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METTL14 knockdown inhibits the pyroptosis in the sepsis-induced acute lung injury through regulating the m6A modification of NLRP3. METTL14敲低通过调节NLRP3的m6A修饰抑制脓毒症诱导的急性肺损伤中的焦亡。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 Epub Date: 2023-12-04 DOI: 10.1080/01902148.2023.2288182

Background: Sepsis has become one of the main factors inducing the development of acute lung injury (ALI) in clinical practice. Currently, inhibiting the activation of NLRP3 mediated pyroptosis is the target of multiple drugs in the treatment of sepsis induced ALI. This study aimed to explore the effects of METTL14 on the pyroptosis in the sepsis induced ALI progression.Methods: LPS-stimulated A549 cells and cecal ligation and puncture (CLP)-treated mice were used to establish the ALI model in vitro and in vivo. Then, the cell viability was measured by CCK-8 assay. ELISA kits were used to determine the IL-18 and IL-1β contents. Pyroptosis rate was tested by flow cytometry. M6A dot blot was conducted to analyze the global m6A levels and MeRIP assay was performed to detect the m6A levels of NLRP3. The relationship between METTL14 and NLRP3 was confirmed by RIP and dual-luciferase report assays.Results: The global m6A levels were significantly increased in the LPS-stimulated A549 cells and CLP-treated mice. METTL14 knockdown decreased the cell viability, IL-18 and IL-1β contents, and pyroptosis rate of the LPS-stimulated A549 cells. Furthermore, the increase of pyroptosis-related proteins in LPS-stimulated A549 cells was significantly decreased after METTL14 knockdown. Additionally, METTL14 knockdown decreased the m6A and mRNA levels of NLRP3, and NLRP3 overexpression reversed the effects of METTL14 knockdown on the pyroptosis in the LPS-stimulated A549 cells. In CLP-treated mice, METTL14 knockdown relieved the injury and decreased the IL-18 and IL-1β contents in the lung tissues, serum and bronchoalveolar lavage fluid.Conclusion: This study demonstrated that METTL14 knockdown inhibited the pyroptosis in the sepsis-induced ALI progression through decreasing the NLRP3 levels dependent on m6A methylation modification.

背景:脓毒症已成为临床诱发急性肺损伤(ALI)发生的主要因素之一。目前,抑制NLRP3介导的焦亡活化是多种药物治疗脓毒症诱导ALI的靶点。本研究旨在探讨METTL14对脓毒症诱导的ALI进展中焦亡的影响。方法:采用lps刺激的A549细胞和盲肠结扎穿刺(CLP)处理小鼠建立ALI体外和体内模型。然后用CCK-8法测定细胞活力。ELISA试剂盒检测IL-18和IL-1β的含量。流式细胞术检测焦亡率。采用M6A点印迹法检测NLRP3细胞中M6A水平,MeRIP法检测NLRP3细胞中M6A水平。METTL14和NLRP3之间的关系通过RIP和双荧光素酶报告实验得到证实。结果:lps刺激小鼠A549细胞和clp处理小鼠体内m6A水平均显著升高。METTL14敲除降低了lps刺激下A549细胞的活力、IL-18和IL-1β含量,降低了A549细胞的焦亡率。此外,在lps刺激的A549细胞中,METTL14敲低后,热释相关蛋白的增加明显减少。此外,METTL14敲低降低了NLRP3的m6A和mRNA水平,NLRP3过表达逆转了METTL14敲低对lps刺激的A549细胞焦亡的影响。在clp处理的小鼠中,METTL14敲低可减轻损伤,降低肺组织、血清和支气管肺泡灌洗液中IL-18和IL-1β的含量。结论:本研究表明,METTL14敲低通过降低依赖于m6A甲基化修饰的NLRP3水平,抑制脓毒症诱导的ALI进展中的焦亡。
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引用次数: 0
Alveolar epithelial cell growth hormone releasing hormone receptor in alveolar epithelial inflammation. 肺泡上皮细胞生长激素释放激素受体在肺泡上皮炎症中的作用。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 DOI: 10.1080/01902148.2023.2246074

Purpose: Growth hormone-releasing hormone (GHRH) is a 44-amino acid peptide that regulates growth hormone (GH) secretion. We hypothesized that GHRH receptor (GHRH-R) in alveolar type 2 (AT2) cells could modulate pro-inflammatory and possibly subsequent pro-fibrotic effects of lipopolysaccharide (LPS) or cytokines, such that AT2 cells could participate in lung inflammation and fibrosis. Methods: We used human alveolar type 2 (iAT2) epithelial cells derived from induced pluripotent stem cells (iPSC) to investigate how GHRH-R modulates gene and protein expression. We tested iAT2 cells' gene expression in response to LPS or cytokines, seeking whether these mechanisms caused endogenous production of pro-inflammatory molecules or mesenchymal markers. Quantitative real-time PCR (RT-PCR) and Western blotting were used to investigate differential expression of epithelial and mesenchymal markers. Result: Incubation of iAT2 cells with LPS increased expression of IL1-β and TNF-α in addition to mesenchymal genes, including ACTA2, FN1 and COL1A1. Alveolar epithelial cell gene expression due to LPS was significantly inhibited by GHRH-R peptide antagonist MIA-602. Incubation of iAT2 cells with cytokines like those in fibrotic lungs similarly increased expression of genes for IL1-β, TNF-α, TGFβ-1, Wnt5a, smooth muscle actin, fibronectin and collagen. Expression of mesenchymal proteins, such as N-cadherin and vimentin, were also elevated after prolonged exposure to cytokines, confirming epithelial production of pro-inflammatory molecules as an important mechanism that might lead to subsequent fibrosis. Conclusion: iAT2 cells clearly expressed the GHRH-R. Exposure to LPS or cytokines increased iAT2 cell production of pro-inflammatory factors. GHRH-R antagonist MIA-602 inhibited pro-inflammatory gene expression, implicating iAT2 cell GHRH-R signaling in lung inflammation and potentially in fibrosis.

