Skip to main content
Top
Published in: Journal of Clinical Immunology 3/2013

01-04-2013 | Original Research

N-acetylcysteine Administration is Associated with Reduced Activation of NF-kB and Preserves Lung Dendritic Cells Function in a Zymosan-Induced Generalized Inflammation Model

Authors: Hong-Wei Wang, Wen Yang, Jiang-Yang Lu, Fei Li, Jun-Zhong Sun, Wen Zhang, Nan-Nan Guo, Lei Gao, Jia-Rui Kang

Published in: Journal of Clinical Immunology | Issue 3/2013

Login to get access

Abstract

Purpose

In severe sepsis, functional impairment and decreased numbers of dendritic cells (DCs) are essential reasons for immune function paralysis, secondary organ infection, and organ failure. We investigated the effects of N-acetylcysteine (NAC) administration on protecting lung DCs function in a zymosan-induced generalized inflammation (ZIGI) model.

Methods

ZIGI was initiated in 80 Balb/c mice by intraperitoneal injection of zymosan (ZYM; 900 mg/kg). Mice were divided into 4 groups: (1) SHAM+Vehicle; (2) SHAM+NAC; (3) ZYM+Vehicle; and (4) ZYM+NAC. NAC (100 mg/kg) was administered at different time after ZYM injection. After 48 h, we assessed: lung tissue pathological changes; arterial blood gas values; purified lung DCs surface expressions of MHC-II/I-Ad and co-stimulatory molecules CD80, CD83, and CD86; lung DCs mRNA levels of chemokine receptors CCR5 and CCR7; lung DCs apoptosis; lung DCs ultrastructure by transmission electron microscopy; lung DCs NF-kB transcription factor activity; and LPS-stimulated lung DCs in vitro production of IL-12 and IL-10 were examined.

Results

NAC treatment resulted in: significant improvements in ZYM-induced lung tissue damage and impaired lung function; inhibited lung DCs ZYM-induced increased expression of MHC-II/I-Ad, CD83, and CD86, but not CD80; reduced lung DCs ZYM-induced CCR5 and CCR7 mRNA levels; suppressed ZYM-induced lung DCs apoptosis; ameliorated ZYM-induced lung DCs ultrastructural abnormalities; inhibited ZYM-induced lung DCs NF-κB activity; and enhanced lung DCs production of IL-12 and inhibited their production of IL-10.

