IMR Press / FBL / Volume 28 / Issue 6 / DOI: 10.31083/j.fbl2806108
Open Access Original Research
Protective Effect of Unfractionated Heparin on Lipopolysaccharide-Induced Acute Respiratory Distress Syndrome in Neonatal Mice via the JAK2/STAT3 Signaling Pathway
Jing Xiong1,2,3,4,5Qing Ai1,2,3,4,5Lei Bao1,2,3,4,5Yuan Shi1,2,3,4,5,*
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1 Neonatal Diagnosis and Treatment Center of Children's Hospital of Chongqing Medical University, 400014 Chongqing, China
2 National Clinical Research Center for Child Health and Disorders, 400014 Chongqing, China
3 Ministry of Education Key Laboratory of Child Development and Disorders, 400014 Chongqing, China
4 China International Science and Technology Cooperation Base of Child Development and Critical Disorders, 400014 Chongqing, China
5 Chongqing Key Laboratory of Pediatrics, 400014 Chongqing, China
*Correspondence: shiyuan@hospital.cqmu.edu.cn (Yuan Shi)
Front. Biosci. (Landmark Ed) 2023, 28(6), 108; https://doi.org/10.31083/j.fbl2806108
Submitted: 20 October 2022 | Revised: 31 December 2022 | Accepted: 16 January 2023 | Published: 8 June 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Neonatal acute respiratory distress syndrome (ARDS) is a clinical disorder characterized by excessive acute inflammatory response in lung parenchyma and has high morbidity and mortality. However, the therapeutic treatments are still lacking. The aim of this study is to evaluate the role of unfractionated heparin in neonatal ARDS and explore the underlying mechanism of its effects. Methods: To conduct the ARDS model, the mouse pups were treated by intraperitoneal injection of lipopolysaccharide (LPS) (10 mg/kg). For unfractionated heparin intervention group, C57BL/6 mouse pups received a single subcutaneous injection of unfractionated heparin (400 IU/kg) 30 minutes prior to LPS. The survival rate was recorded for each group. Histological analysis was used to evaluate lung injury. MPO (myeloperoxidase) concentration level in lung tissues and extracellular histones in serum were detected by enzyme linked immunosorbent assay (ELISA). A commercially available kit was used to detect inflammatory cytokine levels in serum. Real time quantitative polymerase chain reaction (qPCR) and western blot were used to detect the mRNA and protein in the JAK2/STAT3 signaling pathway, respectively. Results: Intervention of unfractionated heparin significantly increased the survival rate of mouse pups with ARDS, restored lung architecture, inhibited neutrophil infiltration as evidenced by reduced MPO concentration, and attenuated the LPS-induced inflammatory responses, characterized by the down-regulation of proinflammatoy factors and up-regulation of anti-inflammatory factor when compared with the ARDS group. In addition, the concentration of extracellular histones, which have been proven to be mediated in the pathogenesis of ARDS, was diminished by unfractionated heparin. Moreover, the protein expressions of p-JAK2 (Y1007/1008) and p-STAT3 (Y705) in the ARDS group were remarkably up-regulated, which were reversed by unfractionated heparin. Conclusions: Unfractionated heparin protects LPS-induced ARDS via inhibiting JAK2/STAT3 pathway in neonatal mice, which might present a novel therapeutic target for ARDS of neonates.

Keywords
acute respiratory distress syndrome
unfractionated heparin
JAK2/STAT3 pathway
mice
newborn
Funding
NCRCCHD-2020-GP-03/National Clinical Research Center for Child Health and Disorders (Republic of China, Chongqing)
CSTC2021jscx-gksb-N0015/Ministry of Science and Technology (Republic of China, Chongqing)
Figures
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