早期肺纤维化是急性呼吸窘迫综合征(ARDS)患者预后不良的主要原因。然而,肾素-血管紧张素系统 (RAS) 是否可以作为治疗靶点尚不清楚。本研究通过LPS三击方案建立早期肺纤维化动物模型。之后,对动物进行腹膜内注射 Ang-(1-7)、AVE0991 或 A779,每天一次,持续 20 天。LPS处理后动物血浆和BALF AngII水平升高,而肺组织Ang-(1-7)水平无明显变化。此外,在第 14 天和第 21 天,AT1R 蛋白水平显着增加,Mas 水平显着降低。Ang-(1-7) 的给药下调了 LPS 诱导的 AT1R mRNA 表达,而后者被 A779 上调。Mas mRNA的表达与AT1R反应方向相反。此外,LPS 导致 Mas 和 E-cadherin 水平降低,AT1R、Vimentin 和 Src 磷酸化水平升高。Ang-(1-7) 或 AVE0991 阻断了这些作用,但被 A779 处理抵消了。我们的研究结果表明,在 LPS 诱导的早期肺纤维化过程中,AngII 和 AT1R 水平表现出相反的动态趋势,Ang-(1-7) 和 Mas 也是如此。Ang-(1-7)对早期肺纤维化具有保护作用,主要通过调节AngII与AT1R、Ang-(1-7)与Mas之间的平衡,抑制Src激酶的激活来发挥保护作用。Ang-(1-7) 或 AVE0991 阻断了这些作用,但被 A779 处理抵消了。我们的研究结果表明,在 LPS 诱导的早期肺纤维化过程中,AngII 和 AT1R 水平表现出相反的动态趋势,Ang-(1-7) 和 Mas 也是如此。Ang-(1-7)对早期肺纤维化具有保护作用,主要通过调节AngII与AT1R、Ang-(1-7)与Mas之间的平衡,抑制Src激酶的激活来发挥保护作用。Ang-(1-7) 或 AVE0991 阻断了这些作用,但被 A779 处理抵消了。我们的研究结果表明,在 LPS 诱导的早期肺纤维化过程中,AngII 和 AT1R 水平表现出相反的动态趋势,Ang-(1-7) 和 Mas 也是如此。Ang-(1-7)对早期肺纤维化具有保护作用,主要通过调节AngII与AT1R、Ang-(1-7)与Mas之间的平衡,抑制Src激酶的激活来发挥保护作用。
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Ang-(1-7) treatment attenuates lipopolysaccharide-induced early pulmonary fibrosis.
Early pulmonary fibrosis is the leading cause of poor prognosis in patients with acute respiratory distress syndrome (ARDS). However, whether the renin-angiotensin system (RAS) can serve as a therapeutic target is unknown. In this study, an animal model of early pulmonary fibrosis was established via the LPS three-hit regimen. Afterwards, the animals were treated with intraperitoneal injections of Ang-(1-7), AVE0991, or A779 once per day for 20 days. The plasma and BALF AngII levels of the animals were increased, while there were no significant changes in Ang-(1-7) levels in lung tissue after LPS treatment. Furthermore, the AT1R protein levels were significantly increased and the Mas levels were significantly decreased on days 14 and 21. Administration of Ang-(1-7) downregulated LPS-induced AT1R mRNA expression, which was upregulated by A779. The expression of Mas mRNA responded in the opposite direction relative to AT1R. Moreover, LPS caused decreased levels of Mas and E-cadherin and increased AT1R, Vimentin, and Src phosphorylation levels. Ang-(1-7) or AVE0991 blocked these effects but was counteracted by A779 treatment. Our findings suggested that AngII and AT1R levels exhibit opposite dynamic trends during LPS-induced early pulmonary fibrosis, as do Ang-(1-7) and Mas. Ang-(1-7) exerts protective effects against early pulmonary fibrosis, mainly by regulating the balance between AngII and AT1R and between Ang-(1-7) and Mas and by inhibiting Src kinase activation.