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质子传感器GPR68的抑制可抑制金黄色葡萄球菌细菌颗粒引起的内皮功能障碍和急性肺损伤。

Inhibition of proton sensor GPR68 suppresses endothelial dysfunction and acute lung injury caused by Staphylococcus aureus bacterial particles.

作者信息

Karki Pratap, Ke Yunbo, Zhang Chen-Ou, Promnares Kamoltip, Li Yue, Williams Charles H, Hong Charles C, Birukov Konstantin G, Birukova Anna A

机构信息

Division of Pulmonary and Critical Care, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.

Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland, USA.

出版信息

FASEB J. 2025 Feb 15;39(3):e70333. doi: 10.1096/fj.202401947R.

Abstract

Lung bacterial infections, including hospital-acquired pneumonia, remain a serious problem for public health. Endothelial cell (EC) exposure to heat-killed Staphylococcus aureus (HKSA) represents a clinical scenario of high titers of killed bacterial particles present in the host after antibiotic therapy, which triggers inflammatory cascades, cytokine storms, and EC dysfunction leading to acute lung injury (ALI). GPR68 is a member of the proton-sensing G protein-coupled receptor family. Acting as a pH sensor, GPR68 becomes activated upon pH reduction and contributes to pathologic cell responses by activating ER stress and unfolded protein response. This study investigated the role of GPR68 in HKSA-induced EC dysfunction and HKSA-induced ALI. HKSA robustly increased GPR68 mRNA levels in human pulmonary EC and directly stimulated GPR68 activity. A selective GPR68 small molecule inhibitor, OGM-8345, attenuated HKSA-induced EC permeability and protected cell junction integrity. OGM-8345 inhibited HKSA-induced activation of inflammatory genes TNF-α, IL-6, IL-8, IL-1β, and CXCL5 and decreased cytokine secretion by HKSA-challenged EC. Co-treatment with the GPR68 activator Ogerin or medium acidification to pH 6.5 augmented HKSA-induced EC dysfunction, which was rescued by OGM-8345. Intratracheal HKSA injection increased vascular leak and lung inflammation in mice which were monitored by lung Evans blue extravasation, increased cell and protein count in bronchoalveolar lavage, and mRNA expression of inflammatory genes. ALI and barrier dysfunction was attenuated by OGM-8345. We show for the first time the role of GPR68 in mediating HKSA-induced lung injury and the strong potential for OGM-8345 as a therapeutic treatment of bacterial pathogen-induced ALI associated with tissue acidification.

摘要

包括医院获得性肺炎在内的肺部细菌感染仍然是公共卫生领域的一个严重问题。内皮细胞(EC)暴露于热灭活金黄色葡萄球菌(HKSA)代表了抗生素治疗后宿主中存在高滴度灭活细菌颗粒的临床情况,这会引发炎症级联反应、细胞因子风暴和EC功能障碍,导致急性肺损伤(ALI)。GPR68是质子感应G蛋白偶联受体家族的成员。作为一种pH传感器,GPR68在pH降低时被激活,并通过激活内质网应激和未折叠蛋白反应来促进病理性细胞反应。本研究调查了GPR68在HKSA诱导的EC功能障碍和HKSA诱导的ALI中的作用。HKSA显著增加了人肺EC中GPR68的mRNA水平,并直接刺激GPR68活性。一种选择性GPR68小分子抑制剂OGM-8345减弱了HKSA诱导的EC通透性,并保护细胞连接完整性。OGM-8345抑制了HKSA诱导的炎症基因TNF-α、IL-6、IL-8、IL-1β和CXCL5的激活,并减少了HKSA刺激的EC的细胞因子分泌。与GPR68激活剂Ogerin共同处理或将培养基酸化至pH 6.5会增强HKSA诱导的EC功能障碍,而OGM-8345可挽救这种功能障碍。气管内注射HKSA会增加小鼠的血管渗漏和肺部炎症,这通过肺伊文思蓝外渗、支气管肺泡灌洗中细胞和蛋白质计数的增加以及炎症基因的mRNA表达来监测。OGM-8345减轻了ALI和屏障功能障碍。我们首次展示了GPR68在介导HKSA诱导的肺损伤中的作用,以及OGM-8345作为治疗与组织酸化相关的细菌病原体诱导的ALI的强大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bc1/11797537/7096226e33e8/FSB2-39-e70333-g009.jpg

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