Tofacitinib reduces acute lung injury and improves survival in a rat model of sepsis by inhibiting the JAK-STAT/NF-κB pathway

Abstract Acute lung injury is a major cause of death in sepsis. Tofacitinib (TOFA), a JAK inhibitor, has anti-inflammatory activity in autoimmune diseases, but its role in acute lung injury in sepsis remains unclear. The purpose of this study is to establish a septic rat model by cecal ligation and...

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Main Authors: Xinxin Zhang, Xingsheng Wang, Li Sun, Guangsheng Gao, Yun Li
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Journal of Inflammation
Subjects:
Online Access:https://doi.org/10.1186/s12950-023-00332-3
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author Xinxin Zhang
Xingsheng Wang
Li Sun
Guangsheng Gao
Yun Li
author_facet Xinxin Zhang
Xingsheng Wang
Li Sun
Guangsheng Gao
Yun Li
author_sort Xinxin Zhang
collection DOAJ
description Abstract Acute lung injury is a major cause of death in sepsis. Tofacitinib (TOFA), a JAK inhibitor, has anti-inflammatory activity in autoimmune diseases, but its role in acute lung injury in sepsis remains unclear. The purpose of this study is to establish a septic rat model by cecal ligation and perforation, and to evaluate the effect of tofacitinib on the survival rate of septic rat model and its role in acute lung injury in septic rats and the possible mechanism of action. In this study, TOFA (1 mg/kg, 3 mg/kg, 10 mg/kg) was used to observe the survival rate of septic rats. It was found that TOFA (10 mg/kg) significantly improved the survival rate of septic rats. We selected TOFA (10 mg/kg) and focused on the protective effect of TOFA on acute lung injury. The results confirmed that TOFA significantly inhibited the expression of TNF-α, IL-1β, IL-6 and IFN-γ inflammatory factors, reduced the W/D weight ratio of septic lung tissue, and significantly improved lung histopathological damage. These results may be related to the inhibitory effect of TOFA on JAK-STAT/NF-κ B signaling pathway. In conclusion, for the first time, we found that TOFA has a protective effect against sepsis-induced acute lung injury, and it may be a promising drug for the treatment of acute lung injury in sepsis.
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spelling doaj.art-9d2ef5a68b2e4d68a3b1fc9912690a612023-02-05T12:04:49ZengBMCJournal of Inflammation1476-92552023-02-0120111010.1186/s12950-023-00332-3Tofacitinib reduces acute lung injury and improves survival in a rat model of sepsis by inhibiting the JAK-STAT/NF-κB pathwayXinxin Zhang0Xingsheng Wang1Li Sun2Guangsheng Gao3Yun Li4Department of Emergency Medicine, Fuyang People’s Hospital of Anhui Medical UniversityIntensive Care Unit, Central Hospital Affiliated to Shandong First Medical UniversityDepartment of Health Care, Central Hospital Affiliated to Shandong First Medical UniversityIntensive Care Unit, Central Hospital Affiliated to Shandong First Medical UniversityIntensive Care Unit, Central Hospital Affiliated to Shandong First Medical UniversityAbstract Acute lung injury is a major cause of death in sepsis. Tofacitinib (TOFA), a JAK inhibitor, has anti-inflammatory activity in autoimmune diseases, but its role in acute lung injury in sepsis remains unclear. The purpose of this study is to establish a septic rat model by cecal ligation and perforation, and to evaluate the effect of tofacitinib on the survival rate of septic rat model and its role in acute lung injury in septic rats and the possible mechanism of action. In this study, TOFA (1 mg/kg, 3 mg/kg, 10 mg/kg) was used to observe the survival rate of septic rats. It was found that TOFA (10 mg/kg) significantly improved the survival rate of septic rats. We selected TOFA (10 mg/kg) and focused on the protective effect of TOFA on acute lung injury. The results confirmed that TOFA significantly inhibited the expression of TNF-α, IL-1β, IL-6 and IFN-γ inflammatory factors, reduced the W/D weight ratio of septic lung tissue, and significantly improved lung histopathological damage. These results may be related to the inhibitory effect of TOFA on JAK-STAT/NF-κ B signaling pathway. In conclusion, for the first time, we found that TOFA has a protective effect against sepsis-induced acute lung injury, and it may be a promising drug for the treatment of acute lung injury in sepsis.https://doi.org/10.1186/s12950-023-00332-3SepsisCecum ligation perforationTofacitinibJAK-STATNF-κ B
spellingShingle Xinxin Zhang
Xingsheng Wang
Li Sun
Guangsheng Gao
Yun Li
Tofacitinib reduces acute lung injury and improves survival in a rat model of sepsis by inhibiting the JAK-STAT/NF-κB pathway
Journal of Inflammation
Sepsis
Cecum ligation perforation
Tofacitinib
JAK-STAT
NF-κ B
title Tofacitinib reduces acute lung injury and improves survival in a rat model of sepsis by inhibiting the JAK-STAT/NF-κB pathway
title_full Tofacitinib reduces acute lung injury and improves survival in a rat model of sepsis by inhibiting the JAK-STAT/NF-κB pathway
title_fullStr Tofacitinib reduces acute lung injury and improves survival in a rat model of sepsis by inhibiting the JAK-STAT/NF-κB pathway
title_full_unstemmed Tofacitinib reduces acute lung injury and improves survival in a rat model of sepsis by inhibiting the JAK-STAT/NF-κB pathway
title_short Tofacitinib reduces acute lung injury and improves survival in a rat model of sepsis by inhibiting the JAK-STAT/NF-κB pathway
title_sort tofacitinib reduces acute lung injury and improves survival in a rat model of sepsis by inhibiting the jak stat nf κb pathway
topic Sepsis
Cecum ligation perforation
Tofacitinib
JAK-STAT
NF-κ B
url https://doi.org/10.1186/s12950-023-00332-3
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