor α (TNF-α) and interleukin-1β (IL-1β) in acute pulmonary microthromboembolism (APMTE) rats. Rats were randomized into five groups. APMTE group received jugular vein injection of autologous thrombus, while control group rats received normal saline injection. Pulmonary hemodynamic parameters were measured through ECHO-guided transthoracic puncture. Pulmonary vascular morphological changes were analyzed by HE. The expression changes of NF-κB and serum TNF-α、IL-1β levels were detected by enzyme-linked immunosorbent assay. Protein expression of the MAPK/NF-κB signaling pathway including p-IκBα, p-p38 MAPK, p-NF-κB p65, IκBα, p38 MAPK, and NF-κB p65 was determined using western blot analysis. Compared with control group, the expression of NF-κB in lung tissue and the levels of serum TNF-α and IL-1β rats were higher, a significant reduction in IκBα and elevation in the phosphorylation of IκBα, p38 MAPK, and NF-κB p65 were found in APMTE group rats. And UK administration reversed the APMTE-induced increase in TNF-α, IL-1β, p-IκBα, p-MAPK, and p-NF-κB protein. Furthermore, the levels of NF-κB, TNF-α, and IL-1β were positively correlated with mean pulmonary artery. And the levels of TNF-α and IL-1β were positively correlated with NF-κB. These findings suggest that the activation of MAPK/NF-κB pathway as a critical driver of increasing TNF-α and IL-1β level in APMTE rats and UK exerted protective effects against APMTE-induced PH may be related to the downregulation of the MAPK/NF-κB signaling pathway.
由血栓阻塞主要肺动脉及其分支引起的肺血栓栓塞是一种常见现象,也是肺部疾病高发病率和高死亡率的重要原因,且可能发展为持续性肺动脉高压(PH)。据报道,核因子-κB(NF-κB)信号通路通过促进炎症反应参与了PH的形成和发展。本研究旨在探讨NF-κB激活对急性肺微血栓栓塞(APMTE)大鼠血清肿瘤坏死因子α(TNF-α)和白细胞介素-1β(IL-1β)水平的影响。将大鼠随机分为五组。APMTE组经颈静脉注射自体血栓,而对照组大鼠注射生理盐水。通过超声心动图引导的经胸穿刺测量肺血流动力学参数。采用苏木精-伊红(HE)染色分析肺血管形态变化。通过酶联免疫吸附测定法检测NF-κB的表达变化以及血清TNF-α、IL-1β水平。采用蛋白质印迹分析确定包括磷酸化IκBα(p-IκBα)、磷酸化p38丝裂原活化蛋白激酶(p-p38 MAPK)、磷酸化NF-κB p65、IκBα、p38 MAPK和NF-κB p65在内的丝裂原活化蛋白激酶/核因子-κB(MAPK/NF-κB)信号通路的蛋白表达。与对照组相比,APMTE组大鼠肺组织中NF-κB的表达以及血清TNF-α和IL-1β水平更高,且发现IκBα显著减少,IκBα、p38 MAPK和NF-κB p65的磷酸化水平升高。尿激酶(UK)给药可逆转APMTE诱导的TNF-α、IL-1β、p-IκBα、磷酸化丝裂原活化蛋白激酶(p-MAPK)和磷酸化NF-κB蛋白增加。此外,NF-κB、TNF-α和IL-1β水平与平均肺动脉压呈正相关。并且TNF-α和IL-1β水平与NF-κB呈正相关。这些发现表明,MAPK/NF-κB通路的激活是APMTE大鼠中TNF-α和IL-1β水平升高的关键驱动因素,UK对APMTE诱导的PH发挥保护作用可能与MAPK/NF-κB信号通路的下调有关。