CN110151755B - Application of a kind of Brefeldin A in the preparation of inflammatory factor activity inhibitor drugs - Google Patents

Application of a kind of Brefeldin A in the preparation of inflammatory factor activity inhibitor drugs Download PDF

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CN110151755B
CN110151755B CN201810151276.8A CN201810151276A CN110151755B CN 110151755 B CN110151755 B CN 110151755B CN 201810151276 A CN201810151276 A CN 201810151276A CN 110151755 B CN110151755 B CN 110151755B
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汤慧芳
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Zhejiang University ZJU
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Abstract

The invention discloses application of Brefeldin A in preparation of an inflammatory factor activity inhibitor drug, and finds that Brefeldin A can remarkably reduce the release of TNF-alpha in MH-S and the generation of KC in MLE-12 cells, can remarkably improve pathological changes of lung tissues of mice, reduce the contents of white blood cells and TNF-alpha in BALF, can remarkably reduce the MPO activity in the lung tissues of the mice, remarkably increase the level of cAMP, and can remarkably inhibit the phosphorylation of ERK. Brefeldin a can produce a protective effect on acute lung injury, and the mechanism of Brefeldin a may be related to pathways of increasing intracellular cAMP content, inhibiting ERK phosphorylation and the like. The invention provides a new research direction for the treatment target of acute lung injury, and the development of inflammation can be blocked by inhibiting the generation and secretion of inflammatory factors by regulating the protein transport in cells.

Description

一种布雷菲德菌素A在制备炎症因子活性抑制剂药物中的 应用A kind of Brefeldin A in the preparation of inflammatory factor activity inhibitor medicine application

(一)技术领域(1) Technical field

本发明涉及一种布雷菲德菌素A的应用,特别涉及一种布雷菲德菌素A在制备炎症因子活性抑制剂药物中的应用。The invention relates to the application of brefeldin A, in particular to the application of brefeldin A in the preparation of inflammatory factor activity inhibitor medicines.

(二)背景技术(2) Background technology

急性肺损伤(acute lung injury,ALI)和急性呼吸窘迫综合征(acuterespiratory distress syndrome,ARDS)是心源性以外的各种肺内外致病因素导致的急性、进行性缺氧性呼吸衰竭,目前对于ALI/ARDS疾病进程的具体分子机制知之甚少,同时没有专门针对ALI/ARDS的治疗药物。脂多糖(lipopolysaccharide,LPS)是革兰氏阴性菌的主要组成部分,广泛应用于诱导ALI/ARDS来研究肺部急性炎症损伤的分子机制。布雷菲德菌素A(Brefeldin A,BFA)是由真菌合成的一种大环内酯类抗生素,同时也被称为斜卧菌素或壳二孢素,是由Singleton等人于1958年从Penicillium decumben发酵液中分离得到,能通过诱导高尔基体的分解,反竞争性抑制蛋白质从内质网中转运至高尔基体,具有抗线虫、抗有丝分裂、抗真菌、抗病毒、抗肿瘤等多种生物学活性。目前,Brefeldin A作为蛋白转运抑制剂,成为了一种重要的分子工具而被广泛应用于哺乳动物的信号传导途径研究,但其对急性肺损伤等炎症是否有效,目前尚无研究。因此本发明拟通过体外细胞实验及在体实验,探讨Brefeldin A在LPS诱导的小鼠ALI中的影响,及其可能作用机制,为临床治疗ALI提供实验依据。Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are acute and progressive hypoxic respiratory failure caused by various pathogenic factors outside of the heart. The specific molecular mechanisms of ALI/ARDS disease progression are poorly understood, and there are no specific therapeutic drugs for ALI/ARDS. Lipopolysaccharide (LPS) is the main component of Gram-negative bacteria and is widely used to induce ALI/ARDS to study the molecular mechanism of acute inflammatory injury in the lungs. Brefeldin A (Brefeldin A, BFA) is a macrolide antibiotic synthesized by fungi, also known as clinoptilocin or ascosporin. It is isolated from Penicillium decumben fermentation broth. It can inhibit the translocation of proteins from the endoplasmic reticulum to the Golgi body by inducing the decomposition of the Golgi body. It has anti-nematode, anti-mitotic, anti-fungal, anti-virus, anti-tumor and other biological academic activity. At present, Brefeldin A, as a protein transport inhibitor, has become an important molecular tool and has been widely used in mammalian signal transduction pathway research, but whether it is effective in inflammation such as acute lung injury has not yet been studied. Therefore, the present invention intends to explore the effect of Brefeldin A on LPS-induced ALI in mice and its possible action mechanism through in vitro cell experiments and in vivo experiments, so as to provide experimental basis for clinical treatment of ALI.

(三)发明内容(3) Contents of the invention

本发明目的是提供一种布雷菲德菌素A在制备炎症因子活性抑制剂药物中的应用,提供了治疗急性肺损伤或急性炎症的新型药物,提示了一个新的药物靶点。The purpose of the present invention is to provide the application of brefeldin A in the preparation of inflammatory factor activity inhibitor drugs, to provide a new drug for treating acute lung injury or acute inflammation, and to suggest a new drug target.

本发明采用的技术方案是:The technical scheme adopted in the present invention is:

本发明提供了一种布雷菲德菌素A在制备炎症因子活性抑制剂药物中的应用。The invention provides the application of brefeldin A in the preparation of inflammatory factor activity inhibitor medicine.

