Deoxyelephantopin alleviates lipopolysaccharide-induced septic lung injury through inhibiting NF-ĸB/STAT3 axis

Main Article Content

Shu Wang
Yuefeng Chen

Keywords

Deoxyelephantopin, oxidative stress, inflammation, lipopolysaccharide, sepsis, lung injury, NF-κB/STAT3

Abstract

Sepsis induces multiple organ dysfunction syndromes, such as acute kidney, liver, or lung injury. Septic lung injury is associated with excessive apoptosis and inflammatory responses in hepatocytes. Deoxyelephantopin is a sesquiterpene lactone found in Elephantopus scaber L, and has immunomodulatory, antibacterial, anti-inflammatory, and antifungal properties. The role of deoxyelephantopin in sepsis-associated lung injury was investigated. First, human bronchial epithelial cells (BEAS-2B) and human pulmonary artery endothelial cells (HPAEC) were treated with lipopolysaccharide to induce cytotoxicity. Treatment with lipopolysaccharide reduced cell viability of BEAS-2B and HPAEC, and promoted cell apoptosis through down-regulation of poly (ADP-ribose) polymerase (PARP) and B-cell lymphoma 2 (Bcl-2), and up-regulation of cleaved PARP and B-cell lymphoma-associated X protein (Bax). Second, lipopolysaccharide-treated BEAS-2B and HPAEC were incubated with increasing concentrations of deoxyelephantopin, that is, 1, 5, or 10 μM. Deoxyelephantopin enhanced cell viability and reduced cell apoptosis of lipopolysaccharide-treated BEAS-2B and HPAEC. Third, deoxyelephantopin attenuated lipopolysaccharide-induced decrease of superoxide dismutase and glutathione, and increase of malondialdehyde and myeloperoxidase in BEAS-2B and HPAEC. Moreover, deoxyelephantopin also weakened lipopolysaccharide-induced increase of tumor necrosis factor-α, interleukin (IL)-1β, and IL-6. Finally, deoxyelephantopin decreased protein expression of p-p65 and p-signal transducer and activator of transcription 3 (STAT3) in lipopolysaccharide-treated BEAS-2B and HPAEC. In conclusion, deoxyelephantopin exhibited anti-oxidative and anti-inflammatory effects against lipopolysaccharide-treated BEAS-2B and HPAEC through inactivation of nuclear factor kappa B/STAT3 signaling.

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References

1. Taeb AM, Hooper MH, Marik PE. Sepsis: Current definition, pathophysiology, diagnosis, and management. Nutr Clin Pract. 2017;32:296–308. 10.1177/0884533617695243

2. Hu Q, Hao C, Tang S. From sepsis to acute respiratory distress syndrome (ARDS): Emerging preventive strategies based on molecular and genetic researches. Biosci Rep. 2020;40:BSR20200830. 10.1042/BSR20200830

3. Ragaller M, Richter T. Acute lung injury and acute respiratory distress syndrome. J Emerg Trauma Shock. 2010;3:43–51. 10.4103/0974-2700.58663

4. Nova Z, Skovierova H, Calkovska A. Alveolar-capillary membrane-related pulmonary cells as a target in endotoxin-induced acute lung injury. Int J Mol Sci. 2019;20:831. 10.3390/ijms20040831

5. Sazonov V, Abylkassov R, Tobylbayeva Z, Saparov A, Mironova O, Poddighe D. Case series: Efficacy and safety of hemoadsorption with HA-330 adsorber in septic pediatric patients with cancer. Front Pediatr. 2021;9:672260. 10.3389/fped.2021.672260

6. Raetz CRH, Whitfield C. Lipopolysaccharide endotoxins. Annu Rev Biochem. 2002;71:635–700. 10.1146/annurev.biochem.71.110601.135414

7. Wang J, Cao Y, Liu Y, Zhang X, Ji F, Li J, et al. PIM1 inhibitor SMI-4a attenuated lipopolysaccharide-induced acute lung injury through suppressing macrophage inflammatory responses via modulating p65 phosphorylation. Int Immunopharmacol. 2019;73:568–74. 10.1016/j.intimp.2019.05.040

8. Keshvari M, Rahmati M, Mirnasouri R, Chehelcheraghi F. Effects of endurance exercise and urtica dioica on the functional, histological and molecular aspects of the hippocampus in STZ-induced diabetic rats. J Ethnopharmacol. 2020;256:112801. 10.1016/j.jep.2020.112801

9. Rahmati M, Keshvari M, Mirnasouri R, Chehelcheraghi F. Exercise and urtica dioica extract ameliorate hippocampal insulin signaling, oxidative stress, neuroinflammation, and cognitive function in STZ-induced diabetic rats. Biomed Pharmacother. 2021;139:111577. 10.1016/j.biopha.2021.111577

10. Niu K, Guo C, Yan H, Teng S. LC-MS/MS determination of deoxyelephantopin, a novel anti-tumor candidate in rat plasma and its application to a pharmacokinetic study in rats. Revista Brasileira de Farmacognosia. 2018;28:582–8. 10.1016/j.bjp.2018.06.001

