1. Mitochondrial alarmins are tissue mediators of ventilator-induced lung injury and ARDS
- Author
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Laure-Anne Pauchard, Serge Grazioli, Pierre-Emmanuel Charles, Irène Dunn-Siegrist, Mathieu Blot, and Jérôme Pugin
- Subjects
Male ,ARDS ,Critical Care and Emergency Medicine ,Pulmonology ,Pharmacology ,Pathology and Laboratory Medicine ,Biochemistry ,0302 clinical medicine ,Animal Cells ,Neutrophil Infiltration/drug effects ,Medicine ,Immune Response ,Acute Respiratory Distress Syndrome ,Energy-Producing Organelles ,Mammals ,ddc:618 ,Macrophages/cytology/drug effects/metabolism ,ddc:617 ,Eukaryota ,Mitochondrial DNA ,Nucleic acids ,Neutrophil Infiltration ,Leporids ,Cellular Structures and Organelles ,Cellular Types ,Bronchoalveolar Lavage Fluid ,Forms of DNA ,Immune Cells ,Physiological ,Science ,Immunology ,DNA, Mitochondrial ,Bronchoalveolar Lavage Fluid/chemistry ,03 medical and health sciences ,Signs and Symptoms ,Conditioned/pharmacology ,Genetics ,Humans ,A549 cell ,Blood Cells ,Oligoribonucleotides ,Macrophages ,Toll-Like Receptor 9/antagonists & inhibitors/genetics/metabolism ,Organisms ,Chemotaxis ,DNA ,medicine.disease ,Culture Media ,respiratory tract diseases ,030104 developmental biology ,chemistry ,A549 Cells ,Culture Media, Conditioned ,Animal Studies ,0301 basic medicine ,Lipopolysaccharide ,Neutrophils ,Ventilator-Induced Lung Injury ,White Blood Cells ,chemistry.chemical_compound ,Adult/metabolism/pathology ,Medicine and Health Sciences ,Alarmins ,Respiratory Distress Syndrome ,Multidisciplinary ,medicine.diagnostic_test ,Animal Models ,respiratory system ,Mitochondria ,Cell Motility ,medicine.anatomical_structure ,Experimental Organism Systems ,Vertebrates ,Rabbits ,medicine.symptom ,Mitochondria/drug effects/genetics/metabolism ,Research Article ,Inflammation ,Bioenergetics ,Lung injury ,Research and Analysis Methods ,Mitochondrial/metabolism ,Stress ,Respiratory Failure ,Stress, Physiological ,Diagnostic Medicine ,Animals ,Lung ,Biology and life sciences ,Antisense/metabolism ,business.industry ,Interleukin-8 ,030208 emergency & critical care medicine ,Cell Biology ,Bronchoalveolar lavage ,Toll-Like Receptor 9 ,Amniotes ,Interleukin-8/genetics/metabolism ,business ,Alarmins/metabolism ,Ventilator-Induced Lung Injury/metabolism/pathology ,Oligoribonucleotides, Antisense - Abstract
RationaleEndogenous tissue mediators inducing lung inflammation in the context of ventilator-induced lung injury (VILI) and acute respiratory distress syndrome (ARDS) are ill-defined.ObjectivesTo test whether mitochondrial alarmins are released during VILI, and are associated with lung inflammation.MethodsRelease of mitochondrial DNA, adenosine triphosphate (ATP), and formyl-Met-Leu-Phe (fMLP) peptide-dependent neutrophil chemotaxis were measured in conditioned supernatants from human alveolar type II-like (A549) epithelial cells submitted to cyclic stretch in vitro. Similar measurements were performed in bronchoalveolar lavage fluids from rabbits submitted to an injurious ventilatory regimen, and from patients with ARDS.Measurements and main resultsMitochondrial DNA was released by A549 cells during cell stretching, and was found elevated in BAL fluids from rabbits during VILI, and from ARDS patients. Cyclic stretch-induced interleukin-8 (IL-8) of A549 cells could be inhibited by Toll-like receptor 9 (TLR9) blockade. ATP concentrations were increased in conditioned supernatants from A549 cells, and in rabbit BAL fluids during VILI. Neutrophil chemotaxis induced by A549 cells conditioned supernatants was essentially dependent on fMLP rather than IL-8. A synergy between cyclic stretch-induced alarmins and lipopolysaccharide (LPS) was found in monocyte-derived macrophages in the production of IL-1ß.ConclusionsMitochondrial alarmins are released during cyclic stretch of human epithelial cells, as well as in BAL fluids from rabbits ventilated with an injurious ventilatory regimen, and found in BAL fluids from ARDS patients, particularly in those with high alveolar inflammation. These alarmins are likely to represent the proximal endogenous mediators of VILI and ARDS, released by injured pulmonary cells.
- Published
- 2019