Skip to main content
Log in

Protectin DX ameliorates inflammation in sepsis-induced acute lung injury through mediating PPARγ/NF-κB pathway

  • Original Article
  • Published:
Immunologic Research Aims and scope Submit manuscript

Abstract

Previous reports have demonstrated that the newly identified lipid mediator protectin DX (PDX) could effectively attenuate multiple organ injuries in sepsis. The aim of our study was to clarify whether PDX could improve acute lung injury (ALI) induced by sepsis and elucidate the relevant potential mechanism. After inducing sepsis by the cecal ligation and puncture approach, mice were treated with a high or low dose of PDX. Pathological changes in the pulmonary tissue were analyzed by hematoxylin-eosin staining, and lung injury score was evaluated. Lung permeability and edema were assessed by lung wet/dry ratio, and protein and cellular load of the bronchoalveolar lavage fluid (BALF). Inflammatory cytokine levels in BALF were measured by ELISA and the expression of PPARγ in the lung tissue was analyzed by immunoblotting. The results suggested that PDX could diminish the inflammatory response in lung tissue after sepsis by upregulating PPARγ and inhibiting the phosphorylation and activation of NF-κB p65. PDX treatment lowered the levels of pro-inflammation cytokines IL-1β, IL-6, TNF-α, and MCP-1, and the levels of anti-inflammatory cytokine IL-10 was increased in the BALF. It also improved lung permeability and reduced lung injury. Furthermore, the protective effect of PDX on lung tissue could be reversed by GW9662, a specific PPAR-γ antagonist. Taken together, our study indicated that PDX could ameliorate the inflammatory response in ALI by activating the PPARγ/NF-κB pathway in a mouse model of sepsis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Ashbaugh D, Boyd Bigelow D, Petty T, Levine B. Acute respiratory distress in adults. Lancet. 1967;290:319–23.

    Google Scholar 

  2. Bellani G, Laffey JG, Pham T, Fan E, Brochard L, Esteban A, et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA. 2016;315:788–800.

    CAS  PubMed  Google Scholar 

  3. Acute Respiratory Distress Syndrome. JAMA. 2012; 307.

  4. Kangelaris KN, Prakash A, Liu KD, Aouizerat B, Woodruff PG, Erle DJ, et al. Increased expression of neutrophil-related genes in patients with early sepsis-induced ARDS. Am J Physiol Lung C. 2015;308:L1102–13.

    Google Scholar 

  5. Morrell ED, Radella F II, Manicone AM, Mikacenic C, Stapleton RD, Gharib SA, et al. Peripheral and alveolar cell transcriptional programs are distinct in acute respiratory distress syndrome. Am J Resp Crit Care. 2018;197:528–32.

    Google Scholar 

  6. Bos LDJ, Scicluna BP, Ong DSY, Cremer O, van der Poll T, Schultz MJ. Understanding heterogeneity in biologic phenotypes of acute respiratory distress syndrome by leukocyte expression profiles. Am J Resp Crit Care. 2019;200:42–50.

    CAS  Google Scholar 

  7. Calfee CS, Delucchi KL, Sinha P, Matthay MA, Hackett J, Shankar-Hari M, et al. Acute respiratory distress syndrome subphenotypes and differential response to simvastatin: secondary analysis of a randomised controlled trial. Lancet Respir Med. 2018;6:691–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Maderna P, Godson C. Lipoxins: resolutionary road. Brit J Pharmacol. 2009;158:947–59.

    CAS  Google Scholar 

  9. Serhan CN, Chiang N. Endogenous pro-resolving and anti-inflammatory lipid mediators: a new pharmacologic genus. Br J Pharmacol. 2008;153(Suppl 1):S200–15.

    CAS  PubMed  Google Scholar 

  10. Vincent J, Opal SM, Marshall JC, Tracey KJ. Sepsis definitions: time for change. Lancet. 2013;381:774–5.

    PubMed  PubMed Central  Google Scholar 

  11. Gong J, Wu ZY, Qi H, Chen L, Li HB, Li B, et al. Maresin 1 mitigates LPS-induced acute lung injury in mice. Brit J Pharmacol. 2014;171:3539–50.

