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Metabolic profile of exhaled breath condensate from the pneumonia patients 肺炎患者呼出气体的代谢特征
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-06-16 DOI: 10.1080/01902148.2022.2078019
Xiaoguang Li, J. Du, Jing Chen, F. Lin, Wei Wang, Tingqiu Wei, Jie Xu, Q. Lu
Abstract Purpose of the Study Exhaled breath condensate (EBC) is increasingly being used for disease diagnosis and environmental exposure assessment as a noninvasive method reducing the risk of exposure. The purpose of this study was to investigate the application of a new sample type of EBC in pneumonia by metabolomics and to explore differential metabolites and potential metabolic pathways. Materials and Methods A case-control study was performed at the Peking University Third Hospital from August to December 2020. C-MS/MS analyses were performed on EBC samples using a UHPLC system. Results Totally 22 patients with pneumonia and 24 healthy controls were recruited. Using untargeted metabolomics based on LC-MS/MS analysis, 25 kinds of differential metabolites were found. Through a comprehensive analysis of the pathways in which the differential metabolites were located, the key pathway with the highest correlation with the difference of metabolites was taurine and hypotaurine metabolism. Conclusions The study implicates that the hypotaurine/taurine metabolic pathway may play a role on the development of pneumonia through metabolism analysis on EBC and the 3-Sulfinoalanine may be used as a biomarker in the diagnosis of pneumonia.
摘要研究目的呼气冷凝液(EBC)作为一种降低暴露风险的非侵入性方法,越来越多地用于疾病诊断和环境暴露评估。本研究的目的是通过代谢组学研究一种新样本类型的EBC在肺炎中的应用,并探索不同的代谢产物和潜在的代谢途径。材料与方法2020年8-12月在北京大学第三医院进行病例对照研究。使用UHPLC系统对EBC样品进行C-MS/MS分析。结果共招募肺炎患者22例,健康对照组24例。采用基于LC-MS/MS分析的非靶向代谢组学方法,共发现25种差异代谢产物。通过对差异代谢产物所在途径的综合分析,与代谢产物差异相关性最高的关键途径是牛磺酸和低牛磺酸代谢。结论通过对EBC的代谢分析表明,低牛磺酸/牛磺酸代谢途径可能在肺炎的发展中发挥作用,3-氨基丙氨酸可作为诊断肺炎的生物标志物。
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引用次数: 3
TGF-β-induced CCR8 promoted macrophage transdifferentiation into myofibroblast-like cells. TGF-β诱导的CCR8促进巨噬细胞转分化为肌成纤维细胞样细胞
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-04-04 DOI: 10.1080/01902148.2022.2055227
Haijun Liu, Qingzhou Guan, Peng Zhao, Jiansheng Li

Background: Idiopathic pulmonary fibrosis (IPF) is an interstitial disease of unknown origin, characterized by tissue fibrosis, for which currently there is no effective treatment. Macrophages, the main immune cells in lung tissue, are involved in the whole process of pulmonary fibrosis. In recent years, intercellular transformation has led to wide spread concern among pulmonary fibrosis researchers. Macrophages with flexible heterogeneity and plasticity participate in different physiological processes in the body. Cell chemokine receptor 8 (CCR8) is expressed in a variety of cells and plays a significant chemotactic role in the induction of cell activation and migration. It can also promote the differentiation of macrophages under certain environmental conditions. The current study is intended to explore the role of CCR8 in macrophage to myofibroblast transdifferentiation (MMT) in IPF. Methods: We conducted experiments using CCR8-specific small interfering RNA (siRNA), an autophagy inhibitor (3-methyladenine, 3-MA), and an agonist (rapamycin) to explore the underlying mechanisms of macrophage transdifferentiation into myofibroblast cells in transforming growth factor-beta (TGF-β)-induced pulmonary fibrosis. Results: TGF-β treatment increased the CCR8 protein level in a time- and dose-dependent manner in mouse alveolar macrophages, as well as macrophage transdifferentiation-related markers, including vimentin, collagen 1, and a-SMA, and cell migration. In addition, the levels of autophagy were enhanced in macrophages treated with TGF-β. We found that 3-MA, an autophagy inhibitor, decreased the expression levels of macrophage transdifferentiation-related markers and attenuated cell migration. Furthermore, the inhibition of CCR8 via CCR8-specific siRNA reduced the levels of autophagy and macrophage transdifferentiation-related markers, and inhibited the cell migration. Enhancing autophagy with rapamycin attenuated the inhibition effect of CCR8-specific siRNA on macrophage migration and the increase in myofibroblast marker proteins. Conclusions: Our findings showed that the macrophages exposed to TGF-β had the potential to transdifferentiate into myofibroblasts and CCR8 was involved in the process. The effect of CCR8 on TGF-β-induced macrophage transdifferentiation occurs mainly through autophagy. Targeting CCR8 may be a novel therapeutic strategy for the treatment of IPF.

