1. Possible contribution of the neprilysin/ACE pathway to sepsis in mice
- Author
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Zekai Halici, Aysenur Kahramanlar, Elif Cadirci, Harun Un, Muhammed Ali Gürbüz, Rustem Anil Ugan, Gokce Kaya, Zeynep Berna Aksakalli-Magden, and Belirlenecek
- Subjects
Male ,0301 basic medicine ,Nitric Oxide Synthase Type II ,Rat Model ,Pharmacology ,medicine.disease_cause ,030226 pharmacology & pharmacy ,Mice ,0302 clinical medicine ,Enos ,Edema ,Omapatrilat ,General Pharmacology, Toxicology and Pharmaceutics ,Acute Respiratory-Distress ,Lung ,Neprilysin ,Mice, Inbred BALB C ,biology ,Candesartan ,NF-kappa B ,General Medicine ,medicine.anatomical_structure ,Infarction ,Cytokines ,Tumor necrosis factor alpha ,medicine.symptom ,Signal Transduction ,medicine.drug ,Nitric Oxide Synthase Type III ,Acute Lung Injury ,Angiotensin-Converting Enzyme ,Peptidyl-Dipeptidase A ,General Biochemistry, Genetics and Molecular Biology ,Permeability ,Sepsis ,03 medical and health sciences ,Atrial-Natriuretic-Peptide ,medicine ,Animals ,RNA, Messenger ,Vasopeptidase Inhibitor Omapatrilat ,ACE ,Interleukin-6 ,Tumor Necrosis Factor-alpha ,business.industry ,biology.organism_classification ,medicine.disease ,Oxidative Stress ,030104 developmental biology ,business ,Biomarkers ,Oxidative stress - Abstract
Aim Omapatrilat is an antagonist of angiotensin-converting (ACE) and neprilysin-neuropeptidase (NEP) enzymes. The aim of our study is to show that omapatrilat may have beneficial effects as a treatment for polymicrobial sepsis. Main methods A cecal ligation and puncture (CLP) sepsis model was used to evaluate 10 and 20 mg/kg doses of omapatrilat in mice (n = 30) fasted for 12 h. The lungs were removed 12 h after CLP, and lung levels of cytokines (tumor necrosis factor-alpha [TNF-α], interleukin-6 [IL-6], NF-κB), iNOS and eNOS mRNA expression, GSH and MDA levels, and ACE and NEP activities were determined. Histopathological examinations were also performed. Key findings Omapatrilat treatment provided a dose-dependent reduction in oxidative stress and inflammatory parameters in lung tissues. Omapatrilat administration decreased lung iNOS and eNOS mRNA levels at 20 mg/kg dose. Histopathological analysis revealed a decline in the thickening and edema areas in the alveolar septa in the Sepsis+OMA20 group. Significance Omapatrilat, a dual ACE and NEP inhibitor, protected lung tissue from sepsis damage by reducing ACE and NEP activities, by decreasing the mRNA expression levels of pro-inflammatory cytokines (TNF-α, IL-6, and NF-κB), by suppressing leukocyte infiltration and edema, by restoring iNOS and eNOS levels, and by restoring SOD activity and GSH and MDA levels, thereby reducing oxidative stress.
- Published
- 2020