Abstract

Background

Transfusion-related acute lung injury (TRALI) is a serious adverse event of blood transfusion, characterized by pulmonary inflammation, edema, and neutrophil infiltration. This study aimed to explore the protective effects of taxamairin B (Taxa B), a natural component derived from Taxusmairei, on lung damage and inflammation in a mouse model of TRALI.

Methods

A TRALI mouse model was established through sequential injection of lipopolysaccharide (LPS) and major histocompatibility complex (MHC) antibody. Extravascular lung water, extravascular plasma equivalents, lung weight/dry ratio, and protein concentration in bronchoalveolar lavage fluid (BALF) were measured. Histopathological changes were performed using hematoxylin-eosin staining. Neutrophil extracellular trap (NET) formation was evaluated by immunofluorescence staining. ELISA was conducted to quantify inflammatory cytokine levels in BALF and NET levels in mouse blood samples. Protein levels of PI3K, Akt, and NF-κB, as well as their phosphorylated levels, were measured by Western blotting.

Results

Taxa B improved the survival of model mice by mitigating lung injury, reducing pulmonary edema, and attenuating lung tissue damage. Moreover, Taxa B suppressed NET formation in lung tissues and blood samples of model mice. Following TRALI induction, the levels of proinflammatory cytokines (TNF-α, IL-6, and IL-1β) were significantly elevated while IL-10 levels were reduced, and these alterations were counteracted by Taxa B administration. Importantly, Taxa B inhibited the phosphorylated levels of PI3K, Akt, NF-κB, and IκBα in lung tissues of model mice.

Conclusion

Taxa exerts anti-inflammatory effects in a mouse model of TRALI by inhibiting the PI3K/Akt/NF-κB signaling.

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