进一步,所述的炎症因子为肿瘤坏死因子-α或趋化因子KC。Further, the inflammatory factor is tumor necrosis factor-α or chemokine KC.

进一步,所述炎症因子活性抑制剂药物为急性肺损伤治疗药物。Further, the inflammatory factor activity inhibitor drug is a drug for the treatment of acute lung injury.

进一步,所述急性肺损伤治疗药物为预防或治疗脂多糖诱导的急性肺损伤药物。Further, the drug for treating acute lung injury is a drug for preventing or treating lipopolysaccharide-induced acute lung injury.

进一步,所述布雷菲德菌素A包括布雷菲德菌素A衍生物。Further, the Brefeldin A includes a Brefeldin A derivative.

所述布雷菲德菌素A结构式为:Described Brefeldin A structural formula is:

Figure BDA0001579982960000021
Figure BDA0001579982960000021

Brefeldin A作为蛋白转运抑制剂,能通过诱导高尔基体的分解,反竞争性抑制蛋白质从内质网中转运至高尔基体,具有抗线虫、抗有丝分裂、抗真菌、抗病毒、抗肿瘤等多种生物学活性。As a protein transport inhibitor, Brefeldin A can anti-competitively inhibit the transport of proteins from the endoplasmic reticulum to the Golgi by inducing the decomposition of the Golgi apparatus. It has anti-nematode, anti-mitotic, anti-fungal, anti-virus, anti-tumor and other biological properties academic activity.

与现有技术相比,本发明有益效果主要体现在:本发明发现了Brefeldin A能显著减少MH-S中TNF-α的释放和MLE-12细胞中KC的产生(p<0.001),可显著改善小鼠肺组织病理变化,降低BALF中白细胞(p<0.001)和TNF-α(p<0.05)含量,但对BALF中白蛋白、IL-1β和IL-6无显著影响,能显著降低小鼠肺组织中MPO活性(p<0.05),显著升高cAMP的水平(p<0.001),同时能显著抑制ERK的磷酸化(p<0.05)。Brefeldin A对急性肺损伤可产生保护作用,其机制可能与升高细胞内cAMP含量、抑制ERK磷酸化等途径有关。Compared with the prior art, the beneficial effects of the present invention are mainly reflected in: the present invention finds that Brefeldin A can significantly reduce the release of TNF-α in MH-S and the production of KC in MLE-12 cells (p<0.001), which can significantly It improved the pathological changes of lung tissue in mice and decreased the content of leukocytes (p<0.001) and TNF-α (p<0.05) in BALF, but had no significant effect on albumin, IL-1β and IL-6 in BALF, and could significantly reduce the levels of leukocytes (p<0.001) and TNF-α (p<0.05) in BALF. MPO activity in mouse lung tissue (p<0.05), significantly increased the level of cAMP (p<0.001), and significantly inhibited the phosphorylation of ERK (p<0.05). Brefeldin A has protective effect on acute lung injury, and its mechanism may be related to the increase of intracellular cAMP content and inhibition of ERK phosphorylation.

本发明对于急性肺损伤的治疗靶点提供了一个新的研究方向,可能通过调节细胞内的蛋白转运抑制炎症因子的产生和分泌,从而阻断炎症的发展。The present invention provides a new research direction for the therapeutic target of acute lung injury, which may inhibit the production and secretion of inflammatory factors by regulating intracellular protein transport, thereby blocking the development of inflammation.

(四)附图说明(4) Description of drawings

图1BFA对LPS刺激诱导的小鼠肺泡巨噬细胞释放TNF-α(A)和上皮细胞释放KC(B)的影响,与模型组对比,ap<0.05,bp<0.01,cp<0.001。Figure 1 The effect of BFA on LPS stimulation-induced release of TNF-α from alveolar macrophages (A) and KC from epithelial cells (B), compared with the model group, a p<0.05, b p<0.01, c p<0.001 .

图2BFA对急性肺损伤小鼠BALF中白细胞数影响(

Figure BDA0001579982960000022
n=8-12),与模型组对比,ap<0.05,bp<0.01,cp<0.001。Figure 2 The effect of BFA on the number of leukocytes in the BALF of mice with acute lung injury (
Figure BDA0001579982960000022
n=8-12), compared with the model group, a p<0.05, b p<0.01, c p<0.001.

图3BFA对急性肺损伤小鼠BALF中白蛋白含量的影响(

Figure BDA0001579982960000023
n=8-12),与模型组对比,ap<0.05,bp<0.01,cp<0.001。Figure 3 The effect of BFA on albumin content in BALF of mice with acute lung injury (
Figure BDA0001579982960000023
n=8-12), compared with the model group, a p<0.05, b p<0.01, c p<0.001.

图4BFA对LPS性急性肺损伤小鼠肺组织病理变化的作用(HE染色,X400)。Fig. 4 The effect of BFA on the pathological changes of lung tissue in LPS-induced acute lung injury mice (HE staining, X400).

图5BFA对LPS性急性肺损伤小鼠BALF中TNF-α、IL-1β和IL-6含量的影响(

Figure BDA0001579982960000024
n=8-12),与模型组对比,ap<0.05,bp<0.01,cp<0.001。Figure 5 The effect of BFA on the content of TNF-α, IL-1β and IL-6 in BALF of LPS-induced acute lung injury mice (
Figure BDA0001579982960000024
n=8-12), compared with the model group, a p<0.05, b p<0.01, c p<0.001.