摘要背景:特发性肺纤维化(IPF)是一种起源不明的间质性疾病,以组织纤维化为特征,目前尚无有效的治疗方法。巨噬细胞是肺组织中的主要免疫细胞,参与了肺纤维化的全过程。近年来,细胞间转化引起了肺纤维化研究人员的广泛关注。巨噬细胞具有灵活的异质性和可塑性,参与体内不同的生理过程。细胞趋化因子受体8(CCR8)在多种细胞中表达,并在诱导细胞活化和迁移中发挥重要的趋化作用。在一定的环境条件下,它还可以促进巨噬细胞的分化。本研究旨在探讨CCR8在IPF中巨噬细胞向肌成纤维细胞转分化(MMT)中的作用。方法:我们使用CCR8特异性小干扰RNA(siRNA)、自噬抑制剂(3-甲基腺嘌呤,3-MA)和激动剂(雷帕霉素)进行实验,以探索转化生长因子β(TGF-β)诱导的肺纤维化中巨噬细胞转分化为肌成纤维细胞的潜在机制。结果:TGF-β治疗以时间和剂量依赖的方式增加了小鼠肺泡巨噬细胞中CCR8蛋白水平,以及巨噬细胞转分化相关标志物,包括波形蛋白、胶原1和a-SMA,以及细胞迁移。此外,TGF-β处理的巨噬细胞的自噬水平增强。我们发现3-MA,一种自噬抑制剂,降低了巨噬细胞转分化相关标志物的表达水平,并减弱了细胞迁移。此外,通过CCR8特异性siRNA抑制CCR8降低了自噬和巨噬细胞转分化相关标志物的水平,并抑制了细胞迁移。雷帕霉素增强自噬减弱了CCR8特异性siRNA对巨噬细胞迁移的抑制作用和肌成纤维细胞标记蛋白的增加。结论:我们的研究结果表明,暴露于TGF-β的巨噬细胞具有转分化为肌成纤维细胞的潜力,CCR8参与了这一过程。CCR8对TGF-β诱导的巨噬细胞转分化的影响主要通过自噬发生。靶向CCR8可能是治疗IPF的一种新的治疗策略。
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引用次数: 0
Pulmonary inflammation caused by cigarette smoke combined with lipopolysaccharide up-regulated OATP2B1 in rat lung tissue and pulmonary epithelial cells. 香烟烟雾联合脂多糖引起大鼠肺组织和肺上皮细胞OATP2B1表达上调
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-04-01 Epub Date: 2022-04-20 DOI: 10.1080/01902148.2022.2066223
Zihao Wang, Xin Fang, Shuyi Zhang, Jue Song

Organic anion transport polypeptide 2B1 (OATP2B1), as an uptake transporter, is involved in the transport of many related substrate drugs and endogenous substances in the lungs. A large amount of data shows that cigarette smoke plays an important role in the occurrence and development of lung diseases such as chronic obstructive pulmonary disease (COPD), asthma and bronchitis. However, the effect of cigarette smoke combined with lipopolysaccharide-induced pulmonary inflammation on the expression of OATP2B1 is not clear. In this study, we used cigarette smoke combined with lipopolysaccharide to establish a lung inflammation model in vivo and in vitro to explore the effect of inflammation on the expression of OATP2B1. Our study found that cigarette smoke combined with lipopolysaccharide-induced pulmonary inflammation upregulated the mRNA and protein expression of OATP2B1 and related inflammatory factors, and the expression level of related proteins was higher with the aggravation of inflammation. The experimental results of animals in vivo were consistent with those of cells in vitro. In summary, these findings provide a model and basis for a follow-up study of the mechanism of OATP2B1 in pulmonary inflammation.

