国际麻醉学与复苏杂志   2023, Issue (1): 0-0
    
脂多糖抑制MCT1表达引起乳酸清除障碍促进肺泡上皮细胞上皮‑间质转化
冯金华, 胡钺, 梅舒雅, 汤日, 周洋, 邢顺鹏, 皋源, 何征宇, 徐侨翌1()
1.上海交通大学医学院附属仁济医院
Lipopolysaccharide inhibits the expression of monocarboxylate transporter‑1 to cause impaired lactate clearance and promote the epithelial‑mesenchymal transformation of alveolar epithelial cells
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摘要:

目的 通过研究脂多糖(lipopolysaccharide, LPS)与单羧酸转运蛋白‑1(monocarboxylate transporter 1, MCT1)表达的关系及对肺泡上皮细胞上皮‑间质转化(epithelial‑mesenchymal transformation, EMT)的影响,探究LPS诱导的肺纤维化过程中肺泡上皮细胞EMT的潜在机制。 方法 ① 24只C57BL/6小鼠采用随机数字表法分为对照组(Con1组)和脂多糖刺激组(LPS1组),每组12只。LPS1组小鼠连续3 d腹腔注射LPS 5 mg·kg−1·d−1,Con1组小鼠注射等体积生理盐水,造模7 d后取材。Western blot法和免疫荧光检测肺组织MCT1以及EMT相关标志蛋白[E‑钙黏蛋白(E‑cadherin)、波形蛋白(Vimentin)]的表达情况,ELISA法检测血清中乳酸含量,马松(Masson)染色评估肺组织纤维化程度。② 将MLE‑12细胞按照随机数字表法分为4组(每组3个孔):PBS对照组(Con2组)、乳酸组(Lac2组)、脂多糖组(LPS2组)及乳酸+脂多糖组(Lac+LPS2组),分别用PBS、10 mmol/L乳酸、1 mg/L LPS和10 mmol/L乳酸+1 mg/L LPS刺激48 h。使用Western blot法及免疫荧光检测各组细胞MCT1、E‑cadherin、Vimentin水平,同时检测各组细胞上清液pH值。 结果 ① 与Con1组比较,LPS1组小鼠肺组织MCT1蛋白水平降低(P<0.05),E‑cadherin水平降低(P<0.05),Vimentin水平升高(P<0.05);肺组织E‑cadherin荧光强度降低,Vimentin荧光强度增强,MCT1荧光强度降低;肺组织出现纤维化表现;同时伴有血清乳酸含量升高(P<0.05)。② 与Con2组比较,Lac2组MCT1蛋白水平明显升高(P<0.05),E‑cadherin、Vimentin水平及pH值差异无统计学意义(P>0.05);LPS2组与Lac+LPS2组MCT1蛋白水平明显降低(P<0.05),E‑cadherin水平降低(P<0.05),Vimentin水平升高(P<0.05),pH值降低(P<0.05)。与Lac2组比较,Lac+LPS2组细胞MCT1蛋白水平和E‑cadherin水平明显降低(P<0.05),Vimentin水平明显升高(P<0.05),pH值降低(P<0.05)。与Con2组比较,Lac2组MCT1荧光强度增强,E‑cadherin、Vimentin荧光强度无明显变化;LPS2组与Lac+LPS2组MCT1和E‑cadherin荧光强度减弱,Vimentin荧光强度增强。与Lac2组比较,Lac+LPS2组 MCT1、E‑cadherin荧光强度明显减弱,Vimentin荧光强度明显增强。 结论 在LPS诱导的肺纤维化过程中,LPS可抑制小鼠肺泡上皮细胞MCT1的表达,导致乳酸清除障碍和细胞外液酸化,从而促进EMT和组织纤维化过程。

关键词: 肺纤维化; 脂多糖; 乳酸; 上皮‑间质转化; 单羧酸转运蛋白‑1
Abstract:

Objective To investigate the relationship between lipopolysaccharide (LPS) and the expression of monocarboxylate transporter‑1 (MCT1), and its effect on epithelial‑mesenchymal transformation (EMT) of alveolar epithelial cells, and to explore the potential mechanism of EMT during LPS‑induced pulmonary fibrosis. Methods ① According to the random number table method, 24 C57BL/6 mice were divided into two groups (n=12): a control (Con1) group and a LPS stimulated (LPS1) group. Mice in the LPS1 group were intraperitoneally injected with 5 mg·kg−1·d−1 LPS for 3 d. Those in the Con1 group were intraperitoneally injected with the equal volume of normal saline, and the mice were sacrificed 7 days after modeling. The amounts of MCT1 and EMT marker proteins (E‑cadherin and Vimentin) in lung tissue were detected by Western blot and immunofluorescence. The content of serum lactate was detected by enzyme‑linked immunosorbent assay (ELISA), and the degree of lung fibrosis was evaluated by Masson staining. ② According to the random number table method, MLE‑12 cells were divided into four groups (in triplicate for each group): a PBS control (Con2) group, a lactate (Lac2) group, a lipopolysaccharide (LPS2) group and a lactate+lipopolysaccharide (Lac+LPS2) group. These groups were stimulated with PBS, 10 mmol/L lactate, 1 mg/L LPS, and 10 mmol/L lactate+1 mg/L LPS for 48 h, respectively. Their levels of MCT1, E‑cadherin and Vimentin were detected by Western blot and immunofluorescence, and the pH value of the supernatant in each group was measured. Results ① Compared with the Con1 group, the LPS1 group showed decreases in MCT1 level (P<0.05) and E‑cadherin level (P<0.05), as well as increases in Vimentin level (P<0.05) in lung tissue; it also presented reduced E‑cadherin fluorescence intensity, enhanced Vimentin fluorescence intensity, and reduced MCT1 fluorescence intensity in lung tissue, with fibrosis in lung tissue and elevation in the content of serum lactate (P<0.05). ② Compared with the Con2 group, the Lac2 group presented significant increases in MCT1 protein level (P<0.05), while no statistical difference was found in the levels of E‑cadherin and Vimentin and pH value (P>0.05). The LPS2 group and the Lac+LPS2 group showed remarkable decreases in MCT1 protein level (P<0.05) and E‑cadherin level (P<0.05), increases in Vimentin level (P<0.05) and decreases in pH value (P<0.05). Compared with the Lac2 group, the Lac+LPS2 group showed remarkable decreases in MCT1 and E‑cadherin levels (P<0.05), increases in Vimentin level (P<0.05), and decreases in pH value (P<0.05). Compared with the Con2 group, the Lac2 group showed enhanced MCT1 fluorescence intensity, without remarkable changes in E‑cadherin and Vimentin; the LPS2 group and the Lac+LPS2 group presented reduced MCT1 and E‑cadherin fluorescence intensity, and enhanced Vimentin fluorescence intensity. Compared with the Lac2 group, the Lac+LPS2 group presented remarkably reduced MCT1 and E‑cadherin fluorescence intensity, and enhanced Vimentin fluorescence intensity. Conclusion During the process of LPS‑induced pulmonary fibrosis, LPS can inhibit the expression of MCT1 in mouse alveolar epithelial cells, resulting in impaired lactate clearance and extracellular fluid acidification, thereby promoting EMT and lung fibrosis.

Key words: Pulmonary fibrosis; Lipopolysaccharide; Lactate; Epithelial‑mesenchymal transformation; Monocarboxylate transporter 1