图6BFA对ALI小鼠肺组织中cAMP含量的影响(

Figure BDA0001579982960000025
n=8-12),与模型组对比,ap<0.05,bp<0.01,cp<0.001。Figure 6 The effect of BFA on the content of cAMP in lung tissue of ALI mice (
Figure BDA0001579982960000025
n=8-12), compared with the model group, a p<0.05, b p<0.01, c p<0.001.

图7BFA对ALI小鼠肺组织中MPO活性的影响(

Figure BDA0001579982960000031
n=8-12),与模型组对比,ap<0.05,cp<0.001。Figure 7 The effect of BFA on MPO activity in the lung tissue of ALI mice (
Figure BDA0001579982960000031
n=8-12), compared with the model group, a p<0.05, c p<0.001.

图8BFA对ALI小鼠肺组织中MAPK信号通路磷酸化水平的影响(

Figure BDA0001579982960000032
n=8-12),与模型组对比,ap<0.05。Figure 8 The effect of BFA on the phosphorylation level of MAPK signaling pathway in the lung tissue of ALI mice (
Figure BDA0001579982960000032
n=8-12), compared with the model group, a p<0.05.

(五)具体实施方式(5) Specific implementation methods

下面结合具体实施例对本发明进行进一步描述,但本发明的保护范围并不仅限于此:The present invention is further described below in conjunction with specific embodiment, but the protection scope of the present invention is not limited to this:

实施例1Example 1

1材料与方法1 Materials and methods

1.1实验动物C57/BL6小鼠,雄性,体质量19-21g,清洁级,浙江大学医学院实验中心提供,合格证号:(SCXK2013-0016)。所有操作和实验流程均遵守《实验动物管理条例》。实验环境:恒温(22±2)℃,湿度60%~70%,自由饮水和进食。1.1 Experimental animals C57/BL6 mice, male, body weight 19-21 g, clean grade, provided by the Experimental Center of Zhejiang University School of Medicine, certificate number: (SCXK2013-0016). All operations and experimental procedures abide by the Regulations on the Administration of Laboratory Animals. Experimental environment: constant temperature (22±2)°C, humidity 60%-70%, free drinking and eating.

1.2试剂与仪器LPS(Escherichia coli LPS O55:B5,L2880,sigma);Brefeldin A(BFA,sigma);地塞米松(DXM,5mg/ml,浙江仙琚制药股份有限公司),髓过氧化物酶(myeloperoxidase,MPO)试剂盒(南京建成生物技术有限公司,A044);TNF-α(tumornecrosis factor-α)、IL-1β(interleukin-1β)和IL-6(interleukin-6)ELISA试剂盒购自R&D Systems(R&D Systems,Mineapolis,MN,USA,DY410,DY401,DY406);蛋白测定试剂盒(Bio-Rad Laboratories,Hercules,CA,500-0120);环磷酸腺苷(Cyclic Adenosinemonophosphate,cAMP)ELISA试剂盒(R&D Systems,Mineapolis,MN,128USA);小鼠肺泡巨噬细胞株(MH-S)(CRL-2019)和小鼠上皮细胞株(MLE12)(CRL-2110)购自美国ATCC细胞库(Mannassa,VA,USA)。立式匀浆机:德国Fluko公司;ELX800UV型酶标仪:美国Bio-Tek仪器公司;DHG-9145A型电热恒温鼓风干燥箱:上海一恒科技有限公司。1.2 Reagents and instruments LPS (Escherichia coli LPS O55:B5, L2880, sigma); Brefeldin A (BFA, sigma); Dexamethasone (DXM, 5mg/ml, Zhejiang Xianju Pharmaceutical Co., Ltd.), myeloperoxidase (myeloperoxidase, MPO) kit (Nanjing Jiancheng Biotechnology Co., Ltd., A044); TNF-α (tumornecrosis factor-α), IL-1β (interleukin-1β) and IL-6 (interleukin-6) ELISA kits were purchased from R&D Systems (R&D Systems, Mineapolis, MN, USA, DY410, DY401, DY406); protein assay kit (Bio-Rad Laboratories, Hercules, CA, 500-0120); cyclic adenosine monophosphate (cAMP) ELISA reagent Box (R&D Systems, Mineapolis, MN, 128USA); mouse alveolar macrophage cell line (MH-S) (CRL-2019) and mouse epithelial cell line (MLE12) (CRL-2110) were purchased from the American ATCC cell bank ( Mannassa, VA, USA). Vertical homogenizer: German Fluko company; ELX800UV microplate reader: American Bio-Tek Instrument Company; DHG-9145A electric heating constant temperature blast drying oven: Shanghai Yiheng Technology Co., Ltd.

