BLI model establishment and verification
Animal model is one of the mainstream research methods of blast injury. In the study, the animals of goat and rat selection were mainly based on the following principles: Firstly, the principle of similarity in the structure, function anatomical characteristics and damage threshold of animal’s are similar to those of humans. Secondly, the principle of accessibility is based on standard animals or local general breeds at the testing site. Thirdly, the principle of homogeneity considers the same strain and individuals age, weight difference is no more than 20%. Therefore, two species of goat and rat were selected to represent large and small animals, respectively. The transcriptome sequencing was conducted to identify and analyze the common differentially expressed genes(DEGs) and of goat and rat with blast lung injury caused by explosion shock wave. Meanwhile, q-PCR and ELISA were used to verify some key genes, which will provide support for the mechanism, marker screening and prognostic intervention of blast lung injury.
RNA sequencing and potential target gene screening
With the development of high-throughput sequencing technologies, BLI target gene screening through associated gene networks, data selection and functional annotation become possible. In this study, the HiSeq Xten platform was used for the RNA sequencing of goat and rat lung tissue. To ensure the accuracy of the results, the processes of lung tissue sampling, RNA extraction, library construction, sequencing and analysis were strictly carried out according to operating instruction. After filtering the low-quality sequences, the Q30 of each sample was more than 90% which represented the sequencing quality was perfect. HISAT2 (Version2.1.0) with the threshold that is, the differential expression ratio was 2, the p-value and the q-value was 0.05[20]. The sequencing data analysis results show that there was 895 DEGs were screened out in BLI lung of goats, including 516 up-regulated and 379 down-regulated genes. Meanwhile, here was 1321 DEGs were screened out in BLI lung of rats, among which 806 genes were up-regulated and 515 genes down-regulated. There were 89 DEGs in two species of rat and goat, 49 genes of which showed the same expression trend, including 38 up-regulated genes and 11 down-regulated genes. At the same time, the Log2 fold change values of 49 genes co-expressed in goat and rat were analyzed by Pearson correlation analysis. The outcomes demonstrated a positive correlation between the expression levels of co-expressed genes in the two species.
For the purpose of verifying the consistency of gene expression, we selected the restricted expression toward (BPIFA1, BPIFB1, KRT4) and biased expression genes in the lung (AGR2, ANKRD65, RIN1, FREM1) were validated by q-PCR. The results showed that AGR2, ANKRD65, BPIFA1, BPIFB1, KRT4 and RIN1 were up-regulated, while FREM1 was down-regulated, which was consistent with the expression trend of sequencing data. BPIFA1 and BPIFB1 with immunomodulatory activities, which may increase the severity of cystic pulmonary fibrosis if they were highly expressed in lung tissue[21]. Britto et al.[22] demonstrated that BPIFA1 is an abundant airway host protection protein by affecting interferon-γ signaling and IFN-induced cytokine CXCL10 in the regulation of neutrophil (PMN) aggregation to the lung and regulating the inflammatory response. More and more literature has reported BPIFB1 can also be used to diagnose autoimmune lung interstitial diseases[23,24]. Furthermore, BPIFA1 and BPIFB1 are also involved in the pathogenesis of COPD. Smet et al. [25] found that the mRNA expression of BPIFA1 and BPIFB1 in stage III-IV COPD patients was significantly higher than that in stage II and non-COPD patients, and the expression levels were negatively correlated with the measurement of airflow limitation, and positively correlated with goblet cell hyperplasia. Gao et al.[26] found that BPIFB1 in sputum was highly expressed in COPD patients with smoking history, which was related to the change of lung function over time and may be involved in the pathogenesis of smoking-related lung diseases. Li et al. [27] reported that BPIFB1 is considered an innate immune molecule and plays a critical role in the recognition and response of Gram-negative bacteria by promoting innate immunity through its structural similarity with BPI protein and lipopolysaccharide binding protein. In conclusion, BPIFA1 and BPIFB1 may play an important role in the mechanism of blast lung injury.
