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YAP expression in endothelial cells prevents ventilator-induced lung injury

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单位: [1]Department of Anesthesiology, University of Illinois College of Medicine, Chicago, Illinois [2]Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China [3]Department of Pharmacology, University of Illinois College of Medicine, Chicago, Illinois [4]Program for Lung and Vascular Biology, Stanley Manne Children’s Research Institute, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois [5]Division of Critical Care, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois [6]Department of Anesthesiology, Affiliated Hospital of Jining Medical University, Shandong, China
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关键词: inflammation vascular endothelial-cadherin vascular endothelial protein tyrosine phosphatase ventilator-induced lung injury Yes-associated protein

摘要:
Ventilator-induced lung injury is associated with an increase in mortality in patients with respiratory dysfunction, although mechanical ventilation is an essential intervention implemented in the intensive care unit. Intrinsic molecular mechanisms for minimizing lung inflammatory injury during mechanical ventilation remain poorly defined. We hypothesize that Yes-associated protein (YAP) expression in endothelial cells protects the lung against ventilator-induced injury. Wild-type and endothelial-specific YAP-deficient mice were subjected to a low (7 mL/kg) or high (21 mL/kg) tidal volume (VT) ventilation for 4 h. Infiltration of inflammatory cells into the lung, vascular permeability, lung histopathology, and the levels of inflammatory cytokines were measured. Here, we showed that mechanical ventilation with high VT upregulated YAP protein expression in pulmonary endothelial cells. Endothelial-specific YAP knockout mice following high VT ventilation exhibited increased neutrophil counts and protein content in bronchoalveolar lavage fluid, Evans blue leakage, and histological lung injury compared with wild-type littermate controls. Deletion of YAP in endothelial cells exaggerated vascular endothelial (VE)-cadherin phosphorylation, downregulation of vascular endothelial protein tyrosine phosphatase (VE-PTP), and dissociation of VE-cadherin and catenins following mechanical ventilation. Importantly, exogenous expression of wild-type VE-PTP in the pulmonary vasculature rescued YAP ablation-induced increases in neutrophil counts and protein content in bronchoalveolar lavage fluid, vascular leakage, and histological lung injury as well as VE-cadherin phosphorylation and dissociation from catenins following ventilation. These data demonstrate that YAP expression in endothelial cells suppresses lung inflammatory response and edema formation by modulating VE-PTP-mediated VE-cadherin phosphorylation and thus plays a protective role in ventilator-induced lung injury.

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出版当年[2020]版:
大类 | 2 区 医学
小类 | 2 区 生理学 3 区 呼吸系统
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 生理学 3 区 呼吸系统
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出版当年[2019]版:
Q1 PHYSIOLOGY Q2 RESPIRATORY SYSTEM
最新[2023]版:
Q1 PHYSIOLOGY Q1 RESPIRATORY SYSTEM

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

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第一作者单位: [1]Department of Anesthesiology, University of Illinois College of Medicine, Chicago, Illinois [2]Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
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通讯机构: [1]Department of Anesthesiology, University of Illinois College of Medicine, Chicago, Illinois [3]Department of Pharmacology, University of Illinois College of Medicine, Chicago, Illinois
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