1.3实验方法1.3 Experimental method

1.3.1肺泡巨噬细胞和肺泡上皮细胞中细胞因子/趋化因子的测定肺泡巨噬细胞(MH-S)用含10%FBS(corning澳洲胎牛血清,购自上海普飞)及双抗的RPMI-1640培养基(corning 10-040-CVR,购自上海普飞)培养,培养条件:37℃,5%CO2,Thermo细胞培养箱。将200μl MH-S细胞种于96孔板中,细胞密度1×104cell/well,37℃过夜,设立正常组,模型组(LPS终浓度500ng·ml-1刺激),BFA单独给药组(终浓度1μM、10μM、100μM)和BFA联合给药组(终浓度1μM+LPS终浓度500ng·ml-1、终浓度10μM+LPS终浓度500ng·ml-1、终浓度100μM+LPS终浓度500ng·ml-1),给药30分钟后,分别于3h、9h、24h后收集培养液上清,保存于-80℃,利用ELISA试剂盒测定上清TNF-α值。肺泡上皮细胞(MLE-12)按照每孔5×103细胞浓度培养,同上述给药,收集上清,测定KC值。1.3.1 Determination of cytokines/chemokines in alveolar macrophages and alveolar epithelial cells Alveolar macrophages (MH-S) were treated with 10% FBS (corning Australian fetal bovine serum, purchased from Shanghai Pufei) and double antibody of RPMI-1640 medium (corning 10-040-CVR, purchased from Shanghai Pufei), culture conditions: 37°C, 5% CO2, Thermo cell incubator. 200 μl of MH-S cells were seeded in 96-well plates, the cell density was 1×10 4 cells/well, overnight at 37°C, and a normal group, a model group (stimulated with a final concentration of LPS of 500 ng·ml -1 ), and a BFA-administered group were established. (final concentration 1μM, 10μM, 100μM) and BFA combined administration group (final concentration 1μM + LPS final concentration 500ng·ml -1 , final concentration 10μM + LPS final concentration 500ng·ml -1 , final concentration 100μM + LPS final concentration 500ng ·ml -1 ), 30 minutes after administration, the culture supernatant was collected after 3h, 9h, and 24h respectively, stored at -80°C, and the TNF-α value of the supernatant was measured by ELISA kit. The alveolar epithelial cells (MLE-12) were cultured at a concentration of 5×10 3 cells per well, administered in the same manner as above, and the supernatant was collected to determine the KC value.

1.3.2动物模型制备及给药应用气道内滴入LPS的方法制备小鼠ALI模型,将小鼠随机分为生理盐水对照组(Normal组)、模型组(LPS组)、地塞米松组(Dex5mg·kg-1)、Brefeldin A组(BFA,10mg·kg-1),每组12只。小鼠按280mg·kg-1腹腔注射100g·L-1水合氯醛麻醉,钝性分离气管,除生理盐水对照组外,其余各组小鼠气道内滴入LPS(2mg·kg-1,生理盐水配制),生理盐水对照组给予等体积生理盐水。10min后地塞米松组、Brefeldin A组分别一次性腹腔注射相应剂量药物,生理盐水对照组和模型组腹腔注射等体积生理盐水。37℃放置,6h后处死,左肺行支气管肺泡灌洗,右肺收集保存。1.3.2 Animal model preparation and administration The mouse ALI model was prepared by instilling LPS into the airway, and the mice were randomly divided into a normal saline control group (Normal group), a model group (LPS group), and a dexamethasone group ( Dex5mg·kg -1 ), Brefeldin A group (BFA, 10mg·kg -1 ), 12 in each group. Mice were anesthetized by intraperitoneal injection of 100 g·L -1 chloral hydrate at 280 mg·kg -1 , and the trachea was bluntly separated. Except for the normal saline control group, the other groups were instilled with LPS (2 mg·kg -1 , physiological saline preparation), and the normal saline control group was given an equal volume of normal saline. After 10 minutes, the dexamethasone group and Brefeldin A group were injected with corresponding doses of drugs by one-time intraperitoneal injection, respectively, and the normal saline control group and model group were intraperitoneally injected with the same volume of normal saline. The mice were placed at 37°C, sacrificed after 6 hours, the left lung was subjected to bronchoalveolar lavage, and the right lung was collected and preserved.

1.3.3支气管肺泡灌洗液中白细胞计数造模6h后将小鼠麻醉,股动脉放血处死,结扎右肺后,暴露气管行气管插管,用PBS液1.5mL分3次进行支气管肺泡灌洗,支气管肺泡灌洗液(bronchoalveolar lavage fluid,BALF)回收率达90%,冰浴保存,取部分BALF混匀后细胞计数,进行总白细胞(WBC)计数,剩余BALF于4℃,250×g离心10min,离心后取上清留取上清液,储存于-80℃。1.3.3 Counting white blood cells in bronchoalveolar lavage fluid After 6 hours of modeling, the mice were anesthetized, femoral artery was exsanguinated, and after ligation of the right lung, the trachea was exposed for tracheal intubation, and bronchoalveolar lavage was performed three times with 1.5 mL of PBS. , the recovery rate of bronchoalveolar lavage fluid (BALF) was 90%, stored in an ice bath, a part of BALF was taken and mixed, the cells were counted, and total white blood cells (WBC) were counted. The remaining BALF was centrifuged at 4°C and 250 × g. After centrifugation for 10 min, the supernatant was collected and the supernatant was stored at -80°C.

1.3.4支气管肺泡灌洗液中相关细胞因子和蛋白含量测定采用双抗体夹心ELISA法,按照试剂盒说明书要求,测定BALF离心后上清中TNF-α、IL-6和IL-1β相关细胞因子,利用Bio-Rad蛋白测定试剂盒测定BALF中总蛋白含量。1.3.4 Determination of related cytokines and proteins in bronchoalveolar lavage fluid Double-antibody sandwich ELISA method was used to determine TNF-α, IL-6 and IL-1β related cytokines in supernatant after centrifugation of BALF according to the instructions of the kit , and the total protein content in BALF was determined by Bio-Rad protein assay kit.

