PIM1 inhibition attenuated endotoxin-induced acute lung injury through modulating ELK3/ICAM1 axis on pulmonary

Yumeng Cao1, Xia Chen1, Yuqi Liu1

  • 1Department of Anesthesiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 20080, China.

Abstract

Insights

PIM1 inhibition protects against acute lung injury (ALI) by modulating the ELK3/ICAM1 pathway in pulmonary microvascular endothelial cells (PMVECs). This finding suggests PIM1 as a potential therapeutic target for ALI.

Area of Science:

  • Pulmonary Medicine
  • Molecular Biology
  • Cellular Biology

Background:

  • Pulmonary microvascular endothelial cell (PMVEC) dysfunction is central to acute lung injury/acute respiratory distress syndrome (ALI/ARDS).
  • The role of PIM1 kinase in PMVEC injury during ALI remains largely uncharacterized.
  • Severe infections can trigger ALI/ARDS, highlighting the need to understand underlying cellular mechanisms.

Purpose of the Study:

  • To investigate the role of PIM1 in endotoxin-induced ALI.
  • To explore the molecular mechanisms by which PIM1 influences PMVEC injury.
  • To assess PIM1 as a potential therapeutic target for ALI.

Main Methods:

  • Measured PIM1 levels in lung tissues of ALI mice and plasma from ALI patients.
  • Evaluated the protective effects of PIM1 inhibitor SMI-4a on ALI using histological and functional assessments.
  • Validated the PIM1-ELK3-ICAM-1 axis in vitro and in vivo.
  • Correlated plasma PIM1 levels with ALI biomarkers in patients.

Main Results:

  • PIM1 expression was elevated in endotoxin-induced ALI mouse lungs.
  • PIM1 inhibition with SMI-4a ameliorated ALI severity, improving lung histology, permeability, and survival.
  • PIM1 was found to regulate ICAM-1 expression via the transcription factor ELK3 in PMVECs.
  • Plasma PIM1 levels correlated positively with Ang-II and PAI-1, and negatively with the PaO2/FiO2 ratio in ALI patients.

Conclusions:

  • PIM1 inhibition demonstrates a protective effect against endotoxin-induced ALI.
  • The protective mechanism involves modulating the ELK3/ICAM-1 axis in PMVECs.
  • PIM1 represents a promising therapeutic target for managing ALI.

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