首页|下调NLRP3炎症小体表达对脓毒症小鼠急性肺损伤的保护作用及机制研究

下调NLRP3炎症小体表达对脓毒症小鼠急性肺损伤的保护作用及机制研究

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目的 探讨下调核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)炎症小体表达对脓毒症小鼠急性肺损伤的保护作用及其介导线粒体自噬的作用机制.方法 采用随机数字表法将18只BALB/c小鼠分为假手术组(sham组)、脓毒症模型组[盲肠结扎穿孔术(CLP)组]和MCC950(NLRP3特异性抑制剂)干预组(CLP+MCC950组),每组6只.采用CLP制作脓毒症模型.术前2 h,CLP+MCC950组小鼠腹腔注射50 mg/kg MCC950(用0.9%氯化钠溶液稀释至0.5 mL),sham组和CLP组腹腔注射等量0.9%氯化钠溶液.CLP术后24 h收集小鼠肺泡灌洗液及肺脏组织标本.将另外45只小鼠采用随机数字表法分为sham组、CLP组和CLP+MCC950组,记录小鼠7 d生存率.采用HE染色法观察肺损伤严重程度,并测量湿重/干重(W/D)比值.采用ELISA法检测肺泡灌洗液中IL-1β、IL-6、TNF-α、IL-10蛋白水平;Western blot法检测肺组织炎症相关蛋白[NLRP3、NF-κB p65、磷酸化NF-κB(p-NF-κB)p65]、凋亡相关蛋白[裂解的半胱氨酸天冬氨酸蛋白水解酶3(Cleaved-Caspase-3)、B淋巴细胞瘤-2(Bcl-2)、Bcl-2相关X蛋白(Bax)]和自噬相关蛋白[磷酸酶及张力蛋白同源基因诱导的激酶1(PINK1)、E3泛素连接酶(Par-kin)、微管相关蛋白1轻链3Ⅱ/Ⅰ(LC3Ⅱ/Ⅰ)、选择性自噬接头蛋白p62]表达水平.结果 sham组小鼠7 d生存率为100.0%.CLP组小鼠7 d累计死亡11只,7 d生存率为26.7%(4/15).与sham组比较,CLP组小鼠7 d生存率明显降低(P<0.01);肺组织W/D比值升高(P<0.05);肺组织肺泡结构破坏严重,肺泡壁增厚,伴有明显的肺水肿和炎性细胞浸润;肺泡灌洗液中IL-1β、IL-6、TNF-α、IL-10蛋白水平升高(均P<0.05);肺组织中NLRP3、p-NF-κB p65、Cleaved-Caspase-3、Bax、PINK1、Parkin和LC3Ⅱ/Ⅰ蛋白表达水平升高,Bcl-2和p62蛋白表达水平降低(均P<0.05).CLP+MCC950组小鼠7 d累计死亡8只,7 d生存率为46.7%(7/15).CLP组和CLP+MCC950组小鼠7 d生存率比较,差异无统计学意义(P>0.05).与CLP组比较,CLP+MCC950组小鼠肺组织W/D比值降低(P<0.05);肺组织肺泡结构破坏稍减少,肺泡壁增厚减轻,肺水肿和炎性细胞浸润亦减少;肺泡灌洗液中IL-1β、IL-6、TNF-α蛋白水平降低,IL-10蛋白水平进一步升高(均P<0.05);肺组织中NLRP3、p-NF-κB p65、Cleaved-Caspase-3、Bax蛋白表达水平降低,Bcl-2蛋白表达水平升高(均P<0.05);PINK1、Parkin和LC3Ⅱ/Ⅰ蛋白表达水平进一步升高,p62蛋白表达水平进一步下降(均P<0.05).结论 NLRP3炎症小体的下调可改善脓毒症小鼠的急性肺损伤,其作用可能依赖于调节PINK1/Parkin介导的线粒体自噬通路.
Protective effect and mechanism of down-regulating NLRP3 inflammasome expression on acute lung injury in septic mice
Objective To investigate the protective effect of down-regulating the expression of nucleotide-binding oligomerization domain like receptors family pyrin domain containing 3 (NLRP3) inflammasome on acute lung injury of septic mice and its mechanism of modulating mitophagy. Methods Eighteen BALB/c male mice were randomly divided into sham group,cecal ligation and puncture (CLP) group and CLP+MCC950 (NLRP3-specific inhibitor) group using a random number table method,with six mice in each group. The CLP procedure was used to establish the sepsis model. Mice in the CLP+MCC950 group were intraperitoneally injected with 50 mg/kg MCC950 (diluted to 0.5 mL with 0.9% NaCl solution) 2 h before the operation,while the sham and CLP groups were given equal amounts of 0.9% NaCl solution. Bronchoalveolar lavage fluid (BALF) and lung tissue were collected 24 h after CLP operation. Another 45 mice were divided into sham group,CLP group,and CLP+MCC950 group using the random number table method,and the 7 d survival rate of mice was recorded. HE staining was used to observe the severity of lung injury and the wet weight/dry weight (W/D) ratio was measured. Enzyme-linked immunosorbent assay was used