American journal of physiology. Lung cellular and molecular physiology最新文献

Congenital diaphragmatic hernia (CDH)-associated pulmonary hypertension (CDH-PH) has severe implications for the survival of patients with CDH; however, CDH-PH is often refractory to pulmonary vasodilators, rendering it difficult to treat. As such, models are necessary to study the etiology, mechanism, onset, and progression of pulmonary vascular remodeling in CDH. Despite several established murine models of CDH, no characterized CDH-PH or CDH-associated pulmonary vascular remodeling murine model exists. In this work, we assessed the nitrofen/bisdiamine (N/B) murine CDH model for pulmonary hypertension (PH) hallmarks to establish its usefulness as a model for studying mechanisms leading to CDH-PH. To do so, we evaluated key metrics of vascular PH at two different gestational time points and compared the results to sex- and age-matched human CDH tissue sections and results from a meta-analysis of published data of human CDH samples. We found that vessel rarefaction, smooth muscle hypertrophy, and adventitial extracellular matrix deposition were present in the N/B CDH murine model at E18.5 in late gestation. In addition, this same vascular PH phenotype was present much earlier in development at E16.5, after normal diaphragmatic development and closure, but still within the pseudoglandular phase of lung development. Finally, comparisons with human CDH data confirm that the N/B CDH murine model recapitulates the pulmonary hypertension vascular phenotype seen in human CDH lung sections. Together, these data validate a mouse CDH-PH model with the ability to genetically perturb pathways that may exacerbate or improve CDH-PH outcomes, which could, in turn, lead to therapies or diagnostic markers of CDH-PH severity in utero.NEW & NOTEWORTHY Pulmonary hypertension (PH) is a severe complication of congenital diaphragmatic hernia (CDH), yet mechanisms and potential interventions remain poorly understood, partly due to the lack of animal models. This study validated that the nitrofen/bisdiamine (N/B) CDH mouse model recapitulates a PH vascular phenotype, including vessel rarefaction, smooth muscle hypertrophy, and remodeling that is benchmarked to human CDH tissues. These findings suggest that this model is a robust in vivo tool for the mechanistic study of CDH-PH.

Neutrophils play a key role in acute respiratory distress syndrome (ARDS). The neutrophil marker olfactomedin-4 (OLFM4) has been implicated with worse outcomes in pediatric sepsis; however, OLFM4 has not been studied in pediatric ARDS. Therefore, we performed a secondary analysis of a prospective cohort of children with Berlin-defined ARDS with plasma collected on day 0 of ARDS, testing for an association between OLFM4 and 28-day mortality, 7-day dialysis-free survival, and 28-day ventilator-free days (VFDs), adjusting for age, ARDS etiology, immunocompromised status, and arterial partial pressure of oxygen ([Formula: see text])/fraction of inspired oxygen ([Formula: see text]). We also tested the ability of LPS and histones to affect OLFM4 expression in vitro. In 333 children with ARDS (21% nonsurvivors), OLFM4 was higher in nonsurvivors, in severe ARDS, in hyperinflammatory ARDS, and in those with multiple organ failures. In multivariable regression, OLFM4 was associated with higher mortality, higher probability of dialysis by day 7, and fewer VFDs. In stratified analyses, the association between OLFM4 and worse outcomes did not differ between infectious and noninfectious ARDS. In vitro, OLFM4 expression increased following H3 exposure in undifferentiated neutrophils, which was partly mitigated by toll-like receptor (TLR) antagonism. Overall, OLFM4 was associated with worse outcomes in pediatric ARDS. Histone H3 could induce OLFM4 expression in neutrophils, thus linking damage-associated molecular patterns to neutrophil polarization, which may represent a possible targetable pathway in pediatric ARDS.NEW & NOTEWORTHY Olfactomedin-4 (OLFM4) was associated with higher mortality, higher probability of dialysis by day 7, and fewer ventilator-free days (VFDs) in a pediatric acute respiratory distress syndrome (ARDS) cohort. In vitro, OLFM4 increased following H3 exposure in undifferentiated neutrophils, which was partly mitigated by toll-like receptor (TLR) antagonism. OLFM4 appears to be a marker, and potentially a mediator, of pathological inflammation and end-organ damage in ARDS.