有机阴离子转运多肽2B1 (OATP2B1)是一种摄取转运体,参与肺部许多相关底物药物和内源性物质的转运。大量数据表明,吸烟在慢性阻塞性肺疾病(COPD)、哮喘和支气管炎等肺部疾病的发生和发展中起着重要作用。然而,香烟烟雾联合脂多糖诱导的肺部炎症对OATP2B1表达的影响尚不清楚。在本研究中,我们采用香烟烟雾联合脂多糖建立了体内外肺炎症模型,探讨炎症对OATP2B1表达的影响。我们的研究发现,香烟烟雾联合脂多糖诱导的肺部炎症上调了OATP2B1及相关炎症因子的mRNA和蛋白表达,且相关蛋白的表达水平随着炎症的加重而升高。动物体内实验结果与细胞体外实验结果一致。综上所述,这些发现为后续研究OATP2B1在肺部炎症中的作用机制提供了模型和基础。
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引用次数: 0
Collagen 3D matrices as a model for the study of cell behavior in pulmonary fibrosis 胶原3D基质作为研究肺纤维化细胞行为的模型
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-03-16 DOI: 10.1080/01902148.2022.2067265
C. Machahua, V. Vicens-Zygmunt, Jesús Ríos-Martín, R. Llatjós, Ignacio Escobar-Campuzano, M. Molina-Molina, A. Montes-Worboys
Abstract Purpose: Idiopathic pulmonary fibrosis (IPF) is a complex progressive chronic lung disease where epithelial to mesenchymal interaction, extracellular matrix (ECM) contact, and pro-fibrotic cytokines dynamics take part in the development of the disease. The study of IPF in the widespread in vitro two-dimensional (2 D) culture fails to explain the interaction of cells with the changing environment that occurs in fibrotic lung tissue. A three-dimensional (3 D) co-culture model might shed light on the pathogenesis of IPF by mimicking the fibrotic environment. Materials and Methods: Fibroblasts from nine IPF were isolated and embedded in collagen matrices with the alveolar epithelial human cell line (A549) on the top. Cells were also cultured in 2 D with and without TGF-β1 as a conventional model to compare with. Both types of cells were isolated separately. Protein and gene expression of the main fibrotic markers were measured by qPCR, Western blot, and ELISA. Results: IPF fibroblasts to myofibroblasts differentiation was observed in the 3 D model and in cells stimulated with TGF-β1. In addition, ECM-related genes were highly up-regulated in the 3 D collagen matrix. A549 co-cultured 3 D with IPF fibroblasts showed EMT activation, with down-regulation of E-cadherin (CDH1). However, other pro-fibrotic genes as VIM, TGFB1, and MMP7 were up-regulated in A549 co-cultured 3 D with fibroblasts. Conclusions: 3 D-collagen matrices might induce fibroblasts’ fibrotic phenotype as in the classic TGF-β1 model, by up-regulating genes associated with matrix production. In addition, IPF lung fibroblasts seem to exert a pro-fibrotic influence in A549 cells when they are co-cultured. These results suggest that an improved 3 D co-culture model might serve as an important tool to study the fibrotic process and its regulation.
摘要目的:特发性肺纤维化(IPF)是一种复杂的进行性慢性肺部疾病,上皮-间充质相互作用、细胞外基质(ECM)接触和促纤维化细胞因子动力学参与了疾病的发展。IPF在体外广泛应用的二维(2 D) 培养不能解释细胞与纤维化肺组织中发生的环境变化的相互作用。三维(3 D) 共培养模型可能通过模拟纤维化环境来阐明IPF的发病机制。材料和方法:从9个IPF中分离出成纤维细胞,并将其包埋在胶原基质中,顶部为人肺泡上皮细胞系(A549)。细胞也在2 D与TGF-β1作为常规模型进行比较。这两种类型的细胞被分别分离。通过qPCR、蛋白质印迹和ELISA测定主要纤维化标志物的蛋白质和基因表达。结果:IPF成纤维细胞向肌成纤维细胞分化在3 D模型和TGF-β1刺激的细胞中。此外,ECM相关基因在3 D胶原蛋白基质。A549共培养3 具有IPF成纤维细胞的D表现出EMT活化,E-钙粘蛋白(CDH1)下调。然而,其他促纤维化基因如VIM、TGFB1和MMP7在共培养的A549中上调 D与成纤维细胞。结论:3 D-胶原基质可能通过上调与基质产生相关的基因,诱导成纤维细胞的纤维化表型,如经典的TGF-β1模型中所示。此外,当它们共同培养时,IPF肺成纤维细胞似乎对A549细胞产生促纤维化影响。这些结果表明 D共培养模型可作为研究纤维化过程及其调控的重要工具。
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引用次数: 0
Effects of sulfur dioxide, ozone, and ambient air pollution on lung histopathology, oxidative-stress biomarkers, and apoptosis-related gene expressions in rats 二氧化硫、臭氧和环境空气污染对大鼠肺组织病理学、氧化应激生物标志物和凋亡相关基因表达的影响
