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分子氢减轻脂多糖诱导急性肺损伤的机制探究

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目的 探讨分子氢对脂多糖(lipopolysaccharide,LPS)诱导急性肺损伤(acute lung injury,ALI)的作用机制.方法 将24只Balb/c小鼠随机(随机数字法)分为4组:control组、control+H2组、LPS组、LPS+H2组,6只/组.观察各组肺组织形态,检测肺组织丙二醛(malondialdehyde,MDA)、Fe2+水平,对肺组织进行免疫荧光染色检测F4/80阳性巨噬细胞浸润水平.将A549细胞分为control、control+H2、erastin、erastin+H2组,检测各组活性氧自由基(reactive oxygen species,ROS)、丙二醛(malondialdehyde,MDA)、谷胱甘肽(glutathione,GSH)、细胞死亡数量、乳酸脱氢酶(lactate dehydrogenase,LDH)释放量,荧光定量PCR定量核因子红细胞2相关因子 2(nuclear factor erythroid 2-related factor 2,Nrf2)、谷胱甘肽过氧化物酶 4(glutathione peroxidase 4,GPX4)、血红素氧化酶1(heme oxygenase-1,HO-1)mRNA表达水平,蛋白质免疫印迹检测Nrf2蛋白表达水平,免疫荧光法检测Nrf2核转位水平.计量资料统计前进行方差齐性检验,多组间差异比较采用单因素方差分析.结果 与control组比较,LPS组肺组织损伤明显加重,F4/80阳性巨噬细胞浸润程度、脂质过氧化水平增高(均P<0.05);与LPS组比较,LPS+H2组肺损伤程度明显减轻(均P<0.05);体外实验中,与control组比较,erastin组ROS、MDA水平、细胞死亡数量、LDH释放量增多(均P<0.05),GSH、GPX4 mRNA水平下降,HO-1 mRNA、Nrf2核转位水平增高(均P<0.05),与erastin组相比,earstin+H2组ROS、MDA水平、细胞死亡数量、LDH 释放量下降(均P<0.05),GSH、GPX4 mRNA、Nrf2 mRNA、HO-1 mRNA 水平提高,Nrf2核转位水平升高(均P<0.05).结论 分子氢促进Nrf2核转位,抑制肺泡上皮细胞铁死亡减轻LPS诱导的ALI.
Mechanism of molecular hydrogen attenuating acute lung injury induced by lipopolysaccharid
Objective To investigate the role and mechanism of molecular hydrogen in lipopolysaccharide(LPS)-induced acute lung injury(ALI).Methods Balb/c male mice were randomly(random number)divided into control group,control+H2,LPS and LPS+H2 group with 6 mice in each group.The levels of malondialdehyde(MDA)and Fe2+in lung tissue were detected by kits.The lung tissue morphology was observed.The infiltration levels of F4/80 positive macrophages in lung tissue were detected by immunofluorescence staining.A549 cells were divided into control,control+H2,erastin and erastin+H2 group.The reactive oxygen species(ROS),malondialdehyde,(MDA),lactate dehydrogenase(GSH),number of cell death and lactate dehydrogenase(LDH)release in each group were detected by kits.Nrf2,GPX4,and HO-1mRNA were quantified by real-time PCR,the protein expression level of Nrf2 was detected by western blot,and the nuclear translocation level of Nrf2 was observed by immunofluorescence.The chi-square test was performed before the measurement data were counted.One-way analysis of variance was used to compare differences between multiple groups.Results Compared with the control group,the histopathological damage was aggravated,and the levels of MDA,Fe2+significantly increased in the LPS group,and F4/80 positive immune cells infiltration significantly increased(all P<0.05).Compared with LPS group,the degree of lung injury in LPS+H2 group significantly reduced(all P<0.05).In vitro experiments,compared with the control group,the ROS,MDA levels,number of cell death and LDH release significantly increased in erastin group(all P<0.05),while GSH,and GPX4 mRNA levels decreased(all P<0.05).HO-1mRNA and Nrf2 nuclear translocation levels increased(all P<0.05).Compared with erastin group,ROS,MDA levels,cell death number and LDH release decreased in earstin+H2 group(all P<0.05).The levels of GSH,GPX4 mRNA,Nrf2 mRNA,HO-1 mRNA and Nrf2 nuclear translocation levels increased(all P<0.05).Conclusions Molecular hydrogen attenuates LPS-induced ALI by promoting Nrf2 nuclear translocation to inhibit ferroptosis of alveolar epithelial cells.

Acute lung injuryFerroptosisMolecular hydrogenAlveolar epithelial cellsLipopolysaccharideNuclear factor erythroid 2-related factorGlutathione peroxidase 4Heme oxygenase-1

薛皓月、唐心怡、丁锦秋、陈晓兵、陈昊然、俞典、李小民、谢永鹏

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徐州医科大学附属连云港医院连云港市第一人民医院急诊科,连云港 222006

连云港市第一人民医院急诊科,连云港 222006

南京医科大学连云港临床医学院连云港市第一人民医院,连云港 222006

南京医科大学康达学院第一附属医院连云港市第一人民医院急诊科,连云港 222006

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分子氢 铁死亡 急性肺损伤 肺泡上皮细胞 脂多糖 核因子红细胞2相关因子 谷胱甘肽过氧化物酶4 血红素氧化酶1

江苏省研究生实践创新项目江苏省科技厅社会发展面上项目江苏省卫健委面上项目

SJCX23_1416BE2020670H201909

2024

中华急诊医学杂志
中华医学会

中华急诊医学杂志

CSTPCD北大核心
影响因子:1.556
ISSN:1671-0282
年,卷(期):2024.33(10)