Li Haoxuan, Nie Yiting, Hui Hongyu, Jiang Xinxin, Xie Yuanyuan, Fu Cong
Department of Critical Care Medicine, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, 200011, China.
Department of Nephrology, Jing'an District Central Hospital, Shanghai, 200040, China.
J Cardiothorac Surg. 2024 Oct 1;19(1):568. doi: 10.1186/s13019-024-03020-2.
Numerous diseases-related acute lung injury (ALI) contributed to high mortality. Currently, the therapeutic effect of ALI was still poor. The detailed mechanism of ALI remained elusive and this study aimed to elucidate the mechanism of ALI.
This study was performed to expose the molecular mechanisms of AMPK/Nrf2 pathway regulating oxidative stress in LPS-induced AMI mice. The mouse ALI model was established via intraperitoneal injection of LPS, then the lung tissue and blood samples were obtained, followed by injection with Dimethyl fumarate (DMF). Finally, Western blot, HE staining, injury score, lung wet/dry ratio, reactive oxygen species (ROS) and ELISA were used to elucidate the mechanism of AMPK/Nrf2 pathway in LPS -induced acute lung injury by mediating oxidative stress.
The lung tissue injury score was evaluated, showing higher scores in the model group compared to the AMPK activator and control groups. DCFH-DA indicated that LPS increased ROS production, while AMPK activator DMF reduced it, with the model group exhibiting higher ROS levels than the control and AMPK activator groups. The lung wet/dry ratio was also higher in the model group. Western blot analysis revealed LPS reduced AMPK and Nrf2 protein levels, but DMF reversed this effect. ELISA results showed elevated IL-6 and IL-1β levels in the model group compared to the AMPK activator and control groups.
CONCLUSION: Activating the AMPK/Nrf2 pathway can improve LPS-induced acute lung injury by down-regulation of the oxidative stress and corresponding inflammatory factor level.
多种与疾病相关的急性肺损伤(ALI)导致高死亡率。目前,ALI的治疗效果仍然较差。ALI的详细机制仍不清楚,本研究旨在阐明ALI的机制。
本研究旨在揭示AMPK/Nrf2通路调节脂多糖(LPS)诱导的急性心肌梗死(AMI)小鼠氧化应激的分子机制。通过腹腔注射LPS建立小鼠ALI模型,然后获取肺组织和血液样本,接着注射富马酸二甲酯(DMF)。最后,采用蛋白质免疫印迹法、苏木精-伊红(HE)染色、损伤评分、肺湿/干比、活性氧(ROS)检测和酶联免疫吸附测定(ELISA)来阐明AMPK/Nrf2通路通过介导氧化应激在LPS诱导的急性肺损伤中的作用机制。
对肺组织损伤评分进行评估,结果显示模型组的评分高于AMPK激活剂组和对照组。2',7'-二氯二氢荧光素二乙酸酯(DCFH-DA)检测表明,LPS增加了ROS的产生,而AMPK激活剂DMF减少了ROS的产生,模型组的ROS水平高于对照组和AMPK激活剂组。模型组的肺湿/干比也更高。蛋白质免疫印迹分析显示,LPS降低了AMPK和Nrf2蛋白水平,但DMF逆转了这一效应。ELISA结果显示,与AMPK激活剂组和对照组相比,模型组白细胞介素-6(IL-6)和白细胞介素-1β(IL-1β)水平升高。
激活AMPK/Nrf2通路可通过下调氧化应激及相应炎症因子水平来改善LPS诱导的急性肺损伤。