Keratin 4 (KRT4) is expressed as a member of the keratin gene family in stratiform epithelial tissues and consists of basic or neutral proteins constituting type II cytokeratin chains. Sakamoto et al.[28] reported that KRT4 and KRT13 are major differentiation-related keratins in oral keratinocytes, but their abnormal expression indicates dysregulated epithelial differentiation in oral squamous cell carcinoma and oral epithelial dysplasia, which may be helpful for pathological diagnosis. Zhang et al. [29] found that KRT4 gene mutation contributes to the key role of the organization in the pathogenesis of human white sponge nevus. Kanazawa et al. [30] found a missense mutation in exon 1A of KRT4 gene was associated with the occurrence of white sponge nevus, which was suggested that genetic analysis should be performed for the diagnosis of the disease. At the same time, it was found that the disease temporarily subsided after oral amoxicillin 750 mg/ day treatment, indicating that antibiotics were effective in symptomatic cases. Anterior Gradient 2 (AGR2), as a new oncogenic factor, has been found to be involved in a series of expressions in asthma, inflammatory bowel disease, cell transformation, cancer drug resistance and metastatic growth, particularly highly expressed in tumors. The deletion of AGR2 gene will reduce the survival cycle process of cells and lead to apoptosis. Narumi et al. [31] found that AGR2 could be used as a protein marker for epidermal growth factor receptor gene mutations in patients with lung adenocarcinoma, which may be a potential clinical biomarker for the sensitivity of EGFR-TKI therapy in lung adenocarcinoma cells proved in vitro experiments. The expression of AGR2 protein contributes to the histological classification of non-small cell lung cancer and has important clinical value in the differential diagnosis of adenocarcinoma and squamous cell carcinoma[32]. AGR2 reduced the cell cycle progression while enhancing the invasive nature of prostate cancer cells. A new research approach for prostate cancer markers and the control of tumor growth and invasion is now available because to the improvements of the expression pattern and expression level of AGR transcripts in urine sediment of prostate cancer patients[33]. Ras Interactor 1 (RIN1) is a Rab5 guanine nucleotide exchange factor that is crucial for the trafficking of growth factor receptors and RAS-activated fibroblast endocytosis[34]. Tomshine et al.[35] found that the up-regulation of Rin1 in A549 cell line due to its proliferation and may be important factors in the development of non-small cell lung cancer. Frasl related extracellular matrix 1 (FREM1) is an extracellular matrix protein involved in the development of multiple organ systems. Recessive mutations of FREM1 lead to eye defects, congenital diaphragmatic hernia, renal abnormalities and anorectal malformations[36].
GO and KEGG enrichment analysis
GO enrichment analysis showed that DEGs of goat lung tissue enriched 52 GO categories, involving 17 "cellular components", 23 "biological processes" and 12 "molecular functions". The DEGs of rat lung tissue enriched 51 GO categories, involving 15 "cellular components", 23 "biological processes" and 13 "molecular functions". The KEGG pathway enrichment analysis of DEGs revealed that BLI goats were engaged in 256 pathways, of which 26 were significantly enriched, helping to further clarify their molecular and biological activities. At the same time, 12 pathways were significantly enriched of BLI rats among the 287 pathways based on the DEGs enrichment analysis. The enrichment of these pathways provides a direction for the study of the molecular mechanism of BLI. Both goat and rat species exhibited significantly enriched IL-17 signaling pathways, suggesting that IL-17 signaling pathways may provide information about future research of BLI mechanisms. As an important proinflammatory factor secreted by T helper cells (Th17), IL-17 is related with the occurrence and development of inflammatory reactions and immune diseases. IL-17 has been extensively reported in the study of lung injury. IL-17 binding to IL-17 receptor form the complex IL-17R-ACT1-TRAF6 and then activates downstream NF-KB, JNK and other signaling pathways[37]. IL-17A/IL-17RA affected the migration and invasion of lung cancer by increasing the expression of MMP-2 and MMP-9 in non-small cell lung cancer cells, resulting in enhanced phosphorylation of P38[38]. Erika et al.[39] performed high-throughput siRNA screening on IL-17A-stimulated human lung epithelial cells to identify TNF-α and IL-1β induced cellular inflammatory responses in order to better understand IL-17RA signaling pathway. IL-17 also was also involved in COPD. Electroacupuncture stimulation can effectively improve the lung function of COPD rats, reduce the infiltration of pneumonia, and down-regulate the increase of IL-17R mRNA and protein expression in the lung tissue of COPD rats, and the levels of phosphorylated JNK, ERK1/2 and p38 were significantly inhibited, which may be related to the inhibition of IL-17/IL-17R and post-receptor MAPK signaling pathway [40]. IL-17 is an important regulator of increased permeability of endothelial cells, increasing permeability of endothelial monolayers in a dose-and time-dependent manner[41]. In conclusion, gene co-expression network analysis can analyze gene expression data and then reflect the system status of cells or tissues. Our findings suggest that the common features of these two species are mainly involved in the regulation and activation of inflammatory and immune responses. GO and KEGG pathway analysis showed that IL-17 signaling pathway was highly enriched in the genes co-differentially expressed in goat and rat lung tissues, which provided a direction for the study of the mechanism of blast shock wave lung injury. Furthermore, the vascular smooth muscle contraction pathway was also screened in the sequencing data of this study. Alveolar rupture and internal hemorrhage are the main changes of BLI because of abundant pulmonary blood vessels. Under the action of shock wave, vascular smooth muscle constricts blood vessels and slows blood flow through axonal reflex, which is conducive to blood coagulation and hemostasis, and activates or produces some factors at the same time. This is also one of the directions that need to explore in the BLI subsequent research.
Though our research has got certain results, there is also some deficiency. Whether the target genes screened in this study are sensitive and specific to BLI and whether they are sufficient and necessary conditions still need to be further studied to differentiate BLI from other lung injuries. The histological staining of these genes in BLI tissue would help clarify the challenges associated with performing in gene expression changes, which need to be further researched in the follow-up study. We also think sorting of purified subpopulations for bioinformatic analyses is more suitable for single-cell sequencing. Due to the restricted environmental conditions of the field-testing, we didn’t sort the purified subpopulations under the. In the follow-up research, the purified subpopulations of gene expression changes will be considered. In addition, future research is required to determine whether there is a dose-effect link between the levels of expression of these target genes and the degrees of harm (mild, moderate, and severe). At the same time, these genes are derived from animal test results, whether they are suitable for humans lacking of clinical trial and epidemiological survey data support.