Objective: To explore the effect of oleuropein on sepsis-induced acute lung injury (ALI) in vitro and in vivo and investigate the underlying mechanism. Methods: In an lipopolysaccharide (LPS)-mediated cell model of sepsis-induced ALI and a cecal ligation and puncture-induced mouse model of septic ALI, CCK-8 assay and flow cytometry analysis were used to detect cell activity and apoptosis. ELISA and relevant assay kits were used to measure the levels of inflammatory cytokines and oxidative stress, respectively. Western blot was applied to determine the expression of apoptosis- and AMP-activated protein kinase (AMPK)/nuclear factor erythroid 2-related factor-2 (Nrf-2)/heme oxygenase-1 (HO-1) signaling-associated proteins. JC-1 staining, adenosine triphosphate (ATP) assay kit, and MitoSOX Red assays were performed to detect mitochondrial membrane potential, ATP content, and mitochondrial ROS formation, respectively. Moreover, lung injury was evaluated by measuring lung morphological alternations, lung wet-to-dry ratio, myeloperoxidase content, and total protein concentration. Results: Oleuropein reduced inflammatory reaction, oxidative damage, and apoptosis, and ameliorated mitochondrial dysfunction in LPS-exposed BEAS-2B cells and mice with septic ALI. Besides, oleuropein activated the AMPK/Nrf-2/HO-1 signaling pathway. However, these effects of oleuropein were abrogated by an AMPK inhibitor compound C. Conclusions: Oleuropein can protect against sepsis-induced ALI in vitro and in vivo by activating the AMPK/Nrf-2/HO-1 signaling, which might be a potential therapeutic agent for the treatment of sepsis-induced ALI.
Conflict of interest statement
The authors declare that there is no conflict of interest.
Funding
This research was supported by Wenzhou Scientific Research Project (Y20210290).
Data availability statement
The data supporting the findings of this study are available from the corresponding authors upon request.
Authors’ contributions
SHW wrote the manuscript and analyzed the data. SHW and YYW performed the experiments and revised the manuscript for important intellectual content. XJX conceived and supervised the study, and confirmed the authenticity of all the raw data.
| [1] |
van der Poll T, Shankar-Hari M, Wiersinga WJ. The immunology of sepsis. Immunity 2021; 54(11): 2450-2464.
|
| [2] |
Widowati W, Wargasetia T, Rahardja F, Gunanegara R, Priyandoko D, Gondokesumo M, et al. Human Wharton’s jelly mesenchymal stem cells inhibit cytokine storm in acute respiratory distress syndrome in a rat model. Asian Pac J Trop Biomed 2022; 12(8): 343-350.
|
| [3] |
Pham T, Rubenfeld GD. Fifty Years of Research in ARDS. The epidemiology of acute respiratory distress syndrome. A 50th birthday review. Am J Respir Crit Care Med 2017; 195(7): 860-870.
|
| [4] |
Wang H, Luo J, Li A, Su X, Fang C, Xie L, et al. Proteomic and phosphorylated proteomic landscape of injured lung in juvenile septic rats with therapeutic application of umbilical cord mesenchymal stem cells. Front Immunol 2022; 13. doi: 10.3389/fimmu.2022.1034821.
|
| [5] |
Porcu C, Sideri S, Martini M, Cocomazzi A, Galli A, Tarantino G, et al. Oleuropein induces AMPK-dependent autophagy in NAFLD mice, regardless of the gender. Int J Mol Sci 2018; 19(12). doi: 10.3390/ijms19123948.
|
| [6] |
Zheng S, Huang K, Tong T. Efficacy and mechanisms of oleuropein in mitigating diabetes and diabetes complications. J Agric Food Chem 2021; 69(22): 6145-6155.
|
| [7] |
Khalil AA, Rahman MM, Rauf A, Islam MR, Manna SJ, Khan AA, et al. Oleuropein: Chemistry, extraction techniques and nutraceutical perspectives-An update. Crit Rev Food Sci Nutr 2023: 1-22. doi: 10.1080/10408398.2023.2218495.
|
| [8] |
Xu Z, Sun X, Ding B, Zi M, Ma Y. Oleuropein ameliorated lung ischemia-reperfusion injury by inhibiting TLR4 signaling cascade in alveolar macrophages. Transpl Immunol 2022; 74. doi: 10.1016/j.trim.2022.101664.
