Role of Nrf2/ARE pathway in protective effect of electroacupuncture against endotoxic shock-induced acute lung injury in rabbits

NF-E2 related factor 2 (Nrf2) is a major transcription factor and acts as a key regulator of antioxidant genes to exogenous stimulations. The aim of current study was to determine whether Nrf2/ARE pathway is involved in the protective effect of electroacupuncture on the injured lung in a rabbit mode...

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Veröffentlicht in:PloS one 2014-08, Vol.9 (8), p.e104924-e104924
Hauptverfasser: Yu, Jian-bo, Shi, Jia, Gong, Li-rong, Dong, Shu-an, Xu, Yan, Zhang, Yuan, Cao, Xin-shun, Wu, Li-li
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Shi, Jia
Gong, Li-rong
Dong, Shu-an
Xu, Yan
Zhang, Yuan
Cao, Xin-shun
Wu, Li-li
description NF-E2 related factor 2 (Nrf2) is a major transcription factor and acts as a key regulator of antioxidant genes to exogenous stimulations. The aim of current study was to determine whether Nrf2/ARE pathway is involved in the protective effect of electroacupuncture on the injured lung in a rabbit model of endotoxic shock. A dose of lipopolysaccharide (LPS) 5 mg/kg was administered intravenously to replicate the model of acute lung injury induced by endotoxic shock. Electroacupuncture pretreatment was handled bilaterally at Zusanli and Feishu acupoints for five consecutive days while sham electroacupuncture punctured at non-acupoints. Fourty anesthetized New England male rabbits were randomized into normal control group (group C), LPS group (group L), electroacupuncture + LPS group (group EL) and sham electroacupuncture + LPS (group SEL). At 6 h after LPS administration, the animals were sacrificed and the blood samples were collected for biochemical measurements. The lungs were removed for calculation of wet-to-dry weight ratios (W/D), histopathologic examination, determination of heme oxygenase (HO)-1 protein and mRNA, Nrf2 total and nucleoprotein, as well as Nrf2 mRNA expression, and evaluation of the intracellular distribution of Nrf2 nucleoprotein. LPS caused extensive morphologic lung damage, which was lessened by electroacupuncture treatment. Besides, lung W/D ratios were significantly decreased, the level of malondialdehyde was inhibited, plasma levels of TNF-α and interleukin-6 were decreased, while the activities of superoxide dismutase, glutathione peroxidase and catalase were enhanced in the electroacupucnture treated animals. In addition, electroacupuncture stimulation distinctly increased the expressions of HO-1 and Nrf2 protein including Nrf2 total protein and nucleoprotein as well as mRNA in lung tissue, while these effects were blunted in the sham electroacupuncture group. We concluded that electroacupuncture treatment at ST36 and BL13 effectively attenuates lung injury in a rabbit model of endotoxic shock through activation of Nrf2/ARE pathway and following up-regulation of HO-1 expression.
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The aim of current study was to determine whether Nrf2/ARE pathway is involved in the protective effect of electroacupuncture on the injured lung in a rabbit model of endotoxic shock. A dose of lipopolysaccharide (LPS) 5 mg/kg was administered intravenously to replicate the model of acute lung injury induced by endotoxic shock. Electroacupuncture pretreatment was handled bilaterally at Zusanli and Feishu acupoints for five consecutive days while sham electroacupuncture punctured at non-acupoints. Fourty anesthetized New England male rabbits were randomized into normal control group (group C), LPS group (group L), electroacupuncture + LPS group (group EL) and sham electroacupuncture + LPS (group SEL). At 6 h after LPS administration, the animals were sacrificed and the blood samples were collected for biochemical measurements. The lungs were removed for calculation of wet-to-dry weight ratios (W/D), histopathologic examination, determination of heme oxygenase (HO)-1 protein and mRNA, Nrf2 total and nucleoprotein, as well as Nrf2 mRNA expression, and evaluation of the intracellular distribution of Nrf2 nucleoprotein. LPS caused extensive morphologic lung damage, which was lessened by electroacupuncture treatment. Besides, lung W/D ratios were significantly decreased, the level of malondialdehyde was inhibited, plasma levels of TNF-α and interleukin-6 were decreased, while the activities of superoxide dismutase, glutathione peroxidase and catalase were enhanced in the electroacupucnture treated animals. In addition, electroacupuncture stimulation distinctly increased the expressions of HO-1 and Nrf2 protein including Nrf2 total protein and nucleoprotein as well as mRNA in lung tissue, while these effects were blunted in the sham electroacupuncture group. We concluded that electroacupuncture treatment at ST36 and BL13 effectively attenuates lung injury in a rabbit model of endotoxic shock through activation of Nrf2/ARE pathway and following up-regulation of HO-1 expression.