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-03-16 DOI: 10.1080/01902148.2022.2072977
S. Kheirouri, D. Shanehbandi, M. Khordadmehr, M. Alizadeh, Fateme Eskandari Vaezi, Razieh Musapour Sultan Abad, M. Mesgari-Abbasi
Abstract Purpose of the Study Ambient air pollution (AAP) has become an important health problem globally. Besides, several pieces of evidence indicate that air pollutants such as sulfur dioxide (SO2) and ozone (O3) are major contributors to a wide range of non-communicable diseases. The present study investigated the effects of AAP, sulfur dioxide, and ozone on oxidative stress, histopathology, and some apoptosis-related genes expressions of lung tissue in a rat model. Materials and Methods Thirty-two Wistar rats were randomly divided into the control, AAP, sulfur dioxide (10 ppm), and ozone (0.6 ppm) groups. After five consecutive weeks’ exposure to the selected pollutants (3 h/day), lung tissues were harvested and immediately fixed with formalin. The samples were routinely processed, sectioned, stained with hematoxylin and eosin (H&E), and finally assessed for presence of pathological changes. Expression changes of BAX, p-53, EGFR, caspase-3, caspase-8 and caspase-9 were assayed using the RT-qPCR method. One hundred milligrams of lung tissues were extracted and the supernatants were used for assaying malondialdehyde (MDA), total antioxidant capacity (TAC), superoxide dismutase (SOD), glutathione peroxidase (GPX), and catalase activities. Results GPx activity was increased in the ozone (P = 0.05) and AAP (P < 0.001) groups and also MDA level in sulfur dioxide group (P = 0.008). Pathological lesions were mild, moderate, and severe in the sulfur dioxide, ozone, and AAP groups, respectively, as compared to control group (P ˂ 0.05). Exposure to AAP and sulfur dioxide enhanced BAX (P = 0.002) and caspase-8 (P < 0.001) mRNA expression, respectively. Caspases-3 and −8 mRNA expressions were elevated in ozone group (P < 0.001). Conclusions The results indicated induction of oxidative stress. Our results suggest the apoptosis stimuli effect of AAP and also the extrinsic apoptotic pathway trigger effect of sulfur dioxide and ozone in the lung tissue in the concentrations used in the present study. The histopathological and the genes expression changes may be a result of the induced oxidative stress in the lung tissues.
摘要研究目的环境空气污染已成为全球一个重要的健康问题。此外,一些证据表明,二氧化硫(SO2)和臭氧(O3)等空气污染物是导致一系列非传染性疾病的主要原因。本研究研究了AAP、二氧化硫和臭氧对大鼠模型肺组织氧化应激、组织病理学和一些凋亡相关基因表达的影响。材料与方法32只Wistar大鼠随机分为对照组、AAP组、二氧化硫组(10 ppm)和臭氧(0.6 ppm)组。在连续五周暴露于选定污染物(3 h/天),采集肺组织并立即用福尔马林固定。对样本进行常规处理、切片、苏木精和伊红(H&E)染色,并最终评估是否存在病理变化。采用RT-qPCR方法检测BAX、p-53、EGFR、胱天蛋白酶-3、胱天酶-8和胱天蛋白酶-9的表达变化。提取100毫克肺组织,用上清液测定丙二醛(MDA)、总抗氧化能力(TAC)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPX)和过氧化氢酶活性。结果臭氧中GPx活性升高(P = 0.05)和AAP(P < 0.001)组及二氧化硫组MDA含量(P = 0.008)。与对照组相比,二氧化硫、臭氧和AAP组的病理病变分别为轻度、中度和重度(P 0.05)。暴露于AAP和二氧化硫可增强BAX(P = 0.002)和胱天蛋白酶-8(P < 0.001)mRNA表达。臭氧组Caspase-3和−8mRNA表达升高(P < 0.001)。结论该结果表明氧化应激的诱导。我们的结果表明,在本研究中使用的浓度下,AAP的细胞凋亡刺激作用以及二氧化硫和臭氧在肺组织中的外源性细胞凋亡途径触发作用。组织病理学和基因表达的变化可能是肺组织中诱导的氧化应激的结果。
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引用次数: 0
3,3′-Diindolylmethane attenuates inflammation and fibrosis in radiation-induced lung injury by regulating NF-κB/TGF-β/Smad signaling pathways 3,3 ' -二吲哚甲烷通过调节NF-κB/TGF-β/Smad信号通路减轻辐射性肺损伤的炎症和纤维化
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-03-16 DOI: 10.1080/01902148.2022.2052208