|
| [9] |
Dikmen N, Cellat M, Etyemez M, İşler CT, Uyar A, Aydın T, et al. Ameliorative effects of oleuropein on lipopolysaccharide-induced acute lung injury model in rats. Inflammation 2021; 44(6): 2246-2259.
|
| [10] |
Kim YH, Choi YJ, Kang MK, Lee EJ, Kim DY, Oh H, et al. Oleuropein curtails pulmonary inflammation and tissue destruction in models of experimental asthma and emphysema. J Agric Food Chem 2018; 66(29): 7643-7654.
|
| [11] |
Loboda A, Damulewicz M, Pyza E, Jozkowicz A, Dulak J. Role of Nrf2/HO-1 system in development, oxidative stress response and diseases: An evolutionarily conserved mechanism. Cell Mol Life Sci 2016; 73(17): 3221-3247.
|
| [12] |
Mansouri A, Reiner Ž, Ruscica M, Tedeschi-Reiner E, Radbakhsh S, Bagheri Ekta M, et al. Antioxidant effects of statins by modulating Nrf2 and Nrf2/HO-1 signaling in different diseases. J Clin Med 2022; 11(5). doi: 10.3390/jcm11051313.
|
| [13] |
Petsouki E, Cabrera SNS, Heiss EH. AMPK and NRF2: Interactive players in the same team for cellular homeostasis? Free Radic Biol Med 2022; 190: 75-93.
|
| [14] |
Ni YL, Shen HT, Su CH, Chen WY, Huang-Liu R, Chen CJ, et al. Nerolidol suppresses the inflammatory response during lipopolysaccharide-induced acute lung injury via the modulation of antioxidant enzymes and the AMPK/Nrf-2/HO-1 pathway. Oxid Med Cell Longev 2019; 2019. doi: 10.1155/2019/9605980.
|
| [15] |
Zhao B, Gao W, Gao X, Leng Y, Liu M, Hou J, et al. Sulforaphane attenuates acute lung injury by inhibiting oxidative stress via Nrf2/HO-1 pathway in a rat sepsis model. Int J Clin Exp Pathol 2017; 10(8): 9021-9028.
|
| [16] |
Tang X, Tang H. Cornus iridoid glycoside alleviates sepsis-induced acute lung injury by regulating NF-κB and Nrf2/HO-1 pathways. Allergol Immunopathol 2022; 50(5): 121-128.
|
| [17] |
Zhang Z, Zhao H, Wang A. Oleuropein alleviates gestational diabetes mellitus by activating AMPK signaling. Endocr Connect 2021; 10(1): 45-53.
|
| [18] |
Castejón ML, Alarcón-de-la-Lastra C, Rosillo M, Montoya T, Fernández-Bolaños JG, González-Benjumea A, et al. A new peracetylated oleuropein derivative ameliorates joint inflammation and destruction in a murine collagen-induced arthritis model via activation of the Nrf-2/Ho-1 antioxidant pathway and suppression of MAPKs and NF-κB activation. Nutrients 2021; 13(2). doi: 10.3390/nu13020311.
|
| [19] |
Castejon ML, Sánchez-Hidalgo M, Aparicio-Soto M, Montoya T, Martín-LaCave I, Fernández-Bolaños JG, et al. Dietary oleuropein and its new acyl-derivate attenuate murine lupus nephritis through HO-1/Nrf2 activation and suppressing JAK/STAT, NF-κB, MAPK and NLRP3 inflammasome signaling pathways. J Nutr Biochem 2019; 74. doi: 10.1016/j.jnutbio.2019.108229.
|
| [20] |
Cao C, Yin C, Shou S, Wang J, Yu L, Li X, et al. Ulinastatin protects against LPS-induced acute lung injury by attenuating TLR4/NF-κB pathway activation and reducing inflammatory mediators. Shock 2018; 50(5): 595-605.
|
| [21] |
Liu B, Wang Z, He R, Xiong R, Li G, Zhang L, et al. Buformin alleviates sepsis-induced acute lung injury via inhibiting NLRP3-mediated pyroptosis through an AMPK-dependent pathway. Clin Sci 2022; 136(4): 273-289.
|
| [22] |
Gotts JE, Matthay MA. Sepsis: Pathophysiology and clinical management. BMJ 2016; 353. doi: 10.1136/bmj.i1585.
|
| [23] |
Yuan Z, Bedi B, Sadikot RT. Bronchoalveolar lavage exosomes in lipopolysaccharide-induced septic lung injury. J Vis Exp 2018; (135). doi: 10.3791/57737.
