The role of β2 integrin associated heparin-binding protein release in ARDS

Yang Liu1, Shaolin Ma2, Xuebin Wang2

  • 1Department of Critical Care Medicine, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China; Department of Critical Care Medicine, East Hospital, Tongji University School of Medicine, Shanghai, China.

Life Sciences
|April 22, 2018
PubMed
Abstract

Insights

Heparin-Binding Protein (HBP) and β2 integrin, both elevated in Acute Respiratory Distress Syndrome (ARDS), are crucial for vascular leakage. Targeting the β2 integrin-PI3K pathway offers a novel therapeutic strategy for ARDS.

Area of Science:

  • Immunology
  • Pulmonary Medicine
  • Cell Biology

Background:

  • Polymorphonuclear neutrophils (PMNs) are key players in early inflammation during Acute Respiratory Distress Syndrome (ARDS).
  • Both Heparin-Binding Protein (HBP) released from activated PMNs and β2 integrins on PMN surfaces contribute to vascular leakage in ARDS.
  • The precise relationship and roles of HBP and β2 integrins in ARDS pathogenesis require further elucidation.

Purpose of the Study:

  • To investigate the roles and interrelationship of HBP and β2 integrins in the development of ARDS.
  • To explore the potential of targeting HBP and β2 integrin pathways for ARDS treatment.

Main Methods:

  • An ARDS mouse model was established using cecal ligation and puncture (CLP).
  • Mice were treated with antibodies to inhibit HBP and β2 integrin, or challenged with HBP via endotracheal instillation.
  • PMNs were analyzed in vitro following stimulation and pre-treatment with inhibitors of β2 integrin, HBP, PI3K, and MAPK pathways.

Main Results:

  • The CLP group exhibited elevated levels of HBP and β2 integrin, which correlated with each other and the severity of lung injury.
  • Endotracheal HBP instillation exacerbated lung injury in CLP mice.
  • Inhibition of both HBP and β2 integrin ameliorated lung injury, with HBP release found to be dependent on the β2 integrin-PI3K pathway.

Conclusions:

  • HBP and β2 integrin are critical mediators in ARDS pathogenesis.
  • HBP release from PMNs is regulated by the β2 integrin-PI3K signaling pathway.
  • This pathway represents a promising therapeutic target for ARDS treatment.

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