Xia Zhou, Wu-an Bao, Xiangyu Zhu, Juan Lin, Junzhao Fan, Yang Yang, Xiang-Hui Du, Yue Wang
Abstract Objective: This study aims to investigate the protective effect of 3,3′-diindolylmethane (DIM) on the radiation-induced lung injury (RILI) model and to explore its possible mechanism. Methods: A mouse model of RILI was established by thoracic irradiation, and dexamethasone was used as a positive drug to investigate the effect of DIM on RILI mice. Lung histopathology was analyzed by HE staining and Masson staining. Then the levels of inflammatory cytokines (TGF-β, TNF-α, IL-1β, and IL-6), inflammatory cell counts, and activity of MPO were detected. The expression of TGFβ1/Smad signaling pathway-related proteins was determined by immunohistochemistry. qPCR was used to analyze the mRNA expression levels of inflammatory factors, α‑SMA and COL1A1. The expression of COX-2, NF-κB, IκBα, PI3K, and Akt proteins was assessed by Western blot. Results: Histopathological staining of lung tissues showed that DIM administration alleviated the pulmonary inflammation and fibrosis caused by RILI. Moreover, the content of inflammatory factors such as IL-1β and IL-6, the expression of NF-κB pathway-related proteins, and the counts of inflammatory cells were inhibited in lung tissue, indicating that DIM can inhibit the NF-κB pathway to reduce inflammation. In addition, DIM could down-regulate the mRNA levels of α-SMA, COL1A1, and downregulate TGFβ1, Smad3, and p-Smad2/3 in lung tissues. Conclusion: Our study confirms that DIM has the potential to treat RILI in vivo by inhibiting fibrotic and inflammatory responses in lung tissue through the TGFβ/Smad and NF-κB dual pathways, respectively. Graphic Abstract
摘要目的:研究3,3′-二吲哚基甲烷(DIM)对辐射性肺损伤(RILI)模型的保护作用,并探讨其可能的机制。方法:采用胸椎照射法建立小鼠RILI模型,以地塞米松为阳性药物,观察DIM对RILI小鼠的影响。采用HE染色、Masson染色分析肺组织病理学。然后检测炎症因子(TGF-β、TNF-α、IL-1β、IL-6)水平、炎症细胞计数和MPO活性。免疫组织化学检测tgf - β1/Smad信号通路相关蛋白的表达。采用qPCR分析炎症因子、α‑SMA、COL1A1 mRNA表达水平。Western blot检测COX-2、NF-κB、i -κB α、PI3K、Akt蛋白的表达。结果:肺组织病理染色显示DIM可减轻RILI引起的肺部炎症和纤维化。肺组织中IL-1β、IL-6等炎症因子含量、NF-κB通路相关蛋白表达及炎症细胞计数均受到抑制,提示DIM可抑制NF-κB通路减轻炎症。DIM可下调肺组织α-SMA、COL1A1 mRNA表达水平,下调tgf - β1、Smad3、p-Smad2/3表达水平。结论:本研究证实DIM通过TGFβ/Smad和NF-κB双通路分别抑制肺组织纤维化和炎症反应,在体内具有治疗RILI的潜力。图形抽象
{"title":"3,3′-Diindolylmethane attenuates inflammation and fibrosis in radiation-induced lung injury by regulating NF-κB/TGF-β/Smad signaling pathways","authors":"Xia Zhou, Wu-an Bao, Xiangyu Zhu, Juan Lin, Junzhao Fan, Yang Yang, Xiang-Hui Du, Yue Wang","doi":"10.1080/01902148.2022.2052208","DOIUrl":"https://doi.org/10.1080/01902148.2022.2052208","url":null,"abstract":"Abstract Objective: This study aims to investigate the protective effect of 3,3′-diindolylmethane (DIM) on the radiation-induced lung injury (RILI) model and to explore its possible mechanism. Methods: A mouse model of RILI was established by thoracic irradiation, and dexamethasone was used as a positive drug to investigate the effect of DIM on RILI mice. Lung histopathology was analyzed by HE staining and Masson staining. Then the levels of inflammatory cytokines (TGF-β, TNF-α, IL-1β, and IL-6), inflammatory cell counts, and activity of MPO were detected. The expression of TGFβ1/Smad signaling pathway-related proteins was determined by immunohistochemistry. qPCR was used to analyze the mRNA expression levels of inflammatory factors, α‑SMA and COL1A1. The expression of COX-2, NF-κB, IκBα, PI3K, and