目的:生长激素释放激素(GHRH)是一种44个氨基酸的肽,调节生长激素(GH)的分泌。我们假设肺泡2型(AT2)细胞中的GHRH受体(GHRH- r)可以调节脂多糖(LPS)或细胞因子的促炎和随后的促纤维化作用,从而使AT2细胞参与肺部炎症和纤维化。方法:利用诱导多能干细胞(iPSC)衍生的人肺泡2型(iAT2)上皮细胞,研究GHRH-R对基因和蛋白表达的调控作用。我们检测了iAT2细胞对LPS或细胞因子的基因表达,寻找这些机制是否引起内源性促炎分子或间充质标志物的产生。采用实时荧光定量PCR (RT-PCR)和Western blotting检测上皮和间质标志物的差异表达。结果:LPS孵育iAT2细胞后,除间充质基因ACTA2、FN1、COL1A1表达外,il - 1-β、TNF-α表达增加。肺泡上皮细胞因LPS引起的基因表达被GHRH-R肽拮抗剂MIA-602显著抑制。与纤维化肺细胞相似的细胞因子孵育的iAT2细胞同样增加了il -1 -β、TNF-α、tgf -β -1、Wnt5a、平滑肌肌动蛋白、纤维连接蛋白和胶原蛋白基因的表达。长时间暴露于细胞因子后,间充质蛋白(如N-cadherin和vimentin)的表达也升高,证实了促炎分子的上皮产生是可能导致随后纤维化的重要机制。结论:iAT2细胞明显表达GHRH-R。暴露于LPS或细胞因子会增加促炎因子的iAT2细胞生成。GHRH-R拮抗剂MIA-602抑制促炎基因表达,暗示iAT2细胞GHRH-R信号在肺炎症和纤维化中可能起作用。
{"title":"Alveolar epithelial cell growth hormone releasing hormone receptor in alveolar epithelial inflammation.","authors":"Tengjiao Cui,&nbsp;Medhi Wangpaichitr,&nbsp;Andrew V Schally,&nbsp;Anthony J Griswold,&nbsp;Irving Vidaurre,&nbsp;Wei Sha,&nbsp;Robert M Jackson","doi":"10.1080/01902148.2023.2246074","DOIUrl":"https://doi.org/10.1080/01902148.2023.2246074","url":null,"abstract":"<p><p><b>Purpose:</b> Growth hormone-releasing hormone (GHRH) is a 44-amino acid peptide that regulates growth hormone (GH) secretion. We hypothesized that GHRH receptor (GHRH-R) in alveolar type 2 (AT2) cells could modulate pro-inflammatory and possibly subsequent pro-fibrotic effects of lipopolysaccharide (LPS) or cytokines, such that AT2 cells could participate in lung inflammation and fibrosis. <b>Methods:</b> We used human alveolar type 2 (iAT2) epithelial cells derived from induced pluripotent stem cells (iPSC) to investigate how GHRH-R modulates gene and protein expression. We tested iAT2 cells' gene expression in response to LPS or cytokines, seeking whether these mechanisms caused endogenous production of pro-inflammatory molecules or mesenchymal markers. Quantitative real-time PCR (RT-PCR) and Western blotting were used to investigate differential expression of epithelial and mesenchymal markers. <b>Result:</b> Incubation of iAT2 cells with LPS increased expression of IL1-β and TNF-α in addition to mesenchymal genes, including ACTA2, FN1 and COL1A1. Alveolar epithelial cell gene expression due to LPS was significantly inhibited by GHRH-R peptide antagonist MIA-602. Incubation of iAT2 cells with cytokines like those in fibrotic lungs similarly increased expression of genes for IL1-β, TNF-α, TGFβ-1, Wnt5a, smooth muscle actin, fibronectin and collagen. Expression of mesenchymal proteins, such as N-cadherin and vimentin, were also elevated after prolonged exposure to cytokines, confirming epithelial production of pro-inflammatory molecules as an important mechanism that might lead to subsequent fibrosis. <b>Conclusion:</b> iAT2 cells clearly expressed the GHRH-R. Exposure to LPS or cytokines increased iAT2 cell production of pro-inflammatory factors. GHRH-R antagonist MIA-602 inhibited pro-inflammatory gene expression, implicating iAT2 cell GHRH-R signaling in lung inflammation and potentially in fibrosis.</p>","PeriodicalId":12206,"journal":{"name":"Experimental Lung Research","volume":"49 1","pages":"152-164"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10387164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
p14ARF ameliorates inflammation and airway remodeling in nitric acid aerosol inhalation-induced bronchiolitis obliterans. p14ARF改善硝酸气溶胶吸入致闭塞性细支气管炎的炎症和气道重塑。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 DOI: 10.1080/01902148.2022.2163322

Background: To investigate the protective effect of p14ARF in a nitric acid (NA) aerosol inhalation-induced bronchiolitis obliterans (BO) mouse model and its potential regulatory mechanism.

Methods: A BO mouse model was established by NA aerosol inhalation. The expressions of p14ARF, phosphatidylinositol-3-kinase (PI3K), and protein kinase B (AKT) were detected by quantitative reverse transcription PCR (qRT-PCR) and western blot (WB). Hematoxylin (HE) staining, Masson staining, and periodic acid-Schiff (PAS) staining observed pulmonary histological changes. TdT-mediated dUTP nick end labeling (TUNEL) staining detected pulmonary cell apoptosis, and enzyme-linked immunosorbent assay (ELISA) measured matrix metalloproteinase-2 (MMP-2), MMP-9, tissue inhibitor of metalloproteinase-1 (TIMP-1), interleukon-6 (IL-6), and transforminh growth factor-β (TGF-β) levels in lung tissue and bronchoalveolar lavage fluid (BALF).

