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Erschienen in: Inflammation 2/2013

01.04.2013

Suppression of MAPK and NF-κB Pathways by Limonene Contributes to Attenuation of Lipopolysaccharide-Induced Inflammatory Responses in Acute Lung Injury

verfasst von: Gefu Chi, Miaomiao Wei, Xianxing Xie, L. W. Soromou, Fang Liu, Shuhua Zhao

Erschienen in: Inflammation | Ausgabe 2/2013

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Abstract

The present study aimed to investigate the protective role of limonene in lipopolysaccharide (LPS)-induced acute lung injury (ALI). ALI was induced in mice by intratracheal instillation of LPS (0.5 mg/kg), and limonene (25, 50, and 75 mg/kg) was injected intraperitoneally 1 h prior to LPS administration. After 12 h, bronchoalveolar lavage fluid (BALF) and lung tissue were collected. Limonene pretreatment at doses of 25, 50, and 75 mg/kg decreased LPS-induced evident lung histopathological changes, lung wet-to-dry weight ratio, and lung myeloperoxidase activity. In addition, pretreatment with limonene inhibited inflammatory cells and proinflammatory cytokines including tumor necrosis factor-α, interleukin-1β, and interleukin-6 in BALF. Furthermore, we demonstrated that limonene blocked the phosphorylation of IκBα, nuclear factor-κB (NF-κB) p65, p38 mitogen-activated protein kinase (MAPK), c-Jun NH2-terminal kinase, and extracellular signal-regulated kinase in LPS-induced ALI. The results presented here suggest that the protective mechanism of limonene may be attributed partly to decreased production of proinflammatory cytokines through the inhibition of NF-κB and MAPK activation.
Literatur
1.
Zurück zum Zitat Repine, J.E. 1992. Scientific perspectives on adult respiratory distress syndrome. Lancet 339: 466e9.CrossRef Repine, J.E. 1992. Scientific perspectives on adult respiratory distress syndrome. Lancet 339: 466e9.CrossRef
2.
Zurück zum Zitat Ware, L.B., and M.A. Matthay. 2000. The acute respiratory distress syndrome. The New England Journal of Medicine 342: 1334e49.CrossRef Ware, L.B., and M.A. Matthay. 2000. The acute respiratory distress syndrome. The New England Journal of Medicine 342: 1334e49.CrossRef
3.
Zurück zum Zitat Sato, K., M.B. Kadiiska, A.J. Ghio, et al. 2002. In vivo lipid-derived free radical formation by NADPH oxidase in acute lung injury induced by lipopolysaccharide: a model for ARDS. The FASEB Journal 16: 1713–1720.CrossRef Sato, K., M.B. Kadiiska, A.J. Ghio, et al. 2002. In vivo lipid-derived free radical formation by NADPH oxidase in acute lung injury induced by lipopolysaccharide: a model for ARDS. The FASEB Journal 16: 1713–1720.CrossRef
4.
Zurück zum Zitat Matthay, M.A., G.A. Zimmerman, C. Esmon, J. Bhattacharya, B. Coller, C.M. Doerschuk, J. Floros, and M.A. Gimbrone. 2003. Future research directions in acute lung injury. American Journal of Respiratory and Critical Care Medicine 167: 1027–1035.PubMedCrossRef Matthay, M.A., G.A. Zimmerman, C. Esmon, J. Bhattacharya, B. Coller, C.M. Doerschuk, J. Floros, and M.A. Gimbrone. 2003. Future research directions in acute lung injury. American Journal of Respiratory and Critical Care Medicine 167: 1027–1035.PubMedCrossRef
5.
Zurück zum Zitat Rubenfeld, G.D., E. Caldwell, E. Peabody, J. Weaver, D.P. Martin, M. Neff, et al. 2005. Incidence and outcomes of acute lung injury. The New England Journal of Medicine 353: 1685–1693.PubMedCrossRef Rubenfeld, G.D., E. Caldwell, E. Peabody, J. Weaver, D.P. Martin, M. Neff, et al. 2005. Incidence and outcomes of acute lung injury. The New England Journal of Medicine 353: 1685–1693.PubMedCrossRef
6.
