دورية أكاديمية

Precision targeting of the vagal anti-inflammatory pathway attenuates the systemic inflammatory response to burn injury

التفاصيل البيبلوغرافية
العنوان: Precision targeting of the vagal anti-inflammatory pathway attenuates the systemic inflammatory response to burn injury
المؤلفون: Costantini, Todd W, Coimbra, Raul, Weaver, Jessica L, Eliceiri, Brian P
المصدر: Journal of Trauma and Acute Care Surgery, vol 92, iss 2
بيانات النشر: eScholarship, University of California
سنة النشر: 2022
المجموعة: University of California: eScholarship
مصطلحات موضوعية: Biomedical and Clinical Sciences, Clinical Sciences, Lung, Digestive Diseases, Neurosciences, Physical Injury - Accidents and Adverse Effects, 5.1 Pharmaceuticals, Development of treatments and therapeutic interventions, Oral and gastrointestinal, Animals, Burns, Dextrans, Disease Models, Animal, Fluorescein-5-isothiocyanate, Intestinal Mucosa, Lung Injury, Male, Mice, Inbred C57BL, Neuroimmunomodulation, Permeability, Systemic Inflammatory Response Syndrome, Vagus Nerve, alpha7 Nicotinic Acetylcholine Receptor, cholinergic anti-inflammatory, alpha 7 nicotinic acetylcholine, intestine, Nursing
جغرافية الموضوع: 323 - 329
الوصف: BackgroundThe systemic inflammatory response (SIRS) drives late morbidity and mortality after injury. The α7 nicotinic acetylcholine receptor (α7nAchR) expressed on immune cells regulates the vagal anti-inflammatory pathway that prevents an overwhelming SIRS response to injury. Nonspecific pharmacologic stimulation of the vagus nerve has been evaluated as a potential therapeutic to limit SIRS. Unfortunately, the results of clinical trials have been underwhelming. We hypothesized that directly targeting the α7nAchR would more precisely stimulate the vagal anti-inflammatory pathway on immune cells and decrease gut and lung injury after severe burn.MethodsC57BL/6 mice underwent 30% total body surface area steam burn. Mice were treated with an intraperitoneal injection of a selective agonist of the α7nAchR (AR-R17779) at 30 minutes postburn. Intestinal permeability to 4 kDa FITC-dextran was measured at multiple time points postinjury. Lung vascular permeability was measured 6 hours after burn injury. Serial behavioral assessments were performed to quantify activity levels.ResultsIntestinal permeability peaked at 6 hours postburn. AR-R17779 decreased burn-induced intestinal permeability in a dose-dependent fashion (p < 0.001). There was no difference in gut permeability to 4 kDa FITC-dextran between sham and burn-injured animals treated with 5 mg/kg of AR-R17779. While burn injury increased lung permeability 10-fold, AR-R17779 prevented burn-induced lung permeability with no difference compared with sham (p < 0.01). Postinjury activity levels were significantly improved in burned animals treated with AR-R17779.ConclusionDirectly stimulating the α7nAchR prevents burn-induced gut and lung injury. Directly targeting the α7nAChR that mediates the cholinergic anti-inflammatory response may be an improved strategy compared with nonspecific vagal agonists.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: unknown
العلاقة: qt9fs193dj; https://escholarship.org/uc/item/9fs193djTest
الإتاحة: https://escholarship.org/uc/item/9fs193djTest
حقوق: public
رقم الانضمام: edsbas.461D7334
قاعدة البيانات: BASE