Results: The expressions of p14ARF, PI3K, and AKT showed a time gradient change, with a decrease trend (*P < 0.05 and **P < 0.01). Severe inflammatory infiltration and tracheal fibrosis were found in lung tissue in the modeling group (BO group) compared with the control group (Con group). The pH, PaO2, and PaO2/FiO2 values significantly reduced, while the PaCO2 value and the number of TUNEL-positive cells increased in BO group (P < 0.05). In addition, MMP-2, MMP-9, IL-6, and TGF-β levels remarkably increased, with an increase in the number of white blood cells, neutrophils, and lymphocytes in BO group (P < 0.05). Furthermore, p14ARF up-regulation reversed the trend of the aforementioned indexes in BO mice.

Conclusions: p14ARF ameliorated the inflammatory response and airway remodeling in a BO mouse model via the PI3K/AKT pathway.

背景:探讨p14ARF对硝酸(NA)气溶胶吸入致闭塞性细支气管炎(BO)小鼠模型的保护作用及其可能的调控机制。方法:NA气雾剂吸入建立BO小鼠模型。采用定量反转录PCR (qRT-PCR)和western blot (WB)检测p14ARF、磷脂酰肌醇-3激酶(PI3K)和蛋白激酶B (AKT)的表达。苏木精(HE)染色、马松(Masson)染色和周期性酸-希夫(PAS)染色观察肺组织变化。tdt介导的dUTP nick end labeling (TUNEL)染色检测肺细胞凋亡,酶联免疫吸附试验(ELISA)检测肺组织和支气管肺泡灌洗液(BALF)中基质金属蛋白酶-2 (MMP-2)、MMP-9、组织金属蛋白酶-1抑制剂(TIMP-1)、白细胞介素-6 (IL-6)、转化生长因子-β (TGF-β)水平。结果:BO组p14ARF、PI3K、AKT表达呈时间梯度变化,呈下降趋势(* p2), PaO2/FiO2值显著降低,PaCO2值和tunel阳性细胞数量增加(P)。结论:p14ARF通过PI3K/AKT通路改善BO小鼠模型的炎症反应和气道重构。
{"title":"p14ARF ameliorates inflammation and airway remodeling in nitric acid aerosol inhalation-induced bronchiolitis obliterans.","authors":"Ting Yang,&nbsp;Chang Xu,&nbsp;Niu Ding,&nbsp;Shujuan Luo,&nbsp;Bichen Wu,&nbsp;Shijie Jin,&nbsp;Yanping Chen","doi":"10.1080/01902148.2022.2163322","DOIUrl":"https://doi.org/10.1080/01902148.2022.2163322","url":null,"abstract":"<p><strong>Background: </strong>To investigate the protective effect of p14ARF in a nitric acid (NA) aerosol inhalation-induced bronchiolitis obliterans (BO) mouse model and its potential regulatory mechanism.</p><p><strong>Methods: </strong>A BO mouse model was established by NA aerosol inhalation. The expressions of p14ARF, phosphatidylinositol-3-kinase (PI3K), and protein kinase B (AKT) were detected by quantitative reverse transcription PCR (qRT-PCR) and western blot (WB). Hematoxylin (HE) staining, Masson staining, and periodic acid-Schiff (PAS) staining observed pulmonary histological changes. TdT-mediated dUTP nick end labeling (TUNEL) staining detected pulmonary cell apoptosis, and enzyme-linked immunosorbent assay (ELISA) measured matrix metalloproteinase-2 (MMP-2), MMP-9, tissue inhibitor of metalloproteinase-1 (TIMP-1), interleukon-6 (IL-6), and transforminh growth factor-β (TGF-β) levels in lung tissue and bronchoalveolar lavage fluid (BALF).</p><p><strong>Results: </strong>The expressions of p14ARF, PI3K, and AKT showed a time gradient change, with a decrease trend (*P < 0.05 and **P < 0.01). Severe inflammatory infiltration and tracheal fibrosis were found in lung tissue in the modeling group (BO group) compared with the control group (Con group). The pH, PaO<sub>2</sub>, and PaO<sub>2</sub>/FiO<sub>2</sub> values significantly reduced, while the PaCO<sub>2</sub> value and the number of TUNEL-positive cells increased in BO group (P < 0.05). In addition, MMP-2, MMP-9, IL-6, and TGF-β levels remarkably increased, with an increase in the number of white blood cells, neutrophils, and lymphocytes in BO group (P < 0.05). Furthermore, p14ARF up-regulation reversed the trend of the aforementioned indexes in BO mice.</p><p><strong>Conclusions: </strong>p14ARF ameliorated the inflammatory response and airway remodeling in a BO mouse model via the PI3K/AKT pathway.</p>","PeriodicalId":12206,"journal":{"name":"Experimental Lung Research","volume":"49 1","pages":"27-38"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9650467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Melatonin attenuates lung ischemia-reperfusion injury through SIRT3 signaling-dependent mitophagy in type 2 diabetic rats. 褪黑素通过SIRT3信号依赖性线粒体自噬减轻2型糖尿病大鼠肺缺血再灌注损伤。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 DOI: 10.1080/01902148.2023.2213335

Background: Lung ischemia-reperfusion injury (LIRI) remains the major cause of primary lung dysfunction after lung transplantation. Diabetes mellitus (DM) is an independent risk factor for morbidity and mortality following lung transplantation. Mitochondrial dysfunction is recognized as a key mediator in the pathogenesis of diabetic LIRI. Melatonin has been reported to be a safe and potent preserving mitochondrial function agent. This study aimed at investigating the potential therapeutic effect and mechanisms of melatonin on diabetic LIRI. Methods: High-fat-diet-fed streptozotocin-induced type 2 diabetic rats were exposed to melatonin, with or without administration of the SIRT3 short hairpin ribonucleic acid (shRNA) plasmid following a surgical model of ischemia-reperfusion injury of the lung. Lung function, inflammation, oxidative stress, cell apoptosis, and mitochondrial function were examined. Results: The SIRT3 signaling and mitophagy were suppressed following diabetic LIRI. Treatment with melatonin markedly induced mitophagy and restored SIRT3 expression. Melatonin treatment also attenuated subsequent diabetic LIRI by improving lung functional recovery, suppressing inflammation, decreasing oxidative damage, diminishing cell apoptosis, and preserving mitochondrial function. However, either administration of SIRT3 shRNA or an autophagy antagonist 3-methyladenine (3-MA) suppressing mitophagy, and compromised the protective action of melatonin. Conclusion: Data indicated that melatonin attenuates diabetic LIRI through activation of SIRT3 signaling-mediated mitophagy.