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0104924</identifier><identifier>PMID: 25115759</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acupuncture ; Acute Lung Injury - etiology ; Acute Lung Injury - physiopathology ; Acute Lung Injury - prevention &amp; control ; Adult respiratory distress syndrome ; Analysis ; Anesthesiology ; Animals ; Antioxidant Response Elements ; Antioxidants ; Antioxidants (Nutrients) ; Biology and Life Sciences ; Carbon monoxide ; Catalase ; Catheters ; Disease Models, Animal ; Edema ; Electroacupuncture ; Endotoxemia ; Enzymes ; Gene expression ; Glutathione ; Glutathione peroxidase ; Heme ; Heme Oxygenase-1 - metabolism ; Hospitals ; Injuries ; Interleukin 6 ; Interleukin-6 - blood ; Laboratory animals ; Lipopolysaccharides ; Lung - pathology ; Lung - physiopathology ; Lungs ; Male ; Malondialdehyde ; Malondialdehyde - metabolism ; Medicine and Health Sciences ; Mortality ; NF-E2-Related Factor 2 - genetics ; NF-E2-Related Factor 2 - metabolism ; NRF2 protein ; Oxidative stress ; Oxygenase ; Peroxidase ; Plasma levels ; Rabbits ; Respiratory distress syndrome ; RNA ; RNA, Messenger - genetics ; RNA, Messenger - metabolism ; Rodents ; Science Policy ; Sepsis ; Septic shock ; Shock ; Shock, Septic - complications ; Shock, Septic - physiopathology ; Shock, Septic - therapy ; Signal Transduction ; Superoxide dismutase ; Superoxide Dismutase - metabolism ; Superoxides ; Tumor Necrosis Factor-alpha - blood ; Tumor necrosis factor-α</subject><ispartof>PloS one, 2014-08, Vol.9 (8), p.e104924-e104924</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Yu et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The aim of current study was to determine whether Nrf2/ARE pathway is involved in the protective effect of electroacupuncture on the injured lung in a rabbit model of endotoxic shock. A dose of lipopolysaccharide (LPS) 5 mg/kg was administered intravenously to replicate the model of acute lung injury induced by endotoxic shock. Electroacupuncture pretreatment was handled bilaterally at Zusanli and Feishu acupoints for five consecutive days while sham electroacupuncture punctured at non-acupoints. Fourty anesthetized New England male rabbits were randomized into normal control group (group C), LPS group (group L), electroacupuncture + LPS group (group EL) and sham electroacupuncture + LPS (group SEL). At 6 h after LPS administration, the animals were sacrificed and the blood samples were collected for biochemical measurements. The lungs were removed for calculation of wet-to-dry weight ratios (W/D), histopathologic examination, determination of heme oxygenase (HO)-1 protein and mRNA, Nrf2 total and nucleoprotein, as well as Nrf2 mRNA expression, and evaluation of the intracellular distribution of Nrf2 nucleoprotein. LPS caused extensive morphologic lung damage, which was lessened by electroacupuncture treatment. Besides, lung W/D ratios were significantly decreased, the level of malondialdehyde was inhibited, plasma levels of TNF-α and interleukin-6 were decreased, while the activities of superoxide dismutase, glutathione peroxidase and catalase were enhanced in the electroacupucnture treated animals. In addition, electroacupuncture stimulation distinctly increased the expressions of HO-1 and Nrf2 protein including Nrf2 total protein and nucleoprotein as well as mRNA in lung tissue, while these effects were blunted in the sham electroacupuncture group. We concluded that electroacupuncture treatment at ST36 and BL13 effectively attenuates lung injury in a rabbit model of endotoxic shock through activation of Nrf2/ARE pathway and following up-regulation of HO-1 expression.</description><subject>Acupuncture</subject><subject>Acute Lung Injury - etiology</subject><subject>Acute Lung Injury - physiopathology</subject><subject>Acute Lung Injury - prevention &amp; control</subject><subject>Adult respiratory distress syndrome</subject><subject>Analysis</subject><subject>Anesthesiology</subject><subject>Animals</subject><subject>Antioxidant Response Elements</subject><subject>Antioxidants</subject><subject>Antioxidants (Nutrients)</subject><subject>Biology and Life Sciences</subject><subject>Carbon monoxide</subject><subject>Catalase</subject><subject>Catheters</subject><subject>Disease Models, Animal</subject><subject>Edema</subject><subject>Electroacupuncture</subject><subject>Endotoxemia</subject><subject>Enzymes</subject><subject>Gene expression</subject><subject>Glutathione</subject><subject>Glutathione peroxidase</subject><subject>Heme</subject><subject>Heme Oxygenase-1 - metabolism</subject><subject>Hospitals</subject><subject>Injuries</subject><subject>Interleukin 6</subject><subject>Interleukin-6 - blood</subject><subject>Laboratory animals</subject><subject>Lipopolysaccharides</subject><subject>Lung - pathology</subject><subject>Lung - physiopathology</subject><subject>Lungs</subject><subject>Male</subject><subject>Malondialdehyde</subject><subject>Malondialdehyde - metabolism</subject><subject>Medicine and Health Sciences</subject><subject>Mortality</subject><subject>NF-E2-Related Factor 2 - genetics</subject><subject>NF-E2-Related Factor 2 - metabolism</subject><subject>NRF2 protein</subject><subject>Oxidative stress</subject><subject>Oxygenase</subject><subject>Peroxidase</subject><subject>Plasma levels</subject><subject>Rabbits</subject><subject>Respiratory distress syndrome</subject><subject>RNA</subject><subject>RNA, Messenger - genetics</subject><subject>RNA, Messenger - metabolism</subject><subject>Rodents</subject><subject>Science Policy</subject><subject>Sepsis</subject><subject>Septic shock</subject><subject>Shock</subject><subject>Shock, Septic - 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Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Jian-bo</au><au>Shi, Jia</au><au>Gong, Li-rong</au><au>Dong, Shu-an</au><au>Xu, Yan</au><au>Zhang, Yuan</au><au>Cao, Xin-shun</au><au>Wu, Li-li</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of Nrf2/ARE pathway in protective effect of electroacupuncture against endotoxic shock-induced acute lung injury in rabbits</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-08-12</date><risdate>2014</risdate><volume>9</volume><issue>8</issue><spage>e104924</spage><epage>e104924</epage><pages>e104924-e104924</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>NF-E2 related factor 2 (Nrf2) is a major transcription factor and acts as a key regulator of antioxidant genes to exogenous stimulations. The aim of current study was to determine whether Nrf2/ARE pathway is involved in the protective effect of electroacupuncture on the injured lung in a rabbit model of endotoxic shock. A dose of lipopolysaccharide (LPS) 5 mg/kg was administered intravenously to replicate the model of acute lung injury induced by endotoxic shock. Electroacupuncture pretreatment was handled bilaterally at Zusanli and Feishu acupoints for five consecutive days while sham electroacupuncture punctured at non-acupoints. Fourty anesthetized New England male rabbits were randomized into normal control group (group C), LPS group (group L), electroacupuncture + LPS group (group EL) and sham electroacupuncture + LPS (group SEL). At 6 h after LPS administration, the animals were sacrificed and the blood samples were collected for biochemical measurements. The lungs were removed for calculation of wet-to-dry weight ratios (W/D), histopathologic examination, determination of heme oxygenase (HO)-1 protein and mRNA, Nrf2 total and nucleoprotein, as well as Nrf2 mRNA expression, and evaluation of the intracellular distribution of Nrf2 nucleoprotein. LPS caused extensive morphologic lung damage, which was lessened by electroacupuncture treatment. Besides, lung W/D ratios were significantly decreased, the level of malondialdehyde was inhibited, plasma levels of TNF-α and interleukin-6 were decreased, while the activities of superoxide dismutase, glutathione peroxidase and catalase were enhanced in the electroacupucnture treated animals. In addition, electroacupuncture stimulation distinctly increased the expressions of HO-1 and Nrf2 protein including Nrf2 total protein and nucleoprotein as well as mRNA in lung tissue, while these effects were blunted in the sham electroacupuncture group. We concluded that electroacupuncture treatment at ST36 and BL13 effectively attenuates lung injury in a rabbit model of endotoxic shock through activation of Nrf2/ARE pathway and following up-regulation of HO-1 expression.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25115759</pmid><doi>10.1371/journal.pone.0104924</doi><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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issn 1932-6203
1932-6203
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subjects Acupuncture
Acute Lung Injury - etiology
Acute Lung Injury - physiopathology
Acute Lung Injury - prevention & control
Adult respiratory distress syndrome
Analysis
Anesthesiology
Animals
Antioxidant Response Elements
Antioxidants
Antioxidants (Nutrients)
Biology and Life Sciences
Carbon monoxide
Catalase
Catheters
Disease Models, Animal
Edema
Electroacupuncture
Endotoxemia
Enzymes
Gene expression
Glutathione
Glutathione peroxidase
Heme
Heme Oxygenase-1 - metabolism
Hospitals
Injuries
Interleukin 6
Interleukin-6 - blood
Laboratory animals
Lipopolysaccharides
Lung - pathology
Lung - physiopathology
Lungs
Male
Malondialdehyde
Malondialdehyde - metabolism
Medicine and Health Sciences
Mortality
NF-E2-Related Factor 2 - genetics
NF-E2-Related Factor 2 - metabolism
NRF2 protein
Oxidative stress
Oxygenase
Peroxidase
Plasma levels
Rabbits
Respiratory distress syndrome
RNA
RNA, Messenger - genetics
RNA, Messenger - metabolism
Rodents
Science Policy
Sepsis
Septic shock
Shock
Shock, Septic - complications
Shock, Septic - physiopathology
Shock, Septic - therapy
Signal Transduction
Superoxide dismutase
Superoxide Dismutase - metabolism
Superoxides
Tumor Necrosis Factor-alpha - blood
Tumor necrosis factor-α
title Role of Nrf2/ARE pathway in protective effect of electroacupuncture against endotoxic shock-induced acute lung injury in rabbits
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