Zurück zum Zitat Pahl, H.L. 1999. Activators and target genes of Rel/NF-kappaB transcription factors. Oncogene 18: 6853–6866.PubMedCrossRef Pahl, H.L. 1999. Activators and target genes of Rel/NF-kappaB transcription factors. Oncogene 18: 6853–6866.PubMedCrossRef
7.
Zurück zum Zitat Chen, Z., X. Zhang, X. Chu, X. Zhang, K. Song, Y. Jiang, L. Yu, and X. Deng. 2010. Preventive effects of valnemulin on lipopolysaccharide-induced acute lung injury in mice. Inflammation 33: 306–314.PubMedCrossRef Chen, Z., X. Zhang, X. Chu, X. Zhang, K. Song, Y. Jiang, L. Yu, and X. Deng. 2010. Preventive effects of valnemulin on lipopolysaccharide-induced acute lung injury in mice. Inflammation 33: 306–314.PubMedCrossRef
8.
Zurück zum Zitat Yang, Ruhui, Lina Yang, Xiangchun Shen, Wenyuan Cheng, Bohua Zhao, Kazi Hamid Ali, Zhiyu Qian, and Hui Ji. 2012. Suppression of NF-κB pathway by crocetin contributes to attenuation of lipopolysaccharide-induced acute lung injury in mice. European Journal of Pharmacology 674: 391–396.PubMedCrossRef Yang, Ruhui, Lina Yang, Xiangchun Shen, Wenyuan Cheng, Bohua Zhao, Kazi Hamid Ali, Zhiyu Qian, and Hui Ji. 2012. Suppression of NF-κB pathway by crocetin contributes to attenuation of lipopolysaccharide-induced acute lung injury in mice. European Journal of Pharmacology 674: 391–396.PubMedCrossRef
9.
Zurück zum Zitat Di, R., M.T. Huang, and C.T. Ho. 2011. Anti-inflammatory activities of mogrosides from Momordica grosvenori in murine macrophages and a murine ear edema model. Journal of Agricultural and Food Chemistry 59: 7474–7481.PubMedCrossRef Di, R., M.T. Huang, and C.T. Ho. 2011. Anti-inflammatory activities of mogrosides from Momordica grosvenori in murine macrophages and a murine ear edema model. Journal of Agricultural and Food Chemistry 59: 7474–7481.PubMedCrossRef
10.
Zurück zum Zitat Kim, E.K., and E.J. Choi. 2010. Pathological roles of MAPK signaling pathways in human diseases. Biochimica et Biophysica Acta 1802: 396–405.PubMedCrossRef Kim, E.K., and E.J. Choi. 2010. Pathological roles of MAPK signaling pathways in human diseases. Biochimica et Biophysica Acta 1802: 396–405.PubMedCrossRef
11.
Zurück zum Zitat Song, H.Y., J.A. Lee, S.M. Ju, K.Y. Yoo, M.H. Won, H.J. Kwon, et al. 2008. Topical transduction of superoxide dismutase mediated by HIV-1 Tat protein transduction domain ameliorates 12-O-tetradecanoylphorbol-13-acetate (TPA)-induced inflammation in mice. Biochemical Pharmacology 75: 1348–1357.PubMedCrossRef Song, H.Y., J.A. Lee, S.M. Ju, K.Y. Yoo, M.H. Won, H.J. Kwon, et al. 2008. Topical transduction of superoxide dismutase mediated by HIV-1 Tat protein transduction domain ameliorates 12-O-tetradecanoylphorbol-13-acetate (TPA)-induced inflammation in mice. Biochemical Pharmacology 75: 1348–1357.PubMedCrossRef
12.
Zurück zum Zitat Yoon, Weon-Jong, Nam Ho Lee, and Chang-Gu Hyun. 2010. Limonene suppresses lipopolysaccharide-induced production of nitric oxide, prostaglandin E2, and proinflammatory cytokines in RAW 264.7 macrophages. Journal of Oleo Science 59: 415–421.PubMedCrossRef Yoon, Weon-Jong, Nam Ho Lee, and Chang-Gu Hyun. 2010. Limonene suppresses lipopolysaccharide-induced production of nitric oxide, prostaglandin E2, and proinflammatory cytokines in RAW 264.7 macrophages. Journal of Oleo Science 59: 415–421.PubMedCrossRef
13.