背景:肺缺血再灌注损伤(LIRI)仍然是肺移植术后原发性肺功能障碍的主要原因。糖尿病(DM)是肺移植术后发病和死亡的独立危险因素。线粒体功能障碍被认为是糖尿病性LIRI发病的关键中介。据报道,褪黑素是一种安全有效的线粒体功能保护剂。本研究旨在探讨褪黑素对糖尿病性LIRI的潜在治疗作用及其机制。方法:采用高脂肪饮食喂养链脲佐菌素诱导的2型糖尿病大鼠,在肺缺血再灌注损伤手术模型后,在给予或不给予SIRT3短发夹核糖核酸(shRNA)质粒的情况下,暴露于褪黑激素。检测肺功能、炎症、氧化应激、细胞凋亡和线粒体功能。结果:糖尿病LIRI后SIRT3信号通路和线粒体自噬受到抑制。褪黑素治疗可显著诱导线粒体自噬,恢复SIRT3表达。褪黑素治疗还通过改善肺功能恢复、抑制炎症、减少氧化损伤、减少细胞凋亡和保持线粒体功能来减轻随后的糖尿病LIRI。然而,SIRT3 shRNA或自噬拮抗剂3-甲基腺嘌呤(3-MA)抑制线粒体自噬,并削弱褪黑素的保护作用。结论:数据表明褪黑素通过激活SIRT3信号介导的线粒体自噬来减轻糖尿病LIRI。
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引用次数: 1
Cigarette smoke extract-induced inflammatory response via inhibition of the TFEB-mediated autophagy in NR8383 cells. 香烟烟雾提取物通过抑制 TFEB 介导的 NR8383 细胞自噬诱导炎症反应。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 Epub Date: 2023-01-13 DOI: 10.1080/01902148.2022.2164674

Objective: Chronic pulmonary inflammation caused by long-term smoking is the core pathology of COPD. Alveolar macrophages (AMs) are involved in the pulmonary inflammation of COPD. The accumulation of damaged materials caused by impaired autophagy triggers inflammatory response in macrophages. As a key transcription regulator, transcription factor EB (TFEB) activates the transcription of target genes related autophagy and lysosome by binding to promoters, whereas it is unclarified for the relationship between inflammatory response induced by cigarette smoke extract (CSE) and TFEB-mediated autophagy. Thus, we investigated the role of TFEB-mediated autophagy in inflammatory response induced by CSE in NR8383 cells, and to explore its potential mechanism. Methods: Based on cell viability and autophagy, cells treated with 20% concentration of CSE for 24 h were selected for further studies. Cells were divided into control group, chloroquine (CQ, the autophagy inhibitor) group, CSE group, CSE + rapamycin (the autophagy inducer) group and CSE + fisetin (the TFEB inducer) group. The levels of tumor necrosis factor α (TNF-α), interleukin 1β (IL-1β), and IL-6 in supernatant were detected by ELISA kits. The protein expressions were tested by western blot. The intensity of fluorescence of Lysosome-associated membrane protein 1 (LAMP1) and TFEB was detected by immunofluorescence. Lyso-Tracker Red staining was applied to detect the lysosome environment. Results: CSE inhibited the cell viability, increased the contents of TNF-α, IL-1β, IL-6, the ratio of LC3II/I, and the level of P62 protein. Besides, CSE decreased the fluorescence intensity of LAMP1 protein and Lyso-Tracker Red staining, as well as the ratio of nucleus/cytosol of TFEB protein. Activating autophagy with rapamycin alleviated CSE-induced inflammatory response. The activation of TFEB via fisetin alleviated CSE-induced autophagy impairment and lysosomal dysfunction, thus alleviated inflammatory response in NR8383 cells. Conclusion: CSE-induced inflammatory response in NR8383 cells, which may be related to the inhibition of TFEB-mediated autophagy.

