NF-κB Inhibition after Cecal Ligation and Puncture Reduces Sepsis-Associated Lung Injury without Altering Bacterial Host Defense

Introduction. Since the NF-κB pathway regulates both inflammation and host defense, it is uncertain whether interventions targeting NF-κB would be beneficial in sepsis. Based on the kinetics of the innate immune response, we postulated that selective NF-κB inhibition during a defined time period aft...

Full description

Saved in:
Bibliographic Details
Main Authors: Hui Li, Wei Han, Vasilly Polosukhin, Fiona E. Yull, Brahm H. Segal, Can-Mao Xie, Timothy S. Blackwell
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2013/503213
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832552350563172352
author Hui Li
Wei Han
Vasilly Polosukhin
Fiona E. Yull
Brahm H. Segal
Can-Mao Xie
Timothy S. Blackwell
author_facet Hui Li
Wei Han
Vasilly Polosukhin
Fiona E. Yull
Brahm H. Segal
Can-Mao Xie
Timothy S. Blackwell
author_sort Hui Li
collection DOAJ
description Introduction. Since the NF-κB pathway regulates both inflammation and host defense, it is uncertain whether interventions targeting NF-κB would be beneficial in sepsis. Based on the kinetics of the innate immune response, we postulated that selective NF-κB inhibition during a defined time period after the onset of sepsis would reduce acute lung injury without compromising bacterial host defense. Methods. Mice underwent cecal ligation and puncture (CLP). An NF-κB inhibitor, BMS-345541 (50 µg/g mice), was administered by peroral gavage beginning 2 hours after CLP and repeated at 6 hour intervals for 2 additional doses. Results. Mice treated with BMS-345541 after CLP showed reduced neutrophilic alveolitis and lower levels of KC in bronchoalveolar lavage fluid compared to mice treated with CLP+vehicle. In addition, mice treated with CLP+BMS had minimal histological evidence of lung injury and normal wet-dry ratios, indicating protection from acute lung injury. Treatment with the NF-κB inhibitor did not affect the ability of cultured macrophages to phagocytose bacteria and did not alter bacterial colony counts in blood, lung tissue, or peritoneal fluid at 24 hours after CLP. While BMS-345541 treatment did not alter mortality after CLP, our results showed a trend towards improved survival. Conclusion. Transiently blocking NF-κB activity after the onset of CLP-induced sepsis can effectively reduce acute lung injury in mice without compromising bacterial host defense or survival after CLP.
format Article
id doaj-art-4450ed477dc5413aa19175d0e8f955df
institution Kabale University
issn 0962-9351
1466-1861
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Mediators of Inflammation
spelling doaj-art-4450ed477dc5413aa19175d0e8f955df2025-02-03T05:58:51ZengWileyMediators of Inflammation0962-93511466-18612013-01-01201310.1155/2013/503213503213NF-κB Inhibition after Cecal Ligation and Puncture Reduces Sepsis-Associated Lung Injury without Altering Bacterial Host DefenseHui Li0Wei Han1Vasilly Polosukhin2Fiona E. Yull3Brahm H. Segal4Can-Mao Xie5Timothy S. Blackwell6Division of Respiratory Medicine, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province 510080, ChinaDepartment of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232, USADepartment of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232, USADepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN 37232, USADepartments of Medicine and Immunology, Roswell Park Cancer Institute, Buffalo, NY 14263, USADivision of Respiratory Medicine, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province 510080, ChinaDepartment of Cancer Biology, Vanderbilt University School of Medicine, Nashville, TN 37232, USAIntroduction. Since the NF-κB pathway regulates both inflammation and host defense, it is uncertain whether interventions targeting NF-κB would be beneficial in sepsis. Based on the kinetics of the innate immune response, we postulated that selective NF-κB inhibition during a defined time period after the onset of sepsis would reduce acute lung injury without compromising bacterial host defense. Methods. Mice underwent cecal ligation and puncture (CLP). An NF-κB inhibitor, BMS-345541 (50 µg/g mice), was administered by peroral gavage beginning 2 hours after CLP and repeated at 6 hour intervals for 2 additional doses. Results. Mice treated with BMS-345541 after CLP showed reduced neutrophilic alveolitis and lower levels of KC in bronchoalveolar lavage fluid compared to mice treated with CLP+vehicle. In addition, mice treated with CLP+BMS had minimal histological evidence of lung injury and normal wet-dry ratios, indicating protection from acute lung injury. Treatment with the NF-κB inhibitor did not affect the ability of cultured macrophages to phagocytose bacteria and did not alter bacterial colony counts in blood, lung tissue, or peritoneal fluid at 24 hours after CLP. While BMS-345541 treatment did not alter mortality after CLP, our results showed a trend towards improved survival. Conclusion. Transiently blocking NF-κB activity after the onset of CLP-induced sepsis can effectively reduce acute lung injury in mice without compromising bacterial host defense or survival after CLP.http://dx.doi.org/10.1155/2013/503213
spellingShingle Hui Li
Wei Han
Vasilly Polosukhin
Fiona E. Yull
Brahm H. Segal
Can-Mao Xie
Timothy S. Blackwell
NF-κB Inhibition after Cecal Ligation and Puncture Reduces Sepsis-Associated Lung Injury without Altering Bacterial Host Defense
Mediators of Inflammation
title NF-κB Inhibition after Cecal Ligation and Puncture Reduces Sepsis-Associated Lung Injury without Altering Bacterial Host Defense
title_full NF-κB Inhibition after Cecal Ligation and Puncture Reduces Sepsis-Associated Lung Injury without Altering Bacterial Host Defense
title_fullStr NF-κB Inhibition after Cecal Ligation and Puncture Reduces Sepsis-Associated Lung Injury without Altering Bacterial Host Defense
title_full_unstemmed NF-κB Inhibition after Cecal Ligation and Puncture Reduces Sepsis-Associated Lung Injury without Altering Bacterial Host Defense
title_short NF-κB Inhibition after Cecal Ligation and Puncture Reduces Sepsis-Associated Lung Injury without Altering Bacterial Host Defense
title_sort nf κb inhibition after cecal ligation and puncture reduces sepsis associated lung injury without altering bacterial host defense
url http://dx.doi.org/10.1155/2013/503213
work_keys_str_mv AT huili nfkbinhibitionaftercecalligationandpuncturereducessepsisassociatedlunginjurywithoutalteringbacterialhostdefense
AT weihan nfkbinhibitionaftercecalligationandpuncturereducessepsisassociatedlunginjurywithoutalteringbacterialhostdefense
AT vasillypolosukhin nfkbinhibitionaftercecalligationandpuncturereducessepsisassociatedlunginjurywithoutalteringbacterialhostdefense
AT fionaeyull nfkbinhibitionaftercecalligationandpuncturereducessepsisassociatedlunginjurywithoutalteringbacterialhostdefense
AT brahmhsegal nfkbinhibitionaftercecalligationandpuncturereducessepsisassociatedlunginjurywithoutalteringbacterialhostdefense
AT canmaoxie nfkbinhibitionaftercecalligationandpuncturereducessepsisassociatedlunginjurywithoutalteringbacterialhostdefense
AT timothysblackwell nfkbinhibitionaftercecalligationandpuncturereducessepsisassociatedlunginjurywithoutalteringbacterialhostdefense