Cromolyn sodium reduces LPS-induced pulmonary fibrosis by inhibiting the EMT process enhanced by MC-derived IL-13

Abstract Background Sepsis is a systemic inflammatory response caused by infection. When this inflammatory response spreads to the lungs, it can lead to acute lung injury (ALI) or more severe acute respiratory distress syndrome (ARDS). Pulmonary fibrosis is a potential complication of these conditio...

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Main Authors: Cheng Tan, Hang Zhou, Qiangfei Xiong, Xian Xian, Qiyuan Liu, Zexin Zhang, Jingjing Xu, Hao Yao
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Respiratory Research
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Online Access:https://doi.org/10.1186/s12931-024-03045-0
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author Cheng Tan
Hang Zhou
Qiangfei Xiong
Xian Xian
Qiyuan Liu
Zexin Zhang
Jingjing Xu
Hao Yao
author_facet Cheng Tan
Hang Zhou
Qiangfei Xiong
Xian Xian
Qiyuan Liu
Zexin Zhang
Jingjing Xu
Hao Yao
author_sort Cheng Tan
collection DOAJ
description Abstract Background Sepsis is a systemic inflammatory response caused by infection. When this inflammatory response spreads to the lungs, it can lead to acute lung injury (ALI) or more severe acute respiratory distress syndrome (ARDS). Pulmonary fibrosis is a potential complication of these conditions, and the early occurrence of pulmonary fibrosis is associated with a higher mortality rate. The underlying mechanism of ARDS-related pulmonary fibrosis remains unclear. Methods To evaluate the role of mast cell in sepsis-induced pulmonary fibrosis and elucidate its molecular mechanism. We investigated the level of mast cell and epithelial-mesenchymal transition(EMT) in LPS-induced mouse model and cellular model. We also explored the influence of cromolyn sodium and mast cell knockout on pulmonary fibrosis. Additionally, we explored the effect of MC-derived IL-13 on the EMT and illustrated the relationship between mast cell and pulmonary fibrosis. Results Mast cell was up-regulated in the lung tissues of the pulmonary fibrotic mouse model compared to control groups. Cromolyn sodium and mast cell knockout decreased the expression of EMT-related protein and IL-13, alleviated the symptoms of pulmonary fibrosis in vivo and in vitro. The PI3K/AKT/mTOR signaling was activated in fibrotic lung tissue, whereas Cromolyn sodium and mast cell knockout inhibited this pathway. Conclusion The expression level of mast cell is increased in fibrotic lungs. Cromolyn sodium intervention and mast cell knockout alleviate the symptoms of pulmonary fibrosis probably via the PI3K/AKT/mTOR signaling pathway. Therefore, mast cell inhibition is a potential therapeutic target for sepsis-induced pulmonary fibrosis.
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spelling doaj-art-15eeab6636d343f9837134430a5f98592025-01-12T12:36:41ZengBMCRespiratory Research1465-993X2025-01-0126111810.1186/s12931-024-03045-0Cromolyn sodium reduces LPS-induced pulmonary fibrosis by inhibiting the EMT process enhanced by MC-derived IL-13Cheng Tan0Hang Zhou1Qiangfei Xiong2Xian Xian3Qiyuan Liu4Zexin Zhang5Jingjing Xu6Hao Yao7Department of Anesthesiology, The Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical CenterDepartment of Anesthesiology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing Medical UniversityDepartment of Anesthesiology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing Medical UniversityDepartment of Anesthesiology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing Medical UniversityDepartment of Anesthesiology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing Medical UniversityDepartment of Anesthesiology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing Medical UniversityDepartment of Anesthesiology, The Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical CenterDepartment of Anesthesiology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing Medical UniversityAbstract Background Sepsis is a systemic inflammatory response caused by infection. When this inflammatory response spreads to the lungs, it can lead to acute lung injury (ALI) or more severe acute respiratory distress syndrome (ARDS). Pulmonary fibrosis is a potential complication of these conditions, and the early occurrence of pulmonary fibrosis is associated with a higher mortality rate. The underlying mechanism of ARDS-related pulmonary fibrosis remains unclear. Methods To evaluate the role of mast cell in sepsis-induced pulmonary fibrosis and elucidate its molecular mechanism. We investigated the level of mast cell and epithelial-mesenchymal transition(EMT) in LPS-induced mouse model and cellular model. We also explored the influence of cromolyn sodium and mast cell knockout on pulmonary fibrosis. Additionally, we explored the effect of MC-derived IL-13 on the EMT and illustrated the relationship between mast cell and pulmonary fibrosis. Results Mast cell was up-regulated in the lung tissues of the pulmonary fibrotic mouse model compared to control groups. Cromolyn sodium and mast cell knockout decreased the expression of EMT-related protein and IL-13, alleviated the symptoms of pulmonary fibrosis in vivo and in vitro. The PI3K/AKT/mTOR signaling was activated in fibrotic lung tissue, whereas Cromolyn sodium and mast cell knockout inhibited this pathway. Conclusion The expression level of mast cell is increased in fibrotic lungs. Cromolyn sodium intervention and mast cell knockout alleviate the symptoms of pulmonary fibrosis probably via the PI3K/AKT/mTOR signaling pathway. Therefore, mast cell inhibition is a potential therapeutic target for sepsis-induced pulmonary fibrosis.https://doi.org/10.1186/s12931-024-03045-0LPSPulmonary fibrosisMast cellIL-13Cromolyn sodiumSepsis
spellingShingle Cheng Tan
Hang Zhou
Qiangfei Xiong
Xian Xian
Qiyuan Liu
Zexin Zhang
Jingjing Xu
Hao Yao
Cromolyn sodium reduces LPS-induced pulmonary fibrosis by inhibiting the EMT process enhanced by MC-derived IL-13
Respiratory Research
LPS
Pulmonary fibrosis
Mast cell
IL-13
Cromolyn sodium
Sepsis
title Cromolyn sodium reduces LPS-induced pulmonary fibrosis by inhibiting the EMT process enhanced by MC-derived IL-13
title_full Cromolyn sodium reduces LPS-induced pulmonary fibrosis by inhibiting the EMT process enhanced by MC-derived IL-13
title_fullStr Cromolyn sodium reduces LPS-induced pulmonary fibrosis by inhibiting the EMT process enhanced by MC-derived IL-13
title_full_unstemmed Cromolyn sodium reduces LPS-induced pulmonary fibrosis by inhibiting the EMT process enhanced by MC-derived IL-13
title_short Cromolyn sodium reduces LPS-induced pulmonary fibrosis by inhibiting the EMT process enhanced by MC-derived IL-13
title_sort cromolyn sodium reduces lps induced pulmonary fibrosis by inhibiting the emt process enhanced by mc derived il 13
topic LPS
Pulmonary fibrosis
Mast cell
IL-13
Cromolyn sodium
Sepsis
url https://doi.org/10.1186/s12931-024-03045-0
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