Autor: |
Yuan Gao, Yang Zhou, Jinhua Feng, Ri Tang, Shuya Mei, Qiaoyi Xu, Shunpeng Xing, Shaojie Qin, Zhengyu He |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
BMJ Open Respiratory Research, Vol 10, Iss 1 (2023) |
Druh dokumentu: |
article |
ISSN: |
2052-4439 |
DOI: |
10.1136/bmjresp-2023-001753 |
Popis: |
AbstractRecent research has revealed that mechanical ventilation (MV) could initiate ventilator-induced lung injury along with the initiation of the process of pulmonary fibrosis (PF), leading to MV-induced PF (MVPF). However, the underlying mechanism remains unclear. This study aimed to explore the role of MV-induced extracellular vesicles (MV-EVs) and the c-Jun N-terminal kinase (JNK) signalling pathway in the pathogenesis of MVPF in vivo and in vitro. The process of MV is accompanied by the secretion of MV-EVs, which could induce lung fibroblast activation. Furthermore, single-cell RNA-sequencing analysis revealed that the JNK pathway in lung fibroblasts was activated after MV initiation. Inhibiting the JNK pathway could both restrain MV-EV-induced lung fibroblast activation in vitro or reduce the severity of MVPF in vivo. In conclusion, this study demonstrated that MV-EVs contribute to MVPF progression by activating lung fibroblasts via the JNK signalling pathway and that inhibiting the secretion of EV and the activation of the JNK signalling pathway is a promising strategy for treating MVPF. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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