Nosaka Nobuyuki, Borges Vanessa, Martinon Daisy, Crother Timothy R, Arditi Moshe, Shimada Kenichi
Department of Pediatrics, Division of Infectious Diseases and Immunology, Guerin Children's at Cedars-Sinai Medical Center, Los Angeles, United States.
Infectious and Immunologic Diseases Research Center (IIDRC) and Department of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, United States.
Elife. 2025 Jun 24;14:RP101990. doi: 10.7554/eLife.101990.
Although mechanical ventilation is a critical intervention for acute respiratory distress syndrome (ARDS), it can trigger an IL-1β-associated complication known as ventilator-induced lung injury. In mice, we found that lipopolysaccharide (LPS) and high-volume ventilation, LPS-HVV, lead to hypoxemia with neutrophil extracellular traps (NETs) formation in the alveoli. Furthermore, LPS-HVV mice did not develop hypoxemia and had reduced NETs, indicating that IL-1R1 signaling is important for NETs formation and hypoxemia. Therapeutic hypothermia (TH) is known to reduce the release of inflammatory mediators. In LPS-HVV mice, TH (32°C body temperature) prevented hypoxemia development, reducing albumin leakage, IL-1β, gasdermin D (GSDMD), and NETs formation. We also observed that LPS-primed macrophages, when stimulated at 32°C with ATP or nigericin, release less IL-1β associated with reduced GSDMD cleavage. Thus, hypothermia is an important modulating factor in the NLRP3 inflammasome activation, IL-1β release, and NETs formation, preventing LPS-HVV-induced acute respiratory failure.
尽管机械通气是急性呼吸窘迫综合征(ARDS)的关键干预措施,但它可引发一种与IL-1β相关的并发症,即呼吸机诱导的肺损伤。在小鼠中,我们发现脂多糖(LPS)和高容量通气(LPS-HVV)会导致低氧血症,并伴有肺泡中中性粒细胞胞外陷阱(NETs)的形成。此外,LPS-HVV小鼠未出现低氧血症且NETs减少,这表明IL-1R1信号传导对NETs形成和低氧血症很重要。已知治疗性低温(TH)可减少炎症介质的释放。在LPS-HVV小鼠中,TH(体温32°C)可预防低氧血症的发生,减少白蛋白渗漏、IL-1β、gasdermin D(GSDMD)和NETs的形成。我们还观察到,用ATP或尼日利亚菌素在32°C刺激LPS预处理的巨噬细胞时,释放的IL-1β减少,同时GSDMD裂解也减少。因此,低温是NLRP3炎性小体激活、IL-1β释放和NETs形成的重要调节因子,可预防LPS-HVV诱导的急性呼吸衰竭。
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