1.3.5肺组织中MPO活性及cAMP含量的测定准确称取右肺下叶组织,按试剂盒要求用生理盐水制备成100g·L-1的组织匀浆,4℃、12000×g离心10min,收集上清,利用cAMPELISA试剂盒,按步骤测定组织匀浆里的cAMP含量,MPO活性测定采用酶学动力方法测定。1.3.5 Determination of MPO activity and cAMP content in lung tissue Accurately weigh the right lower lobe tissue, prepare a tissue homogenate of 100 g·L -1 with normal saline according to the kit requirements, and centrifuge at 4°C and 12000 × g for 10 min. The supernatant was collected, and the cAMP ELISA kit was used to measure the cAMP content in the tissue homogenate according to the steps, and the MPO activity was measured by the enzymatic kinetic method.

1.3.6肺组织病理学检查左肺下叶于福尔马林中固定24h,固定后进行脱水,透明,石蜡包埋后切片,进行苏木精-伊红(HE)染色,高倍显微镜观察肺水肿及炎症细胞浸润,观察肺组织病理学改变。1.3.6 Lung Histopathological Examination The left lower lobe of the lung was fixed in formalin for 24 hours, then dehydrated, transparent, paraffin-embedded, sectioned, stained with hematoxylin-eosin (HE), and observed by high-power microscope for pulmonary edema and inflammatory cells Infiltration, the pathological changes of lung tissue were observed.

1.3.7 MAPK信号通路磷酸化水平的测定应用检测磷酸化水平试剂盒(ab119674,abcam)测定肺组织匀浆中ERK1/2(pT202/Y204)、p38MAPK(pT180/Y182)和JNK1/2/3(pT183/Y185)的浓度,按照说明书步骤操作。1.3.7 Determination of phosphorylation level of MAPK signaling pathway The phosphorylation level detection kit (ab119674, abcam) was used to determine ERK1/2 (pT202/Y204), p38MAPK (pT180/Y182) and JNK1/2/3 in lung tissue homogenate (pT183/Y185) concentration, follow the instructions.

1.4统计学方法采用SPSS 13.0软件进行统计学处理。各组数据先行方差齐性检验,样本均数比较采用方差分析和Dunnett t检验,以P<0.05时视为具有统计学意义。1.4 Statistical methods SPSS 13.0 software was used for statistical processing. The data of each group were tested for homogeneity of variance first, and the comparison of sample means was performed by variance analysis and Dunnett t test, and P<0.05 was considered as statistically significant.

2结果2 results

2.1 Brefeldin A对小鼠肺泡巨噬细胞中TNF-α和上皮细胞中KC含量的影响2.1 The effect of Brefeldin A on the content of TNF-α in mouse alveolar macrophages and KC in epithelial cells

在小鼠肺泡巨噬细胞MH-S细胞中,与对照组相比,1μmol、10μmol的BFA对TNF-α的释放作用不明显,但100μmol的BFA能显著减少TNF-α的释放(p<0.001),且以早期3、6、9h作用显著,24h作用有明显减弱,但差异仍有统计学显著性(p<0.001)。在小鼠肺上皮细胞MLE-12细胞中,BFA减少KC的产生呈明显的剂量依赖性,以9h时间点最为明显,100μmol BFA能显著减少KC的产生(p<0.001)。同时作用持续时间比MH-S细胞长,24h时对KC的抑制作用仍然显著。见图1。此结果提示BFA能抑制炎症细胞因子和趋化因子的释放,可能用于控制炎症的发展。In mouse alveolar macrophage MH-S cells, compared with the control group, 1 μmol and 10 μmol of BFA had no significant effect on the release of TNF-α, but 100 μmol of BFA could significantly reduce the release of TNF-α (p<0.001). ), and the effect was significant at 3, 6, and 9 h in the early stage, and the effect was significantly weakened at 24 h, but the difference was still statistically significant (p<0.001). In mouse lung epithelial cells MLE-12 cells, BFA reduced the production of KC in a dose-dependent manner, the most obvious at the 9h time point, and 100μmol BFA could significantly reduce the production of KC (p<0.001). At the same time, the duration of action was longer than that of MH-S cells, and the inhibitory effect on KC was still significant at 24h. see picture 1. This result suggests that BFA can inhibit the release of inflammatory cytokines and chemokines and may be used to control the development of inflammation.

2.2 Brefeldin A对ALI小鼠肺泡灌洗液中白细胞数和蛋白渗出的影响从体外细胞实验的结果,我们发现Brefeldin A对炎症细胞因子具有较强抑制作用,因此,我们进行了在体研究,以期明确Brefeldin A对急性肺损伤是否有效。小鼠气道内滴入LPS 6h后,与生理盐水对照组(Normal组)相比,LPS组BALF中白细胞总量增加约6.9倍(p<0.001;图2),与LPS组相比,BFA组中白细胞总量减少62%(p<0.001),Dex组为60%,两者作用强度相当;通过测定BALF中白蛋白的渗出可反映肺泡内皮细胞/上皮细胞的屏障功能,即肺部微血管的通透性。LPS刺激后,白蛋白渗出增加,说明肺血管通透性显著增加,Dex能显著抑制血管通透性的增加(p<0.05,图3),但BFA的作用不是很明显,提示BFA对微血管通透性的影响不大。2.2 The effect of Brefeldin A on the number of leukocytes and protein exudation in the bronchoalveolar lavage fluid of ALI mice From the results of in vitro cell experiments, we found that Brefeldin A has a strong inhibitory effect on inflammatory cytokines. Therefore, we conducted in vivo studies, In order to clarify whether Brefeldin A is effective in acute lung injury. After instillation of LPS into the airway of mice for 6 hours, compared with the normal saline control group (Normal group), the total amount of leukocytes in the BALF of the LPS group increased by about 6.9 times (p<0.001; Figure 2). Compared with the LPS group, the BFA group The total amount of leukocytes decreased by 62% in the Dex group (p<0.001), and the Dex group was 60%, and the effect of the two groups was equivalent; by measuring the exudation of albumin in the BALF, it can reflect the barrier function of alveolar endothelial cells/epithelial cells, that is, the pulmonary microvessels. of permeability. After LPS stimulation, albumin exudation increased, indicating a significant increase in pulmonary vascular permeability, and Dex could significantly inhibit the increase in vascular permeability (p<0.05, Figure 3), but the effect of BFA was not obvious, suggesting that BFA has a significant effect on microvascular Permeability has little effect.

