Lu Qianying, Huang Siyu, Zhao Yanmei, Yu Sifan, Shi Mingyu, Li Junfeng, Liang Yangfan, Fan Haojun, Hou Shike
School of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Tianjin Key Laboratory of Disaster Medicine Technology, Tianjin, China.
J Thorac Dis. 2024 Oct 31;16(10):6604-6615. doi: 10.21037/jtd-24-819. Epub 2024 Oct 30.
Sulforaphane (SFN) has been demonstrated to exert a protective role in various diseases. However, the role of SFN in phosgene-induced acute lung injury (P-ALI) remains unclear. This study aimed to explore the role and mechanism of SFN in P-ALI and provide a theoretical basis for the clinical prevention and treatment of P-ALI.
A mouse model of P-ALI was established followed by phosgene gas inhalation at a dose of 4.17 g/m for 5 min. The survival rate, lung coefficient and hematoxylin and eosin (H&E) staining, lung pathology scoring, and bronchoalveolar lavage fluid (BALF) analysis were performed to evaluate lung tissue damage. The real-time quantitative polymerase chain reaction (RT-qPCR) and Western blotting analysis were utilized to evaluate the relative expression levels of inflammation factors and protein expression.
Compared with the control group, destruction of alveolar structure, pulmonary edema, lung tissue inflammation and oxidative stress occurred after phosgene exposure. After the administration of SFN, the massive exudation of red blood cells and significant thickening of alveolar interstitium were ameliorated, the lung tissue inflammation was improved, and oxidative stress level was reduced. Mechanically, SFN could increase the expression of nuclear factor erythroid 2 (NFE2)-related factor 2 (Nrf2) protein and the downstream heme oxgenase-1 (HO-1) and NAD(P)H:quinone oxidoreductase 1 (NQO1), thereby improving P-ALI. And the Nrf2 inhibitor ML385 attenuated the lung protective effect of SFN.
Phosgene inhalation led to edema, inflammation, and oxidative stress of lung tissue in mice. SFN might ameliorate phosgene-induced lung injury through Nrf2-HO-1/NQO1 signaling pathway.
已证明萝卜硫素(SFN)在多种疾病中发挥保护作用。然而,SFN在光气诱导的急性肺损伤(P-ALI)中的作用仍不清楚。本研究旨在探讨SFN在P-ALI中的作用及机制,为P-ALI的临床防治提供理论依据。
建立P-ALI小鼠模型,以4.17 g/m的剂量吸入光气气体5分钟。进行生存率、肺系数及苏木精-伊红(H&E)染色、肺病理评分和支气管肺泡灌洗液(BALF)分析以评估肺组织损伤。利用实时定量聚合酶链反应(RT-qPCR)和蛋白质印迹分析评估炎症因子的相对表达水平和蛋白质表达。
与对照组相比,光气暴露后出现肺泡结构破坏、肺水肿、肺组织炎症和氧化应激。给予SFN后,红细胞大量渗出和肺泡间质显著增厚得到改善,肺组织炎症得到改善,氧化应激水平降低。机制上,SFN可增加核因子红细胞2(NFE2)相关因子2(Nrf2)蛋白及其下游血红素加氧酶-1(HO-1)和NAD(P)H:醌氧化还原酶1(NQO1)的表达,从而改善P-ALI。并且Nrf2抑制剂ML385减弱了SFN的肺保护作用。
吸入光气导致小鼠肺组织水肿、炎症和氧化应激。SFN可能通过Nrf2-HO-1/NQO1信号通路改善光气诱导的肺损伤。