and assessment of the protective effect of sufentanil in acute lung injury.

J Int Med Res

Fuwai Hospital, Chinese Academy of Medical Sciences, Shenzhen, China.

Published: February 2021

Objectives: To investigate the mechanisms underlying the protective effect of sufentanil against acute lung injury (ALI).

Material And Methods: Rats were administered lipopolysaccharide (LPS) by endotracheal instillation to establish a model of ALI. LPS was used to stimulate BEAS-2B cells. The targets and promoter activities of IκB were assessed using a luciferase reporter assay. Apoptosis of BEAS-2B cells was evaluated by terminal deoxynucleotidyl transferase dUTP nick end labeling.

Results: Sufentanil treatment markedly reduced pathological changes in lung tissue, pulmonary edema and secretion of inflammatory factors associated with ALI and . In addition, sufentanil suppressed apoptosis induced by LPS and activated NF-κB both and . Furthermore, upregulation of high mobility group box protein 1 (HMGB1) protein levels and downregulation of miR-129-5p levels were observed and following sufentanil treatment. miR-129-5p targeted the 3' untranslated region and its inhibition decreased promoter activities of IκB-α. miR-129-5p inhibition significantly weakened the protective effect of sufentanil on LPS-treated BEAS-2B cells.

Conclusion: Sufentanil regulated the miR-129-5p/HMGB1 axis to enhance IκB-α expression, suggesting that sufentanil represents a candidate drug for ALI protection and providing avenues for clinical treatment.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869068PMC
http://dx.doi.org/10.1177/0300060520986351DOI Listing

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