Tanshinone IIA alleviates lipopolysaccharide‐induced acute lung injury by downregulating TRPM7 and pro‐inflammatory factors

Abstract The study aimed to investigate the role of Tanshinone IIA (Tan IIA) in lipopolysaccharide (LPS)‐induced acute lung injury (ALI) in its regulation of TRPM7. Wistar male rats were randomly divided into the normal saline (NS), LPS, knockout (KO) + LPS, low‐dose Tan IIA (Tan‐L), middle‐dose Tan IIA (Tan‐M), high‐dose Tan IIA (Tan‐H) and KO + high‐dose Tan IIA (KO + Tan‐H) groups. The level of tumour necrosis factor‐α (TNF‐α), interleukin (IL)‐1β, IL‐6, TRPM7 protein expression, current density‐voltage curve and Ca2+ concentration were detected through ELISA, Western blotting, electrophysiological experiment and a calcium‐imaging technique, respectively. The rats in the KO + LPS, Tan‐L, Tan‐M, Tan‐H and KO + Tan‐H groups all displayed lower levels of TNF‐α, IL‐1β and IL‐6 than the LPS group. Rats in the KO + Tan‐H group exhibited lower levels of NF‐α, IL‐1β and IL‐6 than rats in the Tan‐H group. Elevated levels of TRPM7 protein expression in the LPS and Tan groups were detected in comparison with the NS group. However, TRPM7 protein expression in Tan‐M and Tan‐H groups was notably lower than in that of the LPS group. In comparison with the NS group, the LPS and Tan groups had a greater PIMs cell density and a higher concentration of Ca2+. Contrary results were observed in the KO + LPS, Tan‐H and KO + Tan‐H groups. Tan IIA decreases calcium influx in PIMs and inhibits pro‐inflammatory factors which provide an alleviatory effect in regards to LPS‐induced ALI by suppressing TRPM7 expression.


Introduction
ALI is an acute bilateral pulmonary infiltration disease, which displays no hydrostatic pulmonary oedema or hypoxaemia symptom. ALI is a common cause of mortality and morbidity among ill patients possessing a worryingly high overall mortality and incidence rate (200,000 per year in the USA). ALI may also result in the additional occurrence of further injury to the alveolar epithelium and vascular endothelium [1]. ALI is characterized by severe hypoxia and bilateral pulmonary oedema, while being regarded as the leading cause of death among patients suffering from sepsis [2]. The principal clinical features of ALI are well defined among human beings; however, there is no consensus in relation to ALI animal models [3]. LPS is a glycolipid feature of the Gram-negative bacteria cell wall. LPS is capable of triggering largely detrimental effects on several organs such as the liver and may result in septic shock and even death [4]. LPS is comprised of a hydrophobic element as well as a hydrophilic polysaccharide commonly referred to as lipid A, which is a key difference between Gram-positive and Gram-negative bacilli. [5]. LPS has been highlighted as being one of the main agents ubiquitously proven to be a contaminant for various airborne particles such as organic dusts, air pollution and cigarette smoke. It has been well documented that long-term exposure to significant levels of LPS is associated with the progression of various lung diseases such as chronic bronchitis, and asthma, characterized by a chronic inflammatory processes in the lung [6]. Tan IIA has the potential to reduce the production of pro-inflammatory mediators stimulated by LPS. A previous study demonstrated that Tan IIA pretreatment can remarkably decrease lung-to-body and wet-to-dry weight ratios, lung myeloperoxidase activity and protein leakage and enhance LPS-induced lung histopathological changes [7].
Tan IIA (14, 16-epoxy-20-nor-5 (10), 6, 8, 13, 15-abietapentaene-11, 12-dione) collected from Salvia miltiorrhiza Bunge roots has exhibited various effects, acting in an antioxidant, anti-angiogenic and anti-inflammatory capacity as well as playing a role in the apoptotic processes [8]. Tan IIA extracted from Danshen (Salviae Miltiorrhizae Radix) is known to inhibit the proliferation and apoptosis of various cancer cells [9]. Furthermore, Tan IIA has been widely used in various cerebrovascular and cardiovascular disorders in Asian countries [10]. One study demonstrated that Tan IIA could alleviate LPS-induced ALI in mice by inhibiting apoptosis and inflammatory responses [11]. Another study indicated that Tan IIA could protect rats from LPSinduced lung injury by alleviating migration and pathological changes, reducing lipid peroxidation and improving the hyper-coagulating state [12]. The activation of transient receptor potential melastatin 7 (TRPM7) channels that is Ca(2+)-permeable non-selective cation channels have been demonstrated to be associated with Ca(2+)mediated neuronal injury, cellular Mg(2+) homoeostasis and diseases resulting from abnormal magnesium absorption [13]. TRPM7 channels, as main magnesium-uptake mechanism in mammalian cells, are crucial regulators of important cell regulatory processes, including cell proliferation and growth and expressed abundantly in human carcinoma cells. This increase in expression leads to abnormal cell growth, owing to the effect this has on regulatory cell growth control, survival and migration. TRPM7 channels have become a particularly popular research area. Additionally, many researchers have been also taken a notable interest in the large magnesium uptake mechanisms due to the promise they posses as a potential biomarker for cancer therapeutics [14]. Thus, the central objective in our study was dedicated to investigate the role of Tan IIA in LPS-induced ALI by regulating TRPM7 in rat models.

