Recombinant adiponectin protects the newborn rat lung from lipopolysaccharide-induced inflammatory injury

Julijana Ivanovska1, Na-Young Cindy Kang1, Nikola Ivanovski1

  • 1The Hospital for Sick Children, Division of Neonatology, Department of Pediatrics and Translational Medicine Program, University of Toronto, Toronto, ON, Canada.

Physiological Reports
|September 5, 2020
PubMed

Insights

Adiponectin (APN) protects preterm infant lungs from inflammatory injury. Administering recombinant APN reduced inflammatory markers and lung damage in newborn rats, suggesting a therapeutic role for APN in neonatal lung disease.

Area of Science:

  • Neonatal physiology
  • Pulmonary medicine
  • Endocrinology

Background:

  • Preterm infants face high risks of bronchopulmonary dysplasia and pulmonary hypertension due to inflammatory lung injury.
  • Adiponectin (APN), an adipocyte-derived hormone, demonstrates protective effects against lung inflammation and vascular remodeling in adult models.
  • Cord blood APN levels are significantly lower in premature infants born before 26 weeks gestation compared to term infants.

Purpose of the Study:

  • To characterize the expression profile of APN and its receptors in specific neonatal rat lung cells.
  • To investigate the effects of exogenous recombinant APN (rAPN) on lipopolysaccharide (LPS)-induced inflammation in neonatal rat lungs.

Main Methods:

  • In vitro studies using primary cultures of pulmonary artery smooth muscle cells exposed to rAPN and LPS.
  • In vivo studies involving intraperitoneal administration of rAPN to newborn rats followed by intrapharyngeal LPS challenge.
  • Analysis of gene and protein expression of inflammatory cytokines and chemokines (e.g., IL-1ß, MCP-1, MIP-1α) and assessment of lung histopathology.

Main Results:

  • In vitro, rAPN attenuated pro-inflammatory cytokine expression and increased anti-inflammatory cytokine expression in response to LPS.
  • In vivo, rAPN administration significantly reduced the expression of IL-1ß, MCP-1, and MIP-1α in the lungs of LPS-exposed newborn rats.
  • rAPN treatment decreased LPS-induced lung histopathological damage, regardless of whether it was administered before or after LPS exposure.

Conclusions:

  • Adiponectin plays a role in protecting the neonatal lung from inflammation.
  • Exogenous recombinant APN demonstrates potential as a therapeutic agent to mitigate inflammatory lung injury in early development.
  • These findings support further investigation into APN-based therapies for neonatal lung diseases.

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