目的:长期吸烟引起的慢性肺部炎症是慢性阻塞性肺疾病的核心病理。肺泡巨噬细胞(AMs)参与了慢性阻塞性肺病的肺部炎症。自噬功能受损导致受损物质堆积,引发巨噬细胞的炎症反应。作为一种关键的转录调节因子,转录因子 EB(TFEB)通过与启动子结合激活自噬和溶酶体相关靶基因的转录,但香烟烟雾提取物(CSE)诱导的炎症反应与 TFEB 介导的自噬之间的关系尚未明确。因此,我们研究了 TFEB 介导的自噬在 CSE 诱导的 NR8383 细胞炎症反应中的作用,并探索其潜在机制。研究方法根据细胞活力和自噬情况,选择用 20% 浓度的 CSE 处理 24 小时的细胞进行进一步研究。细胞分为对照组、氯喹(CQ,自噬抑制剂)组、CSE组、CSE+雷帕霉素(自噬诱导剂)组和CSE+鱼腥草素(TFEB诱导剂)组。用 ELISA 试剂盒检测上清液中肿瘤坏死因子 α(TNF-α)、白细胞介素 1β(IL-1β)和 IL-6 的水平。蛋白表达采用 Western 印迹法检测。免疫荧光法检测溶酶体相关膜蛋白 1(LAMP1)和 TFEB 的荧光强度。采用溶酶追踪红染色法检测溶酶体环境。结果CSE 抑制了细胞的活力,增加了 TNF-α、IL-1β、IL-6 的含量,提高了 LC3II/I 的比值和 P62 蛋白的水平。此外,CSE 还降低了 LAMP1 蛋白的荧光强度和溶菌酶追踪红染色,以及 TFEB 蛋白的核/胞浆比值。雷帕霉素激活自噬可减轻CSE诱导的炎症反应。通过菲赛汀激活 TFEB 可减轻 CSE 诱导的自噬损伤和溶酶体功能障碍,从而减轻 NR8383 细胞的炎症反应。结论CSE 诱导的 NR8383 细胞炎症反应可能与 TFEB 介导的自噬受到抑制有关。
{"title":"Cigarette smoke extract-induced inflammatory response via inhibition of the TFEB-mediated autophagy in NR8383 cells.","authors":"Shu-Wen Xu, Yu-Jie Zhang, Wen-Mei Liu, Xin-Fang Zhang, Yuan Wang, Shui-Ying Xiang, Jing-Chao Su, Zi-Bing Liu","doi":"10.1080/01902148.2022.2164674","DOIUrl":"10.1080/01902148.2022.2164674","url":null,"abstract":"<p><p><b>Objective:</b> Chronic pulmonary inflammation caused by long-term smoking is the core pathology of COPD. Alveolar macrophages (AMs) are involved in the pulmonary inflammation of COPD. The accumulation of damaged materials caused by impaired autophagy triggers inflammatory response in macrophages. As a key transcription regulator, transcription factor EB (TFEB) activates the transcription of target genes related autophagy and lysosome by binding to promoters, whereas it is unclarified for the relationship between inflammatory response induced by cigarette smoke extract (CSE) and TFEB-mediated autophagy. Thus, we investigated the role of TFEB-mediated autophagy in inflammatory response induced by CSE in NR8383 cells, and to explore its potential mechanism. <b>Methods:</b> Based on cell viability and autophagy, cells treated with 20% concentration of CSE for 24 h were selected for further studies. Cells were divided into control group, chloroquine (CQ, the autophagy inhibitor) group, CSE group, CSE + rapamycin (the autophagy inducer) group and CSE + fisetin (the TFEB inducer) group. The levels of tumor necrosis factor α (TNF-α), interleukin 1β (IL-1β), and IL-6 in supernatant were detected by ELISA kits. The protein expressions were tested by western blot. The intensity of fluorescence of Lysosome-associated membrane protein 1 (LAMP1) and TFEB was detected by immunofluorescence. Lyso-Tracker Red staining was applied to detect the lysosome environment. <b>Results:</b> CSE inhibited the cell viability, increased the contents of TNF-α, IL-1β, IL-6, the ratio of LC3II/I, and the level of P62 protein. Besides, CSE decreased the fluorescence intensity of LAMP1 protein and Lyso-Tracker Red staining, as well as the ratio of nucleus/cytosol of TFEB protein. Activating autophagy with rapamycin alleviated CSE-induced inflammatory response. The activation of TFEB via fisetin alleviated CSE-induced autophagy impairment and lysosomal dysfunction, thus alleviated inflammatory response in NR8383 cells. <b>Conclusion:</b> CSE-induced inflammatory response in NR8383 cells, which may be related to the inhibition of TFEB-mediated autophagy.</p>","PeriodicalId":12206,"journal":{"name":"Experimental Lung Research","volume":"49 1","pages":"39-48"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9601028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of mechanical ventilation under intubation on respiratory tract change of bacterial count and alteration of bacterial flora. 插管下机械通气对呼吸道细菌计数变化和菌群变化的影响。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 Epub Date: 2023-10-03 DOI: 10.1080/01902148.2023.2264947

Background: The most common 'second strike' in mechanically ventilated patients is a pulmonary infection caused by the ease with which bacteria can invade and colonize the lungs due to mechanical ventilation. At the same time, metastasis of lower airway microbiota may have significant implications in developing intubation mechanical ventilation lung inflammation. Thus, we establish a rat model of tracheal intubation with mechanical ventilation and explore the effects of mechanical ventilation on lung injury and microbiological changes in rats. To provide a reference for preventing and treating bacterial flora imbalance and pulmonary infection injury caused by mechanical ventilation of tracheal intubation. Methods: Sprague-Dawley rats were randomly divided into Control, Mechanical ventilation under intubation (1, 3, 6 h) groups, and Spontaneously breathing under intubation (1, 3, 6 h). Lung histopathological injury scores were evaluated. 16SrDNA sequencing was performed to explore respiratory microbiota changes, especially, changes of bacterial count and alteration of bacterial flora. Results: Compared to groups C and SV, critical pathological changes in pulmonary lesions occurred in the MV group after 6 h (p < 0.05). The Alpha diversity and Beta diversity of lower respiratory tract microbiota in MV6, SV6, and C groups were statistically significant (p < 0.05). The main dominant bacterial phyla in the respiratory tract of rats were Proteobacteria, Firmicutes, Bacteroidetes, and Cyanobacteria. Acinetobacter radioresistens in group C was significant, Megaonas in group MV6 was significantly increased, and Parvibacter in group SV6 was significantly increased. Anaerobic, biofilm formation, and Gram-negative bacteria-related functional genes were altered during mechanical ventilation with endotracheal intubation. Conclusion: Mechanical ventilation under intubation may cause dysregulation of lower respiratory microbiota in rats.

