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低温通过限制白细胞介素-1β释放和中性粒细胞胞外陷阱形成来预防呼吸机诱导的肺损伤。

Hypothermia protects against ventilator-induced lung injury by limiting IL-1β release and NETs formation.

作者信息

Nosaka Nobuyuki, Borges Vanessa, Martinon Daisy, Crother Timothy R, Arditi Moshe, Shimada Kenichi

机构信息

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.

出版信息

Elife. 2025 Jun 24;14:RP101990. doi: 10.7554/eLife.101990.


DOI:10.7554/eLife.101990
PMID:40553503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12187133/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/103f00ebf9c9/elife-101990-fig7-figsupp2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/ed5563d083b1/elife-101990-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/a90e99fcde87/elife-101990-fig1-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/d2d42678b199/elife-101990-fig1-figsupp2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/34939e88637c/elife-101990-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/edc45d45bff9/elife-101990-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/6221aa307902/elife-101990-fig3-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/55cf7d2da32f/elife-101990-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/1d233a774727/elife-101990-fig4-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/48a3aebafaec/elife-101990-fig4-figsupp2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/a24311f057ca/elife-101990-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/ef474d40f31b/elife-101990-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/63b0ddd1bcb9/elife-101990-fig6-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/152bb2407fe2/elife-101990-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/d78b21b5c961/elife-101990-fig7-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/103f00ebf9c9/elife-101990-fig7-figsupp2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/ed5563d083b1/elife-101990-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/a90e99fcde87/elife-101990-fig1-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/d2d42678b199/elife-101990-fig1-figsupp2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/34939e88637c/elife-101990-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/edc45d45bff9/elife-101990-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/6221aa307902/elife-101990-fig3-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/55cf7d2da32f/elife-101990-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/1d233a774727/elife-101990-fig4-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/48a3aebafaec/elife-101990-fig4-figsupp2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/a24311f057ca/elife-101990-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/ef474d40f31b/elife-101990-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/63b0ddd1bcb9/elife-101990-fig6-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/152bb2407fe2/elife-101990-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/d78b21b5c961/elife-101990-fig7-figsupp1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3315/12187133/103f00ebf9c9/elife-101990-fig7-figsupp2.jpg

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本文引用的文献

[1]
The palmitoylation of gasdermin D directs its membrane translocation and pore formation during pyroptosis.

Sci Immunol. 2024-4-12

[2]
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[3]
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Virol J. 2023-8-2

[4]
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Cell. 2023-7-6

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