Akt proteins was assessed by Western blot. Results: Histopathological staining of lung tissues showed that DIM administration alleviated the pulmonary inflammation and fibrosis caused by RILI. Moreover, the content of inflammatory factors such as IL-1β and IL-6, the expression of NF-κB pathway-related proteins, and the counts of inflammatory cells were inhibited in lung tissue, indicating that DIM can inhibit the NF-κB pathway to reduce inflammation. In addition, DIM could down-regulate the mRNA levels of α-SMA, COL1A1, and downregulate TGFβ1, Smad3, and p-Smad2/3 in lung tissues. Conclusion: Our study confirms that DIM has the potential to treat RILI in vivo by inhibiting fibrotic and inflammatory responses in lung tissue through the TGFβ/Smad and NF-κB dual pathways, respectively. Graphic Abstract","PeriodicalId":12206,"journal":{"name":"Experimental Lung Research","volume":"48 1","pages":"103 - 113"},"PeriodicalIF":1.7,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42842496","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: 4
Correction. 更正。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-03-15 DOI: 10.1080/01902148.2022.2050526
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引用次数: 0
Preliminary bronchodilator dose effect on aerosol-delivery through different nebulizers in noninvasively ventilated COPD patients. 支气管扩张剂剂量对非侵入性通气COPD患者通过不同喷雾器递送气溶胶的初步影响
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-03-02 DOI: 10.1080/01902148.2022.2047243
Yasmin M Madney, Hadeer S Harb, Thierry Porée, Myriam Eckes, Marina E Boules, Mohamed E A Abdelrahim

Objectives: This study aimed to evaluate the effect of a preliminary bronchodilator dose on the aerosol-d elivery by different nebulizers in noninvasively ventilated chronic obstructive pulmonary disease (COPD) patients. Method: COPD patients were randomized to receive study doses of 800 µg beclomethasone dipropionate (BPD) nebulized by either a vibrating mesh nebulizer (VMN) or a jet nebulizer (JN) connected to MinimHal spacer device. On a different day, the nebulized dose of beclomethasone was given to each patient by the same aerosol generator with and without preceded two puffs (100 µg each) of salbutamol delivered by a pressurized-metered dose inhaler. Urinary BPD and its metabolites in 30 min post-inhalation samples and pooled up to 24 h post-inhalation were measured. On day 2, ex-vivo studies were performed with BPD collected on filters before reaching patients which were eluted from filters and analyzed to estimate the total emitted dose.Results: The highest urinary excretion amounts of BPD and its metabolites 30 min and 24 h post-inhalation were identified with pMDI + VMN compared with other regimens(p < 0.001). The amounts of BPD and its metabolites excreted 30 min post inhalation had approximately doubled with pMDI + JN compared with JN delivery (p < 0.05). No significant effect was found in the ex-vivo study results except between VMN and JN with a significant superiority of the VMN (p < 0.001).Conclusion: Using a preliminary bronchodilator dose before drug nebulization significantly increased the effective lung dose of the nebulized drug with both VMNs and JNs. However, adding a preliminary bronchodilator dose increased the 24 hr cumulative urinary amount of the drug representing higher systemic delivery of the drug, which in turn could result in higher systemic side effects.