Zurück zum Zitat Chaudhary, S.C., M.S. Siddiqui, M. Athar, Sarwar, and M. Alam. 2012. D-Limonene modulates inflammation, oxidative stress and Ras–ERK pathway to inhibit murine skin tumorigenesis. Human and Experimental Toxicology 31: 798–811.PubMedCrossRef Chaudhary, S.C., M.S. Siddiqui, M. Athar, Sarwar, and M. Alam. 2012. D-Limonene modulates inflammation, oxidative stress and Ras–ERK pathway to inhibit murine skin tumorigenesis. Human and Experimental Toxicology 31: 798–811.PubMedCrossRef
14.
Zurück zum Zitat Hirota, Ryoji, Ngatu Nlandu Roger, Hiroyuki Nakamura, Hee-sun Song, Masayoshi Sawamura, and Narufumi Suganuma. 2010. Anti-inflammatory effects of limonene from yuzu (Citrus junos Tanaka) essential oil on eosinophils. Journal of Food Science 75: 87–92.CrossRef Hirota, Ryoji, Ngatu Nlandu Roger, Hiroyuki Nakamura, Hee-sun Song, Masayoshi Sawamura, and Narufumi Suganuma. 2010. Anti-inflammatory effects of limonene from yuzu (Citrus junos Tanaka) essential oil on eosinophils. Journal of Food Science 75: 87–92.CrossRef
15.
Zurück zum Zitat Matthay, M.A., G.A. Zimmerman, C. Esmon, J. Bhattacharya, B. Coller, C.M. Doerschuk, et al. 2003. Future research directions in acute lung injury: summary of a National Heart, Lung, and Blood Institute working group. American Journal of Respiratory and Critical Care Medicine 167: 1027–1035.PubMedCrossRef Matthay, M.A., G.A. Zimmerman, C. Esmon, J. Bhattacharya, B. Coller, C.M. Doerschuk, et al. 2003. Future research directions in acute lung injury: summary of a National Heart, Lung, and Blood Institute working group. American Journal of Respiratory and Critical Care Medicine 167: 1027–1035.PubMedCrossRef
16.
Zurück zum Zitat Rubenfeld, G.D. 2003. Epidemiology of acute lung injury. Critical Care Medicine 31: 276–284.CrossRef Rubenfeld, G.D. 2003. Epidemiology of acute lung injury. Critical Care Medicine 31: 276–284.CrossRef
17.
Zurück zum Zitat Knapp, S., S. Florquin, D.T. Golenbock, and T. van der Poll. 2006. Pulmonary lipopolysaccharide (LPS)-binding protein inhibits the LPS-induced lung inflammation in vivo. Journal of Immunology 176: 3189–3195. Knapp, S., S. Florquin, D.T. Golenbock, and T. van der Poll. 2006. Pulmonary lipopolysaccharide (LPS)-binding protein inhibits the LPS-induced lung inflammation in vivo. Journal of Immunology 176: 3189–3195.
18.
Zurück zum Zitat Chen, H., C. Bai, and X. Wang. 2010. The value of the lipopolysaccharide-induced acute lung injury model in respiratory medicine. Expert Review of Respiratory Medicine 4: 773–783.PubMedCrossRef Chen, H., C. Bai, and X. Wang. 2010. The value of the lipopolysaccharide-induced acute lung injury model in respiratory medicine. Expert Review of Respiratory Medicine 4: 773–783.PubMedCrossRef
19.
Zurück zum Zitat Cepkova, M., and M.A. Matthay. 2006. Pharmacotherapy of acute lung injury and the acute respiratory distress syndrome. Journal of Intensive Care Medicine 21: 119–143.PubMedCrossRef Cepkova, M., and M.A. Matthay. 2006. Pharmacotherapy of acute lung injury and the acute respiratory distress syndrome. Journal of Intensive Care Medicine 21: 119–143.PubMedCrossRef
20.
Zurück zum Zitat Teder, P., R.W. Vandivier, D. Jiang, J. Liang, L. Cohn, E. Pure, P.M. Henson, and P.W. Noble. 2002. Resolution of lung inflammation by CD44. Science 296: 155–158.PubMedCrossRef Teder, P., R.W. Vandivier, D. Jiang, J. Liang, L. Cohn, E. Pure, P.M. Henson, and P.W. Noble. 2002. Resolution of lung inflammation by CD44. Science 296: 155–158.PubMedCrossRef
21.
