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重庆 400010,重庆医科大学附属第二医院呼吸与危重症医学科
[ 王导新,E-mail:wangdaoxin0163@163.com WANG Daoxin, E-mail: wangdaoxin0163@163.com
收稿:2022-03-17,
修回:2022-04-26,
纸质出版:2022-09-30
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张人子, 李晟, 王导新. 隐丹参酮减轻LPS诱导的ARDS小鼠早期肺纤维化及机制研究[J]. 陆军军医大学学报, 2022,44(18):1819-1825.
Renzi ZHANG, Sheng LI, Daoxin WANG. Effect and mechanism of cryptotanshinone on early pulmonary fibrosis in LPS-induced acute respiratory distress syndrome in mice[J]. Journal of Army Medical University, 2022, 44(18): 1819-1825.
张人子, 李晟, 王导新. 隐丹参酮减轻LPS诱导的ARDS小鼠早期肺纤维化及机制研究[J]. 陆军军医大学学报, 2022,44(18):1819-1825. DOI: 10.16016/j.2097-0927.202203147.
Renzi ZHANG, Sheng LI, Daoxin WANG. Effect and mechanism of cryptotanshinone on early pulmonary fibrosis in LPS-induced acute respiratory distress syndrome in mice[J]. Journal of Army Medical University, 2022, 44(18): 1819-1825. DOI: 10.16016/j.2097-0927.202203147.
目的
2
探讨隐丹参酮(cryptotanshinone,CTS)对脂多糖(lipopolysaccharide,LPS)诱导的急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)小鼠的早期肺纤维化的影响及其可能的作用机制。
方法
2
将40只8周龄雄性C57BL/6J小鼠随机分为正常组、模型组、处理组、CTS组(
n
=10)。模型组采用气管滴注LPS(5 mg/kg)制备ARDS模型。处理组在ARDS建模前腹腔注射CTS(60 mg/kg) 预处理3 d,建模后再连续予以CTS 7 d。正常组和CTS组分别注射等体积的无菌磷酸盐缓冲液(phosphate-buffered saline,PBS)或CTS。末次给药24 h后处死小鼠,取支气管肺泡灌洗液(bronchoalveolar lavage fluid,BALF)及肺组织。通过HE染色、肺组织湿/干质量(wet-to-dry,W/D)比值、BALF中蛋白浓度和总细胞计数评估肺组织损伤情况;采用酶联免疫吸附试验(ELISA)检测BALF中炎症因子水平;通过Masson染色及羟脯氨酸(hydroxyproline,HYP)含量检测评估肺组织纤维化程度;利用免疫组化染色或Western blot检测VE-cadherin、CD31、波形蛋白(Vimentin)、α-平滑肌肌动蛋白(α-smooth muscle actin,α-SMA)的蛋白表达。
结果
2
与正常组比较,模型组的肺组织W/D、BALF中总细胞数胞计数和蛋白浓度升高,BALF中的TGF-β1、TNF-α、IL-1β、IL-6升高,IL-10降低(
P
<
0.05),小鼠肺组织出现肺损伤和早期肺纤维化;HYP含量升高(
P
<
0.05);Vimentin、α-SMA的表达升高,而VE-cadherin、CD31的表达隆低(
P
<
0.05)。与模型组比较,处理组的肺组织W/D、BALF中总细胞计数和蛋白浓度降低,BALF中的TGF-β1、TNF-α、IL-1β、IL-6降低,IL-10升高(
P
<
0.05);肺损伤和早期肺纤维化程度明显减轻,肺损伤评分和肺纤维化程度评分降低(
P
<
0.05);HYP含量显著降低(
P
<
0.05);Vimentin、α-SMA的表达降低,但VE-cadherin、CD31的表达增强(
P
<
0.05)。
结论
2
CTS可能通过抑制LPS刺激后肺组织中的内皮间质转化(endothelial-to-mesenchymal transition,EndMT)过程从而减轻ARDS小鼠早期肺纤维化。
Objective
2
To investigate the effects and underlying mechanism of cryptotanshinone (CTS) on early pulmonary fibrosis in mice with lipopolysaccharide (LPS)-induced acute respiratory distress syndrome (ARDS).
Methods
2
Forty male C57BL/6J mice (8 weeks old) were randomly divided into control group
model group
treatment group
and CTS group
with 10 mice in each group. A ARDS model was established by intratracheal instillation of LPS (5 mg/kg). The mice in the treatment group was intraperitoneally pretreated with CTS (60 mg/kg) for 3 d before modeling
followed by CTS administion for 7 consecutive days. Similarly
the mice of the control and CTS groups were injected with an equivalent volume of sterile phosphate-buffered saline (PBS) or CTS
respectively. The mice were sacrificed in 24 h after the last challenge
and bronchoalveolar lavage fluid (BALF) and lung tissues were collected. The injury of lung was observed with HE staining
lung wet-to-dry (W/D) ratio
total protein concentration and total cell number in BALF. The levels of inflammatory cytokines in BALF were determined by enzyme-linked immunosorbent assay (ELISA). The fibrosis of lung was characterized by Masson staining and content of hydroxyproline (HYP). The protein levels of VE-cadherin
CD31
Vimentin and α-smooth muscle actin(α-SMA) were detected by immunohistochemistry or Western blotting.
Results
2
Obviously increased lung W/D ratio and total protein concentration and total cell number in BALF
elevated contents of TNF-α
TGF-β1
IL-1β and IL-6 while reduced content of IL-10 in BALF were seen in the model group when compared with the control group (
P
<
0.05). Compared with the model group
the treatment group had significantly decreased lung W/D ratio and total protein concentration and total cell number in BALF
down-regulated levels of IL-1β
IL-6
TNF-α and TGF-β1 and up-regulated level of IL-10 in BALF (
P
<
0.05). In addition
CTS also ameliorated lung injury and early fibrosis
decreased lung injury and fibrosis score
and reduced HYP content in LPS-induced ARDS (
P
<
0.05)
up-regulated the VE-cadherin and CD31 levels
and suppressed the Vimentin and α-SMA levels (
P
<
0.05).
Conclusion
2
CTS alleviates LPS-induced early pulmonary fibrosis in ARDS mice
and its underlying mechanism may be related to the inhibition of endothelial-to-mesenchymal transition (EndMT).
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