Unveiling the potential therapeutic role of nifuroxazide and liraglutide combination in mitigating LPS-induced acute lung injury through modulation of AT1R/JAK-2/STAT-3 by ACE2/ Ang1-7/MasR signaling in male albino rats: in vivo and in silico study

  • 0Department of Medical Pharmacology, Faculty of Medicine, Cairo University, El- Manial, Cairo 11562, Egypt; Department of Medical Pharmacology, Faculty of Medicine, Nahda University, Beni Suef 62521, Egypt.

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Summary

This summary is machine-generated.

This study shows that combining liraglutide and nifuroxazide effectively treats septic acute lung injury (S-ALI) in rats. The combination improved survival and reduced inflammation by modulating key signaling pathways.

Area Of Science

  • Pharmacology and Toxicology
  • Respiratory Medicine
  • Molecular Biology

Background

  • Septic acute lung injury (S-ALI) is a severe condition with high mortality.
  • Current treatments for S-ALI have limitations, necessitating novel therapeutic strategies.
  • The JAK2/STAT3/NFκB pathway and the ACE2/Ang1-7/MAS receptor axis are implicated in S-ALI pathogenesis.

Purpose Of The Study

  • To investigate the therapeutic potential of combining liraglutide (LIR) and nifuroxazide (NIF) for S-ALI.
  • To elucidate the underlying molecular mechanisms involving the JAK2/STAT3/NFκB and ACE2/Ang1-7/MAS pathways.
  • To validate findings through molecular dynamic simulations and experimental studies.

Main Methods

  • Animal model: Seventy-five male Wistar albino rats were used, divided into control, LPS-induced S-ALI, and treatment groups (ALI+NIF, ALI+LIR, ALI+LIR+NIF).
  • Assessment of therapeutic effects: Survival rates, metabolic acidosis, inflammatory markers (IL-6, TNFα, iNOS, MPO, IL-1β), pulmonary edema, redox balance (SOD, catalase, GSH), histopathology, and protein/mRNA expression.
  • Molecular dynamic simulations were employed to support experimental findings.

Main Results

  • The LIR+NIF combination significantly improved 7-day survival rates and ameliorated metabolic acidosis in S-ALI rats.
  • Combined treatment markedly reduced inflammatory responses and pulmonary leakage, restoring redox balance and improving histopathological scores.
  • LIR+NIF downregulated JAK2/STAT3/NFκB signaling while upregulating the ACE2/Ang1-7/MAS axis and lung surfactant B expression.

Conclusions

  • The combination of liraglutide and nifuroxazide demonstrates significant therapeutic efficacy in managing septic acute lung injury.
  • This regimen modulates key inflammatory and protective signaling pathways, offering a promising novel treatment strategy for S-ALI.
  • The study provides a comprehensive understanding of the combined therapeutic effects, supported by both experimental and computational approaches.

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