Inhibition of renin-angiotensin system attenuates type I alveolar epithelial cell necroptosis in rats after hyperbaric hyperoxic exposure

ObjectiveThere is evidence showing both necroptosis and activation of renin-angiotensin system (RAS) are involved in the pathogenesis of hyperbaric hyperoxic lung injury (HLI). This study aimed to investigate whether RAS activation can induce lung cell necroptosis and the cell specificity of necropt...

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Main Authors: CuiHong Han, PeiXi Zhang, Ying Liu, JiaJun Xu, XuHua Yu, YuKun Wen, ShiFeng Wang, WenWu Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1521729/full
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author CuiHong Han
PeiXi Zhang
Ying Liu
JiaJun Xu
XuHua Yu
YuKun Wen
ShiFeng Wang
WenWu Liu
author_facet CuiHong Han
PeiXi Zhang
Ying Liu
JiaJun Xu
XuHua Yu
YuKun Wen
ShiFeng Wang
WenWu Liu
author_sort CuiHong Han
collection DOAJ
description ObjectiveThere is evidence showing both necroptosis and activation of renin-angiotensin system (RAS) are involved in the pathogenesis of hyperbaric hyperoxic lung injury (HLI). This study aimed to investigate whether RAS activation can induce lung cell necroptosis and the cell specificity of necroptosis in the lung in case of hyperbaric HLI.MethodsMale SD rats were randomly assigned into control group (n = 12), HLI group (n = 18), captopril group (n = 18), and valsartan group (n = 18). Rats were pre-treated with intraperitoneal captopril (50 mg/kg) or intragastrical valsartan (30 mg/kg) for 3 days before hyperbaric exposure. Then, animals were exposed to 99.9% oxygen at 250 kPa for 6 h to induce HLI. After hyperbaric exposure, lung function was non-invasively detected, and then animals were sacrificed for the detection of wet to dry ratio of the lung, blood gas and lung inflammatory factors, and lung tissues were collected for double immunofluorescence staining. Statistical analysis was performed with one way analysis of variance.ResultsEither valsartan or captopril pre-treatment could inhibit lung edema, improve blood gas (0 h) and lung function (48 h), and reduce pro-inflammatory factors in the lung. In addition, valsartan or captopril pre-treatment could inhibit AGT1 expression and lung cell necroptosis, and type I alveolar epithelial cells (AECs) were the major cell type experiencing necroptosis after hyperbaric hyperoxic exposure.ConclusionOur study indicates inhibition of RAS can suppress the hyperbaric HLI, which may be, at least partially, related to the inhibition of type I AECs necroptosis. Our findings provide new mechanism for the protective effects of RAS inhibition on hyperbaric HLI.
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spelling doaj.art-2b5cd5577c3b4ee0a2fcc9e3219850942025-02-21T12:33:48ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.15217291521729Inhibition of renin-angiotensin system attenuates type I alveolar epithelial cell necroptosis in rats after hyperbaric hyperoxic exposureCuiHong Han0PeiXi Zhang1Ying Liu2JiaJun Xu3XuHua Yu4YuKun Wen5ShiFeng Wang6WenWu Liu7Department of Pathology, Jining No 1 People’s Hospital, Jining, Shandong, ChinaDepartment of Cardiothoracic Surgery, Jining No 1 People’s Hospital, Jining, Shandong, ChinaDepartment of Pathology, Yantaishan Hospital, Yantai, Shandong, ChinaDepartment of Diving and Hyperbaric Medicine, Naval Medical Center, Shanghai, ChinaDepartment of Diving and Hyperbaric Medicine, Naval Medical Center, Shanghai, ChinaDepartment of Diving and Hyperbaric Medicine, Naval Medical Center, Shanghai, ChinaDepartment of Diving and Hyperbaric Medicine, Naval Medical Center, Shanghai, ChinaDepartment of Diving and Hyperbaric Medicine, Naval Medical Center, Shanghai, ChinaObjectiveThere is evidence showing both necroptosis and activation of renin-angiotensin system (RAS) are involved in the pathogenesis of hyperbaric hyperoxic lung injury (HLI). This study aimed to investigate whether RAS activation can induce lung cell necroptosis and the cell specificity of necroptosis in the lung in case of hyperbaric HLI.MethodsMale SD rats were randomly assigned into control group (n = 12), HLI group (n = 18), captopril group (n = 18), and valsartan group (n = 18). Rats were pre-treated with intraperitoneal captopril (50 mg/kg) or intragastrical valsartan (30 mg/kg) for 3 days before hyperbaric exposure. Then, animals were exposed to 99.9% oxygen at 250 kPa for 6 h to induce HLI. After hyperbaric exposure, lung function was non-invasively detected, and then animals were sacrificed for the detection of wet to dry ratio of the lung, blood gas and lung inflammatory factors, and lung tissues were collected for double immunofluorescence staining. Statistical analysis was performed with one way analysis of variance.ResultsEither valsartan or captopril pre-treatment could inhibit lung edema, improve blood gas (0 h) and lung function (48 h), and reduce pro-inflammatory factors in the lung. In addition, valsartan or captopril pre-treatment could inhibit AGT1 expression and lung cell necroptosis, and type I alveolar epithelial cells (AECs) were the major cell type experiencing necroptosis after hyperbaric hyperoxic exposure.ConclusionOur study indicates inhibition of RAS can suppress the hyperbaric HLI, which may be, at least partially, related to the inhibition of type I AECs necroptosis. Our findings provide new mechanism for the protective effects of RAS inhibition on hyperbaric HLI.https://www.frontiersin.org/articles/10.3389/fmed.2025.1521729/fullhyperbaric hyperoxic lung injurynecroptosisrenin-angiotensin systemtype I alveolar epithelial cellsinflammation
spellingShingle CuiHong Han
PeiXi Zhang
Ying Liu
JiaJun Xu
XuHua Yu
YuKun Wen
ShiFeng Wang
WenWu Liu
Inhibition of renin-angiotensin system attenuates type I alveolar epithelial cell necroptosis in rats after hyperbaric hyperoxic exposure
Frontiers in Medicine
hyperbaric hyperoxic lung injury
necroptosis
renin-angiotensin system
type I alveolar epithelial cells
inflammation
title Inhibition of renin-angiotensin system attenuates type I alveolar epithelial cell necroptosis in rats after hyperbaric hyperoxic exposure
title_full Inhibition of renin-angiotensin system attenuates type I alveolar epithelial cell necroptosis in rats after hyperbaric hyperoxic exposure
title_fullStr Inhibition of renin-angiotensin system attenuates type I alveolar epithelial cell necroptosis in rats after hyperbaric hyperoxic exposure
title_full_unstemmed Inhibition of renin-angiotensin system attenuates type I alveolar epithelial cell necroptosis in rats after hyperbaric hyperoxic exposure
title_short Inhibition of renin-angiotensin system attenuates type I alveolar epithelial cell necroptosis in rats after hyperbaric hyperoxic exposure
title_sort inhibition of renin angiotensin system attenuates type i alveolar epithelial cell necroptosis in rats after hyperbaric hyperoxic exposure
topic hyperbaric hyperoxic lung injury
necroptosis
renin-angiotensin system
type I alveolar epithelial cells
inflammation
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1521729/full
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