2.3 Brefeldin A对ALI小鼠肺组织病理变化的影响LPS刺激后,模型组中肺部可见点、片状出血,大量中性粒细胞浸润,肺泡间隙边缘有轻度的透明膜存在,显示明显的炎症和轻度的肺水肿现象,肺泡间隔明显增厚,肺泡腔变窄,提示造模成功。BFA组及Dex组上述病理变化明显改善(图4)。2.3 The effect of Brefeldin A on the pathological changes of lung tissue in ALI mice After LPS stimulation, spot and sheet hemorrhages were seen in the lungs in the model group, a large number of neutrophils were infiltrated, and there was a mild hyaline membrane at the edge of the alveolar space, showing obvious obvious Inflammation and mild pulmonary edema, marked thickening of alveolar septa, and narrowing of alveolar spaces indicated that the modeling was successful. The above pathological changes were significantly improved in BFA group and Dex group (Fig. 4).

2.4 Brefeldin A对ALI小鼠肺泡灌洗液中TNF-α、IL-1β和IL-6含量的影响分别测定LPS刺激6h后BALF中炎症细胞因子和趋化因子的含量,空白对照组中的炎症介质几无,与模型组相比,BFA中TNF-α含量显著减少(P<0.05),但是IL-6和IL-1β无明显改变,Dex可以显著减少TNF-α、IL-1β和IL-6的含量(P<0.001)。这些结果提示,在LPS诱导的ALI中,BFA的作用不同于糖皮素激素的作用(图5)。2.4 The effect of Brefeldin A on the contents of TNF-α, IL-1β and IL-6 in the bronchoalveolar lavage fluid of ALI mice The contents of inflammatory cytokines and chemokines in BALF after LPS stimulation for 6 h, and the inflammation in the blank control group were measured. Compared with the model group, the content of TNF-α in BFA was significantly reduced (P<0.05), but IL-6 and IL-1β had no significant changes. Dex could significantly reduce TNF-α, IL-1β and IL-1β. 6 content (P<0.001). These results suggest that the role of BFA differs from that of glucocorticoid hormones in LPS-induced ALI (Figure 5).

2.5 Brefeldin A对ALI小鼠肺组织中cAMP含量和MPO活性的影响与对照组相比,模型组中cAMP含量明显减少(p<0.001),MPO的活性明显上升(p<0.05)。Dex和BFA能显著升高cAMP的水平和降低MPO的活性(p<0.05)(图6,7)。此结果提示BFA可能上调cAMP对细胞炎症产生抑制作用,同时BFA对中性的趋化作用明显。2.5 Effects of Brefeldin A on cAMP content and MPO activity in lung tissue of ALI mice Compared with the control group, the cAMP content in the model group was significantly decreased (p<0.001), and the MPO activity was significantly increased (p<0.05). Dex and BFA significantly increased the level of cAMP and decreased the activity of MPO (p<0.05) (Fig. 6, 7). This result suggests that BFA may up-regulate cAMP to inhibit cell inflammation, and BFA has obvious chemotactic effect on neutral.

2.6 Brefeldin A对ALI小鼠肺组织中MAPK信号通路磷酸化水平的影响肺组织中磷酸化ERK 1/2(pT202/Y204)、p38MAPK(pT180/Y182)和JNK 1/2/3(pT183/Y185)的结果显示,LPS能显著增强ERK1/2和SPAK/JNK的磷酸化,但对p38影响不明显。Dex和BFA都能显著抑制ERK的磷酸化(p<0.05),但对JNK的磷酸化影响不明显(图8)。此结果提示BFA和Dex可能通过ERK1/2对AIL产生保护作用。2.6 Effect of Brefeldin A on the phosphorylation level of MAPK signaling pathway in lung tissue of ALI mice Phosphorylation of ERK 1/2 (pT202/Y204), p38 MAPK (pT180/Y182) and JNK 1/2/3 (pT183/Y185) in lung tissue ) showed that LPS could significantly enhance the phosphorylation of ERK1/2 and SPAK/JNK, but had little effect on p38. Both Dex and BFA significantly inhibited the phosphorylation of ERK (p<0.05), but had no significant effect on the phosphorylation of JNK (Fig. 8). This result suggests that BFA and Dex may have protective effects on AIL through ERK1/2.