Zurück zum Zitat Abraham, E. 2003. Neutrophils and acute lung injury. Critical Care Medicine 31: 195–199.CrossRef Abraham, E. 2003. Neutrophils and acute lung injury. Critical Care Medicine 31: 195–199.CrossRef
22.
Zurück zum Zitat Bachofen, M., and E.R. Weibel. 1982. Structural alterations of lung parenchyma in the adult respiratory distress syndrome. Clinics in Chest 3: 35–56. Bachofen, M., and E.R. Weibel. 1982. Structural alterations of lung parenchyma in the adult respiratory distress syndrome. Clinics in Chest 3: 35–56.
23.
Zurück zum Zitat Klebanoff, S.J. 2005. Myeloperoxidase: friend and foe. Journal of Leukemia Biology 77: 598–625.CrossRef Klebanoff, S.J. 2005. Myeloperoxidase: friend and foe. Journal of Leukemia Biology 77: 598–625.CrossRef
24.
Zurück zum Zitat Zhang, X.M., K.J. Song, H.Z. Xiong, H.Y. Li, X. Chu, and X.M. Deng. 2009. Protective effect of florfenicol on acute lung injury induced by lipopolysaccharide in mice. International Immunopharmacology 9: 1525–1529.PubMedCrossRef Zhang, X.M., K.J. Song, H.Z. Xiong, H.Y. Li, X. Chu, and X.M. Deng. 2009. Protective effect of florfenicol on acute lung injury induced by lipopolysaccharide in mice. International Immunopharmacology 9: 1525–1529.PubMedCrossRef
25.
Zurück zum Zitat Bhatia, M., and S. Moochhala. 2004. Role of inflammatory mediators in the pathophysiology of acute respiratory distress syndrome. The Journal of Pathology 202: 145–156.PubMedCrossRef Bhatia, M., and S. Moochhala. 2004. Role of inflammatory mediators in the pathophysiology of acute respiratory distress syndrome. The Journal of Pathology 202: 145–156.PubMedCrossRef
26.
Zurück zum Zitat Minamino, T., and I. Komuro. 2006. Regeneration of the endothelium as a novel therapeutic strategy for acute lung injury. The Journal of Clinical Investigation 116: 2316–2319.PubMedCrossRef Minamino, T., and I. Komuro. 2006. Regeneration of the endothelium as a novel therapeutic strategy for acute lung injury. The Journal of Clinical Investigation 116: 2316–2319.PubMedCrossRef
27.
Zurück zum Zitat Ganter, M.T., J. Roux, B. Miyazawa, M. Howard, J.A. Frank, G. Su, et al. 2008. Interleukin-1beta causes acute lung injury via alphavbeta5 and alphavbeta6 integrin-dependent mechanisms. Circulation Research 102: 804–812.PubMedCrossRef Ganter, M.T., J. Roux, B. Miyazawa, M. Howard, J.A. Frank, G. Su, et al. 2008. Interleukin-1beta causes acute lung injury via alphavbeta5 and alphavbeta6 integrin-dependent mechanisms. Circulation Research 102: 804–812.PubMedCrossRef
28.
Zurück zum Zitat Giebelen, I.A., D.J. van Westerloo, G.J. LaRosa, et al. 2007. Local stimulation of a7 cholinergic receptors inhibits LPS-induced TNF-a release in the mouse lung. Shock 28: 700.PubMed Giebelen, I.A., D.J. van Westerloo, G.J. LaRosa, et al. 2007. Local stimulation of a7 cholinergic receptors inhibits LPS-induced TNF-a release in the mouse lung. Shock 28: 700.PubMed
29.
Zurück zum Zitat Marsh, C.B., and M.D. Wewers. 1996. The pathogenesis of sepsis. Factors that modulate the response to gram-negative bacterial infection. Clinics in Chest Medicine 17: 183–197.PubMedCrossRef Marsh, C.B., and M.D. Wewers. 1996. The pathogenesis of sepsis. Factors that modulate the response to gram-negative bacterial infection. Clinics in Chest Medicine 17: 183–197.PubMedCrossRef
30.