Opioid-induced respiratory depression (OIRD) is the hallmark of opioid overdose and a major risk factor for death due to fentanyl use. Although repeat opioid use (ROU) elevates the risk of death, understanding its influence over breathing and its control has been poorly resolved. We developed a mouse model of recurrent fentanyl use over 5 days to examine how ROU impacts breathing and activity from the pre-Bötzinger complex (preBötC), the brainstem network driving inspiratory rhythmogenesis. Initial fentanyl use caused a profound metabolic crisis during OIRD involving a mismatch between ventilation and oxygen consumption. By day 5 of ROU, 77% of mice exhibited an adaptive ventilatory response following ROU, which was accompanied by an improved relationship between ventilation and oxygen consumption during OIRD. However, in the remaining minority, the adaptive response during OIRD failed to emerge following ROU. This divergence emphasizes the heterogeneity in ventilatory and metabolic outcomes following ROU. Moreover, following ROU, rhythmogenesis in the preBötzinger complex was less sensitive to mu-opioid receptor agonism, indicating that adaptation to ROU involves centrally mediated changes in this brainstem network. These findings reveal a series of physiological changes following ROU, typically resulting in improved ventilation and oxygenation during OIRD. Such changes, or lack of thereof, may contribute to the unpredictable nature of overdose susceptibility among opioid users.NEW & NOTEWORTHY Recurring fentanyl use is a significant factor contributing to opioid-related deaths, yet the physiological impact of repeat opioid use on breathing remains poorly understood. This study demonstrates that divergent ventilatory responses to opioids emerge following repeated fentanyl administration. These responses coincide with changes in oxygen consumption and inspiratory rhythmogenesis from the preBötzinger complex. These observations advance an understanding of the physiological basis for susceptibility and tolerance among individuals likely to succumb to opioid overdose.

Naked-mole rats (NMRs; Heterocephalus glaber) exhibit unique biological traits such as resistance to cancer, exceptional longevity, and high tolerance to low-oxygen environments. However, little is known about the lung structure of this eusocial species. Here, the lungs of adult NMRs were qualitatively examined using light and electron microscopy, followed by structural quantification of the alveolar region by means of stereology. One queen (>18 years) was also included in the study. The data normalized to body weight (BW) were furthermore compared to that of young and old mice (Mus musculus) as well as the expression of genes of surfactant proteins. Qualitatively, NMRs showed larger conducting airways compared to mice. Additionally, alveolar septa with a double-layered capillary network were observed in NMRs, indicating microvascular maturation and late alveolarization. Stereological analysis of the lung parenchyma revealed a lower septal surface area and alveolar epithelial type II (AEII) cell number per BW in NMRs compared to mice. However, in NMRs, the AEII cells were larger with a higher content of lamellar bodies, resulting in more intracellular surfactant per BW. Furthermore, the expression of surfactant protein B (Sftpb) was prominently higher in NMRs. The queen showed a larger mean alveolar volume, but no other age-related structural alterations were observed. The results indicate that NMRs are capable of late alveolarization, which is in line with their good regenerative potential. Additionally, NMRs have more intracellular surfactant and higher expression of Sftpb, suggesting functional alterations in their surfactant system possibly as an environmental adaptation.NEW & NOTEWORTHY Naked mole-rats (NMRs) can adapt to hypoxic environments and are the longest-living rodents. Comparison of their lung structure with that of mice revealed that NMRs have a reduced alveolar surface area per body weight but an increased pool of intracellular surfactant. Additionally, the septa of NMRs were thicker with an occasional double-layered capillary network. These features indicate a high regenerative potential with late alveolarization and environmental adaptation, even in old animals (>18 years).

