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他汀类药物治疗或抑制 PCSK9 可减轻高脂饮食诱导肥胖小鼠的气道高反应性和肺纤维化。

Statin administration or blocking PCSK9 alleviates airway hyperresponsiveness and lung fibrosis in high-fat diet-induced obese mice.

机构信息

Graduate School of Medicine, Yonsei University College of Medicine, Seoul, Korea.

Institute of Allergy, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Respir Res. 2024 May 18;25(1):213. doi: 10.1186/s12931-024-02842-x.


DOI:10.1186/s12931-024-02842-x
PMID:38762465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11102611/
Abstract

BACKGROUND: Obesity is associated with airway hyperresponsiveness and lung fibrosis, which may reduce the effectiveness of standard asthma treatment in individuals suffering from both conditions. Statins and proprotein convertase subtilisin/kexin-9 inhibitors not only reduce serum cholesterol, free fatty acids but also diminish renin-angiotensin system activity and exhibit anti-inflammatory effects. These mechanisms may play a role in mitigating lung pathologies associated with obesity. METHODS: Male C57BL/6 mice were induced to develop obesity through high-fat diet for 16 weeks. Conditional TGF-β1 transgenic mice were fed a normal diet. These mice were given either atorvastatin or proprotein convertase subtilisin/kexin-9 inhibitor (alirocumab), and the impact on airway hyperresponsiveness and lung pathologies was assessed. RESULTS: High-fat diet-induced obesity enhanced airway hyperresponsiveness, lung fibrosis, macrophages in bronchoalveolar lavage fluid, and pro-inflammatory mediators in the lung. These lipid-lowering agents attenuated airway hyperresponsiveness, macrophages in BALF, lung fibrosis, serum leptin, free fatty acids, TGF-β1, IL-1β, IL-6, and IL-17a in the lung. Furthermore, the increased RAS, NLRP3 inflammasome, and cholecystokinin in lung tissue of obese mice were reduced with statin or alirocumab. These agents also suppressed the pro-inflammatory immune responses and lung fibrosis in TGF-β1 over-expressed transgenic mice with normal diet. CONCLUSIONS: Lipid-lowering treatment has the potential to alleviate obesity-induced airway hyperresponsiveness and lung fibrosis by inhibiting the NLRP3 inflammasome, RAS and cholecystokinin activity.

摘要

背景:肥胖与气道高反应性和肺纤维化有关,这可能会降低同时患有这两种疾病的个体对标准哮喘治疗的效果。他汀类药物和脯氨酰肽酶枯草溶菌素/激肽释放酶 9 抑制剂不仅能降低血清胆固醇和游离脂肪酸,还能抑制肾素-血管紧张素系统的活性并发挥抗炎作用。这些机制可能在减轻与肥胖相关的肺部病变中发挥作用。

方法:雄性 C57BL/6 小鼠通过高脂肪饮食喂养 16 周来诱导肥胖。条件性 TGF-β1 转基因小鼠喂食正常饮食。给予这些小鼠阿托伐他汀或脯氨酰肽酶枯草溶菌素/激肽释放酶 9 抑制剂(alirocumab),并评估其对气道高反应性和肺部病变的影响。

结果:高脂肪饮食诱导的肥胖增强了气道高反应性、肺纤维化、支气管肺泡灌洗液中的巨噬细胞和肺部的促炎介质。这些降脂药物可减弱气道高反应性、BALF 中的巨噬细胞、肺纤维化、血清瘦素、游离脂肪酸、TGF-β1、IL-1β、IL-6 和 IL-17a。此外,肥胖小鼠肺组织中增加的 RAS、NLRP3 炎性体和胆囊收缩素被他汀类药物或 alirocumab 降低。这些药物还抑制了正常饮食下 TGF-β1 过表达转基因小鼠的促炎免疫反应和肺纤维化。

结论:降脂治疗有可能通过抑制 NLRP3 炎性体、RAS 和胆囊收缩素的活性,减轻肥胖引起的气道高反应性和肺纤维化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/305193a0a498/12931_2024_2842_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/accbea829b75/12931_2024_2842_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/f39ebbeaff26/12931_2024_2842_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/0d0cf4f5c007/12931_2024_2842_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/e148aee09fab/12931_2024_2842_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/62482fb47022/12931_2024_2842_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/08f0037efce4/12931_2024_2842_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/bb713b03012e/12931_2024_2842_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/305193a0a498/12931_2024_2842_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/accbea829b75/12931_2024_2842_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/f39ebbeaff26/12931_2024_2842_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/0d0cf4f5c007/12931_2024_2842_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/e148aee09fab/12931_2024_2842_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/62482fb47022/12931_2024_2842_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/08f0037efce4/12931_2024_2842_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/bb713b03012e/12931_2024_2842_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e553/11102611/305193a0a498/12931_2024_2842_Fig9_HTML.jpg

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引用本文的文献

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Asthma and Cardiovascular Diseases: Navigating Mutual Pharmacological Interferences.

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本文引用的文献

[1]
Impact of obesity in asthma: Possible future therapies.

Allergol Int. 2024-1

[2]
Key recommendations for primary care from the 2022 Global Initiative for Asthma (GINA) update.

NPJ Prim Care Respir Med. 2023-2-8

[3]
Antagonizing cholecystokinin A receptor in the lung attenuates obesity-induced airway hyperresponsiveness.

Nat Commun. 2023-1-4

[4]
Angiotensin II Triggers NLRP3 Inflammasome Activation by a Ca Signaling-Dependent Pathway in Rat Cardiac Fibroblast Ang-II by a Ca-Dependent Mechanism Triggers NLRP3 Inflammasome in CF.

Inflammation. 2022-12

[5]
Targeting PCSK9 Ameliorates Graft Vascular Disease in Mice by Inhibiting NLRP3 Inflammasome Activation in Vascular Smooth Muscle Cells.

Front Immunol. 2022-5-26

[6]
TGF-β activates NLRP3 inflammasome by an autocrine production of TGF-β in LX-2 human hepatic stellate cells.

Mol Cell Biochem. 2022-5

[7]
Relationship between type 2 cytokine and inflammasome responses in obesity-associated asthma.

J Allergy Clin Immunol. 2022-4

[8]
The Impact of microRNAs in Renin-Angiotensin-System-Induced Cardiac Remodelling.

Int J Mol Sci. 2021-4-30

[9]
Role of NLRP3 Inflammasome Activation in Obesity-Mediated Metabolic Disorders.

Int J Environ Res Public Health. 2021-1-10

[10]
Statins for asthma.

Cochrane Database Syst Rev. 2020-7-15

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