Zurück zum Zitat Bouros, D., M.G. Alexandrakis, K.M. Antoniou, et al. 2004. The clinical significance of serum and bronchoalveolar lavage inflammatory cytokines in patients at risk for acute respiratory distress syndrome. BMC Pulmonary Medicine 4: 6.PubMedCrossRef Bouros, D., M.G. Alexandrakis, K.M. Antoniou, et al. 2004. The clinical significance of serum and bronchoalveolar lavage inflammatory cytokines in patients at risk for acute respiratory distress syndrome. BMC Pulmonary Medicine 4: 6.PubMedCrossRef
31.
Zurück zum Zitat Goodman, R.B., J. Pugin, J.S. Lee, and M.A. Matthay. 2003. Cytokine-mediated inflammation in acute lung injury. Cytokine & Growth Factor Reviews 14: 523–535.CrossRef Goodman, R.B., J. Pugin, J.S. Lee, and M.A. Matthay. 2003. Cytokine-mediated inflammation in acute lung injury. Cytokine & Growth Factor Reviews 14: 523–535.CrossRef
32.
Zurück zum Zitat Li, Y.C., C.H. Yeh, M.L. Yang, and Y.H. Kuan. 2012. Luteolin suppresses inflammatory mediator expression by blocking the Akt/NFκB pathway in acute lung injury induced by lipopolysaccharide in mice. Evidence-Based Complementary and Alternative Medicine 2012: 383608.PubMed Li, Y.C., C.H. Yeh, M.L. Yang, and Y.H. Kuan. 2012. Luteolin suppresses inflammatory mediator expression by blocking the Akt/NFκB pathway in acute lung injury induced by lipopolysaccharide in mice. Evidence-Based Complementary and Alternative Medicine 2012: 383608.PubMed
33.
Zurück zum Zitat Sasaki, J., S. Fujishima, H. Iwamura, K. Wakitani, S. Aiso, and N. Aikawa. 2003. Prior burn insult induces lethal acute lung injury in endotoxemic mice: effects of cytokine inhibition. American Journal of Physiology. Lung Cellular and Molecular Physiology 284: 270–278. Sasaki, J., S. Fujishima, H. Iwamura, K. Wakitani, S. Aiso, and N. Aikawa. 2003. Prior burn insult induces lethal acute lung injury in endotoxemic mice: effects of cytokine inhibition. American Journal of Physiology. Lung Cellular and Molecular Physiology 284: 270–278.
34.
Zurück zum Zitat Moine, P., R. McIntyre, M.D. Schwartz, et al. 2000. NF-kappaB regulatory mechanisms in alveolar macrophages from patients with acute respiratory distress syndrome. Shock 13: 85–91.PubMedCrossRef Moine, P., R. McIntyre, M.D. Schwartz, et al. 2000. NF-kappaB regulatory mechanisms in alveolar macrophages from patients with acute respiratory distress syndrome. Shock 13: 85–91.PubMedCrossRef
35.
36.
Zurück zum Zitat Gilmore, T.D. 2006. Introduction to NF-kappaB: players, pathways, perspectives. Oncogene 25: 6680–6684.PubMedCrossRef Gilmore, T.D. 2006. Introduction to NF-kappaB: players, pathways, perspectives. Oncogene 25: 6680–6684.PubMedCrossRef
37.
Zurück zum Zitat Lee, J.C., and P.R. Young. 1996. Role of CSBP/p38/RK stress response kinase in LPS and cytokine signaling mechanisms. Journal of Leukocyte Biology 59: 152–157.PubMed Lee, J.C., and P.R. Young. 1996. Role of CSBP/p38/RK stress response kinase in LPS and cytokine signaling mechanisms. Journal of Leukocyte Biology 59: 152–157.PubMed
38.
Zurück zum Zitat Jarrar, D., J.F. Kuebler, L.W. Rue, S. Matalon, P. Wang, K.I. Bland, et al. 2002. Alveolar macrophage activation after trauma-hemorrhage and sepsis is dependent on NF-kappaB and MAPK/ERK mechanisms. American Journal of Physiology. Lung Cellular and Molecular Physiology 283: 799–805. Jarrar, D., J.F. Kuebler, L.W. Rue, S. Matalon, P. Wang, K.I. Bland, et al. 2002. Alveolar macrophage activation after trauma-hemorrhage and sepsis is dependent on NF-kappaB and MAPK/ERK mechanisms. American Journal of Physiology. Lung Cellular and Molecular Physiology 283: 799–805.