摘要目的:本研究旨在评估非侵入性通气慢性阻塞性肺病(COPD)患者使用不同喷雾器雾化吸入的初步支气管扩张剂剂量的影响。方法:COPD患者随机接受研究剂量为800 µg二丙酸倍氯米松(BPD),通过连接到MinimHal间隔装置的振动网式喷雾器(VMN)或喷射喷雾器(JN)进行喷雾。在不同的一天,通过相同的气溶胶发生器给每位患者雾化剂量的倍氯米松,在两次抽吸之前(100 每个µg)的沙丁胺醇。30例尿BPD及其代谢产物 最小吸入后样本,最多24份 测量吸入后h。在第2天,进行离体研究,在到达患者之前在过滤器上收集BPD,从过滤器中洗脱并分析以估计总发射剂量。结果:BPD及其代谢产物的最高尿排泄量为30 最小值和24 吸入后h用pMDI鉴定 + VMN与其他方案相比(p < 0.001)。BPD及其代谢产物的排泄量30 pMDI吸入后的分钟数大约增加了一倍 + JN与JN递送相比(p < 0.05)。在离体研究结果中,除了VMN和JN之间没有发现显著的影响,VMN具有显著的优势(p < 0.001)。结论:在药物雾化前使用初步支气管扩张剂剂量可显著增加VMNs和JNs雾化药物的有效肺部剂量。然而,添加初步的支气管扩张剂剂量增加了24 hr药物的累积尿量代表药物的更高全身递送,这反过来可能导致更高的全身副作用。
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引用次数: 0
Bronchial epithelial SIRT1 deficiency exacerbates cigarette smoke induced emphysema in mice through the FOXO3/PINK1 pathway. 支气管上皮 SIRT1 缺乏会通过 FOXO3/PINK1 通路加重香烟烟雾诱发的小鼠肺气肿。
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-02-08 DOI: 10.1080/01902148.2022.2037169
Hui Jiang, Yaona Jiang, Yuanri Xu, Dong Yuan, Yaqing Li

Purpose: Cellular senescence and mitochondrial fragmentation are thought to be crucial components of the cigarette smoke(CS)-induced responses that contribute to the chronic obstructive pulmonary disease (COPD) development as a result of accelerated premature aging of the lung. Although there have been a few reports on the role of sirtuin 1(SIRT1) in mitochondrial homeostasis, senescence and inflammation, whether SIRT1/FOXO3/PINK1 signaling mediated mitophagy ameliorates cellular senescence in COPD is still unclear. This study aimed to ascertain whether SIRT1 regulates cellular senescence via FOXO3/PINK1-mediated mitophagy in COPD. Methods: To investigate the effect of CS exposure and SIRT1 deficiency on mitophagy and senescence in the lung, a SIRT1 knockout(KO) mouse model was used. Airway resistance, cellular senescence mitochondrial injury, mitophagy, cellular architecture and protein expression levels in lung tissues, from SIRT1 KO and wild-type(WT) COPD model mice exposed to CS for 6 months were examined by western blotting, histochemistry, immunofluorescence and transmission electron microscopy(TEM). Results: In CS exposed mice, SIRT1 deficiency exacerbated airway resistance and cellular senescence, increased FOXO3 acetylation and decreased PINK1 protein levels and attenuated mitophagy. Mechanistically, the damaging effect of SIRT1 deficiency on lung tissue was attributed to increased FOXO3 acetylation and decreased PINK1 levels, and attenuated mitophagy. In vitro, mitochondrial damage and cellular sensitivity in response to CS exposure were more severe in control cells than in cells treated with aSIRT1 activator. SIRT1 activation SIRT1 activation decreased FOXO3 acetylation and increased the protein levels of PINK1 and enhanced mitophagy. Conclusion: These results demonstrated that the detrimental effects of SIRT1 deficiency on cell senescence associated with insufficient mitophagy, and involved the FOXO3/PINK1 signaling pathway.

目的:细胞衰老和线粒体碎裂被认为是香烟烟雾(CS)诱导反应的关键组成部分,而香烟烟雾是肺部加速过早衰老导致慢性阻塞性肺病(COPD)发生的原因。虽然已有一些关于 sirtuin 1(SIRT1)在线粒体稳态、衰老和炎症中的作用的报道,但 SIRT1/FOXO3/PINK1 信号介导的有丝分裂是否能改善 COPD 中的细胞衰老仍不清楚。本研究旨在确定 SIRT1 是否通过 FOXO3/PINK1 介导的有丝分裂调节 COPD 中的细胞衰老。研究方法为了研究 CS 暴露和 SIRT1 缺乏对肺部有丝分裂和衰老的影响,采用了 SIRT1 基因敲除(KO)小鼠模型。通过Western印迹、组织化学、免疫荧光和透射电子显微镜(TEM)检测了暴露于CS 6个月的SIRT1 KO和野生型(WT)COPD模型小鼠肺组织中的气道阻力、细胞衰老线粒体损伤、有丝分裂、细胞结构和蛋白质表达水平。结果显示在暴露于CS的小鼠中,SIRT1缺乏会加剧气道阻力和细胞衰老,增加FOXO3乙酰化,降低PINK1蛋白水平,减弱有丝分裂。从机理上讲,SIRT1 缺乏对肺组织的破坏作用可归因于 FOXO3 乙酰化增加、PINK1 水平降低和有丝分裂减弱。在体外,与使用 SIRT1 激活剂处理的细胞相比,对照组细胞对 CS 暴露的线粒体损伤和细胞敏感性更为严重。SIRT1 激活可降低 FOXO3 乙酰化水平,提高 PINK1 蛋白水平,增强有丝分裂。结论这些结果表明,SIRT1 缺乏对细胞衰老的不利影响与有丝分裂不足有关,并涉及 FOXO3/PINK1 信号通路。
