NEMO-Binding Domain Peptide Attenuates Lipopolysaccharide-Induced Acute Lung Injury by Inhibiting the NF-κB Signaling Pathway
Hindawi Publishing Corporation
Mediators of Inflammation
Volume 2016, Article ID 7349603, 11 pages
http://dx.doi.org/10.1155/2016/7349603
Research Article
NEMO-Binding Domain Peptide Attenuates
Lipopolysaccharide-Induced Acute Lung Injury by
Inhibiting the NF-𝜅B Signaling Pathway
Jianhua Huang,1,2 Li Li,1 Weifeng Yuan,1 Linxin Zheng,1
Zhenhui Guo,3,4 and Wenjie Huang1,4
1
Department of Respiratory Medicine, General Hospital of Guangzhou Military Command of PLA, Guangzhou, Guangdong, China
Department of Pulmonary Medicine, Chenzhou No. 1 People’s Hospital, Chenzhou, Hunan, China
3
Department of Medical Intensive Care Unit, General Hospital of Guangzhou Military Command of PLA,
Guangzhou, Guangdong, China
4
Guangdong Provincial Key Laboratory of Geriatric Infection and Organ Function Support, Guangzhou, Guangdong, China
2
Correspondence should be addressed to Zhenhui Guo; and Wenjie Huang;
Received 11 July 2016; Revised 5 September 2016; Accepted 15 September 2016
Academic Editor: Yutong Zhao
Copyright © 2016 Jianhua Huang et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The aim of the present study is to investigate the protective effects and relevant mechanisms exerted by NEMO-binding domain
peptide (NBD) against lipopolysaccharide- (LPS-) induced acute lung injury (ALI) in mice. The ALI model was induced by
intratracheally administered atomized LPS (5 mg/kg) to BABL/c mice. Half an hour before LPS administration, we treated the
mice with increasing concentrations of intratracheally administered NBD or saline aerosol. Two hours after LPS administration,
each group of mice was sacrificed. We observed that NBD pretreatment significantly attenuated LPS-induced lung histopathological
injury in a dose-dependent manner. Western blotting established that NBD pretreatment obviously attenuated LPS-induced I𝜅B-𝛼
and NF-𝜅Bp65 activation and NOX1, NOX2, and NOX4 overexpression. Furthermore, NBD pretreatment increased SOD and TAOC activity and decreased MDA levels in lung tissue. In addition, NBD also inhibited TNF-𝛼 and IL-1𝛽 secretion in BALF after
LPS challenge. In conclusion, NBD protects against LPS-induced ALI in mice.
1. Introduction
Acute lung injury (ALI) is caused by microbial infection, sepsis, trauma, and ischemia and reperfusion, leading to epithelial integrity disruption, neutrophil accumulation, noncardiogenic pulmonary edema, severe hypoxemia, and intense
pulmonary inflammatory responses. The acute respiratory
distress syndrome (ARDS) is a more severe form of ALI.
Both ALI and ARDS are major causes of acute respiratory
failure and leading causes of morbidity and mortality in
critically ill patients [1, 2]. In recent years, rapid advances in
supportive care, such as mechanical ventilation, have been
achieved. However, several data analyses have shown that
the mortality rate associated with ALI- or ARDS-induced
acute respiratory failure is still high at approximately 40%
[3–5]. The pathogenesis of ALI/ARDS is characterized by
polymorphonuclear cells (PMNs) infiltration into the lungs,
which may cause interstitial edema. In addition, the alveoli
develop fibrin leakage, resulting in increases in the levels
of macrophage-derived cytokines, chemokines, and other
proinflammatory mediators in the lungs [6]. The results of
previous studies indicate that many specific therapies have
not proven beneficial with respect to managing ALI/ARDS
[7]. Therefore, investigating the mechanisms underlying
ALI/ARDS is necessary, as such investigations may contribute to the development of novel effective treatments for
ALI/ARDS.
ALI research relies mainly on animal models. The intratracheal lipopolysaccharide (LPS) administration model is
the most commonly used clinically relevant severe lung
injury model for studying the pathophysiologic mechanisms
underlying ALI, as it simulates the human disease [8]. LPS
2
are components of gram-negative bacterial walls and play
an important role in ALI by inducing PMNs infiltration
into injured lung tissue, mimicking clinical ALI progression.
TNF-𝛼 and keratinocyte-derived chemokines are secreted
during this process and recruit intravascular PMNs into
the alveolar spaces [9]. These activated PMNs generate
superoxide anions (O2 − ) and release proteases via respiratory
bursts and degranulation [10]. This excessive inflammatory
response induces significant lipid peroxidation and antioxidant enzyme activity alterations, thereby disrupting lung
endothelial integrity [11].
It is accepted that NF-𝜅B, a critical transcriptional factor,
plays an important role in the pathogenesis of ALI/ARDS
[12]. A variety of experimental techniques have demonstrated
that NF-𝜅B exists in both the cytoplasm and the nucleus. NF𝜅B activation induces its translocation from the cytoplasm to
the nucleus. NF-𝜅B is activated by LPS and some cytokines,
such as TNF-𝛼 and IL-1𝛽. These cytokines initiate a cascade
of events leading to I𝜅B phosphorylation by I𝜅B kinase
(IKK), which triggers I𝜅B degradation by the ubiquitin–
proteasome pathway. I𝜅B, an inhibitory protein, binds to
P65 and P50, two NF-𝜅B subunits, under normal conditions.
I𝜅B degradation removes a nuclear localization signal from
NF-𝜅B, resulting in its uncoiling and translocation into
the nucleus. This uncoiling is thought to activate the transcription of cytokines and other proinflammatory mediators
[13, 14]. IKK comprises three subunits, IKK𝛼, IKK𝛽, and
IKK𝛾, which are also collectively known as NEMO (NF-𝜅B
essential modulator). IKK𝛾 has no catalytic domain and plays
a critical role in biology only when being a part of the IKK
complex [15]. The NH2-terminus of NEMO associates with
a hexapeptide sequence (Leu-Asp-Trp-Ser-Trp-Leu) within
the COOH terminus of IKK𝛼 and IKK𝛽 termed the NEMObinding domain (NBD). Previous studies have shown that
LPS induces the NF-𝜅B activation required for NBD activity.
NBD disrupts the association between NEMO and IKK𝛽
and blocks LPS-induced NF-𝜅B activation in cells, which
ameliorates the inflammatory response and oxidative stress in
distinct animal models to some extent [16, 17]. The results of
previous studies indicate that understanding the mechanisms
underlying the protective effects of NBD may facilitate the
development of therapies that are effective against ALI.
Therefore, the aim of the current study was to elucidate
the mechanisms underlying the protective effects exerted by
NBD against LPS-induced ALI.
2. Materials and Methods
2.1. Chemicals and Reagents. LPS (from Escherichia coli 055:
B5) was purchased from Sigma-Aldrich, St. Louis, MO, USA.
NBD and N-NBD (negative control) were obtained from
MERCK (NBD amino acid sequence: H-Asp-Arg-Gln-IleLys-IIe-Trp-Phe-Gln-Asn-Arg-Arg-Met-Lys-Trp-Lys-Lys-ThrAla-Leu-Asp-Trp-Ser-Trp-Leu-Gln-Thr-Glu-OH; N-NBD
amino acid sequence: H2N-Asp-Arg-Gln-Ile-Lys-IIe-TrpPhe-Gl (...truncated)