39.
Zurück zum Zitat Candrian, S.S., V.F.J. Quesniaux, F. Di Padova, I. Maillet, N. Nicolas, I. Couillin, R. Moser, F. Erard, B.B. Vargaftig, B. Ryffel, and B. Schnyder. 2005. Dual effects of p38 MAPK on TNF-dependent bronchoconstriction and TNF-independent neutrophil recruitment in lipopolysaccharide-induced acute respiratory distress syndrome. Journal of Immunology 175: 262–269. Candrian, S.S., V.F.J. Quesniaux, F. Di Padova, I. Maillet, N. Nicolas, I. Couillin, R. Moser, F. Erard, B.B. Vargaftig, B. Ryffel, and B. Schnyder. 2005. Dual effects of p38 MAPK on TNF-dependent bronchoconstriction and TNF-independent neutrophil recruitment in lipopolysaccharide-induced acute respiratory distress syndrome. Journal of Immunology 175: 262–269.
40.
Zurück zum Zitat Kim, H.J., H.S. Lee, Y.H. Chong, and J.L. Kang. 2006. p38 Mitogen-activated protein kinase up-regulates LPS-induced NF-kappaB activation in the development of lung injury and RAW 264 7 macrophages. Toxicology 225: 36–47.PubMedCrossRef Kim, H.J., H.S. Lee, Y.H. Chong, and J.L. Kang. 2006. p38 Mitogen-activated protein kinase up-regulates LPS-induced NF-kappaB activation in the development of lung injury and RAW 264 7 macrophages. Toxicology 225: 36–47.PubMedCrossRef
41.
Zurück zum Zitat Pan, P., J. Cardinal, R. Dhupar, M.R. Rosengart, M.T. Lotze, D.A. Geller, et al. 2009. Low-dose cisplatin administration in murine cecal ligation and puncture prevents the systemic release of HMGB1 and attenuates lethality. Journal of Leukocyte Biology 86: 625–632.PubMed Pan, P., J. Cardinal, R. Dhupar, M.R. Rosengart, M.T. Lotze, D.A. Geller, et al. 2009. Low-dose cisplatin administration in murine cecal ligation and puncture prevents the systemic release of HMGB1 and attenuates lethality. Journal of Leukocyte Biology 86: 625–632.PubMed
42.
Zurück zum Zitat Song, G.Y., C.S. Chung, I.H. Chaudry, and A. Ayala. 2001. MAPK p38 antagonism as a novel method of inhibiting lymphoid immune suppression in polymicrobial sepsis. American Journal of Physiology. Cell Physiology 281: 662–669. Song, G.Y., C.S. Chung, I.H. Chaudry, and A. Ayala. 2001. MAPK p38 antagonism as a novel method of inhibiting lymphoid immune suppression in polymicrobial sepsis. American Journal of Physiology. Cell Physiology 281: 662–669.
43.
Zurück zum Zitat Schuh, K., and A. Pahl. 2009. Inhibition of the MAP kinase ERK protects from lipopolysaccharide-induced lung injury. Biochemical Pharmacology 77: 1827–1834.PubMedCrossRef Schuh, K., and A. Pahl. 2009. Inhibition of the MAP kinase ERK protects from lipopolysaccharide-induced lung injury. Biochemical Pharmacology 77: 1827–1834.PubMedCrossRef
Metadaten
Titel
Suppression of MAPK and NF-κB Pathways by Limonene Contributes to Attenuation of Lipopolysaccharide-Induced Inflammatory Responses in Acute Lung Injury
verfasst von
Gefu Chi
Miaomiao Wei
Xianxing Xie
L. W. Soromou
Fang Liu
Shuhua Zhao
Publikationsdatum
01.04.2013
Verlag
Springer US
Erschienen in
Inflammation / Ausgabe 2/2013
Print ISSN: 0360-3997
Elektronische ISSN: 1573-2576
DOI
https://doi.org/10.1007/s10753-012-9571-1

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