KvLQT1钾通道激活对博来霉素诱导的急性肺损伤小鼠模型的促修复作用
Pro-Reparative Effects of KvLQT1 Potassium Channel Activation in a Mouse Model of Acute Lung Injury Induced by Bleomycin.
作者信息
Voisin Tom, Girault Alban, Aubin Vega Mélissa, Meunier Émilie, Chebli Jasmine, Privé Anik, Adam Damien, Brochiero Emmanuelle
机构信息
Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC H2X 0A9, Canada.
Département de Médecine, Université de Montréal, Montréal, QC H3T 1J4, Canada.
出版信息
Int J Mol Sci. 2025 Aug 7;26(15):7632. doi: 10.3390/ijms26157632.
Acute Respiratory Distress Syndrome (ARDS) is a complex and devastating form of respiratory failure, with high mortality rates, for which there is no pharmacological treatment. The acute exudative phase of ARDS is characterized by severe damage to the alveolar-capillary barrier, infiltration of protein-rich fluid into the lungs, neutrophil recruitment, and high levels of inflammatory mediators. Rapid resolution of this reversible acute phase, with efficient restoration of alveolar functional integrity, is essential before the establishment of irreversible fibrosis and respiratory failure. Several lines of in vitro and in vivo evidence support the involvement of potassium (K) channels-particularly KvLQT1, expressed in alveolar cells-in key cellular mechanisms for ARDS resolution, by promoting alveolar fluid clearance and epithelial repair processes. The aim of our study was to investigate whether pharmacological activation of KvLQT1 channels could elicit beneficial effects on ARDS parameters in an animal model of acute lung injury. We used the well-established bleomycin model, which mimics (at day 7) the key features of the exudative phase of ARDS. Our data demonstrate that treatments with the KvLQT1 activator R-L3, delivered to the lungs, failed to improve endothelial permeability and lung edema in bleomycin mice. However, KvLQT1 activation significantly reduced neutrophil recruitment and tended to decrease levels of pro-inflammatory cytokines/chemokines in bronchoalveolar lavages after bleomycin administration. Importantly, R-L3 treatment was associated with significantly lower injury scores, higher levels of alveolar type I (HTI-56, AQP5) and II (pro-SPC) cell markers, and improved alveolar epithelial repair capacity in the presence of bleomycin. Together, these results suggest that the KvLQT1 K channel may be a potential target for the resolution of the acute phase of ARDS.
急性呼吸窘迫综合征(ARDS)是一种复杂且具有毁灭性的呼吸衰竭形式,死亡率很高,目前尚无药物治疗方法。ARDS的急性渗出期的特征是肺泡 - 毛细血管屏障严重受损、富含蛋白质的液体渗入肺部、中性粒细胞募集以及炎症介质水平升高。在不可逆的纤维化和呼吸衰竭形成之前,迅速解决这个可逆的急性期,并有效恢复肺泡功能完整性至关重要。多条体外和体内证据支持钾(K)通道,特别是在肺泡细胞中表达的KvLQT1,通过促进肺泡液体清除和上皮修复过程,参与ARDS解决的关键细胞机制。我们研究的目的是调查KvLQT1通道的药理学激活是否能在急性肺损伤动物模型中对ARDS参数产生有益影响。我们使用了成熟的博来霉素模型,该模型(在第7天)模拟了ARDS渗出期的关键特征。我们的数据表明,将KvLQT1激活剂R - L3输送到肺部进行治疗,未能改善博来霉素小鼠的内皮通透性和肺水肿。然而,KvLQT1激活显著减少了中性粒细胞募集,并倾向于降低博来霉素给药后支气管肺泡灌洗中促炎细胞因子/趋化因子的水平。重要的是,在存在博来霉素的情况下,R - L3治疗与显著更低的损伤评分、更高水平的肺泡I型(HTI - 56,AQP5)和II型(pro - SPC)细胞标志物以及改善的肺泡上皮修复能力相关。总之,这些结果表明KvLQT1钾通道可能是解决ARDS急性期的一个潜在靶点。
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