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Updated: May 13, 2026

Cecal Ligation and Puncture-induced Sepsis as a Model To Study Autophagy in Mice
Published on: February 9, 2014
Enhancing autophagy with activated protein C and rapamycin protects against sepsis-induced acute lung injury
Yu-Ting Yen1, Hong-Ren Yang, Hung-Chieh Lo
1Department of Acute Care Surgery, China Medical University, Taichung, Taiwan.
Background:
Autophagy plays distinct roles in apoptosis and the inflammatory process. Understanding the role of autophagy in sepsis-induced acute lung injury (ALI) may provide new insights into developing novel therapeutic strategies for this group of patients. The aim of this study was to investigate the regulation of autophagy in the septic lung and to use pharmacologic agents to modulate autophagy to study its functional significance.
Methods:
Mice were subjected to cecal ligation and puncture (CLP) or a sham operation. At 1 hour after CLP, mice were treated with vehicle, activated protein C (APC), rapamycin, or bafilomycin A1. Mice were humanely killed at 4 or 24 hours after the operation or were observed for ≤ 7 days.
Results:
CLP induced a systemic inflammatory response and significantly decreased survival. In lung tissue, increased leukocyte infiltration, inflammation, and apoptosis were observed. In contrast, autophagy was suppressed after CLP such that the expression of LC3II, Atg5, and Rab7 were downregulated. Rapamycin activated autophagy, limited the CLP-induced proinflammatory response, and downregulated apoptotic activity after CLP. The administration of APC after CLP had an effect similar to that of rapamycin. Both medications significantly improved survival 7 days after CLP.
Conclusion:
The downregulation of autophagy may lead to systemic inflammation and ALI after sepsis. The direct or indirect modification of autophagy using rapamycin or APC, respectively, resulted in improved survival. Enhancing or restoring autophagy early after sepsis seems to be a potential strategy for the treatment of sepsis-induced ALI.
Insights
Sepsis suppresses autophagy, increasing lung injury and inflammation. Enhancing autophagy with rapamycin or activated protein C (APC) improves survival in sepsis-induced acute lung injury (ALI).
Area of Science:
- Cellular Biology
- Immunology
- Pathophysiology
Background:
- Autophagy is crucial in regulating apoptosis and inflammation.
- Sepsis-induced acute lung injury (ALI) involves complex inflammatory and apoptotic processes.
- Investigating autophagy's role in ALI is key for novel therapeutic development.
Purpose of the Study:
- To investigate autophagy regulation in septic lungs.
- To assess the functional significance of modulating autophagy using pharmacologic agents.
- To explore therapeutic strategies for sepsis-induced ALI.
Main Methods:
- Mice underwent cecal ligation and puncture (CLP) or sham surgery.
- Pharmacologic agents (rapamycin, activated protein C [APC], bafilomycin A1) were administered post-CLP.
- Lung tissue and survival were analyzed at various time points.
Main Results:
- CLP induced systemic inflammation, decreased survival, and increased lung leukocyte infiltration, inflammation, and apoptosis.
- Autophagy was suppressed post-CLP, evidenced by downregulated LC3II, Atg5, and Rab7.
- Rapamycin and APC treatments activated autophagy, reduced inflammation, and decreased apoptosis, significantly improving 7-day survival.
Conclusions:
- Autophagy downregulation contributes to sepsis-induced systemic inflammation and ALI.
- Modulating autophagy, either directly (rapamycin) or indirectly (APC), enhances survival.
- Early enhancement or restoration of autophagy presents a promising therapeutic strategy for sepsis-induced ALI.
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