Key result
Fraxinol reduces LPS-induced acute lung injury scores by ~50% via ACE/ACE2 rebalancing and NLRP3 inhibition.
Why the study?
Acute lung injury is a serious pulmonary disorder with limited therapeutic options, and fraxinol has not been previously investigated for ALI treatment.
p-value: p=<0.05
Fraxinol merits further development for acute lung injury; leaves open translation from murine models to clinical practice.
CONTEXT: Acute lung injury (ALI) is a serious heterogenous pulmonary disorder. Fraxinol was selected for this study since it is a simple coumarin compound, not previously investigated in ALI. OBJECTIVES: This study investigates the ALI therapeutic effect and mechanisms of fraxinol. MATERIALS AND METHODS: Male BALB/c mice were treated with fraxinol (20, 40, and 80 mg/kg) following intranasal injection of lipopolysaccharide (LPS; 10 μg in 50 μL). The mice in control group were intratracheally injected with 50 μL phosphate buffered saline (PBS). Raw264.7 cells were treated with fraxinol by 100 ng/mL LPS for 6 h, then treated by different concentrations of fraxinol (5, 10, and 25 μM) for 48 h. Cells in control group were treated with PBS. RESULTS: Fraxinol with doses of 20, 40, and 80 mg/kg significantly attenuated LPS-induced lung injury in mice (lung injury score, 10.4, 31.2, 50.3%). Fraxinol attenuated the apoptosis and nucleotide-binding oligomerization domain-like receptor family pyrin domain-containing-3 (NLRP3) activation induced by LPS (apoptosis, 18.3, 30.2, 55.6%; NLRP3, 30.0, 47.7, 63.6%). The anti-apoptosis and anti-inflammation effects of fraxinol were also confirmed in Raw264.7 cells (apoptosis, 38.8, 55.3, 68.9%; NLRP3, 20.6, 55.7, 73.9%). DISCUSSION AND CONCLUSION: The anti-ALI effects of fraxinol maybe by equilibrating ACE-Ang II-AT1R and ACE2-Ang (1-7)-Mas axis and inhibiting NLRP3 inflammasome. Our research provides a candidate drug in the treatment of ALI.
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Wu et al. (2022) studied Acute lung injury (n=30). Fraxinol vs. LPS without fraxinol or PBS control was evaluated on Lung injury score attenuation (p=<0.05). Fraxinol significantly attenuated LPS-induced acute lung injury, reducing lung injury scores by up to 50.3%, by equilibrating the ACE-Ang II-AT1R and ACE2-Ang (1-7)-Mas axes and inhibiting NLRP3.
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