Study subjects
All male Wistar rats (n = 102; weight: 250-300 g) were obtained from the Hunan SJA Laboratory Animal Co., Ltd (Hunan, China). The rats in this study were fed in a pathogen-free feeding room in a controlled room temperature environment (24 AE 1°C) with humidity of 55%. Disinfection was conducted twice a week, and drinking water was changed 3-4 times a week. The ethics committee of the First Hospital of Jilin University approved all experiments and environment in which all the experiments were conducted in. The Laboratory Animal-Requirements of Environment and Housing Facilities provided the standard barrier facility approval for the laboratory animal experiments (GB14925-2001).

Grouping
All 102 Wistar male wild rats were randomly divided into a NS (n = 24, treated with 0.9% sodium chloride injection), LPS (n = 24, no other treatment), Tan-L (Tan-L, n = 15, treated with Tan-L), Tan-M (Tan-M, n = 15, treated with Tan-M) or Tan-H (n = 24, treated with Tan-H) group. Additionally, 48 Wistar male rats treated with TRPM7 (Humangen Biotech Inc., Shanghai, China) were subdivided into the KO + LPS or the KO + Tan-H group. 150 rats in the LPS, KO + LPS and Tan groups were injected with 5 mg/kg of LPS in the femoral vein for the purposes of the ALI model establishment [15]. Rats not in the NS group were killed (126 rats were killed). The Tan-H and KO + Tan-H groups were given 10 mg/kg of Tan IIA 30 min. prior to LPS injection, the Tan-M group was given 6 mg/kg of Tan IIA 30 min. before LPS  injection and the Tan-L group was given 3 mg/kg of Tan IIA 30 min. before LPS injection. Additionally, the other three groups were administered an identical dose of NS. The seven groups were observed at regular intervals. Observations took place at 6, 12 and 24 hrs later.
Detection of arterial partial pressure of oxygen (PaO 2 ) Five rats were selected from each group, anaesthetized with 0.4% pentobarbital sodium (1 ml/100 g) and placed on the operating table with their chest area exposed. After heparin anticoagulation, a glass needle (2 ml) was used to extract blood (1 ml) from the thoracic aorta. Next, the surgical opening was re-sealed to prevent air intake. The area was lightly rubbed in an attempt to aid the amalgam of blood and the administered heparin. An automatic blood gas analyser (Nova Biomedical Corporation, Waltham, MA, USA) was utilized to detect PaO 2 levels 6, 12 and 24 hrs later.

Detection of rat lung wet-dry weight
Rats in all groups were weighed and anaesthetized followed by the extraction of complete lung tissues. Electronic balance was used to weigh both the rat's lung tissues and body weight. The pulmonary coefficient was calculated in accordance with the following formula: pulmonary coefficient-lung tissue weight (g)/body weight (g). A portion of the rat upper left lung was placed inside a bottle, while the wet weight (W) was measured via the employ of an electronic scale and subsequently preserved in a drying closet at 70°C. After 72 hrs, the dry weight (D) was also weighed with an electronic scale. Finally, the rats W/D ratio and pulmonary coefficient were calculated.