背景:机械通气患者最常见的“第二次打击”是由细菌因机械通气而容易侵入和定植肺部引起的肺部感染。同时,下呼吸道微生物群的转移可能对插管机械通气肺部炎症的发展具有重要意义。因此,我们建立了机械通气气管插管大鼠模型,并探讨了机械通气对大鼠肺损伤和微生物变化的影响。为预防和治疗气管插管机械通气引起的菌群失衡和肺部感染损伤提供参考。方法:将Sprague-Dawley大鼠随机分为对照组、机械通气组(1、3、6 h) 组,以及插管下的自主呼吸(1、3、6 h) 。评估肺组织病理学损伤评分。16SrDNA测序用于探索呼吸道微生物群的变化,特别是细菌计数的变化和细菌菌群的改变。结果:与C组和SV组相比,MV组在6个月后出现了严重的肺部病变病理变化 h(p p 变形菌门、厚壁菌门、拟杆菌门和蓝藻门。C组的不动杆菌辐射抗性显著,MV6组的Megaonas显著增加,SV6组的Parvibacter显著增加。厌氧、生物膜形成和革兰氏阴性菌相关的功能基因在气管插管机械通气过程中发生了改变。结论:插管机械通气可引起大鼠下呼吸道微生物群失调。
{"title":"Effect of mechanical ventilation under intubation on respiratory tract change of bacterial count and alteration of bacterial flora.","authors":"Chen Xue-Meng,&nbsp;Liu Gao-Wang,&nbsp;Ling Xiao-Mei,&nbsp;Zeng Fan-Fang,&nbsp;Xiao Jin-Fang","doi":"10.1080/01902148.2023.2264947","DOIUrl":"10.1080/01902148.2023.2264947","url":null,"abstract":"<p><p><b>Background:</b> The most common 'second strike' in mechanically ventilated patients is a pulmonary infection caused by the ease with which bacteria can invade and colonize the lungs due to mechanical ventilation. At the same time, metastasis of lower airway microbiota may have significant implications in developing intubation mechanical ventilation lung inflammation. Thus, we establish a rat model of tracheal intubation with mechanical ventilation and explore the effects of mechanical ventilation on lung injury and microbiological changes in rats. To provide a reference for preventing and treating bacterial flora imbalance and pulmonary infection injury caused by mechanical ventilation of tracheal intubation. <b>Methods:</b> Sprague-Dawley rats were randomly divided into Control, Mechanical ventilation under intubation (1, 3, 6 h) groups, and Spontaneously breathing under intubation (1, 3, 6 h). Lung histopathological injury scores were evaluated. 16SrDNA sequencing was performed to explore respiratory microbiota changes, especially, changes of bacterial count and alteration of bacterial flora. <b>Results:</b> Compared to groups C and SV, critical pathological changes in pulmonary lesions occurred in the MV group after 6 h (<i>p</i> < 0.05). The Alpha diversity and Beta diversity of lower respiratory tract microbiota in MV6, SV6, and C groups were statistically significant (<i>p</i> < 0.05). The main dominant bacterial phyla in the respiratory tract of rats were <i>Proteobacteria, Firmicutes, Bacteroidetes, and Cyanobacteria. Acinetobacter radioresistens</i> in group C was significant, <i>Megaonas</i> in group MV6 was significantly increased, and <i>Parvibacter</i> in group SV6 was significantly increased. Anaerobic, biofilm formation, and Gram-negative bacteria-related functional genes were altered during mechanical ventilation with endotracheal intubation. <b>Conclusion:</b> Mechanical ventilation under intubation may cause dysregulation of lower respiratory microbiota in rats.</p>","PeriodicalId":12206,"journal":{"name":"Experimental Lung Research","volume":"49 1","pages":"165-177"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41124910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The multiphasic TNF-α-induced compromise of Calu-3 airway epithelial barrier function. 多相TNF-α-诱导Calu-3气道上皮屏障功能受损。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 DOI: 10.1080/01902148.2023.2193637

Purpose: Airway epithelial barrier leak and the involvement of proinflammatory cytokines play a key role in a variety of diseases. This study evaluates barrier compromise by the inflammatory mediator Tumor Necrosis Factor-α (TNF-α) in the human airway epithelial Calu-3 model. Methods: We examined the effects of TNF-α on barrier function in Calu-3 cell layers using Transepithelial Electrical Resistance (TER) and transepithelial diffusion of radiolabeled probe molecules. Western immunoblot analyses of tight junctional (TJ) proteins in detergent soluble fractions were performed. Results: TNF-α dramatically reduced TER and increased paracellular permeability of both 14C-D-mannitol and the larger 5 kDa probe, 14C-inulin. A time course of the effects shows two separate actions on barrier function. An initial compromise of barrier function occurs 2-4 hours after TNF-α exposure, followed by complete recovery of barrier function by 24 hrs. Beginning 48 hrs. post-exposure, a second more sustained barrier compromise ensues, in which leakiness persists through 144 hrs. There were no changes in TJ proteins observed at 3 hrs. post exposure, but significant increases in claudins-2, -3, -4, and -5, as well as a decrease in occludin were seen at 72 hrs. post TNF-α exposure. Both the 2-4 hr. and the 72 hr. TNF-α induced leaks are shown to be mediated by the ERK signaling pathway. Conclusion: TNF-α induced a multiphasic transepithelial leak in Calu-3 cell layers that was shown to be ERK mediated, as well as involve changes in the TJ complex. The micronutrients, retinoic acid and calcitriol, were effective at reducing this barrier compromise caused by TNF-α. The significance of these results for airway disease and for COVID-19 specifically are discussed.

