From the Trauma Medicine Center (Z.W., P.C., J.Z., P.Z., X.C., B.J., W.H., T.W.), Peking University People's Hospital, Key Laboratory of Trauma and Neural Regeneration (Peking University), National Center for Trauma Medicine of China; Department of Central Laboratory and Institute of Clinical Molecular Biology (J.Y.), Peking University People's Hospital; Basic Medical Research Center (W.M.), the Sixth Medical Center of the General Hospital of the Chinese People's Liberation Army; and Department of Physiology and Pathophysiology (M.Z.), School of Basic Medical Sciences, Health Science Center, Peking University, Beijing, China.
J Trauma Acute Care Surg. 2021 May 1;90(5):827-837. doi: 10.1097/TA.0000000000003119.
Hemorrhagic shock (HS) can develop into multiple organ dysfunction syndrome, among which acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) usually lead to poor outcomes. The underlying molecular mechanisms of HS-induced ALI/ARDS remain unclear. This study sought to investigate gene expression profiles and predict competing endogenous RNA (ceRNA) regulatory networks in an HS-induced ALI/ARDS preclinical model.
Sprague Dawley rats were subjected to a fixed volume of hemorrhage (HS, 40% estimated total blood volume) or not (sham) randomly. After 8 hours of observation, left lung tissue was harvested to evaluate lung injury. Right lung was collected for RNA sequencing. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway analyses were performed and the long noncoding RNA (lncRNA)/circular RNA (circRNA)-microRNA (miRNA)-messenger RNA (mRNA) linkages were predicted using the ceRNA theory. Quantitative real-time polymerase chain reaction was used to validate the RNA sequencing findings.
Hemorrhagic shock lungs showed noticeable ALI/ARDS features, and 437 mRNAs, 31 miRNAs, 734 lncRNAs, and 29 circRNAs were differentially expressed. In Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway analyses, the differentially expressed transcripts were enriched in the following terms: the metabolic pathways, signal transduction pathways, necroptosis, DNA damage recognition and repair, inflammatory cell migration and chemotaxis, the NOD-like receptor signaling pathway, the Janus kinase/signal transducer and activator of transcription signaling pathway, the mitogen-activated protein kinase signaling pathway, the phosphatidylinositol-3-kinase/protein kinase B signaling pathway, and so on. Also, this study identified lncRNA-miRNA-mRNA linkages with 12 lncRNAs, 5 miRNAs, 15 mRNAs, and circRNA-miRNA-mRNA linkages with 10 circRNAs, 16 miRNAs, 39 mRNAs. These networks might play important regulatory roles.
This is the first high-throughput analysis of gene expression profiles in HS-induced ALI/ARDS. It shows that metabolism, cell signaling, DNA damage and repair, and necroptosis-related RNAs altered, and inflammatory response-associated RNAs and pathways have pivotal roles in HS-induced ALI/ARDS progression. It also prompts some important RNAs and regulatory networks for future research.
Basic science article.
失血性休克(HS)可发展为多器官功能障碍综合征,其中急性肺损伤(ALI)和急性呼吸窘迫综合征(ARDS)通常导致预后不良。HS 诱导的 ALI/ARDS 的潜在分子机制尚不清楚。本研究旨在探讨 HS 诱导的 ALI/ARDS 临床前模型中的基因表达谱和预测竞争内源性 RNA(ceRNA)调控网络。
SD 大鼠随机接受固定容量的出血(HS,估计总血容量的 40%)或不出血(假手术)。观察 8 小时后,取左肺组织评估肺损伤,右肺收集用于 RNA 测序。采用 ceRNA 理论进行基因本体论和京都基因与基因组百科全书通路分析,并预测长链非编码 RNA(lncRNA)/环状 RNA(circRNA)-微小 RNA(miRNA)-信使 RNA(mRNA)的连接。采用实时定量聚合酶链反应验证 RNA 测序结果。
HS 肺表现出明显的 ALI/ARDS 特征,差异表达的 mRNAs、miRNAs、lncRNAs 和 circRNAs 分别为 437 个、31 个、734 个和 29 个。在基因本体论和京都基因与基因组百科全书通路分析中,差异表达的转录本富集在以下术语中:代谢途径、信号转导途径、坏死性凋亡、DNA 损伤识别和修复、炎症细胞迁移和趋化性、NOD 样受体信号通路、Janus 激酶/信号转导和转录激活因子信号通路、丝裂原激活蛋白激酶信号通路、磷酸肌醇 3-激酶/蛋白激酶 B 信号通路等。此外,本研究还鉴定了包含 12 个 lncRNA、5 个 miRNA、15 个 mRNA 的 lncRNA-miRNA-mRNA 连接,以及包含 10 个 circRNA、16 个 miRNA、39 个 mRNA 的 circRNA-miRNA-mRNA 连接。这些网络可能发挥重要的调节作用。
这是 HS 诱导的 ALI/ARDS 基因表达谱的首次高通量分析。结果表明,代谢、细胞信号、DNA 损伤和修复以及坏死性凋亡相关 RNA 发生改变,炎症反应相关 RNA 和途径在 HS 诱导的 ALI/ARDS 进展中具有重要作用。这也提示了一些未来研究的重要 RNA 和调控网络。
基础科学文章。