to measure the protein levels of IL-1β,IL-6,TNF-α,and IL-10 in BALF;Western blot was used to detect the expressions of lung tissue inflammation associated proteins[NLRP3,phosphorylated NF-κB (p-NF-κB) p65,and NF-κB-p65],apoptosis associated proteins[cleaved-cysteine-aspartic acid protease 3 (Cleaved-Caspase-3),B-cell lymphoma-2 (Bcl-2),B-cell lymphoma-2 associated X protein (Bax)],and autophagy associated proteins[PTEN induced putative kinase 1 (PINK1),E3 ubiquitin ligase (Parkin),microtubule-associated protein 1 light chain 3Ⅱ/Ⅰ(LC3 Ⅱ/Ⅰ),and selective autophagy adaptor protein p62]. Results The 7 d survival rate of mice in the sham group was 100.0%. Eleven mice in the CLP group died cumulatively at 7 d,with the 7 d survival rate of 26.7% (4/15). Compared with the sham group,the 7 d survival rate of mice in the CLP group was significantly lower (P<0.05),the lung W/D ratio was elevated (P<0.05),and the lung tissues experienced severe destruction of alveolar structure and thickening of alveolar wall,accompanied by obvious pulmonary edema and inflammatory cell infiltration;the levels of IL-1β,IL-6 and TNF-αproteins were elevated in the BALF,accompanied by elevated level of IL-10 protein (all P<0.05);the levels of NLRP3,p-NF-κB p65,Cleaved-Caspase-3,Bax,PINK1,Parkin,and LC3 Ⅱ/Ⅰ proteins were increased,while the levels of Bcl-2 and p62 proteins were decreased (all P<0.05). Eight mice in the CLP+MCC950 group died consecutively during 7 d,with a 7 d survival rate of 46.7% (7/15). Compared with the CLP group,the 7 d survival rate of mice in the CLP+MCC950 group was not statistically different (P>0.05),and lung W/D ratio was decreased (P<0.05);the destruction of alveolar structure in lung tissues was slightly reduced,the thickening of alveolar wall was alleviated,and the pulmonary edema and inflammatory cell infiltration were also improved;the levels of IL-1β,IL-6 and TNF-αproteins in the BALF were reduced,while the level of IL-10 protein was further elevated (all P<0.05);the levels of NLRP3,p-NF-κB p65,Cleaved-Caspase-3,Bax proteins were decreased,while the level of Bcl-2 protein increased in lung tissues (all P<0.05);the levels of PINK1,Parkin,and LC3 Ⅱ/Ⅰ protein expressions were further elevated,while the level of p62 protein was further decreased (all P<0.05). Conclusion Down-regulation of NLRP3 inflammasome ameliorates acute lung injury of septic mice,and its effect may depend on regulation of the PINK1/Parkin-mediated mitochondrial autophagy pathway.

SepsisNucleotide-binding oligomerization domain like receptors family pyrin domain containing 3Acute lung injuryMitophagy

孙莹莹、祝晨烨、程志刚、骆敏、谢民民

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311300 杭州市临安区第一人民医院急诊科

脓毒症 核苷酸结合寡聚化结构域样受体蛋白3 急性肺损伤 线粒体自噬

2024

浙江医学
浙江省医学会

浙江医学

CSTPCD
影响因子:0.428
ISSN:1006-2785
年,卷(期):2024.46(22)