Conclusions

Repeated injections of NAC during the early stage of severe sepsis effectively inhibited lung DCs activation and their apoptosis, which could preserve DCs function.
Literature
1.
go back to reference Barie PS, Hydo LJ, Shou J, Eachempati SR. Decreasing magnitude of multiple organ dysfunction syndrome despite increasingly severe critical surgical illness: a 17-year longitudinal study. J Trauma. 2008;65:1227–35.PubMedCrossRef Barie PS, Hydo LJ, Shou J, Eachempati SR. Decreasing magnitude of multiple organ dysfunction syndrome despite increasingly severe critical surgical illness: a 17-year longitudinal study. J Trauma. 2008;65:1227–35.PubMedCrossRef
2.
go back to reference Bone RC. Immunologic dissonance: a continuing evolution in our understanding of the systemic inflammatory response syndrome (SIRS) and the multiple organ dysfunction syndrome (MODS). Ann Intern Med. 1996;125:680–7.PubMed Bone RC. Immunologic dissonance: a continuing evolution in our understanding of the systemic inflammatory response syndrome (SIRS) and the multiple organ dysfunction syndrome (MODS). Ann Intern Med. 1996;125:680–7.PubMed
3.
go back to reference Perl M, Chung CS, Garber M, Huang X, Ayala A. Contribution of anti-inflammatory/immune suppressive processes to the pathology of sepsis. Front Biosci. 2006;11:272–99.PubMedCrossRef Perl M, Chung CS, Garber M, Huang X, Ayala A. Contribution of anti-inflammatory/immune suppressive processes to the pathology of sepsis. Front Biosci. 2006;11:272–99.PubMedCrossRef
4.
go back to reference Joffre O, Nolte MA, Spirri R, Reis e Sousa C. Inflammatory signals in dendritic cell activation and the induction of adaptive immunity. Immunol Rev. 2009;227:234–47.PubMedCrossRef Joffre O, Nolte MA, Spirri R, Reis e Sousa C. Inflammatory signals in dendritic cell activation and the induction of adaptive immunity. Immunol Rev. 2009;227:234–47.PubMedCrossRef
5.
go back to reference Liu YJ. Dendritic cell subsets and lineages, and their functions in innate and adaptive immunity. Cell. 2001;106:259–62.PubMedCrossRef Liu YJ. Dendritic cell subsets and lineages, and their functions in innate and adaptive immunity. Cell. 2001;106:259–62.PubMedCrossRef
6.
go back to reference Efron PA, Martins A, Minnich D, Tinsley K, Ungaro R, Bahjat FR, Hotchkiss R, Clare-Salzler M, Moldawer LL. Characterization of the systemic loss of dendritic cells in murine lymph nodes during polymicrobial sepsis. J Immunol. 2004;173:3035–43.PubMed Efron PA, Martins A, Minnich D, Tinsley K, Ungaro R, Bahjat FR, Hotchkiss R, Clare-Salzler M, Moldawer LL. Characterization of the systemic loss of dendritic cells in murine lymph nodes during polymicrobial sepsis. J Immunol. 2004;173:3035–43.PubMed
7.
go back to reference Scumpia PO, McAuliffe PF, O’Malley KA, Ungaro R, Uchida T, Matsumoto T, Remick DG, Clare-Salzler MJ, Moldawer LL, Efron PA. CD11c+ dendritic cells are required for survival in murine polymicrobial sepsis. J Immunol. 2005;175:3282–6.PubMed Scumpia PO, McAuliffe PF, O’Malley KA, Ungaro R, Uchida T, Matsumoto T, Remick DG, Clare-Salzler MJ, Moldawer LL, Efron PA. CD11c+ dendritic cells are required for survival in murine polymicrobial sepsis. J Immunol. 2005;175:3282–6.PubMed
8.
go back to reference Benjamim CF, Lundy SK, Lukacs NW, Hogaboam CM, Kunkel SL. Reversal of long-term sepsis-induced immunosuppression by dendritic cells. Blood. 2005;105:3588–95.PubMedCrossRef Benjamim CF, Lundy SK, Lukacs NW, Hogaboam CM, Kunkel SL. Reversal of long-term sepsis-induced immunosuppression by dendritic cells. Blood. 2005;105:3588–95.PubMedCrossRef