    CAS  Google Scholar 

  12. Cao C, Yin C, Shou S, Wang J, Yu L, Li X, et al. Ulinastatin protects against LPS-induced acute lung injury by attenuating TLR4/NF-κB pathway activation and reducing inflammatory mediators. SHOCK. 2018;50:595–605.

    Article  CAS  PubMed  Google Scholar 

  13. White PJ, Mitchell PL, Schwab M, Trottier J, Kang JX, Barbier O, et al. Transgenic ω-3 PUFA enrichment alters morphology and gene expression profile in adipose tissue of obese mice: potential role for protectins. METABOLISM. 2015;64:666–76.

    Article  CAS  PubMed  Google Scholar 

  14. Korner A, et al. Resolution of inflammation and sepsis survival are improved by dietary Omega-3 fatty acids. Cell Death Differ. 2018;25:421–31.

    Article  PubMed  Google Scholar 

  15. Lagarde M, Calzada C, Guichardant M, Véricel E. Dose-effect and metabolism of docosahexaenoic acid: pathophysiological relevance in blood platelets. Prostaglandins Leukot Essent Fat Acids. 2013;88:49–52.

    Article  CAS  Google Scholar 

  16. Liu M, Chen P, Véricel E, Lelli M, Béguin L, Lagarde M, et al. Characterization and biological effects of di-hydroxylated compounds deriving from the lipoxygenation of ALA. J Lipid Res. 2013;54:2083–94.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Liu M, Boussetta T, Makni-Maalej K, Fay M, Driss F, el-Benna J, et al. Protectin DX, a double lipoxygenase product of DHA, inhibits both ROS production in human neutrophils and cyclooxygenase activities. LIPIDS. 2014;49:49–57.

    Article  PubMed  Google Scholar 

  18. White PJ, St-Pierre P, Charbonneau A, Mitchell PL, St-Amand E, Marcotte B, et al. Protectin DX alleviates insulin resistance by activating a myokine-liver glucoregulatory axis. Nat Med. 2014;20:664–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Li H, Ruan XZ, Powis SH, Fernando R, Mon WY, Wheeler DC, et al. EPA and DHA reduce LPS-induced inflammation responses in HK-2 cells: evidence for a PPAR-gamma-dependent mechanism. Kidney Int. 2005;67:867–74.

    Article  CAS  PubMed  Google Scholar 

  20. D B Jump SDC. Regulation of gene expression by dietary fat. ANNU REV NUTR. 1999.

  21. Chawla A. Nuclear receptors and lipid physiology: opening the X-files. Science. 2001;294:1866–70.

    CAS  PubMed  Google Scholar 

  22. Odegaard JI, Ricardo-Gonzalez RR, Goforth MH, Morel CR, Subramanian V, Mukundan L, et al. Macrophage-specific PPARγ controls alternative activation and improves insulin resistance. NATURE. 2007;447:1116–20.

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Wall R, Ross RP, Fitzgerald GF, Stanton C. Fatty acids from fish: the anti-inflammatory potential of long-chain omega-3 fatty acids. Nutr Rev. 2010;68:280–9.

    PubMed  Google Scholar 

  24. Draper E, Reynolds CM, Canavan M, Mills KH, Loscher CE, Roche HM. Omega-3 fatty acids attenuate dendritic cell function via NF-κB independent of PPARγ. J Nutr Biochem. 2011;22:784–90.

    CAS  PubMed  Google Scholar 

  25. Haworth O, Levy BD. Endogenous lipid mediators in the resolution of airway inflammation. Eur Respir J. 2007;30:980–92.

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Rittirsch D, Huber-Lang MS, Flierl MA, Ward PA. Immunodesign of experimental sepsis by cecal ligation and puncture. Nat Protoc. 2009;4:31–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  27. Xia H, et al. Protectin DX increases survival in a mouse model of sepsis by ameliorating inflammation and modulating macrophage phenotype. Sci Rep UK. 2017;7.

