PMID- 37465664 OWN - NLM STAT- MEDLINE DCOM- 20230721 LR - 20230721 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 14 DP - 2023 TI - Reduning alleviates sepsis-induced acute lung injury by reducing apoptosis of pulmonary microvascular endothelial cells. PG - 1196350 LID - 10.3389/fimmu.2023.1196350 [doi] LID - 1196350 AB - INTRODUCTION: Sepsis-induced acute lung injury (SALI) is a critical illness with high mortality, and pulmonary microvascular endothelial cells (PMECs) barrier dysfunction is a well-documented pathogenesis of SALI. The current study aimed to investigate the underlying mechanism of Reduning (RDN) in the treatment of SALI. METHODS: Network pharmacology and molecular dynamics simulation (MDS) were used to confirm the possibility of key active components of RDN combining with AKT1. Hematoxylin-eosin staining (HE) and immunohistochemistry (IHC) were used to investigate the effect of RDN in vivo. Immunofluorescence (IF) and co-immunoprecipitation (CoIP) were used to investigate the relationship between mammalian target of rapamycin (mTOR) and Bax in PMECs. ELISA was used to test the level of TNF-alpha. Flow cytometry was used to detect apoptosis. JC-1 and electron microscopy were used to evaluate mitochondrial damage. The results showed that RDN likely alleviated SALI via targeting AKT1. RESULTS: In vivo, RDN could evidently decrease the expression levels of apoptosis-related proteins, alleviate mitochondrial damage, reduce lung tissue edema, down-regulate the level of TNF-alpha in the serum, and improve the mortality of sepsis in mice. In vitro, RDN had a significant effect on reducing the level of apoptosis-related proteins and cell apoptosis rate, while also mitigated mitochondrial damage. Furthermore, RDN could effectively lower the level of Bax in PMECs and increase the level of mTOR both in vivo and in vitro. Notably, mTOR has the ability to directly bind to Bax, and RDN can enhance this binding capability. DISCUSSION: RDN could attenuate SALI through reducing apoptosis of PMECs, which is a promising therapeutic strategy for SALI prevention. CI - Copyright (c) 2023 Wang, Guo, Wang, Liao, Chen, Liu and Wang. FAU - Wang, Ziyi AU - Wang Z AD - Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Guo, Zhe AU - Guo Z AD - Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Wang, Xuesong AU - Wang X AD - Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Liao, Haiyan AU - Liao H AD - Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Chen, Feng AU - Chen F AD - Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. FAU - Liu, Yuxin AU - Liu Y AD - Department of Cardiovascular Thoracic Surgery, Tianjin Medical University General Hospital, Tianjin, China. FAU - Wang, Zhong AU - Wang Z AD - Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. LA - eng PT - Journal Article DEP - 20230703 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (reduning) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (bcl-2-Associated X Protein) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - 0 (Apoptosis Regulatory Proteins) SB - IM MH - Mice MH - Animals MH - Endothelial Cells/metabolism MH - Tumor Necrosis Factor-alpha/metabolism MH - bcl-2-Associated X Protein MH - Lung/pathology MH - *Acute Lung Injury/metabolism MH - Apoptosis MH - TOR Serine-Threonine Kinases/metabolism MH - *Pulmonary Edema/pathology MH - Apoptosis Regulatory Proteins/metabolism MH - *Sepsis/metabolism MH - Mammals/metabolism PMC - PMC10350519 OTO - NOTNLM OT - Bax OT - Reduning OT - SALI OT - apoptosis OT - mTOR OT - network pharmacology COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/07/19 06:42 MHDA- 2023/07/21 06:42 PMCR- 2023/01/01 CRDT- 2023/07/19 04:05 PHST- 2023/03/29 00:00 [received] PHST- 2023/06/15 00:00 [accepted] PHST- 2023/07/21 06:42 [medline] PHST- 2023/07/19 06:42 [pubmed] PHST- 2023/07/19 04:05 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2023.1196350 [doi] PST - epublish SO - Front Immunol. 2023 Jul 3;14:1196350. doi: 10.3389/fimmu.2023.1196350. eCollection 2023.