Background (PA) may be the single-most common pathogen of ventilator-associated pneumonia

Background (PA) may be the single-most common pathogen of ventilator-associated pneumonia (VAP). air flow induced the manifestation of interleukin-6 (IL-6) in the lungs. Phospho-JNK proteins expression in the lungs was significantly increased in mice receiving mechanical ventilation after PA instillation as compared with those receiving ventilation alone. Mechanical ventilation after PA instillation significantly increased the expression of tumor necrosis factor-α (TNF-α) IL-1β and macrophage inflammatory protein-2 (MIP-2) proteins; neutrophil sequestration; and TNF-α IL-1β and IL-6 levels in the lungs of WT mice but not in JNK1?/? mice. Conclusion PA colonization plays an important role in PA VAPJNK1-mediated inflammation. PA-induced VAP causes lung injury through JNK signaling pathway in the lungs. JNK inhibition in ICU patients with higher percentages of PA colonization may reduce VAP-induced lung injury and mortality. (PA) has been associated with higher case fatality rates than that by other bacteria [2 3 More importantly PA is the most common multidrug-resistant AZD4547 pathogen that rarely causes pneumonia outside of the ICU but is responsible for a high proportion of these infections in hospitalized patients [4]. Tracheobronchial colonization is one of the most important factors for VAP and the predominant Rabbit Polyclonal to KNG1 (H chain, Cleaved-Lys380). organisms responsible for infection are VAPfor 5 min and the supernatants were collected and stored at ?80 °C. Western immunoblotting The harvested lung tissue was weighed and homogenized in protein extraction buffer (Sigma) containing proteinase inhibitor cocktail (Roche) 1 mM NaF and 1 mM Na3VO4. The homogenized samples were subjected to SDS-PAGE at 50 to 100 V for 2 h. The proteins were transferred onto the nitrocellulose membrane. The membrane was blocked with 5 % non-fat milk in TBST buffer (10 mM Tris-HCl pH 7.5 150 mM NaCl and 1.2 % Tween 20) at room temperature for 1 h and incubated with antibodies against TNF-α IL-1β IL-6 MIP-2 JNK and phospho-JNK at room temperature for 1 h. After immunoblotting with the AZD4547 specific primary antibodies the membranes were washed 3 times with TBST buffer and incubated with the secondary antibodies at room temperature for 1 h. The membranes were washed 6 to 8 8 times with TBST buffer and the protein bands were detected by enhanced chemiluminescence (ECL) detection reagent (Millipore). Enzyme-linked immunosorbent assay (ELISA) Lung tissues were collected for TNF-α IL-1β and IL-6 assay by using the mouse ELISA kit (eBioscience). Lung tissue was homogenized in lysis buffer (30 mM Tris pH 7.5 300 mM NaCl 2 mM MgCl2 10 %10 % Triton X-100 2 mM CaCl2 and 20 μg/ml of protease AZD4547 inhibitors) and centrifuged at 1 0 × g 4 °C for 15 min. The supernatants was collected and used for assay. The ELISA plates were coated with capture antibodies (100 μl per well) at 4 °C for overnight. The plates were washed several times and blocked with assay buffer (200 μl per well) at room temperature for 1 h. The samples and standards were added to the plates and incubated at 4 °C for overnight. On the next day the plates were washed several times detection antibodies (100 μl per well) were added for 1 h and avidin-HRP (100 μl per well) was added for 30 min at room temperature. Finally substrate 3 3 5 5 was added and incubated at room temperature for 15 min. The reaction was stopped by adding 2 N H2SO4 and the absorbance at 450 nm was measured by using an ELISA reader. Neutrophil infiltration in the lungs Lung myeloperoxidase (MPO) activity has been used as a marker of lung neutrophil infiltration [25]. Lung tissues were weighed and homogenized in 50 mM potassium phosphate buffer (pH 6.0) with 0.5 % hexadecyltrimethyl- ammonium bromide. Homogenates were centrifuged at 9 500 × g 4 °C for 10 min. An aliquot (60 μl) of supernatants was added to 939 μl of potassium phosphate buffer with 16.7 mg/ml of O-dianisidine and 0.5 % hydrogen peroxide. The rate of change in absorbance at 460 nm was measured over 2 min. One unit of MPO activity is AZD4547 defined as the amount of enzyme that reduces 1 μmole of peroxide per min and the data were expressed as units per gram of lung tissue.