Hyperoxia (HO)-induced lung injury contributes to bronchopulmonary dysplasia (BPD) in preterm newborns. Intractable wheezing seen in BPD survivors is associated with airway remodeling (AWRM). Sphingosine kinase 1 (SPHK1)/sphingosine-1-phosphate (S1P) signaling promotes HO-mediated neonatal BPD; however, its role in the sequela of AWRM is not known. We noted an increased concentration of S1P in tracheal aspirates of neonatal infants with severe BPD, and earlier, demonstrated that Sphk1-/- mice showed protection against HO-induced BPD. The role of SPHK1/S1P in promoting AWRM following exposure of neonates to HO was investigated in a murine model. Therapy using PF543, the specific SPHK1 inhibitor, during neonatal HO reduced alveolar simplification followed by reduced AWRM in adult mice. This was associated with reduced airway hyperreactivity to intravenous methacholine. Neonatal HO exposure was associated with increased expression of SPHK1 in lung tissue of adult mice, which was reduced with PF543 therapy in the neonatal stage. This was accompanied by amelioration of HO-induced reduction of E-cadherin in airway epithelium. This may be suggestive of arrested partial epithelial mesenchymal transition (EMT) induced by HO. In vitro studies using human primary airway epithelial cells (HAEpCs) showed that SPHK1 inhibition or deletion restored HO-induced reduction in E-cadherin and reduced formation of mitochondrial reactive oxygen species (mtROS). Blocking mtROS with MitoTempo attenuated HO-induced partial EMT of HAEpCs. These results collectively support a therapeutic role for PF543 in preventing HO-induced BPD in neonates and the long-term sequela of AWRM, thus conferring a long-term protection resulting in improved lung development and function.

译文

高氧血症(HO)引起的肺损伤导致早产儿支气管肺发育不良(BPD)。在BPD幸存者中看到的顽固性喘息与气道重塑(AWRM)相关。鞘氨醇激酶1(SPHK1)/鞘氨醇-1-磷酸(S1P)信号传导促进HO介导的新生儿BPD。但是,其在AWRM后遗症中的作用尚不清楚。我们注意到患有严重BPD的新生儿气管抽吸物中S1P的浓度增加,并且更早地证明Sphk1-/-小鼠对HO诱导的BPD具有保护作用。在鼠模型中研究了SPHK1 / S1P在新生儿接触HO后促进AWRM的作用。在新生的HO中使用PF543(特异性SPHK1抑制剂)进行的治疗减少了成年小鼠的肺泡简化,继而减少了AWRM。这与减少对气道乙酰甲胆碱的气道高反应性有关。新生儿HO暴露与成年小鼠肺组织中SPHK1表达的增加有关,而在新生儿期用PF543治疗可降低这种表达。这伴随着HO诱导的气道上皮中E-钙粘蛋白的减少的改善。这可能暗示了HO诱导的部分上皮间质转化(EMT)被阻滞。使用人原代气道上皮细胞(HAEpCs)进行的体外研究表明,SPHK1的抑制或缺失可恢复HO诱导的E-钙粘蛋白的减少,并减少线粒体活性氧(mtROS)的形成。用MitoTempo阻断mtROS可减弱HO诱导的HAEpC的部分EMT。这些结果共同支持了PF543在预防新生儿HO诱导的BPD和AWRM的长期后遗症方面的治疗作用,从而提供了长期的保护,从而改善了肺的发育和功能。

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