PMID- 35598975 OWN - NLM STAT- MEDLINE DCOM- 20220802 LR - 20220804 IS - 1347-5215 (Electronic) IS - 0918-6158 (Linking) VI - 45 IP - 8 DP - 2022 Aug 1 TI - Selexipag Improves Lipopolysaccharide-Induced ARDS on C57BL/6 Mice by Modulating the cAMP/PKA and cAMP/Epac1 Signaling Pathways. PG - 1043-1052 LID - 10.1248/bpb.b21-01057 [doi] AB - Selexipag, a long-acting and selective prostacyclin (PGI(2)) IP receptor agonist, has in aged rats with stroke revealed effects of inhibiting inflammation, ameliorating damage to the blood-brain barrier, and alleviating oxidative stress. However, in the case of acute respiratory distress syndrome (ARDS) characterized by diffuse alveolar damage and lung capillary endothelial injury, its effects yet remain unknown. In this study, we investigated effects of the prophylaxis by Selexipag on a mouse model of ARDS established by the lipopolysaccharide (LPS) challenge and potential mechanism. Compared to the LPS-challenged mice, the LPS-challenged mice with the prophylaxis by 0.5 or 1 mg/kg of Selexipag exhibited significantly alleviated lung histological manifestations, reduced protein leakage, decreased levels of interleukin (IL)-1beta, IL-6, and monocyte chemotactic protein-1 (MCP-1), diminished expressions of E-selectin and vascular cell adhesion molecule-1 (VCAM-1) mRNA, noticeably increased expressions of zonula occludens-1 (ZO-1) and vascular endothelial cadherin (VE-cadherin) protein, escalated lung cAMP levels, and raised levels of lung relative phosphorylated-protein kinase A catalytic subunit (p-PKA C) at Thr197 and exchange protein activated by cAMP 1 (Epac1) protein. These results suggest that, through suppressing inflammation and reducing vascular endothelial damage, Selexipag can effectively ameliorate the LPS-induced ARDS on mice. The lung cAMP and its downstream signaling modules, PKA and Epac1, possibly constitute the main regulative molecular mechanism. Selexipag appears to hold promise to become a new potential therapeutic option for ARDS. FAU - Chen, Hongliu AU - Chen H AD - Department of Emergency, the First Affiliated Hospital of Guangxi Medical University. FAU - Shen, Ying AU - Shen Y AD - General Practice School, Guangxi Medical University. FAU - Liang, Yi AU - Liang Y AD - Department of Respiratory Medicine, the First Affiliated Hospital of Guangxi Medical University. FAU - Qiu, Ying AU - Qiu Y AD - Department of Emergency, the First Affiliated Hospital of Guangxi Medical University. FAU - Xu, Meili AU - Xu M AD - Department of Emergency, the First Affiliated Hospital of Guangxi Medical University. FAU - Li, Chaoqian AU - Li C AD - Department of Emergency, the First Affiliated Hospital of Guangxi Medical University. LA - eng PT - Journal Article DEP - 20220520 PL - Japan TA - Biol Pharm Bull JT - Biological & pharmaceutical bulletin JID - 9311984 RN - 0 (Acetamides) RN - 0 (Lipopolysaccharides) RN - 0 (Pyrazines) RN - 5EXC0E384L (selexipag) SB - IM MH - *Acetamides/pharmacology MH - Animals MH - Inflammation/metabolism MH - Lipopolysaccharides/toxicity MH - Lung/metabolism MH - Mice MH - Mice, Inbred C57BL MH - *Pyrazines/pharmacology MH - *Respiratory Distress Syndrome/chemically induced/drug therapy MH - Signal Transduction/drug effects OTO - NOTNLM OT - Selexipag OT - acute respiratory distress syndrome OT - exchange protein activated by cAMP 1 (Epacl) OT - protein kinase A (PKA) EDAT- 2022/05/23 06:00 MHDA- 2022/08/03 06:00 CRDT- 2022/05/22 21:23 PHST- 2022/05/23 06:00 [pubmed] PHST- 2022/08/03 06:00 [medline] PHST- 2022/05/22 21:23 [entrez] AID - 10.1248/bpb.b21-01057 [doi] PST - ppublish SO - Biol Pharm Bull. 2022 Aug 1;45(8):1043-1052. doi: 10.1248/bpb.b21-01057. Epub 2022 May 20.