Baclofen, a GABABR agonist, ameliorates immune-complex mediated acute lung injury by modulating pro-inflammatory mediators.

Baclofen, a GABABR agonist, ameliorates immune-complex mediated acute lung injury by modulating pro-inflammatory mediators.
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DOI:
10.1371/journal.pone.0121637
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发表时间:
2015
期刊:
影响因子:
3.7
通讯作者:
Rane MJ
Rane MJ
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Jin S;Merchant ML;Ritzenthaler JD;McLeish KR;Lederer ED;Torres-Gonzalez E;Fraig M;Barati MT;Lentsch AB;Roman J;Klein JB;Rane MJ

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免疫复合物在肺部炎症性疾病中起重要作用。中性粒细胞活化介导免疫复合物(IC)沉积诱导的急性肺损伤(ALI)。γ氨基丁酸(GABA)信号传导的组分,包括GABA B受体2(GABABR 2)、GAD 65/67和GABA转运蛋白,存在于肺和中性粒细胞中。然而,肺GABABR激活在嗜中性粒细胞介导的ALI中的作用尚未确定。因此,本研究的目的是确定给予GABABR激动剂巴氯芬是否会改善或加重ALI。我们假设巴氯芬通过保护肺GABABR表达来调节IC诱导的ALI。对大鼠进行假损伤或IC诱导的ALI,两小时后,用盐水或lmg/kg巴氯芬对大鼠进行再2小时的气管内处理并处死。通过血管渗漏、组织学、TUNEL和肺caspase-3裂解来评估ALI。支气管肺泡灌洗液(BALF)中总蛋白、肿瘤坏死因子α(TNF-α)和白细胞介素1受体相关蛋白(IL-1 R AcP)均明显升高。肺组织GABABR 2表达减少,磷酸化p38 MAPK表达增加,IκB降解增加,中性粒细胞内流增加。巴氯芬的管理,开始后的ALI,恢复GABABR的表达,这是抑制GABABR拮抗剂,CGP 52432的存在。巴氯芬激活肺磷酸化ERK,抑制p38 MAPK磷酸化和IκB降解。此外,巴氯芬显著抑制促炎性TNF-α和IL-1βAcP的释放,并促进BAL中性粒细胞凋亡。巴氯芬对ALI的保护作用可能是通过抑制TNF-α和IL-1β介导的炎症信号传导而实现的。有趣的是,GABABR 2表达在来自肺损伤患者的肺组织切片中的II型肺细胞中受到调节,进一步表明GABABR 2在肺损伤的修复过程中的生理作用。GABABR 2激动剂可能在ALI中发挥潜在的治疗作用。
Immune-complexes play an important role in the inflammatory diseases of the lung. Neutrophil activation mediates immune-complex (IC) deposition-induced acute lung injury (ALI). Components of gamma amino butyric acid (GABA) signaling, including GABA B receptor 2 (GABABR2), GAD65/67 and the GABA transporter, are present in the lungs and in the neutrophils. However, the role of pulmonary GABABR activation in the context of neutrophil-mediated ALI has not been determined. Thus, the objective of the current study was to determine whether administration of a GABABR agonist, baclofen would ameliorate or exacerbate ALI. We hypothesized that baclofen would regulate IC-induced ALI by preserving pulmonary GABABR expression. Rats were subjected to sham injury or IC-induced ALI and two hours later rats were treated intratracheally with saline or 1 mg/kg baclofen for 2 additional hours and sacrificed. ALI was assessed by vascular leakage, histology, TUNEL, and lung caspase-3 cleavage. ALI increased total protein, tumor necrosis factor α (TNF-α and interleukin-1 receptor associated protein (IL-1R AcP), in the bronchoalveolar lavage fluid (BALF). Moreover, ALI decreased lung GABABR2 expression, increased phospho-p38 MAPK, promoted IκB degradation and increased neutrophil influx in the lung. Administration of baclofen, after initiation of ALI, restored GABABR expression, which was inhibited in the presence of a GABABR antagonist, CGP52432. Baclofen administration activated pulmonary phospho-ERK and inhibited p38 MAPK phosphorylation and IκB degradation. Additionally, baclofen significantly inhibited pro-inflammatory TNF-α and IL-1βAcP release and promoted BAL neutrophil apoptosis. Protective effects of baclofen treatment on ALI were possibly mediated by inhibition of TNF-α- and IL-1β-mediated inflammatory signaling. Interestingly, GABABR2 expression was regulated in the type II pneumocytes in lung tissue sections from lung injured patients, further suggesting a physiological role for GABABR2 in the repair process of lung damage. GABABR2 agonists may play a potential therapeutic role in ALI.
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