Methylprednisolone alleviates lung injury in sepsis by regulating miR-151-5p/USP38 pathway

Zhize Yuan1, Qiuyun Wang2, Yongchang Tan2

  • 1Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai 200433, China.

Abstract

Insights

Methylprednisolone (MP) treats acute lung injury (ALI) by reducing inflammation and apoptosis. It works by suppressing miR-151-5p, which activates USP38, promoting alveolar cell proliferation.

Area of Science:

  • Pulmonary Medicine
  • Molecular Biology
  • Cell Biology

Background:

  • Acute lung injury (ALI) involves lung blood vessel permeability and impaired gas exchange.
  • Methylprednisolone (MP) is used for ALI to reduce inflammation, but its mechanism is unclear.
  • Lipopolysaccharide (LPS) is a common inducer of ALI models.

Purpose of the Study:

  • To investigate the molecular mechanisms of Methylprednisolone (MP) in treating acute lung injury (ALI) induced by lipopolysaccharide (LPS).
  • To explore the role of miR-151-5p and USP38 in MP's therapeutic effects on ALI.

Main Methods:

  • Assessed alveolar type II epithelial cell (AECII) proliferation, viability, and apoptosis using EdU, CCK-8, and Annexin V/PI assays.
  • Quantified miR-151-5p expression via RT-qPCR and USP38 protein levels via Western blot.
  • Utilized ELISA for cytokine measurement and ChIP-PCR/dual-luciferase assays to confirm miR-151-5p and USP38 interaction.

Main Results:

  • MP improved pulmonary function, reduced inflammation, and enhanced AECII proliferation in ALI models.
  • LPS increased miR-151-5p in AECII, while MP treatment decreased it.
  • MP increased USP38 levels, a downstream target of miR-151-5p. Inhibiting miR-151-5p or overexpressing USP38 mimicked MP's protective effects.

Conclusions:

  • MP alleviates LPS-induced inflammation and apoptosis in AECII.
  • MP promotes AECII proliferation by suppressing miR-151-5p and activating USP38.