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引用次数: 0
The 16S rRNA lung microbiome in mechanically ventilated patients: a methodological study. 机械通气患者16S rRNA肺微生物组:一项方法学研究
IF 1.7 4区 医学 Q3 RESPIRATORY SYSTEM Pub Date : 2022-02-01 Epub Date: 2021-12-28 DOI: 10.1080/01902148.2021.2021327
Melanie Fromentin, Antoine Bridier-Nahmias, Jérôme Legoff, Severine Mercier-Delarue, Noémie Ranger, Constance Vuillard, Julien Do Vale, Noémie Zucman, Antonio Alberdi, Jean-Damien Ricard, Damien Roux

Purpose: Characterization of the respiratory tract bacterial microbiome is in its infancy when compared to the gut microbiota. To limit bias mandates a robust methodology. Specific amplification of the hypervariable (V) region of the 16SrRNA gene is a crucial step. Differences in accuracy exist for one V region to another depending on the sampled environment. We aimed to assess the impact of the primer sequences targeting the V4 region currently used for gut microbiota studies in respiratory samples. Materials and methods: The original 515 F-806R primer pair targets the V4 region of the 16SrRNA gene. We compared two different 515 F-806R primer pairs before Illumina 250 paired-end sequencing for bacterial microbiome analyses of respiratory samples from critically-ill ventilated patients. "S-V4" for "Stringent V4" primer pair is used in two ongoing international projects "the Integrative Human microbiome project (iHMP)" and "the Earth microbiome project (EMP)." "R-V4" for "Relaxed V4" primer pair has been modified to reduce biases against specific environmental taxa. The optimal method was determined by concordance with conventional microbiology. Results: Twenty samples from three patients who developed a ventilator-associated pneumonia (VAP) and four who did not (control ventilated patients) were sequenced. Highly different results were obtained. "S-V4" provided the best agreement with the conventional microbiology for endotracheal aspirate: 89% as compared to 56% for "R-V4." The main difference related to poor Enterobacteriaceae detection with "R-V4" primers. Conclusions: Accuracy of the bacterial lung microbiome composition was highly dependent on the primers used for amplification of the 16 s rRNA hypervariable sequence. This work validates for future lung microbiome studies the use of the 515 F-806R "S-V4" primer pair associated to Illumina® MiSeq paired-end sequencing.

目的:与肠道微生物群相比,呼吸道细菌微生物群的特征尚处于起步阶段。为了限制偏见,需要一个强有力的方法。特异扩增16SrRNA的高变区(V)是至关重要的一步。根据采样环境的不同,一个V区域与另一个V区域的精度存在差异。我们的目的是评估目前用于呼吸道样本中肠道微生物群研究的针对V4区域的引物序列的影响。材料与方法:原515 F-806R引物对靶向16SrRNA基因的V4区。我们比较了两种不同的515 F-806R引物对,然后进行Illumina 250配对端测序,用于分析危重通气患者呼吸样本的细菌微生物组。“S-V4”是“strict V4”引物对的缩写,用于两个正在进行的国际项目“人类微生物组综合计划(iHMP)”和“地球微生物组计划(EMP)”。对“relax V4”引物对“R-V4”进行了修改,以减少对特定环境分类群的偏倚。通过与常规微生物学的一致性,确定了最佳方法。结果:对3例发生呼吸机相关性肺炎(VAP)的患者和4例未发生呼吸机相关性肺炎的患者(对照组)的20个样本进行了测序。得到了截然不同的结果。“S-V4”与传统气管内吸入微生物学的一致性最好:89%,而“R-V4”为56%。主要差异在于“R-V4”引物对肠杆菌科细菌的检测能力较差。结论:细菌肺微生物组组成的准确性高度依赖于用于扩增16s rRNA高变序列的引物。这项工作验证了未来肺部微生物组研究使用与Illumina®MiSeq配对端测序相关的515 F-806R“S-V4”引物对。
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引用次数: 2
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Experimental Lung Research
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