  28. Matute-Bello G, Downey G, Moore BB, Groshong SD, Matthay MA, Slutsky AS, et al. An official American Thoracic Society workshop report: features and measurements of experimental acute lung injury in animals. Am J Resp Cell Mol. 2011;44:725–38.

    CAS  Google Scholar 

  29. Boomer JS, To K, Chang KC, Takasu O, Osborne DF, Walton AH, et al. Immunosuppression in patients who die of sepsis and multiple organ failure. JAMA. 2011;306:2594–605.

    CAS  PubMed  PubMed Central  Google Scholar 

  30. Cohen J. The immunopathogenesis of sepsis. NATURE. 2002;420:885–91.

    CAS  PubMed  Google Scholar 

  31. Abraham E, Singer M. Mechanisms of sepsis-induced organ dysfunction. Crit Care Med. 2007;35:2408–16.

    PubMed  Google Scholar 

  32. Russell CD, Schwarze J. The role of pro-resolution lipid mediators in infectious disease. IMMUNOLOGY. 2014;141:166–73.

    CAS  PubMed  PubMed Central  Google Scholar 

  33. Serhan CN, Gotlinger K, Hong S, Lu Y, Siegelman J, Baer T, et al. Anti-inflammatory actions of neuroprotectin D1/protectin D1 and its natural stereoisomers: assignments of dihydroxy-containing docosatrienes. J Immunol. 2006;176:1848–59.

    CAS  PubMed  Google Scholar 

  34. Liao Z, Dong J, Wu W, Yang T, Wang T, Guo L, et al. Resolvin D1 attenuates inflammation in lipopolysaccharide-induced acute lung injury through a process involving the PPARγ/NF-κB pathway. Resp Res. 2012;13:110.

    CAS  Google Scholar 

  35. Rosen ED, Spiegelman BM. PPARγ: a nuclear regulator of metabolism, differentiation, and cell growth. J Biol Chem. 2001;276:37731–4.

    Article  CAS  PubMed  Google Scholar 

  36. Straus DS, Pascual G, Li M, Welch JS, Ricote M, Hsiang CH, et al. 15-deoxy-delta 12,14-prostaglandin J2 inhibits multiple steps in the NF-kappa B signaling pathway. Proc Natl Acad Sci U S A. 2000;97:4844–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Rossi A, Kapahi P, Natoli G, Takahashi T, Chen Y, Karin M, et al. Anti-inflammatory cyclopentenone prostaglandins are direct inhibitors of IkappaB kinase. NATURE. 2000;403:103–8.

    Article  CAS  PubMed  Google Scholar 

  38. Ikeda J, et al. PPARγ agonists attenuate palmitate-induced ER stress through up-regulation of SCD-1 in macrophages. PLoS One. 2015;10:e128546.

    Google Scholar 

Download references

Funding

This study was supported by the grants from the National Natural Science Foundation of China (No.81701887; No.81671890) and the Scientific Research Projects of Hubei Education Department (B2016081).

Author information

Authors and Affiliations

Authors

Contributions

Haifa Xia and Yangyang Geng wrote this article and performed the experiments. Fuquan Wang, Jingxu Wang, Shiqian Huang, and Ming Chen established the animal models and collected samples. Yu Ming, Zhouyang Wu, and Shujun Sun analyzed the data and prepared the figures. Weimin Xiao and Shanglong Yao designed the experiments and revised the article. All authors read and approved the final version of the manuscript.

Corresponding authors

Correspondence to Weimin Xiao or Shanglong Yao.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Supplementary Figure1

PDX reduced bacterial CFU counts in BALF after sepsis-induced ALI. Representative pictures of CFU counts in BALF in sham, CLP, LD-PDX, and HD-PDX groups. Data was presented as means ± SEM, n = 7. *P < 0.05 LD-PDX versus the CLP group; ##P < 0.01 HD-PDX versus the CLP group (JPG 78 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Xia, H., Ge, Y., Wang, F. et al. Protectin DX ameliorates inflammation in sepsis-induced acute lung injury through mediating PPARγ/NF-κB pathway. Immunol Res 68, 280–288 (2020). https://doi.org/10.1007/s12026-020-09151-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12026-020-09151-7

Keywords

Navigation