|
| [24] |
Ge WH, Yang HZ, Pan W, Meng LP, Su J, Yang ZB, et al. Crotalaria ferruginea extract attenuates lipopolysaccharide-induced acute lung injury in mice by inhibiting MAPK/NF-κB signaling pathways. Asian Pac J Trop Biomed 2021; 11(11): 481-490.
|
| [25] |
Drechsler S, Osuchowski M. Cecal ligation and puncture. Methods Mol Biol 2021; 2321. doi: 10.1007/978-1-0716-1488-4_1.
|
| [26] |
Assaad S, Kratzert WB, Shelley B, Friedman MB, Perrino A, Jr. Assessment of pulmonary edema: Principles and practice. J Cardiothorac Vasc Anesth 2018; 32(2): 901-914.
|
| [27] |
Bezerra FS, Lanzetti M, Nesi RT, Nagato AC, Silva CPE, Kennedy-Feitosa E, et al. Oxidative stress and inflammation in acute and chronic lung injuries. Antioxidants (Basel) 2023; 12(3). doi: 10.3390/antiox12030548.
|
| [28] |
Sorgun O, Çakır A, Bora ES, Erdoğan MA, Uyanıkgil Y, Erbaş O. Anti-inflammatory and antioxidant properties of betaine protect against sepsis-induced acute lung injury: CT and histological evidence. Braz J Med Biol Res 2023; 56. doi: 10.1590/1414-431X2023e12906.
|
| [29] |
Pojero F, Aiello A, Gervasi F, Caruso C, Ligotti ME, Calabrò A, et al. Effects of oleuropein and hydroxytyrosol on inflammatory mediators: Consequences on inflammaging. Int J Mol Sci 2022; 24(1). doi: 10.3390/ijms24010380.
|
| [30] |
Alsharif KF, Almalki AA, Al-Amer O, Mufti AH, Theyab A, Lokman MS, et al. Oleuropein protects against lipopolysaccharide-induced sepsis and alleviates inflammatory responses in mice. IUBMB Life 2020; 72(10): 2121-2132.
|
| [31] |
Ning M, Liu Y, Wang D, Wei J, Hu G, Xing P. Knockdown of TRIM27 alleviated sepsis-induced inflammation, apoptosis, and oxidative stress via suppressing ubiquitination of PPARγ and reducing NOX4 expression. Inflamm Res 2022; 71(10-11): 1315-1325.
|
| [32] |
D’Arcy MS. Cell death: A review of the major forms of apoptosis, necrosis and autophagy. Cell Biol Int 2019; 43(6): 582-592.
|
| [33] |
Zhao N, Sun R, Cui Y, Song Y, Ma W, Li Y, et al. High concentration hydrogen mitigates sepsis-induced acute lung injury in mice by alleviating mitochondrial fission and dysfunction. J Pers Med 2023; 13(2). doi: 10.3390/jpm13020244.
|
| [34] |
Annesley SJ, Fisher PR. Mitochondria in health and disease. Cells 2019; 8(7). doi: 10.3390/cells8070680.
|
| [35] |
Hara KY, Kondo A. ATP regulation in bioproduction. Microb Cell Fact 2015; 14: 198.
|
| [36] |
Shadel GS, Horvath TL. Mitochondrial ROS signaling in organismal homeostasis. Cell 2015; 163(3): 560-569.
|
| [37] |
Sakamuru S, Attene-Ramos MS, Xia M. Mitochondrial membrane potential assay. Methods Mol Biol 2016; 1473: 17-22.
|
| [38] |
Sun W, Wang X, Hou C, Yang L, Li H, Guo J, et al. Oleuropein improves mitochondrial function to attenuate oxidative stress by activating the Nrf2 pathway in the hypothalamic paraventricular nucleus of spontaneously hypertensive rats. Neuropharmacology 2017; 113(Pt A): 556-566.
|
| [39] |
Kim MH, Min JS, Lee JY, Chae U, Yang EJ, Song KS, et al. Oleuropein isolated from Fraxinus rhynchophylla inhibits glutamate-induced neuronal cell death by attenuating mitochondrial dysfunction. Nutr Neurosci 2018; 21(7): 520-528.
|
| [40] |
Bai X, Zhu Y, Jie J, Li D, Song L, Luo J. Maackiain protects against sepsis via activating AMPK/Nrf2/HO-1 pathway. Int Immunopharmacol 2022; 108. doi: 10.1016/j.intimp.2022.108710.
|