Mesenchymal inflammatory signaling in regulation of the immune response and tissue dysfunction during lipopolysaccharide-induced acute lung injury

间充质炎症信号在脂多糖诱导的急性肺损伤期间调节免疫反应和组织功能障碍

• 批准号: 10806558
• 负责人: Nancy Christine Allen
• 金额: $ 2.82万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10806558
• 关键词: Acute; Acute Lung Injury; Acute Respiratory Distress Syndrome; Admission activity; Affect; Alveolar; Biological Assay; Biology; Blocking Antibodies; Blood capillaries; Bronchoalveolar Lavage; Cell Membrane Permeability; Cells; Chemotactic Factors; Chemotaxis; Clinical; Coculture Techniques; Cytokine Receptors; Data; Development; Disease; Environment; Epithelial Cells; Etiology; Family; Fibroblasts; Flow Cytometry; Functional disorder; Gases; Goals; Heterogeneity; Immune; Immune response; Immunohistochemistry; Immunology; Impairment; In Vitro; Infection; Inflammation; Inflammatory; Inflammatory Response; Injury; Intensive Care Units; Knowledge; Ligands; Lipopolysaccharides; Lung; Lung Compliance; Maintenance; Measurement; Mechanical ventilation; Mediating; Mentors; Mesenchymal; Mesenchyme; Monitor; Mus; Natural regeneration; Nuclear; Organ; Pancreatitis; Pathogenesis; Pattern Recognition; Pattern recognition receptor; Phase; Phenotype; Physicians; Physiological; Platelet-Derived Growth Factor; Play; Pneumonia; Population; Positioning Attribute; Proteins; Pulmonary Inflammation; Pulmonary aspiration of gastric contents; Pulmonology; Pulse Oximetry; Regulation; Research; Research Personnel; Resolution; Respiratory Failure; Role; Scientist; Sepsis; Severities; Signal Transduction; Structure of parenchyma of lung; TLR4 gene; Testing; Therapeutic; Thick; Tissues; Training; Translating; Vascular Endothelium; Vascular Permeabilities; airway epithelium; alveolar epithelium; career; career development; cell type; chemokine; cytokine; epithelial injury; epithelial repair; epithelium regeneration; experience; experimental study; healing; high risk; immunoregulation; improved; in vivo; inflammatory milieu; insight; interest; lung injury; monocyte; mortality risk; mouse model; neutrophil; non cardiogenic pulmonary edema; novel therapeutics; prevent; recruit; response; skills; systemic inflammatory response; targeted treatment; tissue injury; transcription factor; transcriptome sequencing

PROJECT SUMMARY/ABSTRACT Acute respiratory distress syndrome (ARDS) is a type of respiratory failure characterized by severe pulmonary inflammation leading to alveolar injury, non-cardiogenic pulmonary edema, and impaired gas exchange often necessitating mechanical ventilation. ARDS can be caused by direct or indirect injury to the lungs, with the most common etiologies of injury being pneumonia, aspiration of gastric contents and sepsis. Despite significant interest in finding new therapies for ARDS, treatment has remained predominately supportive, highlighting the need for improved mechanistic understanding. The pulmonary mesenchyme resides in close proximity to the alveolar epithelium, vascular endothelium, and resident and recruited immune cells, placing the mesenchyme in an optimal position to synthesize and respond to signals from the microenvironment. In this proposal we aim to elucidate how the pulmonary mesenchyme incorporates inflammatory signals to modify the immune response and tissue injury in ARDS. The nuclear factor -B (NF-B) family of transcription factors are activated downstream of several pattern-recognition and cytokine receptors, and play an important role in mediating inflammatory responses. A20, encoded by Tnfaip3, is a negative regulator of NF-B, and has been found in both immune and epithelial cells to play a crucial role in limiting excessive inflammation and tissue injury. The intranasal delivery of bacterial lipopolysaccharide (LPS) is a well-accepted murine model for ARDS, and LPS is known to activate NF-B through the pattern-recognition receptor Toll-like receptor 4 (TLR4). Preliminary data from our lab shows that in response to LPS, lung fibroblasts in which Tnfaip3 has been deleted have increased expression of both chemokines and cytokines known to recruit immune cells and alter vascular permeability, both physiologically important aspects of ARDS pathogenesis. We hypothesize that impaired negative regulation of mesenchymal NF-B signaling in ARDS leads to increased pulmonary recruitment of immune cells and physiologic injury, and propose experiments to test this hypothesis. Answering these questions will lead to important insight into the role of the lung mesenchyme in mediating the pathophysiology of ARDS. We hope that the fundamental knowledge gained with these studies will eventually contribute to the development of more targeted therapeutics for this devastating disease. The above experimental proposal is part of a comprehensive training plan that I have built with my mentors to develop the skills and knowledge needed to become a successful independent investigator in the field of lung biology, with an emphasis on acute lung injury/ARDS. As a unique part of this plan I have assembled a Career Development Committee composed of physician-scientists from the fields of pulmonology and immunology who will serve as both scientific and career advisors. Upon completion of the proposed training plan with the support of my mentors, advisors, and within the strong research environment that UCSF provides, I will be well-positioned to make both a meaningful contribution to the understanding of ARDS and meet my training goals.

