Pharmacological inhibition of the ACE/Ang-2/AT1 axis alleviates mechanical ventilation-induced pulmonary fibrosis

Copyright © 2024. Published by Elsevier B.V..

Mechanical ventilation (MV) is an essential therapy for acute respiratory distress syndrome (ARDS) and pulmonary fibrosis. However, it can also induce mechanical ventilation-induced pulmonary fibrosis (MVPF) and the underlying mechanism remains unknown. Based on a mouse model of MVPF, the present study aimed to explore the role of the angiotensin-converting enzyme/angiotensin II/angiotensin type 1 receptor (ACE/Ang-2/AT1R) axis in the process of MVPF. In addition, recombinant angiotensin-converting enzyme 2(rACE2), AT1R inhibitor valsartan, AGTR1-directed shRNA and ACE inhibitor perindopril were applied to verify the effect of inhibiting ACE/Ang-2/AT1R axis in the treatment of MVPF. Our study found MV induced an inflammatory reaction and collagen deposition in mouse lung tissue accompanied by the activation of ACE in lung tissue, increased concentration of Ang-2 in bronchoalveolar lavage fluid (BALF), and upregulation of AT1R in alveolar epithelial cells. The process of pulmonary fibrosis could be alleviated by the application of the ACE inhibitor perindopril, ATIR inhibitor valsartan and AGTR1-directed shRNA. Meanwhile, rACE2 could also alleviate MVPF through the degradation of Ang-2. Our finding indicated the ACE/Ang-2/AT1R axis played an essential role in the pathogenesis of MVPF. Pharmacological inhibition of the ACE/Ang-2/AT1R axis might be a promising strategy for the treatment of MVPF.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:131

Enthalten in:

International immunopharmacology - 131(2024) vom: 20. Apr., Seite 111855

Sprache:

Englisch

Beteiligte Personen:

Feng, Jinhua [VerfasserIn]
Huang, Xi [VerfasserIn]
Xu, Qiaoyi [VerfasserIn]
Tang, Ri [VerfasserIn]
Zhou, Yang [VerfasserIn]
Qin, Shaojie [VerfasserIn]
Xing, Shunpeng [VerfasserIn]
Gao, Yuan [VerfasserIn]
Mei, Shuya [VerfasserIn]
He, Zhengyu [VerfasserIn]

Links:

Volltext

Themen:

11128-99-7
80M03YXJ7I
ACE/Ang-2/AT1R axis
Angiotensin II
Angiotensin-Converting Enzyme Inhibitors
EC 3.4.15.1
Journal Article
Mechanical ventilation
Peptidyl-Dipeptidase A
Perindopril
Pharmacological treatment
Pulmonary fibrosis
RNA, Small Interfering
Receptor, Angiotensin, Type 1
Valsartan
Y5GMK36KGY

Anmerkungen:

Date Completed 10.04.2024

Date Revised 10.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.intimp.2024.111855

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369833813