Remote ischemic preconditioning STAT3-dependently ameliorates pulmonary ischemia/reperfusion injury

PLoS One. 2018 May 16;13(5):e0196186. doi: 10.1371/journal.pone.0196186. eCollection 2018.

Abstract

The lungs are highly susceptible to injury, including ischemia/reperfusion (I/R) injury. Pulmonary I/R injury can occur when correcting conditions such as primary pulmonary hypertension, and is also relatively common after lung transplantation or other cardiothoracic surgery. Methods to reduce pulmonary I/R injury are urgently needed to improve outcomes following procedures such as lung transplantation. Remote liver ischemic preconditioning (RLIPC) is an effective cardioprotective measure, reducing damage caused by subsequent cardiac I/R injury, but little is known about its potential role in pulmonary protection. Here, we analyzed the efficacy and mechanistic basis of RLIPC in a rat model of pulmonary I/R injury. RLIPC reduced lung I/R injury, lessening structural damage, inflammatory cytokine production and apoptosis. In addition, RLIPC preserved pulmonary function compared to controls following lung I/R injury. RLIPC stimulated phosphorylation of pulmonary STAT3, a component of the SAFE signaling pathway, but not phosphorylation of RISK pathway signaling proteins. Accordingly, STAT3 inhibition using AG490 eliminated the pulmonary protection afforded by RLIPC. Our data demonstrate for the first time that RLIPC protects against pulmonary I/R injury, via a signaling pathway requiring STAT3 phosphorylation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Ischemic Preconditioning / methods*
  • Liver / blood supply*
  • Lung / blood supply*
  • Lung Injury / metabolism
  • Lung Injury / pathology
  • Lung Injury / prevention & control*
  • Male
  • Phosphorylation
  • Rats
  • Rats, Sprague-Dawley
  • Reperfusion Injury / prevention & control*
  • STAT3 Transcription Factor / metabolism*
  • Signal Transduction

Substances

  • STAT3 Transcription Factor
  • Stat3 protein, rat

Grants and funding

This study was supported by grant No. 81670300 (to ZH) from the National Natural Science Foundation of China, and University of California, Irvine School of Medicine Setup Funds (to GWA). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.