Obesity contributes to pulmonary dysfunction through poorly understood biochemical mechanisms. Chronic inflammation and altered cellular metabolism have emerged as pathological changes across organ systems in obesity, but whether similar changes occur in lungs with obesity is unknown. We collected bronchoalveolar lavage fluid (BALF) from right upper lobe and lingula pulmonary subsegments of 14 adults (7 males/7 females) with body mass indexes (BMIs) ranging from 24.3 to 50.9 kg/m² without lung disease. Proteomes were measured using sequential window acquisition of all theoretical fragment ion spectra (SWATH) mass spectrometry. Proteomic composition and pathway enrichments were examined for the cohort and as a function of BMI. BALF proteomic compositions were consistent with earlier studies and had improved protein identification. We found minimal differences in BALF proteomes between lavage regions. Five proteins were strongly correlated with BMI (False Detection Rate/FDR-adjusted P values < 0.05) and 11 had weaker correlation (FDR-adjusted P values 0.05-0.1). These proteins included acute phase reactants and complement factors. Few proteomic differences between biological sexes were detected, but some of them coincided with BMI-related proteins. Pathway enrichments impacted by BMI included innate immunity, antifibrinolysis, oxidative stress, and lipid metabolism. The bronchoalveolar microenvironment is altered by obesity in humans without lung disease. Pathway alterations associated with BMI included coagulation and fibrinolysis, redox and oxidative stress, energy metabolism, and humoral immune function. Our data support the theory that conserved biochemical and cellular changes in obesity may be fundamental mechanisms of dysfunction in multiple tissues but the specific impact on pulmonary function or disease is not yet known.NEW & NOTEWORTHY Obesity is thought to cause deleterious changes in lung biochemistry, but data in humans are lacking. We measured the alveolar proteome in bronchoalveolar lavages from subjects with a wide range of body mass index and no lung disease. We found changes in proteins and pathways associated with increasing body mass index that are similar to pathological changes observed in other tissues and may constitute mechanisms of pulmonary dysfunction in obesity.

Intracellular calcium (Ca²⁺) release via phospholipase C (PLC) following G-protein-coupled receptor (GPCR) activation is typically linked to membrane depolarization and airway smooth muscle (ASM) contraction. However, recent findings show that bitter taste receptor agonists, such as chloroquine (CQ), induce a paradoxical and potent relaxation response despite activating the Ca²⁺ signaling pathway. This relaxation has been hypothesized to be driven by a distinct compartmentalization of calcium ions toward the cellular periphery, subsequently leading to membrane hyperpolarization, in contrast to the contractile effects of histamine. In this study, we further investigate the spatiotemporal dynamics of Ca²⁺ signaling in ASM cells using single-cell microscopy and deep learning-based segmentation, integrating the results into a comprehensive model of ASM ion channel dynamics to compare the effects of histamine, CQ, and flufenamic acid (FFA). Our results show that histamine induces a strong, synchronized calcium release, nearly twice as high as that of CQ, which produces a sustained but lower-magnitude response. Per-cell analysis reveals more variable and asynchronous Ca²⁺ signaling for CQ and FFA, with higher entropy compared with histamine. Integrating these findings into an ASM ion channel model, we observed that histamine-mediated Ca²⁺ release activates voltage-gated Ca²⁺ and Na⁺ channels (leading to depolarization). In contrast, CQ preferentially engages BKCa, SKCa, and chloride channels (promoting hyperpolarization). These findings provide insights into the unique mechanisms by which bitter taste receptor agonists can modulate ASM tone, offering potential therapeutic strategies for relaxing ASM and alleviating airway hyperresponsiveness in conditions such as asthma.NEW & NOTEWORTHY Using machine-learning methods, these studies identify spatiotemporal differences in calcium responses between agonists of Gq-coupled receptors and bitter taste receptors in airway smooth muscle cells. The findings provide deeper insights into the mechanism of action of bitter tastant-induced airway smooth muscle relaxation.

