Transduced PEP-1-Heme Oxygenase-1 Fusion Protein Attenuates Lung Injury in Septic Shock Rats

Oxid Med Cell Longev. 2018 Feb 27:2018:6403861. doi: 10.1155/2018/6403861. eCollection 2018.

Abstract

Oxidative stress and inflammation have been identified to play a vital role in the pathogenesis of lung injury induced by septic shock. Heme oxygenase-1 (HO-1), an effective antioxidant and anti-inflammatory and antiapoptotic substance, has been used for the treatment of heart, lung, and liver diseases. Thus, we postulated that administration of exogenous HO-1 protein transduced by cell-penetrating peptide PEP-1 has a protective role against septic shock-induced lung injury. Septic shock produced by cecal ligation and puncture caused severe lung damage, manifested in the increase in the lung wet/dry ratio, oxidative stress, inflammation, and apoptosis. However, these changes were reversed by treatment with the PEP-1-HO-1 fusion protein, whereas lung injury in septic shock rats was alleviated. Furthermore, the septic shock upregulated the expression of Toll-like receptor 4 (TLR4) and transcription factor NF-κB, accompanied by the increase of lung injury. Administration of PEP-1-HO-1 fusion protein reversed septic shock-induced lung injury by downregulating the expression of TLR4 and NF-κB. Our study indicates that treatment with HO-1 protein transduced by PEP-1 confers protection against septic shock-induced lung injury by its antioxidant, anti-inflammatory, and antiapoptotic effects.

MeSH terms

  • Animals
  • Blotting, Western
  • Heme Oxygenase-1 / therapeutic use*
  • Lung Injury / drug therapy*
  • Lung Injury / etiology
  • Male
  • Malondialdehyde / metabolism
  • NF-kappa B / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Recombinant Fusion Proteins / therapeutic use*
  • Shock, Septic / complications
  • Shock, Septic / drug therapy*
  • Superoxide Dismutase / metabolism
  • Toll-Like Receptor 4 / metabolism

Substances

  • NF-kappa B
  • Recombinant Fusion Proteins
  • Tlr4 protein, rat
  • Toll-Like Receptor 4
  • Malondialdehyde
  • Heme Oxygenase-1
  • PEP-1-heme oxygenase-1 fusion protein
  • Superoxide Dismutase