9.
go back to reference Tinsley KW, Grayson MH, Swanson PE, Drewry AM, Chang KC, Karl IE, Hotchkiss RS. Sepsis induces apoptosis and profound depletion of splenic interdigitating and follicular dendritic cells. J Immunol. 2003;171:909–14.PubMed Tinsley KW, Grayson MH, Swanson PE, Drewry AM, Chang KC, Karl IE, Hotchkiss RS. Sepsis induces apoptosis and profound depletion of splenic interdigitating and follicular dendritic cells. J Immunol. 2003;171:909–14.PubMed
10.
go back to reference Hotchkiss RS, Nicholson DW. Apoptosis and caspases regulate death and inflammation in sepsis. Nat Rev Immunol. 2006;6:813–22.PubMedCrossRef Hotchkiss RS, Nicholson DW. Apoptosis and caspases regulate death and inflammation in sepsis. Nat Rev Immunol. 2006;6:813–22.PubMedCrossRef
11.
go back to reference Hardaway RM. A brief overview of acute respiratory distress syndrome. World J Surg. 2006;30:1829–34.PubMedCrossRef Hardaway RM. A brief overview of acute respiratory distress syndrome. World J Surg. 2006;30:1829–34.PubMedCrossRef
12.
go back to reference Wesche DE, Loma-Neira JL, Perl M, Chung CS, Ayala A. Leukocyte apoptosis and its significance in sepsis and shock for the treatment of sepsis. J Leukoc Biol. 2005;78:325–37.PubMedCrossRef Wesche DE, Loma-Neira JL, Perl M, Chung CS, Ayala A. Leukocyte apoptosis and its significance in sepsis and shock for the treatment of sepsis. J Leukoc Biol. 2005;78:325–37.PubMedCrossRef
13.
go back to reference Kelly GS. Clinical applications of N-acetylcysteine. Alternative Med Rev. 1998;3:114–27. Kelly GS. Clinical applications of N-acetylcysteine. Alternative Med Rev. 1998;3:114–27.
14.
go back to reference Ozdulger A, Cinel I, Koskel O, Cinel L, Avlan D, Unlu A, Okcu H, Dikmengil M, Oral U. The protective effect of N-acetylcysteine on apoptotic lung injury in cecal ligation and puncture-induced sepsis model. Shock. 2003;19:366–72.PubMedCrossRef Ozdulger A, Cinel I, Koskel O, Cinel L, Avlan D, Unlu A, Okcu H, Dikmengil M, Oral U. The protective effect of N-acetylcysteine on apoptotic lung injury in cecal ligation and puncture-induced sepsis model. Shock. 2003;19:366–72.PubMedCrossRef
15.
go back to reference Paterson RL, Galley HF, Webster NR. The effect of N-acetylcysteine on nuclear factor-κB activation, interleukin-6, interleukin-8, and intercellular adhesion molecule-1 expression in patients with sepsis. Crit Care Med. 2003;31:2574–8.PubMedCrossRef Paterson RL, Galley HF, Webster NR. The effect of N-acetylcysteine on nuclear factor-κB activation, interleukin-6, interleukin-8, and intercellular adhesion molecule-1 expression in patients with sepsis. Crit Care Med. 2003;31:2574–8.PubMedCrossRef
16.
go back to reference Suter PM, Domenighetti G, Schaller MD, Laverrière MC, Ritz R, Perret C. N-acetylcysteine enhances recovery from acute lung injury in man. A randomized, double-blind, placebo-controlled clinical study. Chest. 1994;105:190–4.PubMedCrossRef Suter PM, Domenighetti G, Schaller MD, Laverrière MC, Ritz R, Perret C. N-acetylcysteine enhances recovery from acute lung injury in man. A randomized, double-blind, placebo-controlled clinical study. Chest. 1994;105:190–4.PubMedCrossRef
17.
go back to reference Liu DD, Kao SJ, Chen HI. N-acetylcysteine attenuates acute lung injury induced by fat embolism. Crit Care Med. 2008;36:565–71.PubMedCrossRef Liu DD, Kao SJ, Chen HI. N-acetylcysteine attenuates acute lung injury induced by fat embolism. Crit Care Med. 2008;36:565–71.PubMedCrossRef
18.
