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临床科室麻醉科麻醉科首都医科大学附属北京友谊医院[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
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.
基金:
NIH National Heart, Lung, and Blood Institute (NHLBI)United States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Heart Lung & Blood Institute (NHLBI) [HL104092]; NIH National Institute of Allergy and Infectious DiseasesUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Allergy & Infectious Diseases (NIAID) [R21AI152249]; NIH NHLBIUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Heart Lung & Blood Institute (NHLBI) [HL152696]
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
通讯作者:
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
推荐引用方式(GB/T 7714):
Kai Su,Jianguo Wang,Yang Lv,et al.YAP expression in endothelial cells prevents ventilator-induced lung injury[J].AMERICAN JOURNAL of PHYSIOLOGY-LUNG CELLULAR and MOLECULAR PHYSIOLOGY.2021,320(4):L568-L582.doi:10.1152/ajplung.00472.2020.
APA:
Kai Su,Jianguo Wang,Yang Lv,Ming Tian,You-Yang Zhao...&Guochang Hu.(2021).YAP expression in endothelial cells prevents ventilator-induced lung injury.AMERICAN JOURNAL of PHYSIOLOGY-LUNG CELLULAR and MOLECULAR PHYSIOLOGY,320,(4)
MLA:
Kai Su,et al."YAP expression in endothelial cells prevents ventilator-induced lung injury".AMERICAN JOURNAL of PHYSIOLOGY-LUNG CELLULAR and MOLECULAR PHYSIOLOGY 320..4(2021):L568-L582