Abstract:Objective: To explore the role and mechanism of ZLN005 in sepsis induced acute lung injury (ALI). Methods: Sepsis induced acute lung injury model in mice was established by cecal ligation and puncture (CLP), and the mice were divided into four groups according to different treatment. Methods: sham group, ZLN005 group, CLP Group and CLP +ZLN005 group; RT-PCR, immunofluorescence staining and Western blot were used to detect peroxisome proliferator activated receptor (PPAR) in lung tissue of mice γ coactivator-1 α( PGC-1 α). The mRNA and protein expression levels were measured; ELISA was used to detect the contents of TNF-α,IL-1β,IL-6 and IL-10 in BALF; HE staining was used to observe the histopathological damage of lung tissue; the survival rate of mice in each group after 7 days of CLP modeling was analyzed by statistical method; RAW264.7 was cultured in vitro and transfected with si-PGC-1α siRNA. RT-PCR and Western blot were used to detect the transfection efficiency. RAW264.7 cells were divided into five groups: NC group, ZLN005 group, LPS group, LPS+ZLN005+si-NC and LPS+ZLN005+si-PGC-1 α. RT-PCR was used to detect the mRNA expression levels of M1 macrophage markers iNOS and MHC-Ⅱ, M2 macrophage markers Arg1 and CD206. The phosphorylation level of p-AMPK-α/AMPK-α and the key proteins in mitochondrial biogenesis of Nrf1, Nrf2 and mtTFA was detected by Western blot. Results: Compared with sham group, the mRNA and protein expression levels and fluorescence intensity of PGC-1α in lung tissues of ZLN005 group and CLP+ZLN005 group were significantly increased (P<0.05), while those in CLP group were significantly decreased (P<0.05). Compared with the CLP group, the above detection indexes in the CLP+ZLN005 group were significantly increased (P<0.05). BALF, HE staining and survival rate 7 days after operation of mice in each group showed that the expressions of pro-inflammatory factors TNF-α, IL-1β and IL-6 in BALF and the pathological injury level of lung tissue in CLP group and CLP+ZLN005 group were significantly higher than those in sham group or ZLN005 group (P<0.05). However, the survival rate of anti-inflammatory factor IL-10 and postoperative 7 days were significantly decreased (P<0.05). Compared with the CLP group, the change trends of the above indexes in the CLP+ZLN005 group were significantly decreased (P<0.05). Compared with NC group, mRNA expression levels of M1 iNOS and MHC-Ⅱ in LPS group, ZLN005+LPS+si-NC group and ZLN005+LPS+si-PGC-1α group were significantly increased (P<0.05), meanwhile, the mRNA expressions of Arg1 and CD206 in Zln005+LPS+Si-NC group were significantly increased (P<0.05), while the protein expressions of p-AMPK-α/AMPK-α and NRF1, NRF2 and mtTFA were decreased (P<0.05). Compared with ZLN005+LPS+si-NC group, the mRNA expressions of iNOS and MHC-Ⅱ in LPS group and ZLN005+LPS+si-PGC-1α were significantly increased (P<0.05). The mRNA expression of Arg1 and CD206 and protein expression of p-AMPK-α/AMPK-α and NRF1, NRF2 and mtTFA were significantly decreased (P<0.05). Conclusion: ZLN005 can promote the expression of PGC-1α and promote the polarization of M2 macrophages to protect sepsis induced lung injury, and the mechanism may be related to the promotion of mitochondrial biogenesis by ZLN005 through AMPK signaling pathway.