3讨论3 Discussion

急性肺损伤(ALI)/急性呼吸窘迫综合征(ARDS)发病机制复杂,病情发展非常迅速,病死率很高,是临床常见的急危重症,ALI/ARDS是连续的病理生理过程,ARDS是其最严重的阶段。位于革兰阴性菌外膜的脂多糖是急性肺损伤的常见的重要致病因素之一。关于ALI机制近年来研究发现:氧化应激、促炎/抗炎反应失衡、细胞凋亡紊乱、促凝/抗凝反应失衡等在脂多糖所致ALI中起重要作用,且各机制之间相互促进,相互影响,形成恶性循环并加重机体损伤。脓毒症仍是导致ALI的主要原因,LPS可导致肺泡毛细血管内皮细胞、肺泡上皮细胞和肺间质的急性弥漫性损害,其本质是肺部各种炎性细胞激活浸润和一系列炎性介质的释放,造成肺的损伤,同时激活更多的炎性细胞释放更多的炎性介质或细胞因子,使肺损害信号进一步放大和加强,形成炎症瀑布效应,导致肺泡-毛细血管膜损伤。正常肺组织肺泡腔内以巨噬细胞为主,ALI发生时,肺泡腔内以中性粒细胞为主。ALI后,在各种趋化因子作用下,中性粒细胞在肺组织内大量聚集,联合肺泡上皮细胞、血管内皮细胞、巨噬细胞等通过呼吸爆发、脱颗粒等机制释放大量炎症介质,其中促炎介质有肿瘤坏死因子-死因子内大量聚集,其中促炎介质有IL-1β、IL-6、TNF-α等导致炎症反应。The pathogenesis of acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) is complex, the disease progresses very rapidly, and the mortality rate is high. It is a common clinical emergency. ALI/ARDS is a continuous pathophysiological process, and ARDS is its the most serious stage. Lipopolysaccharide located in the outer membrane of Gram-negative bacteria is one of the common and important pathogenic factors of acute lung injury. About the mechanism of ALI In recent years, studies have found that oxidative stress, imbalance of pro-inflammatory/anti-inflammatory response, apoptosis disorder, and imbalance of pro-coagulation/anti-coagulation response play important roles in lipopolysaccharide-induced ALI, and the various mechanisms interact with each other. Promote and influence each other, forming a vicious circle and aggravating the damage of the body. Sepsis is still the main cause of ALI. LPS can lead to acute diffuse damage to alveolar capillary endothelial cells, alveolar epithelial cells and lung interstitium. The release of mediators causes lung damage, and at the same time activates more inflammatory cells to release more inflammatory mediators or cytokines, further amplifying and strengthening the lung damage signal, forming an inflammatory cascade effect, leading to alveolar-capillary membrane damage. The alveolar space of normal lung tissue is dominated by macrophages, and when ALI occurs, the alveolar space is dominated by neutrophils. After ALI, under the action of various chemokines, a large number of neutrophils aggregate in the lung tissue, and combine with alveolar epithelial cells, vascular endothelial cells, macrophages, etc. to release a large number of inflammatory mediators through respiratory burst, degranulation and other mechanisms. The pro-inflammatory mediators have a large amount of accumulation in tumor necrosis factor-death factor, among which pro-inflammatory mediators include IL-1β, IL-6, TNF-α, etc., which lead to inflammatory response.

肺泡巨噬细胞在肺部炎症性疾病中非常关键,对于维持肺部组织的平衡和增加对外源性与内源性刺激的快速反应有一定作用。它们是消灭病原体的第一道防线,扮演着免疫反应的关键协调器,最终促进凋亡碎片清除,消除炎症和修复组织。肺泡巨噬细胞同时也是多种炎症细胞因子的主要来源,如IL-1β、IL-6、TNF-α等,这些细胞因子在炎症中的作用至关重要。当ALI发生后,肺毛细血管内皮细胞通透性增加,自由基、细胞黏附分子、肿瘤坏死因子、选择蛋白、白介素、整合蛋白等大量的炎性递质透过毛细血管屏障进入肺泡,使嗜中性粒细胞趋化并变形,然后穿过通透性增大的肺毛细血管进入肺间质及肺泡,大量蛋白也由通透性增大的肺毛细血管进入肺间质及肺泡,导致肺水肿;同时相关炎症介质通过损伤肺泡上皮细胞,引起肺泡表面的活性物质的生成减少,进而使肺泡内潴留的水分流动性减弱,加重肺水肿;肺泡上皮细胞的再生对于ARDS的恢复至关重要,在病毒所导致的ALI小鼠模型中,如果小鼠肺损失超过10%的Ⅰ型肺泡上皮,小鼠呼吸功能会明显下降,此后ALI病情将迅速进展而难以恢复。Alveolar macrophages are critical in pulmonary inflammatory diseases and play a role in maintaining lung tissue homeostasis and increasing the rapid response to exogenous and endogenous stimuli. They are the first line of defense against pathogens and act as key coordinators of the immune response, ultimately facilitating the clearance of apoptotic debris, eliminating inflammation and repairing tissue. Alveolar macrophages are also the main source of a variety of inflammatory cytokines, such as IL-1β, IL-6, TNF-α, etc., which play a crucial role in inflammation. When ALI occurs, the permeability of pulmonary capillary endothelial cells increases, and a large number of inflammatory mediators such as free radicals, cell adhesion molecules, tumor necrosis factor, selectin, interleukin, integrin, etc. The neutrophils are chemotactic and deformed, and then pass through the pulmonary capillaries with increased permeability into the pulmonary interstitium and alveoli. At the same time, related inflammatory mediators damage the alveolar epithelial cells, causing the production of active substances on the alveolar surface to decrease, thereby weakening the fluidity of water retained in the alveoli and aggravating pulmonary edema; the regeneration of alveolar epithelial cells is very important for the recovery of ARDS. In the virus-induced ALI mouse model, if the mouse lung loses more than 10% of the type I alveolar epithelium, the respiratory function of the mouse will be significantly reduced, after which the ALI disease will progress rapidly and be difficult to recover.

