香烟烟雾联合肺炎克雷伯杆菌诱导慢阻肺模型小鼠气道重塑机制
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1. 河南中医药大学呼吸疾病中医药防治省部共建协同创新中心,郑州 450046;2. 河南省中医药防治呼吸病重点实验室,郑州 450046;3. 河南中医药大学第一附属医院呼吸科,郑州 450000; 4. 河南中医药大学中医药科学院,郑州 450046

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Mechanism of airway remolding in a mouse model of chronic obstructive pulmonary disease induced by cigarette smoke combined with Klebsiella pneumoniae
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1. Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases Co-Constructed by Henan Province & Ministry of Education, Henan University of Chinese Medicine, Zhengzhou 450046, China; 2. Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Zhengzhou 450046, China; 3. Department of Respiratory Medicine, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450000, China; 4. Academy of Chinese Medical Sciences, Henan University of Chinese Medicine, Zhengzhou 450046, China

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    摘要:

    目的 采用香烟烟雾(cigarette smoke,CS)暴露联合肺炎克雷伯菌(Klebsiella pneumoniae,KP)滴鼻建立慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)小鼠模型,探讨COPD气道重塑及其机制。 方法 将SPF级BALB/c小鼠随机分为对照(Control)组、香烟烟雾(CS)组、肺炎克雷伯菌(KP)组和香烟烟雾联合肺炎克雷伯菌(CS + KP)组。1 ~ 8周造模,每4周检测肺功能,于第4、8、16和24周取材。观察小鼠肺功能、肺组织病理结构、炎症因子、胶原纤维、胶原蛋白及α-平滑肌肌动蛋白(α-smooth muscle actin, α-SMA)和转化生长因子(transforming growth factor,TGF)-β1的变化。采用CS提取物和脂多糖(lipopolysaccharides,LPS)刺激人支气管上皮细胞16HBE,检测细胞间连接蛋白、自噬及哺乳动物雷帕霉素靶蛋白(mammalian target of rapamycin,mTOR)信号等。 结果 与Control组比,CS + KP组小鼠肺功能第4 ~ 24周每分钟通气量(minute volume,MV)显著降低(P<0.05或P<0.01),第8 ~ 24周气道狭窄指数(enhanced pause,Penh)显著升高(P<0.05或P<0.01);CS组在第8 ~ 16周MV显著降低、Penh显著升高(P<0.05或P<0.01)。与Control组比,CS + KP组小鼠第8 ~ 24周肺组织大量炎细胞浸润、肺泡壁增厚、肺泡破裂和融合、气管壁增厚等,第4 ~ 24周平均肺泡数(mean alveolar number,MAN)显著降低,肺泡平均截距(mean linear intercept,MLI)、白介素-1β(interleukin-1β,IL-1β)及肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)显著升高(P<0.05或P<0.01);CS组、KP组第8 ~ 16周肺组织出现以上炎症与组织损伤。与Control组比,CS + KP组小鼠第8 ~ 16周肺组织Ⅰ型胶原蛋白(collagenⅠ,COLⅠ)、Ⅲ型胶原蛋白(collagen Ⅲ,COL Ⅲ)、αSMA和TGF-β1显著升高(P<0.01);CS组、KP组第8 ~ 16周COL Ⅰ显著升高(P<0.01)。此外,与Control组比,CS与LPS联合诱导16HBE细胞E-钙粘蛋白(E-cadherin,E-cad)显著降低和N-钙粘蛋白(N-cadherin,Ncad)显著升高(P<0.05),自噬相关蛋白LC3B和Beclin-1显著降低(P<0.05),p-mTORC1、p-P70-S6K、及p4E-BP1显著升高(P<0.05或P<0.01)。 结论 香烟烟雾联合肺炎克雷伯菌诱导的COPD小鼠肺功能下降、肺组织病变及气道重塑出现早、持续时间长,其机制可能与激活mTORC1信号抑制细胞自噬诱导气道上皮细胞损伤有关。

    Abstract:

    Objective Cigarette smoke (CS) exposure combined with Klebsiella pneumoniae (KP) infection in mice was used to establish a model of chronic obstructive pulmonary disease (COPD) to investigate the mechanism of airway remodeling. Methods Male BALB/c mice were randomly divided into a Control group, CS group, KP group, and CS + KP group. The mice were exposed to CS, KP, and CS + KP from weeks 1 to 8, and were sacrificed in weeks 4, 8, 16, and 24. MV, Penh, MLI, MAN, and changes in lung pathological structure were detected. The expression levels of IL-1β and TNF-α in lung tissue were detected by ELISA. Collagen deposition was observed by Masson staining and immunohistochemistry. α-SMA and TGF-β1 expression in lung tissue was detected by immunofluorescence. Human bronchial epithelioid cells (16HBE) were also stimulated by CS and lipopolysaccharide (LPS) in vitro, and the expression levels of airway epithelial junction proteins, autophagy-related protein, and mTOR signaling proteins were detected. Results Compared with the Control group, the CS + KP group mice had significantly decreased MV from weeks 4 to 24 (P<0.05 or P<0.01) and significantly increased Penh from weeks 8 to 24 (P<0.05 or P<0.01); while the CS group had markedly decreased MV and markedly increased Penh from weeks 8 to 16 (P<0.05 or P<0.01). Compared with the Control group, massive inflammatory cell infiltration, alveolar wall thickening, alveolar rupture and fusion, and airway wall thickening were observed by HE staining in CS + KP group from weeks 4 to 24. The CS + KP group mice had significantly decreased MAN and significantly increased MLI, IL-1β and TNF-α in their lung tissue from weeks 4 to 24 (P<0.05 or P<0.01). The aforementioned inflammation and tissue damage were observed in the CS group and the KP group from week 8 to 16. Compared with the Control group, COL Ⅰ, COL Ⅲ, α-SMA, and TGF-β1 were significantly increased in lung tissue of mice in the CS + KP group from weeks 8 to 16 (P<0.01); COL Ⅰ was significantly increased in the CS group and KP group from weeks 8 to 16 (P<0.01). In addition, increased E-cad and decreased N-cad (P<0.05); significantly decreased LC3B and Beclin-1 (P<0.05); and significantly increased p-mTORC1, p-P70-S6K, and p-4E-BP1 expression were observed in 16HBE cells exposed to CS and LPS (P<0.05 or P<0.01). Conclusions Pulmonary functional decline, pathological changes in lung tissue, and airway remodeling appeared to occur early and persist in COPD mice induced by CS and KP. The mechanisms may be related to the activation of mTORC1 signaling pathway and subsequent inhibition of autophagy.

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张泽宇,梅晓峰,陶柳颖,刘览,李建生,赵鹏.香烟烟雾联合肺炎克雷伯杆菌诱导慢阻肺模型小鼠气道重塑机制[J].中国实验动物学报,2025,33(5):644~655.

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  • 收稿日期:2024-05-17
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  • 在线发布日期: 2025-07-08
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