Light microscopy observation
The right principal bronchus of the rats in each group was incubated and mixed with 15% neutral formalin solution for lung expansion. Once the pleural spread had been observed, the bronchus was ligated and the right lung was fixed in 15% formalin for 24 hrs. Subsequently, the solution was embedded with paraffin, sectioned and stained with haematoxylin and eosin using the following procedure: the xylene section was de-waxed and washed with water and gradient ethanol (xylene I for 5 min., xylene II for 5 min., 100% ethanol, 95% ethanol, 80% ethanol and 70% ethanol for 1 min. each and finally with distilled water for 1 min.), stained with haematoxylin for 7 min., washed with distilled water, mixed with 0.5-1% hydrochloric acid-ethanol mixtures for differentiation, washed with running water, stained with eosin for 1 min., dehydrated with ethanol gradient as well as xylene transparency then finally sealed with neutral balsam. The pathological lung tissue changes were observed under a light microscope (9100).

Enzyme-linked immunosorbent assay (ELISA)
to separate the trachea and lungs were all surgically exposed. The lung tissues of the rats were selected after a tracheal ligation followed by a bronchoalveolar lavage (BAL) performed to collect the bronchoalveolar lavage fluid (BALF). The lower left lung area of rats in all groups was extracted, weighted and placed into a homogenizer. The lungs were then diluted threefold with sodium phosphate buffer (0.01 M, pH = 7.2) and transformed into homogenate using an electric glass homogenizer. After centrifugation (329 g) at 4°C for 20 min., the supernatant was collected. ELISA kits (Keygene Biotech Company, Jiangsu, China) were used to detect the levels of TNF-a, IL-1 and IL-6. The detailed process was as follows: the kit was left at room temperature for 20 min. and a cleaning solution was created. The enzyme-coated plate set with 10 standard wells (including two blank wells without samples and enzyme-labelled reagent) and the samples were gradient diluted to construct a standard curve. The proper diluted samples were then added to the enzymecoated plate, mixed thoroughly by shaking, dehydrated, sealed and then incubated for 30 min. at 37°C. The solution in the plate was then evaporated, the cleaning solution was then added and eliminated 30 sec. later on five separate occasions, followed by a final dehydration process. Next, 50 ll of enzyme-labelled reagent was added and re-incubated at 37°C for 30 min. The remaining solution left in the wells was then eliminated. The cleaning solution was added and then removed 30 sec. later. This process was repeated five times before finally being dehydrated. 50 ll of developing agent A was added to each well, gently mixed, incubated for 15 min. at 37°C in the dark and treated with 50 ll of stopping solution. The optical density (OD) value was recorded at a wavelength of 450 nm using the microplate Reader (Bio-Rad, Inc., Hercules, CA, USA). The concentration standard curve was constructed with the OD value on the Y-axis and the standard solution represented on the X-axis. The sample concentration was detected through in connection with the curve based OD value as well as the levels of TNF-a, IL-1b and IL-6 in the lung tissues. The amount of BALF was also recorded accordingly.

Isolation of pulmonary interstitial macrophages (PIMs)
Three rats from the NS, LPS and Tan-H groups were selected for anaesthesia treatment with 20% ethyl carbamate in the abdominal cavity. The chests of rats were opened leaving the heart and lungs exposed. A connecting conduct was fixed to the pulmonary artery through the right ventricle, and the aorta was cut above the liver. Cold phosphate buffer saline (PBS) free of Ca 2+ and Mg 2+ was used to wash the area from the connecting conduct to the pulmonary vascular bed. This process transformed the pulmonary surfactant into a pale white jelly. The trachea and lung were extracted, the trachea and alveolus was drained using PBS 10-15 times and then the PIMS were observed under a microscope. The lung tissue was cut into slices after lavage, added with 20 ml of trypsin digestion solution (containing 140 k/ll collagenase and 50 k/ll deoxyribonuclease), digested for 60 min. by shaking the warm-water bath cabinet at 37°C and finally filtrated through a 200-mesh filter. The digestion solution was centrifuged (8009 g) for 10 min., the RPM1640 solution was used as a supernatant and then the substance was incubated in a 5% CO 2 incubator at 37°C for 2 hrs. The non-adherent cells were washed, and the adherent cells were digested using trypsin. The cell concentration was adjusted to 1 9 10 8 /l. The Wright staining was used to identify PIMs which had a cell purity greater than 90%. Trypan blue staining was then utilized to detect cells which had a survival rate greater than 95%.