作为潜在的大环内酯类抗肿瘤抗生素,Brefeldin A能反竞争性的抑制蛋白质的作用,Brefeldin A不仅能显著影响哺乳动物的分泌途径,还会引起细胞的形态变化,特别是诱导高尔基体的分解,导致高尔基体分解后酶重新分配回内质网,布雷菲德菌素A已经证明能够减轻炎症和免疫反应的化学介质的产生和分泌,能够通过抑制人角质形成细胞中的Akt,mTOR和NF-κB通路来减少TNF-α刺激的炎性介质的产生。布雷菲德菌素A目前在抗肿瘤治疗中研究的较多,但在抗炎这一领域的研究相对较少涉及,急性肺损伤主要就是炎症反应,急性肺损伤中前期有大量的炎症因子和炎症介质的参与,如IL-1β、IL-6、TNF-α等,布雷菲德菌素A是否能通过对相关炎症介质释放的影响来对ALI产生作用,有待进一步研究。因此,本实验在动物和细胞水平上利用分子生物学以及功能学的研究方法来研究BrefeldinA对LPS诱导的急性肺损伤的作用,以期进一步探索Brefeldin A在急性肺损伤中的具体作用机制。As a potential macrolide antitumor antibiotic, Brefeldin A can anti-competitively inhibit the action of proteins. Brefeldin A can not only significantly affect the secretion pathway of mammals, but also cause morphological changes in cells, especially the induction of Golgi apparatus. Breakdown, leading to the redistribution of enzymes back to the endoplasmic reticulum after Golgi breakdown, Brefeldin A has been shown to reduce the production and secretion of chemical mediators of inflammation and immune responses by inhibiting Akt, mTOR and NF-κB pathway to reduce the production of TNF-α-stimulated inflammatory mediators. Brefeldin A is currently studied more in anti-tumor therapy, but relatively few studies in the field of anti-inflammatory are involved. Acute lung injury is mainly an inflammatory response. In the early stage of acute lung injury, there are a large number of inflammatory factors and The involvement of inflammatory mediators, such as IL-1β, IL-6, TNF-α, etc., whether brefeldin A can affect ALI by affecting the release of related inflammatory mediators remains to be further studied. Therefore, this experiment used molecular biology and functional research methods at the animal and cell levels to study the effect of Brefeldin A on LPS-induced acute lung injury, in order to further explore the specific mechanism of Brefeldin A in acute lung injury.

本实验研究结果显示,细胞水平显示,100μmol的Brefeldin A可有效抑制小鼠肺泡巨噬细胞中TNF-α和上皮细胞中KC含量等炎症因子/趋化因子的释放;动物水平上Brefeldin A可有效抑制LPS所致BALF白细胞计数的增多,降低肺组织内MPO活性和BALF中TNF-α水平,升高肺组织中cAMP含量,显著抑制MAPK信号通路中ERK蛋白激酶的磷酸化,改善ALI的各种炎症等病理变化,同时值得关注的是,Brefeldin A不同于Dex,在动物水平对IL-1β和IL-6等炎症因子无显著性影响,提示Brefeldin A能产生不同于激素的独特作用,Brefeldin A减轻LPS引起的急性肺损伤的机制可能与升高cAMP含量、抑制TNF-α的产生,进而减轻中性粒细胞的肺部扣押及炎症因子的释放有关。The results of this experimental study showed that 100 μmol of Brefeldin A at the cellular level can effectively inhibit the release of inflammatory factors/chemokines such as TNF-α in mouse alveolar macrophages and KC content in epithelial cells; Brefeldin A at the animal level can effectively inhibit the release of inflammatory factors/chemokines It inhibits the increase of BALF white blood cell count caused by LPS, reduces the activity of MPO in lung tissue and the level of TNF-α in BALF, increases the content of cAMP in lung tissue, significantly inhibits the phosphorylation of ERK protein kinase in the MAPK signaling pathway, and improves various types of ALI. Pathological changes such as inflammation, and it is worth noting that Brefeldin A is different from Dex, and has no significant effect on inflammatory factors such as IL-1β and IL-6 at the animal level, suggesting that Brefeldin A can produce unique effects different from hormones. Brefeldin A The mechanism of alleviating LPS-induced acute lung injury may be related to increasing cAMP content and inhibiting the production of TNF-α, thereby reducing the pulmonary sequestration of neutrophils and the release of inflammatory factors.

Claims (4)

1.一种布雷菲德菌素A在制备治疗急性肺损伤的药物中的应用。1. Application of Brefeldin A in the preparation of a medicine for the treatment of acute lung injury. 2.如权利要求1所述的应用,其特征在于所述药物为炎症因子活性抑制剂。2. The use according to claim 1, wherein the drug is an inhibitor of inflammatory factor activity. 3.如权利要求2所述的应用,其特征在于所述的炎症因子为肿瘤坏死因子-α或趋化因子KC。3. The application according to claim 2, wherein the inflammatory factor is tumor necrosis factor-α or chemokine KC. 4.如权利要求1所述的应用,其特征在于所述药物为预防或治疗脂多糖诱导的急性肺损伤药物。4. The application according to claim 1, wherein the medicine is a medicine for preventing or treating acute lung injury induced by lipopolysaccharide.
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