项目摘要/摘要 急性呼吸窘迫综合征(ARDS)是一种以严重的肺部疾病为特征的呼吸衰竭 炎症导致肺泡损伤、非心源性肺水肿和气体交换障碍。 需要机械通风。ARDS可由肺部直接或间接损伤引起， 最常见的损伤原因是肺炎、胃内容物吸入和脓毒症。尽管 人们对寻找ARDS的新疗法非常感兴趣，治疗仍然以支持性为主， 强调需要改进机械性的理解。肺间充质闭塞 靠近肺泡上皮、血管内皮细胞以及驻留和招募的免疫细胞，将 间充质处于合成和响应微环境信号的最佳位置。在这 我们的目标是阐明肺间充质是如何结合炎症信号来改变 急性呼吸窘迫综合征的免疫反应与组织损伤核因子-B(核因子-B)家族转录因子包括 激活几个模式识别和细胞因子受体的下游，并在 调节炎症反应。由TNFAIP3编码的A20是NF-B的负性调节因子，并已被 在免疫和上皮细胞中都发现在限制过度炎症和组织中发挥关键作用 受伤。细菌脂多糖鼻腔给药是一种广为接受的ARDS小鼠模型， 脂多糖通过模式识别受体Toll样受体4(TLR4)激活NF-B。 我们实验室的初步数据显示，在对内毒素的反应中，肺成纤维细胞中的TNFAIP3已经被 删除了已知的招募免疫细胞和改变免疫细胞的趋化因子和细胞因子的表达增加 血管通透性是ARDS发病机制的两个重要生理学方面。我们假设 间质NF-B信号负性调节受损导致急性呼吸窘迫综合征肺功能增加 免疫细胞的招募和生理损伤，并提出实验来验证这一假说。接听 这些问题将有助于深入了解肺间充质在调节血管紧张素转换酶中的作用。 ARDS的病理生理学。我们希望通过这些研究获得的基本知识最终将 有助于开发针对这种毁灭性疾病的更有针对性的疗法。以上内容 试验性提案是我与导师共同制定的全面培训计划的一部分，目的是开发 成为肺部生物学领域成功的独立调查员所需的技能和知识， 强调急性肺损伤/ARDS。作为这个计划的一个独特部分，我整理了一份职业发展计划 由来自肺病学和免疫学领域的内科科学家组成的委员会，他们将担任 无论是科学顾问还是职业顾问。在我的支持下完成拟议的培训计划后 导师，顾问，在加州大学旧金山分校提供的强大研究环境中，我将处于有利地位 对了解ARDS做出有意义的贡献，并达到我的培训目标。