go back to reference Verhasselt V, Vanden Bergh W, Vanderheyde N, Willems F, Haegeman G, Goldman M. N-acetyl-L-cysteine inhibits primary human T cell responses at the dendritic cell level: association with NF-kB inhibition. J Immunol. 1999;162:2569–74.PubMed Verhasselt V, Vanden Bergh W, Vanderheyde N, Willems F, Haegeman G, Goldman M. N-acetyl-L-cysteine inhibits primary human T cell responses at the dendritic cell level: association with NF-kB inhibition. J Immunol. 1999;162:2569–74.PubMed
19.
go back to reference Wolman TJ, Hendriks T, Goris RJ. Zymosan-induced generalized inflammation: experimental studies into mechanisms leading to multiple organ dysfunction syndrome. Shock. 2005;23:291–7.CrossRef Wolman TJ, Hendriks T, Goris RJ. Zymosan-induced generalized inflammation: experimental studies into mechanisms leading to multiple organ dysfunction syndrome. Shock. 2005;23:291–7.CrossRef
20.
go back to reference Goris RJ, Boekholtz WK, van Bebber IP, Nuytinck JK, Schillings PH. Multiple organ failure and sepsis without bacteria: an experimental model. Arch Surg. 1986;121:897–901.PubMedCrossRef Goris RJ, Boekholtz WK, van Bebber IP, Nuytinck JK, Schillings PH. Multiple organ failure and sepsis without bacteria: an experimental model. Arch Surg. 1986;121:897–901.PubMedCrossRef
21.
go back to reference Cuzzocrea S, Genovese T, Mazzon E, Esposito E, Crisafulli C, Di Paola R, Bramanti P, Salvemini D. Fumonisin B1 reduces the development of multiple organ failure induced by zymosan in mice. Shock. 2009;31:170–7.PubMedCrossRef Cuzzocrea S, Genovese T, Mazzon E, Esposito E, Crisafulli C, Di Paola R, Bramanti P, Salvemini D. Fumonisin B1 reduces the development of multiple organ failure induced by zymosan in mice. Shock. 2009;31:170–7.PubMedCrossRef
22.
go back to reference Genovese T, DiPaolo R, Catalano P. Treatment with a novel poly(ADP-ribose) glycohydrolase inhibitor reduces development of septic shock-like syndrome induced by zymosan in mice. Crit Care Med. 2004;32:1365–74.PubMedCrossRef Genovese T, DiPaolo R, Catalano P. Treatment with a novel poly(ADP-ribose) glycohydrolase inhibitor reduces development of septic shock-like syndrome induced by zymosan in mice. Crit Care Med. 2004;32:1365–74.PubMedCrossRef
23.
go back to reference Masten BJ, Gwyneth K, Kusewitt DF, Lipscomb MF. Flt3 ligand preferentially increases the number of functionally active myeloid dendritic cells in the lungs of mice. J Immunol. 2004;172:4077–83.PubMed Masten BJ, Gwyneth K, Kusewitt DF, Lipscomb MF. Flt3 ligand preferentially increases the number of functionally active myeloid dendritic cells in the lungs of mice. J Immunol. 2004;172:4077–83.PubMed
24.
go back to reference Menezes SL, Bozza PT, Castro Fario Neto HC. Pulmonary and extrapulmonary acute lung injury: inflammatory and ultrastructural analyses. J Appl Physiol. 2005;98:1777–83.PubMedCrossRef Menezes SL, Bozza PT, Castro Fario Neto HC. Pulmonary and extrapulmonary acute lung injury: inflammatory and ultrastructural analyses. J Appl Physiol. 2005;98:1777–83.PubMedCrossRef
25.
go back to reference Ritter C, Andrades ME, Reinke A, Menna-Barreto S, Moreira JC, Dal-Pizzol F. Treatment with N-acetylcysteine plus deferoxamine protects rats against oxidative stress and improves survival in sepsis. Crit Care Med. 2004;32:342–9.PubMedCrossRef Ritter C, Andrades ME, Reinke A, Menna-Barreto S, Moreira JC, Dal-Pizzol F. Treatment with N-acetylcysteine plus deferoxamine protects rats against oxidative stress and improves survival in sepsis. Crit Care Med. 2004;32:342–9.PubMedCrossRef
26.
