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10.1183/13993003.02536-2020

http://scihub22266oqcxt.onion/10.1183/13993003.02536-2020
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33243842!8100338!33243842
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suck abstract from ncbi


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pmid33243842      Eur+Respir+J 2021 ; 57 (5): ä
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  • Endothelial eNAMPT amplifies pre-clinical acute lung injury: efficacy of an eNAMPT-neutralising monoclonal antibody #MMPMID33243842
  • Quijada H; Bermudez T; Kempf CL; Valera DG; Garcia AN; Camp SM; Song JH; Franco E; Burt JK; Sun B; Mascarenhas JB; Burns K; Gaber A; Oita RC; Reyes Hernon V; Barber C; Moreno-Vinasco L; Sun X; Cress AE; Martin D; Liu Z; Desai AA; Natarajan V; Jacobson JR; Dudek SM; Bime C; Sammani S; Garcia JGN
  • Eur Respir J 2021[May]; 57 (5): ä PMID33243842show ga
  • RATIONALE: The severe acute respiratory syndrome coronavirus 2/coronavirus disease 2019 pandemic has highlighted the serious unmet need for effective therapies that reduce acute respiratory distress syndrome (ARDS) mortality. We explored whether extracellular nicotinamide phosphoribosyltransferase (eNAMPT), a ligand for Toll-like receptor (TLR)4 and a master regulator of innate immunity and inflammation, is a potential ARDS therapeutic target. METHODS: Wild-type C57BL/6J or endothelial cell (EC)-cNAMPT (-/-) knockout mice (targeted EC NAMPT deletion) were exposed to either a lipopolysaccharide (LPS)-induced ("one-hit") or a combined LPS/ventilator ("two-hit")-induced acute inflammatory lung injury model. A NAMPT-specific monoclonal antibody (mAb) imaging probe ((99m)Tc-ProNamptor) was used to detect NAMPT expression in lung tissues. Either an eNAMPT-neutralising goat polyclonal antibody (pAb) or a humanised monoclonal antibody (ALT-100 mAb) were used in vitro and in vivo. RESULTS: Immunohistochemical, biochemical and imaging studies validated time-dependent increases in NAMPT lung tissue expression in both pre-clinical ARDS models. Intravenous delivery of either eNAMPT-neutralising pAb or mAb significantly attenuated inflammatory lung injury (haematoxylin and eosin staining, bronchoalveolar lavage (BAL) protein, BAL polymorphonuclear cells, plasma interleukin-6) in both pre-clinical models. In vitro human lung EC studies demonstrated eNAMPT-neutralising antibodies (pAb, mAb) to strongly abrogate eNAMPT-induced TLR4 pathway activation and EC barrier disruption. In vivo studies in wild-type and EC-cNAMPT (-/-) mice confirmed a highly significant contribution of EC-derived NAMPT to the severity of inflammatory lung injury in both pre-clinical ARDS models. CONCLUSIONS: These findings highlight both the role of EC-derived eNAMPT and the potential for biologic targeting of the eNAMPT/TLR4 inflammatory pathway. In combination with predictive eNAMPT biomarker and NAMPT genotyping assays, this offers the opportunity to identify high-risk ARDS subjects for delivery of personalised medicine.
  • |*Acute Lung Injury[MESH]
  • |*COVID-19[MESH]
  • |Animals[MESH]
  • |Antibodies, Monoclonal[MESH]
  • |Humans[MESH]
  • |Mice[MESH]
  • |Mice, Inbred C57BL[MESH]


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