Qian Tiantian, Qi Boyang, Fei Yuxin, Li Jun, Luo Liqing, Lv Bingjie, Song Yutong, Sheng Shurui, Xiao Wenhan, Huang Xiao, Wang Xiaozhi
Department of Intensive Care Unit, Binzhou Medical University Hospital, Binzhou, Shandong, China.
Cardiac Surgical Intensive Care Unit, Yantai yuhuangding Hospital of Qingdao University Medical College, Yantai, Shandong, China.
Int Immunopharmacol. 2023 Jan;114:109561. doi: 10.1016/j.intimp.2022.109561. Epub 2022 Dec 22.
Increased inflammatory exudation caused by endothelium and endothelial junction damage is a typical pathological feature of acute respiratory distress syndrome/acute lung injury (ARDS/ALI). Previous studies have shown that phospholipase D2 (PLD2) can increase the inflammatory response and has a close relationship with the severity of sepsis-induced ALI and the mortality of sepsis, but its mechanism is unknown. This study explored the effect and mechanism of PLD2 deletion on the structure and function of endothelial tight junction (TJ) in lipopolysaccharide (LPS)-induced ALI.
We used C57BL/6 mice (wild-type and PLD2 knockout (PLD2)) and human umbilical vein endothelial cell (HUVEC) models of sepsis-ALI. The pathological changes were evaluated by hematoxylin-eosin staining. Pulmonary vascular permeability was detected using wet-dry ratio, fluorescein isothiocyanate (FITC)-dextran, FITC-albumin, and immunoglobulin M concentration of bronchoalveolar lavage fluid. FITC-dextran and trans-endothelial electrical resistance assay were used to evaluate endothelial permeability on LPS-stimulated HUVECs. The mRNA expressions of TJ proteins were detected by real-time quantitative polymerase chain reaction. Then, protein levels were detected through Western blot analysis and immunofluorescence. The content of phosphatidic acid (PA), a downstream product of PLD2, was detected using an enzyme-linked immunosorbent assay kit.
PLD2 deficiency not only alleviated lung histopathological changes and improved pulmonary vascular permeability but also increased the survival rate of ALI mice. Knockout of PLD2 or treatment with the PLD2 inhibitor can reduce the damage of endothelial TJ proteins, namely, claudin5, occludin and zonula occludens protein-1, in sepsis-ALI mice and LPS-stimulated HUVECs. The level of the PLD2 catalytic product PA increased in LPS-stimulated HUVECs, and exogenous PA can reduce the TJ protein expression and increase signal transducer and activator of transcription 3 (STAT3) phosphorylation in vitro. Inhibition of STAT3 phosphorylation attenuated PA-induced degradation of endothelial TJs.
PLD2 knockout or inhibition may protect against LPS-induced lung injury by regulating the PA/STAT3 phosphorylation/endothelial TJ axis.
内皮细胞及内皮连接损伤导致的炎症渗出增加是急性呼吸窘迫综合征/急性肺损伤(ARDS/ALI)的典型病理特征。既往研究表明,磷脂酶D2(PLD2)可增强炎症反应,且与脓毒症诱导的ALI严重程度及脓毒症死亡率密切相关,但其机制尚不清楚。本研究探讨PLD2缺失对脂多糖(LPS)诱导的ALI中内皮紧密连接(TJ)结构和功能的影响及机制。
我们使用了C57BL/6小鼠(野生型和PLD2基因敲除型(PLD2-/-))以及脓毒症-ALI的人脐静脉内皮细胞(HUVEC)模型。通过苏木精-伊红染色评估病理变化。使用干湿比、异硫氰酸荧光素(FITC)-葡聚糖、FITC-白蛋白以及支气管肺泡灌洗液中免疫球蛋白M浓度检测肺血管通透性。使用FITC-葡聚糖和跨内皮电阻测定法评估LPS刺激的HUVECs的内皮通透性。通过实时定量聚合酶链反应检测TJ蛋白的mRNA表达。然后,通过蛋白质印迹分析和免疫荧光检测蛋白水平。使用酶联免疫吸附测定试剂盒检测PLD2的下游产物磷脂酸(PA)的含量。
PLD2缺失不仅减轻了肺组织病理学变化并改善了肺血管通透性,还提高了ALI小鼠的存活率。敲除PLD2或用PLD2抑制剂处理可减少脓毒症-ALI小鼠和LPS刺激的HUVECs中内皮TJ蛋白(即claudin5、occludin和闭锁小带蛋白-1)的损伤。LPS刺激的HUVECs中PLD2催化产物PA的水平升高,并且外源性PA可在体外降低TJ蛋白表达并增加信号转导和转录激活因子3(STAT3)的磷酸化。抑制STAT3磷酸化可减弱PA诱导的内皮TJ降解。
PLD2基因敲除或抑制可能通过调节PA/STAT3磷酸化/内皮TJ轴来预防LPS诱导的肺损伤。