Premature infants are at higher risk for developing chronic lung diseases, especially following supplemental oxygen (hyperoxia) in early life. We previously demonstrated that moderate hyperoxia (<60% O₂) induces cellular senescence in fetal airway smooth muscle cells (fASM) and fibroblasts. However, the mechanisms underlying O₂-induced senescence are still under investigation. In this study we investigated the role of endoplasmic reticulum (ER) stress and mitochondrial dysfunction, using fASM cells exposed to 21% O₂ (normoxia) vs. ∼50% O₂ (hyperoxia). Normoxia or hyperoxia-exposed fASM were treated with the ER stress inhibitor salubrinal [12.5 μM], the antioxidant MitoQ [100 nM], or the mitochondrial fission inhibitor Mdivi-1 [10 μM]. Samples were harvested at day 2, 3, and 7 and analyzed for markers of senescence, oxidative stress, ER stress response, and mitochondrial dynamics using protein analysis and fluorescence microscopy. Hyperoxia enhanced senescence, upregulating multiple markers of DNA damage in particular, cyclin-dependent cell cycle regulator p21, cytosolic and mitochondrial reactive oxygen species (ROS) levels, mitochondria fragmentation, and anti-apoptosis B-cell lymphoma-extra large (Bcl-xL), while downregulating the proliferation marker Ki-67. Hyperoxia also activated all three ER stress pathways. However, the level of p21 and/or Bcl-xL was decreased in hyperoxia-exposed cells treated with the ER stress inhibitor salubrinal or the antioxidant MitoQ, but not the fission inhibitor Mdivi-1. These findings highlight the role of mitochondrial ROS and ER stress in hyperoxia-induced senescence of fASM and suggest that mitochondrial-targeted antioxidants and/or inhibitors of ER stress pathways can blunt the detrimental effects of hyperoxia in developing lungs.NEW & NOTEWORTHY Supplemental O₂ (hyperoxia) in premature infants detrimentally affects bronchial airways leading to increased senescence. Understanding the mechanisms by which hyperoxia initiates senescence in developing airways is critical for future therapeutic strategies. The current study showed that hyperoxia-induced senescence is mediated through increased mitochondrial reactive oxygen species and endoplasmic reticulum (ER) stress. ER stress inhibitors or mitochondria-targeted antioxidants may represent future therapies to blunt detrimental effects of supplemental oxygen in developing lungs.

Bronchopulmonary dysplasia (BPD) is a common chronic lung disease in pediatrics. Neonatal mice placed in hyperoxia (85% oxygen, HYP) develop lung injury reminiscent of BPD. We tested the hypothesis that mice deficient in arginase-2 (Arg2KO) exposed to HYP would have attenuated lung inflammation and injury compared with similarly exposed wild-type mice. Arg2KO and C57BL/6 (WT) mice were placed in either room air (NORM) or HYP on postnatal day 0 (P0) and exposed for up to 14 days. RNAseq data on P1 and P14 showed that HYP differentially upregulated genes, particularly those related to development and inflammation, between the two genotypes. Neonatal mice exposed to HYP had evidence of alveolar simplification at P7 and P14, which was slightly attenuated in Arg2KO mice. After 14 days in HYP, mice were moved to NORM, and methacholine challenge testing was performed at 6, 8, or 12 wk of age. WT mice exposed to neonatal hyperoxia showed greater methacholine-induced respiratory system resistance (R_RS) at 6 and 8 wk of age compared with WT mice exposed to NORM. The methacholine-induced increase in R_RS in Arg2KO mice exposed to neonatal hyperoxia was not different from normoxia-exposed mice of either genotype. At 6, 8, and 12 wk, alveolar simplification was evident in both WT and Arg2KO mice exposed to neonatal hyperoxia with no differences between genotypes. These data demonstrate that Arg2KO attenuated both the hyperoxia-induced lung inflammation at P1 and P14 and the airway hyperreactivity at 6 and 8 wk of age.NEW & NOTEWORTHY Our findings suggest that inhibiting arginase 2 may be a potential therapeutic target for mitigating short-term and long-term adverse outcomes related to airway reactivity in bronchopulmonary dysplasia (BPD) that deserves further study. Furthermore, our results suggest that airway reactivity and lung architecture may be differentially regulated in neonates and may require specific and different targeting to prevent the specific outcome in neonates at risk for developing BPD.