目的:气道上皮屏障渗漏和促炎细胞因子的参与在多种疾病中起关键作用。本研究在人气道上皮Calu-3模型中评估炎症介质肿瘤坏死因子-α (TNF-α)对屏障的损害。方法:利用经皮电阻(TER)和放射性标记探针分子的经皮扩散检测TNF-α对Calu-3细胞层屏障功能的影响。采用Western免疫印迹法对洗涤剂可溶性组分中的紧密连接蛋白(TJ)进行分析。结果:TNF-α显著降低TER,增加14c - d -甘露醇和较大的5kda探针14c -菊糖的细胞旁通透性。效应的时间过程显示出对势垒函数的两种独立作用。TNF-α暴露后2-4小时出现屏障功能的初步损害,随后24小时屏障功能完全恢复。48小时开始。暴露后,第二次更持久的屏障损害随之而来,泄漏持续144小时。3小时时TJ蛋白未见变化。暴露后,但在72小时时,claudin -2、-3、-4和-5显著增加,occludin减少。TNF-α暴露后。2-4小时。还有72小时。TNF-α诱导的泄漏被证明是由ERK信号通路介导的。结论:TNF-α诱导Calu-3细胞层多相上皮渗漏,该渗漏被证明是ERK介导的,并涉及TJ复合物的改变。微量营养素,视黄酸和骨化三醇,可以有效地减少TNF-α引起的屏障损害。讨论了这些结果对气道疾病和COVID-19的意义。
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引用次数: 1
Comparison of hypoxia-induced pulmonary hypertension rat models caused by different hypoxia protocols. 不同缺氧方案致肺动脉高压大鼠模型的比较。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 DOI: 10.1080/01902148.2022.2148016

Background and aim: Pulmonary hypertension (PH) is a serious and even fatal disorder with limited treatment strategies. The hypoxia-induced pulmonary hypertension (HPH) rat model is commonly used in this field. While the HPH rat model has strong predictability and repeatability, the model is a chronic model, making it time-consuming, costly, and complicated and limiting the progress of the experiments. Currently, there is no uniform international standard for the HPH model. Our study aimed to find a relatively effective and efficient HPH modeling protocol. Methods: We established HPH rat models with different total hypoxia periods and different daily hypoxia times, and assessed different hypoxia modeling modes in multiple dimensions, such as haemodynamics, right ventricular (RV) hypertrophy, pulmonary arterial remodeling, muscularization, inflammation, and collagen deposition. Results: Longer daily hypoxia time resulted in higher mean pulmonary arterial pressure (mPAP)/right ventricular systolic pressure (RVSP) and more obvious RV hypertrophy, as well as more severe pulmonary arterial remodeling and muscularization, regardless of the total period of hypoxia (3- or 4-week). Moreover, pulmonary perivascular macrophages and collagen deposition showed daily hypoxia time-dependent increases, both in 3- and 4-week hypoxia groups. Conclusion: Our findings showed that the 3-week continuous hypoxia mode was a relatively efficient way to reduce the time needed to induce significant disease phenotypes, which offered methodological evidence for future studies in building HPH models.

背景与目的:肺动脉高压(PH)是一种严重甚至致命的疾病,治疗策略有限。低氧性肺动脉高压(HPH)大鼠模型是该领域常用的模型。HPH大鼠模型具有较强的可预测性和可重复性,但该模型是一种慢性模型,耗时、昂贵、复杂,限制了实验的进展。目前,HPH模型没有统一的国际标准。我们的研究旨在寻找一个相对有效和高效的HPH建模方案。方法:建立不同总缺氧时间和不同每日缺氧时间的HPH大鼠模型,从血流动力学、右心室肥厚、肺动脉重塑、肌肉化、炎症、胶原沉积等多维度评价不同的缺氧建模模式。结果:无论缺氧总时间(3周或4周),较长的每日缺氧时间均导致平均肺动脉压(mPAP)/右心室收缩压(RVSP)升高,右心室肥厚更明显,肺动脉重塑和肌肉化更严重。此外,肺血管周围巨噬细胞和胶原沉积在缺氧3周和4周时均呈现每日缺氧时间依赖性增加。结论:我们的研究结果表明,3周持续缺氧模式是一种相对有效的方法,可以减少诱导显著疾病表型所需的时间,为未来构建HPH模型的研究提供方法学依据。
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引用次数: 0
HIF and ER stress are involved in TGFβ1-mediated wound closure of alveolar epithelial cells. HIF和内质网应激参与tgf β1介导的肺泡上皮细胞伤口闭合。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 DOI: 10.1080/01902148.2023.2183996

Purpose: Alveolar epithelium dysfunction is associated with a very large spectrum of disease and an abnormal repair capacity of the airway epithelium has been proposed to explain the pathogenesis of Idiopathic Pulmonary Fibrosis (IPF). Following epithelium insult, the damaged cells will activate pathways implicated in the repair process, including proliferation and acquisition of migratory capacities to cover the denuded basement membrane. Induction of Endoplasmic Reticulum stress may be implicated in this process. Interestingly, ER stress excessive activation has been proposed as a central event associated with aberrant repair process and cellular dysfunction observed in IPF. Methods: We study by wound healing assay the molecular targets associated with Alveolar Epithelial Cells (AEC) repair. Results: We demonstrate that the wound recovery of AEC is associated with TGF-β1 signaling and increased transcriptional activity of ER stress and HIF-dependent genes. We further demonstrated that inhibition of TGF-β1 signaling, CHOP expression or HIF-1 expression, limits AECs wound closure. Conclusion: the use of pharmacological drugs targeting the ER/HIF-1 axis could be an attractive approach to limit AEC dysregulation in pathological condition, and confirmed a critical role of theses factor in response to alveolar injury.

目的:肺泡上皮功能障碍与非常广泛的疾病相关,气道上皮异常修复能力被认为可以解释特发性肺纤维化(IPF)的发病机制。上皮损伤后,受损细胞会激活修复过程中涉及的途径,包括增殖和获得覆盖脱落基底膜的迁移能力。内质网应激的诱导可能参与了这一过程。有趣的是,内质网应激过度激活被认为是与IPF中观察到的异常修复过程和细胞功能障碍相关的中心事件。方法:通过伤口愈合实验研究与肺泡上皮细胞(AEC)修复相关的分子靶点。结果:我们证明AEC伤口恢复与TGF-β1信号通路和内质网应激和hif依赖性基因转录活性增加有关。我们进一步证明抑制TGF-β1信号、CHOP表达或HIF-1表达限制了AECs伤口愈合。结论:以ER/HIF-1轴为靶点的药物可能是病理状态下限制AEC失调的有效途径,并证实了该因子在肺泡损伤应答中的重要作用。
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引用次数: 0
House dust mite-induced endoplasmic reticulum stress mediates MUC5AC hypersecretion via TBK1 in airway epithelium. 屋尘螨诱导的内质网应激通过TBK1介导气道上皮MUC5AC的高分泌。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2023-01-01 DOI: 10.1080/01902148.2023.2170494

