Steen solution protects pulmonary microvascular endothelial cells and preserves endothelial barrier after lipopolysaccharide-induced injury

Copyright © 2022 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved..

OBJECTIVES: Acute respiratory distress syndrome represents the devastating result of acute lung injury, with high mortality. Limited methods are available for rehabilitation of lungs affected by acute respiratory distress syndrome. Our laboratory has demonstrated rehabilitation of sepsis-injured lungs via normothermic ex vivo and in vivo perfusion with Steen solution (Steen). However, mechanisms responsible for the protective effects of Steen remain unclear. This study tests the hypothesis that Steen directly attenuates pulmonary endothelial barrier dysfunction and inflammation induced by lipopolysaccharide.

METHODS: Primary pulmonary microvascular endothelial cells were exposed to lipopolysaccharide for 4 hours and then recovered for 8 hours in complete media (Media), Steen, or Steen followed by complete media (Steen/Media). Oxidative stress, chemokines, permeability, interendothelial junction proteins, and toll-like receptor 4-mediated pathways were assessed in pulmonary microvascular endothelial cells using standard methods.

RESULTS: Lipopolysaccharide treatment of pulmonary microvascular endothelial cells and recovery in Media significantly induced reactive oxygen species, lipid peroxidation, expression of chemokines (eg, chemokine [C-X-C motif] ligand 1 and C-C motif chemokine ligand 2) and cell adhesion molecules (P-selectin, E-selectin, and vascular cell adhesion molecule 1), permeability, neutrophil transmigration, p38 mitogen-activated protein kinase and nuclear factor kappa B signaling, and decreased expression of tight and adherens junction proteins (zonula occludens-1, zonula occludens-2, and vascular endothelial-cadherin). All of these inflammatory pathways were significantly attenuated after recovery of pulmonary microvascular endothelial cells in Steen or Steen/Media.

CONCLUSIONS: Steen solution preserves pulmonary endothelial barrier function after lipopolysaccharide exposure by promoting an anti-inflammatory environment via attenuation of oxidative stress, toll-like receptor 4-mediated signaling, and conservation of interendothelial junctions. These protective mechanisms offer insight into the advancement of methods for in vivo lung perfusion with Steen for the treatment of severe acute respiratory distress syndrome.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:165

Enthalten in:

The Journal of thoracic and cardiovascular surgery - 165(2023), 1 vom: 09. Jan., Seite e5-e20

Sprache:

Englisch

Beteiligte Personen:

Ta, Huy Q [VerfasserIn]
Teman, Nicholas R [VerfasserIn]
Kron, Irving L [VerfasserIn]
Roeser, Mark E [VerfasserIn]
Laubach, Victor E [VerfasserIn]

Links:

Volltext

Themen:

Acute respiratory distress syndrome
Endothelial barrier dysfunction
In vivo lung perfusion
Journal Article
Ligands
Lipopolysaccharides
Research Support, N.I.H., Extramural
Steen solution
Toll-Like Receptor 4

Anmerkungen:

Date Completed 16.12.2022

Date Revised 17.04.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jtcvs.2022.04.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM341004278