go back to reference Spapen HD, Diltoer MW, Nguyen DN, Hendrickx I, Huyghens LP. Effects of N-acetylcysteine on microalbuminuria and organ failure in acute severe sepsis. Chest. 2005;127:1413–9.PubMedCrossRef Spapen HD, Diltoer MW, Nguyen DN, Hendrickx I, Huyghens LP. Effects of N-acetylcysteine on microalbuminuria and organ failure in acute severe sepsis. Chest. 2005;127:1413–9.PubMedCrossRef
27.
go back to reference Xin J, Lin W, Wu HS, Zhang L, Wang CY, Tian Y, Zhang JH. N-acetylcysteine inhibits activation of toll-like receptor 2 and 4 gene expression in the liver and lung after partial hepatic ischemia-reperfusion injury in mice. Hepatob Pancreat Dis Int. 2007;6:284–9. Xin J, Lin W, Wu HS, Zhang L, Wang CY, Tian Y, Zhang JH. N-acetylcysteine inhibits activation of toll-like receptor 2 and 4 gene expression in the liver and lung after partial hepatic ischemia-reperfusion injury in mice. Hepatob Pancreat Dis Int. 2007;6:284–9.
28.
go back to reference Kroening PR, Barnes TW, Pease L, Limper A, Kita H, Vassallo R. Cigarette smoke-induced oxidative stress suppresses generation of dendritic cell IL-12 and IL-23 through ERK-dependent pathways. J Immunol. 2008;181:1536–47.PubMed Kroening PR, Barnes TW, Pease L, Limper A, Kita H, Vassallo R. Cigarette smoke-induced oxidative stress suppresses generation of dendritic cell IL-12 and IL-23 through ERK-dependent pathways. J Immunol. 2008;181:1536–47.PubMed
29.
go back to reference Wen HT, Hogaboam CM, Gauldie J, Kunkel SL. Severe sepsis exacerbates cell-mediated immunity in the lung due to an altered dendritic cell cytokine profile. Am J Pathol. 2006;168:1940–50.PubMedCrossRef Wen HT, Hogaboam CM, Gauldie J, Kunkel SL. Severe sepsis exacerbates cell-mediated immunity in the lung due to an altered dendritic cell cytokine profile. Am J Pathol. 2006;168:1940–50.PubMedCrossRef
30.
go back to reference Caux C, Ait-Yahia S, Chemin K. Dendritic cell biology and regulation dendritic cell trafficking by chemokines. Springer Semin Immunopathol. 2000;22:345–69.PubMedCrossRef Caux C, Ait-Yahia S, Chemin K. Dendritic cell biology and regulation dendritic cell trafficking by chemokines. Springer Semin Immunopathol. 2000;22:345–69.PubMedCrossRef
31.
go back to reference Kriehuber E, Bauer W, Charbonnier AS, Winter D, Amatschek S, Tamandl D, Schweifer N, Stingl G, Maurer D. Balance between NF-kappaB and JNK/AP-1 activity controls dendritic cell life and death. Blood. 2005;106:175–83.PubMedCrossRef Kriehuber E, Bauer W, Charbonnier AS, Winter D, Amatschek S, Tamandl D, Schweifer N, Stingl G, Maurer D. Balance between NF-kappaB and JNK/AP-1 activity controls dendritic cell life and death. Blood. 2005;106:175–83.PubMedCrossRef
32.
go back to reference Ouaaz F, Arron J, Zheng Y, Choi Y, Beg AA. Dendritic cell development and survival require distinct NF-kappaB subunits. Immunity. 2002;16:257–70.PubMedCrossRef Ouaaz F, Arron J, Zheng Y, Choi Y, Beg AA. Dendritic cell development and survival require distinct NF-kappaB subunits. Immunity. 2002;16:257–70.PubMedCrossRef
Metadata
Title
N-acetylcysteine Administration is Associated with Reduced Activation of NF-kB and Preserves Lung Dendritic Cells Function in a Zymosan-Induced Generalized Inflammation Model
Authors
Hong-Wei Wang
Wen Yang
Jiang-Yang Lu
Fei Li
Jun-Zhong Sun
Wen Zhang
Nan-Nan Guo
Lei Gao
Jia-Rui Kang
Publication date
01-04-2013
Publisher
Springer US
Published in
Journal of Clinical Immunology / Issue 3/2013
Print ISSN: 0271-9142
Electronic ISSN: 1573-2592
DOI
https://doi.org/10.1007/s10875-012-9852-3

Other articles of this Issue 3/2013

Journal of Clinical Immunology 3/2013 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.