Purpose: Endoplasmic reticulum (ER) stress regulates mucus hypersecretion, and may activate downstream factors via TBK1 signaling to induce gene expression. However, it remains unclear whether ER stress promotes airway mucus secretion through the TBK1 pathway. We aimed to investigate the role of the TBK1 pathway in the regulation of MUC5AC expression in a mouse model of house dust mite (HDM)-induced allergic asthma. Materials and Methods: Mice with HDM-induced asthma and human bronchial epithelial BEAS-2B cells were treated with amlexanox, an anti-allergy drug (25 μM), or 4-PBA (10 mM). Tissue and cell samples were collected. Tissue samples were stained with hematoxylin and eosin (H&E) or periodic acid Schiff (PAS) to evaluate pathology. Protein expression was analyzed by western blotting and immunofluorescence. Results: Mice exposed to HDM presented ER stress and hypersecretion of mucus Muc5ac from airway epithelial cells (p < 0.001). Similar results were observed in BEAS-2B cells following exposure to HDM. Both in vivo and in vitro studies revealed that HDM-induced ER stress induced MUC5AC overexpression via TBK1 signaling. Amlexanox and 4-PBA markedly reduced mucus production and weakened the TBK1 signal, which mediates MUC5AC hypersecretion. Conclusion: TBK1 plays a pivotal role in HDM-induced ER stress, leading to overproduction of MUC5AC in the asthmatic airway epithelium. The overproduction of MUC5AC can be significantly decreased by inhibiting TBK1 or ER stress using 4-PBA. These findings highlight potential target-specific therapies for patients with chronic allergic asthma.

目的:内质网(Endoplasmic reticulum, ER)应激调节黏液高分泌,并可能通过TBK1信号激活下游因子诱导基因表达。然而,内质网应激是否通过TBK1途径促进气道粘液分泌尚不清楚。我们旨在研究TBK1通路在房屋尘螨(HDM)诱导的过敏性哮喘小鼠模型中调控MUC5AC表达的作用。材料和方法:用抗过敏药氨lexanox (25 μM)或4-PBA (10 mM)处理hdm诱导的哮喘小鼠和人支气管上皮BEAS-2B细胞。收集组织和细胞样本。组织标本采用苏木精和伊红染色(H&E)或周期性酸希夫染色(PAS)进行病理评价。western blotting和免疫荧光法分析蛋白表达。结果:小鼠暴露于HDM后出现内质网应激和气道上皮细胞粘液Muc5ac的高分泌(p),体内和体外研究表明,HDM诱导的内质网应激通过TBK1信号诱导Muc5ac过表达。氨lexanox和4-PBA显著减少粘液产生,减弱TBK1信号,介导MUC5AC高分泌。结论:TBK1在hdm诱导的内质网应激中起关键作用,导致哮喘气道上皮MUC5AC的过量产生。使用4-PBA抑制TBK1或内质网应激可显著降低MUC5AC的过量产生。这些发现强调了慢性过敏性哮喘患者潜在的靶向性治疗方法。
{"title":"House dust mite-induced endoplasmic reticulum stress mediates MUC5AC hypersecretion via TBK1 in airway epithelium.","authors":"Jun Deng,&nbsp;Hongmei Tang,&nbsp;Yun Zhang,&nbsp;Xiefang Yuan,&nbsp;Ning Ma,&nbsp;Hang Hu,&nbsp;Xiaoyun Wang,&nbsp;Chunfeng Liu,&nbsp;Guofeng Xu,&nbsp;Yuejiao Li,&nbsp;Songping Wang,&nbsp;Linlin Guo,&nbsp;Xing Wang","doi":"10.1080/01902148.2023.2170494","DOIUrl":"https://doi.org/10.1080/01902148.2023.2170494","url":null,"abstract":"<p><p><b>Purpose:</b> Endoplasmic reticulum (ER) stress regulates mucus hypersecretion, and may activate downstream factors via TBK1 signaling to induce gene expression. However, it remains unclear whether ER stress promotes airway mucus secretion through the TBK1 pathway. We aimed to investigate the role of the TBK1 pathway in the regulation of MUC5AC expression in a mouse model of house dust mite (HDM)-induced allergic asthma. <b>Materials and Methods:</b> Mice with HDM-induced asthma and human bronchial epithelial BEAS-2B cells were treated with amlexanox, an anti-allergy drug (25 μM), or 4-PBA (10 mM). Tissue and cell samples were collected. Tissue samples were stained with hematoxylin and eosin (H&E) or periodic acid Schiff (PAS) to evaluate pathology. Protein expression was analyzed by western blotting and immunofluorescence. <b>Results:</b> Mice exposed to HDM presented ER stress and hypersecretion of mucus Muc5ac from airway epithelial cells (<i>p</i> < 0.001). Similar results were observed in BEAS-2B cells following exposure to HDM. Both <i>in vivo</i> and <i>in vitro</i> studies revealed that HDM-induced ER stress induced MUC5AC overexpression via TBK1 signaling. Amlexanox and 4-PBA markedly reduced mucus production and weakened the TBK1 signal, which mediates MUC5AC hypersecretion. <b>Conclusion:</b> TBK1 plays a pivotal role in HDM-induced ER stress, leading to overproduction of MUC5AC in the asthmatic airway epithelium. The overproduction of MUC5AC can be significantly decreased by inhibiting TBK1 or ER stress using 4-PBA. These findings highlight potential target-specific therapies for patients with chronic allergic asthma.</p>","PeriodicalId":12206,"journal":{"name":"Experimental Lung Research","volume":"49 1","pages":"49-62"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9971416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
期刊
Experimental Lung Research
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