11. Huang C-C, Lin K-J, Cheng Y-W, Hsu C-A, Yang S-S, Shyur L-F. Hepatoprotective effect and mechanistic insights of deoxyelephantopin, a phyto-sesquiterpene lactone, against fulminant hepatitis. J Nutr Biochem. 2013;24:516–30. 10.1016/j.jnutbio.2012.01.013

12. Pan L, Hu L, Zhang L, Xu H, Chen Y, Bian Q, et al. Deoxyelephantopin decreases the release of inflammatory cytokines in macrophage associated with attenuation of aerobic glycolysis via modulation of PKM2. Int Immunopharmacol. 2019;79:106048. 10.1016/j.intimp.2019.106048

13. Shathiswaran N. Andy VP, Zazali A, Kadir HA. Deoxyelephantopin ameliorates lipopolysaccharides (LPS)-induced memory impairments in rats: Evidence for its anti-neuroinflammatory properties. Life Sci. 2018;206:45–60. 10.1016/j.lfs.2018.05.035

14. Hiradeve SM, Rangari VD. A review on pharmacology and toxicology of Elephantopus scaber Linn. Nat Prod Res. 2014;28:819–30. 10.1080/14786419.2014.883394

15. Ahn J-H, Song E-J, Jung D-H, Kim Y-J, Seo I-S, Park S-C, et al. The sesquiterpene lactone estafiatin exerts anti-inflammatory effects on macrophages and protects mice from sepsis induced by LPS and cecal ligation puncture. Phytomedicine. 2022;99:153934. 10.1016/j.phymed.2022.153934

16. Chen L, Xu J, Deng M, Liang Y, Ma J, Zhang L, et al. Telmisartan mitigates lipopolysaccharide (LPS)-induced production of mucin 5AC (MUC5AC) through increasing suppressor of cytokine signaling 1 (SOCS1). Bioengineered. 2021;12(1):3912–23. 10.1080/21655979.2021.1943605

17. He M, Shi W, Yu M, Li X, Xu J, Zhu J, et al. Nicorandil attenuates LPS-induced acute lung injury by pulmonary endothelial cell protection via NF-κB and MAPK pathways. Oxid Med Cell Longev. 2019;2019, 4957646. 10.1155/2019/4957646

18. Z’Graggen BR, Tornic J, Müller-Edenborn B, Reyes L, Booy C, Beck-Schimmer B. Acute lung injury: Apoptosis in effector and target cells of the upper and lower airway compartment. Clin Exp Immunol. 2010;161:324–31. 10.1111/j.1365-2249.2010.04175.x

19. Kumar V. Pulmonary innate immune response determines the outcome of inflammation during pneumonia and sepsis-associated acute lung injury. Front Immunol. 2020;11:1722. 10.3389/fimmu.2020.01722

20. Guo R-F, Ward P. Role of oxidants in lung injury during sepsis. Antioxidants Redox Signal. 2007;9:1991–2002. 10.1089/ars.2007.1785

21. Hu Q, Wang Q, Han C, Yang Y. 2020 Sufentanil attenuates inflammation and oxidative stress in sepsis-induced acute lung injury by downregulating KNG1 expression. Mol Med Rep. 2007;22:4298–306. 10.3892/mmr.2020.11526

22. Li Y, Lin B. Icariside II regulates TLR4/NF-κB signaling pathway to improve septic lung injury. Signa Vitae. 2021;17(6):136–42.

23. Quinton L, Mizgerd J. NF-κB and STAT3 signaling hubs for lung innate immunity. Cell Tissue Res. 2011;343:153–65. 10.1007/s00441-010-1044-y

24. Gross CM, Kellner M, Wang T, Lu Q, Sun X, Zemskov EA, et al. LPS-induced acute lung injury involves NF-κB-mediated downregulation of SOX18. Am J Respir Cell Mol Biol. 2018;58:614–24. 10.1165/rcmb.2016-0390OC

25. Li R, Li X, Zhao J, Meng F, Yao C, Bao E, et al. Mitochondrial STAT3 exacerbates LPS-induced sepsis by driving CPT1a-mediated fatty acid oxidation. Theranostics. 2022;12:976–98. 10.7150/thno.63751

26. Zhang H, Sha J, Feng X, Hu X, Chen Y, Li B, et al. Dexmedetomidine ameliorates LPS-induced acute lung injury via GSK–3β/STAT3–NF–κB signaling pathway in rats. Int Immunopharmacol. 2019;74:105717. 10.1016/j.intimp.2019.105717

27. Andy SN, Chan CK, Kadir HA. Deoxyelephantopin from elephantopus scaber modulates neuroinflammatory response through MAPKs and PI3K/Akt-dependent NF-κB signaling pathways in LPS-stimulated BV-2 microglial cells. J Funct Foods. 2017;38:221–31. 10.1016/j.jff.2017.09.017

28. Farah AK, Dhanya SR, Mangalam SN, Geetha BS, Latha PG, Remani P. Deoxyelephantopin impairs growth of cervical carcinoma SiHa cells and induces apoptosis by targeting multiple molecular signaling pathways. Cell Biol Toxicol. 2014;30(6):331–41. 10.1007/s10565-014-9288-z