Involvement of the neuropeptide substance P in lung inflammation induced by hepatic ischemia/reperfusion

T Okaya1, R Holthaus, A Kato

  • 1Laboratory of Trauma, Sepsis & Inflammation Research, Department of Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, OH 45267-0558, USA.

Abstract

Insights

Hepatic ischemia triggers substance P release in the lungs, activating NF-kappaB and leading to neutrophil accumulation via MIP-2. This study reveals a key pathway in lung injury following liver reperfusion.

Area of Science:

  • Immunology
  • Physiology
  • Gastroenterology

Background:

  • Hepatic ischemia/reperfusion (I/R) injury can lead to systemic complications, including acute lung injury.
  • Neutrophil infiltration into the lungs is a hallmark of inflammatory responses following I/R.

Purpose of the Study:

  • To investigate the role of substance P in mediating neutrophil accumulation in the lungs after hepatic I/R.
  • To elucidate the molecular mechanisms linking hepatic I/R to pulmonary inflammation.

Main Methods:

  • Murine model of partial hepatic ischemia with or without reperfusion.
  • Assessment of lung neutrophil accumulation via myeloperoxidase activity.
  • Analysis of nuclear factor-kappaB (NF-kappaB) activation using electrophoretic mobility shift assay.
  • Quantification of substance P and macrophage inflammatory protein-2 (MIP-2) in bronchoalveolar lavage (BAL) fluid using ELISA.

Main Results:

  • Pulmonary neutrophil accumulation correlated with elevated substance P levels in BAL fluid prior to hepatic reperfusion.
  • Intratracheal administration of substance P induced neutrophil accumulation, NF-kappaB activation, and increased MIP-2 levels in the lungs.
  • These findings suggest a direct role for substance P in initiating the inflammatory cascade.

Conclusions:

  • Hepatic ischemia induces substance P release in the lung.
  • Substance P activates NF-kappaB, promoting MIP-2 production and subsequent neutrophil recruitment.
  • This pathway highlights substance P as a potential therapeutic target for lung injury post-hepatic I/R.