Acute
ethanol intoxication increases the risk of
sepsis and aggravates the symptoms of
sepsis and
lung injury. Therefore, this study aimed to explore whether
sphingosine kinase 1 (SphK1)/
sphingosine-1-
phosphate (S1P)/
S1P receptor 1 (S1PR1) signaling pathway functions in
lung injury caused by acute
ethanol intoxication-enhanced
sepsis, as well as its underlying mechanism. The acute
ethanol intoxication model was simulated by intraperitoneally administering mice with 32%
ethanol solution, and cecal
ligation and
puncture (CLP) was used to construct the
sepsis model. The lung tissue damage was observed by
hematoxylin-
eosin (H&E) staining, and the wet-to-dry (W/D) ratio was used to evaluate the degree of
pulmonary edema. Inflammatory cell counting and
protein concentration in bronchoalveolar lavage fluid (BALF) were, respectively, detected by hemocytometer and
bicinchoninic acid (BCA) method. The levels of
tumor necrosis factor (TNF)-α,
interleukin (IL)-6, IL-1β, and
IL-18 in BALF were detected by their commercial
enzyme-linked
immunosorbent assay (ELISA) kits. The
myeloperoxidase (MPO) activity and expression of apoptosis-related
proteins and SphK1/S1P/S1PR1 pathway-related
proteins were, respectively, analyzed by MPO ELISA kit and Western blot analysis. The cell apoptosis in lung tissues was observed by TUNEL assay. Acute
ethanol intoxication (EtOH) decreased the survival rate of mice and exacerbated the
lung injury caused by
sepsis through increasing pulmonary vascular permeability, neutrophil infiltration, release of inflammatory factors, and cell apoptosis. In addition, EtOH could activate the SphK1/S1P/S1PR1 pathway in CLP mice. However,
PF-543, as a specific inhibitor of SphK1, could partially reverse the deleterious effects on
lung injury of CLP mice.
PF-543 alleviated
lung injury caused by
sepsis in acute
ethanol intoxication rats by suppressing the SphK1/S1P/S1PR1 signaling pathway.