The administration of opioid receptor antagonists is believed to overcome ventilatory depressant effects of opioids. Here we show that many ventilatory depressant effects of morphine are converted to excitatory responses after µ₁-opioid receptor blockade, and that these responses are accompanied by ventilatory instability. In this study, we report 1) ventilatory responses elicited by morphine (10 mg/kg, iv) and 2) ventilatory responses elicited by a subsequent hypoxic-hypercapnic (HH) gas challenge and return to room air in male Sprague Dawley rats pretreated with 1) vehicle, 2) the centrally acting selective µ₁-opioid receptor antagonist, naloxonazine (1.5 mg/kg, iv), or 3) the centrally acting (delta 1,2) δ_1,2-opioid receptor antagonist, naltrindole (1.5 mg/kg, iv). The morphine-induced decreases in frequency of breathing, peak inspiratory flow, peak expiratory flow, expiratory flow at 50% expired TV, inspiratory drive, and expiratory drive in vehicle-treated rats were converted to profound increases in naloxonazine-treated rats. Additionally, the adverse effects of morphine on expiratory delay and apneic pause were augmented in naloxonazine-treated rats, and administration of morphine increased ventilatory instability (i.e., noneupneic breathing index) in naloxonazine-treated rats, which was not due to increases in ventilatory drive. Subsequent exposure to a HH gas challenge elicited qualitatively similar responses in both groups, whereas the responses upon return to room air (e.g., frequency of breathing, inspiratory time, expiratory time, end expiratory pause, relaxation time, expiratory delay, and noneupneic breathing index) were substantially different in naloxonazine-treated versus vehicle-treated rats. The above mentioned effects of morphine were only marginally affected in naltrindole-treated rats. These novel data highlight the complicated effects that µ₁-opioid receptor antagonism exerts on the ventilatory effects of morphine.NEW & NOTEWORTHY This study shows that the systemic injection of morphine elicits a pronounced overshoot in ventilation in freely-moving Sprague Dawley rats pretreated with the centrally-acting selective µ₁-opioid receptor antagonist, naloxonazine, but not with the centrally-acting δ_1,2-opioid receptor antagonist, naltrindole. This suggests that morphine can recruit a non-µ₁-opioid receptor system that promotes breathing.

Cystic fibrosis (CF) is a chronic disease caused by dysfunctional or absent cystic fibrosis transmembrane conductance regulator (CFTR). CFTR is expressed in immune cells and regulates innate immunity, both directly and indirectly. The epithelial sodium channel (ENaC) contributes to dysfunction in CF airway epithelial cells. However, the impact of non-CFTR ion channel dysfunction on CF immune responses is not understood. Improved understanding of how immune function is regulated by ion channels may allow antibiotic- and mutation-agnostic treatment approaches to chronic infection and inflammation. Therefore, we hypothesized that ENaC is aberrantly expressed in CF macrophages and directly contributes to impaired phagocytic and inflammatory functions. ENaC expression was characterized in immune cells isolated from CF and non-CF blood donors. Monocyte-derived macrophage (MDM) function and bacterial killing were tested with ENaC modulation. Baseline ENaC expression in human CF MDMs, lymphocytes, and granulocytes was increased at both the transcript and protein level relative to non-CF and persisted after infection. CFTR inhibition in non-CF MDMs resulted in ENaC overexpression. CFTR modulator treatment reduced but did not eliminate ENaC overexpression in CF MDMs. Interestingly, ENaC inhibition increased CFTR expression. Amiloride-treated CF MDMs also showed normalized reactive oxygen species (ROS) production, improved autophagy, and decreased proinflammatory cytokine production. Sodium channel expression in CF MDMs normalized after amiloride treatment with minimal effect on other ion channels. In summary, ENaC modulation in immune cells is a novel potential therapeutic target for CF infection control, either in combination with CFTR modulators, or as a sole agent for people not eligible for CFTR modulators.NEW & NOTEWORTHY New research reveals that epithelial sodium channel (ENaC) overexpression in cystic fibrosis (CF) immune cells impairs macrophage function. Inhibiting ENaC increases cystic fibrosis transmembrane conductance regulator (CFTR) expression, normalizes reactive oxygen species production, improves autophagy, and reduces proinflammatory cytokine production. This suggests that ENaC modulation could be a novel therapeutic target for CF infection control, either alone or with CFTR modulators, offering new hope for patients not eligible for current treatments.