Western blotting
The extracted PIMs were treated with radioimmunoassay lysis buffer the precipitate was obtained via differential centrifugation. The protein concentration was then extracted and detected using a BCA kit (PT0006; Jingke Chemical Inc, Shanghai, China). This process was conducted in accordance with the kits instructions, and. 40 lg was used in each sample lane. The samples were then added with 19 SDS (12 alkyl sodium sulphate) gel loading buffer, denaturized for 3 min. at 100°C, cooled in ice water, added with samples followed by a 12% gel electrophoresis process at 100 V for 2 hrs. Subsequently, the gel was taken out for electroblotting and semi-dry film processing (Bio-Rad, Inc.) at a constant 20 V for 2 hrs. The blotted polyvinylidene fluoride (PVDF) was used for hybridization to block the non-specific protein binding [Tris buffer NS/Tris-buffered saline tween (TBST), Whiga Biomart.cn, Guangdong, China] and 5% solid-non-fat (Whiga Biomart.cn). After being left for 2 hrs at room temperature, the anti-trpm7 antibodies (1:500; Abcam, Cambridge, UK) were incubated at 4°C overnight. Next, the membrane and horseradish peroxidase (HRP)-labelled goat-anti rabbit IgG (1:5000; Santa Cruz Biotechnology, Inc. Delaware Ave Santa Cruz, CA. USA) was incubated at 37°C for 1 hr and exposed to a cassette with X-ray film for a period ranging between 30 sec. and 10 min. After this process, the film was developed and fixed. b-actin acted as the internal reference, while the grey value analysis of the target band was calculated based on Image J Software (National Institutes of Health, Bethesda, MD, USA).

Immunohistochemistry
The ABC kit was used to stain the antibodies according to the TRPM7 fragment containing glutathione S-transferase (GST)-fusion protein antigen of 300-347 amino acid. The exact procedures were as follows: 1% paraformaldehyde was used for fixation at room temperature for 15 min., followed by 30 sessions of TBS washing (5 min. each time). The substance was then added to 2% H 2 O 2 for 30 min. and rewashed three times with TBS (5 min. each time). Subsequently, 8% bovine serum albumin-Tris-buffered saline (BSA-TBS) was added for sealing purposes at 4°C for a 2-hrs period. The solution was then eliminated. The GST fusion protein was diluted with TBS (1:20) at 4°C overnight. Next, the solution was left at room temperature and washed three times with TBS (5 min. each time). The biotin-labelled goat-anti rat IgG was added for incubation at 37°C for 40 min. and then the substance was rewashed three times (5 min. each time). The sample was then added with Avidin HRP for incubation at 37°C for 40 min. and washed three times with TBS. The mixture was then developed with 0.03% diaminobenzidine (DAB)-H 2 O 2 solution for 8 min. and washed with water. The nucleus was stained using Mayer lignin and then rewashed. 100%, 95%, 80% and 70% ethanol was then utilized for dehydration. Dimethylbenzene was utilized for vitrification and resin for sealing purposes. The serosa of PIMs DAB stain situation was observed and analysed via confocal microscopy (Beijing Precise Instrument Co., Ltd, Beijing, China). 20 KHz were selected, transferred into digital signals and analysed using Pclamp 9 Software (Axon Instruments, Sunnyvale, CA). The electrodes were polished using borosilicate glass and added to a liquid to make the electrode resistance 3 mΩ, move resistance (Rs) compensation up to 90%, reducing the series impedance error to below 5 mV. All experiment processes were conducted under constant room temperature conditions. Current recording for whole cell was maintained within 500 ms each time for the electric stimulus and the pipette holding potential was kept to within À100 to +100 mV. After membrane rupture had occurred, the TRPM7 current stabilized for between 3 to 5 min.

Detection of free calcium concentration
The cell suspension culture medium was added to both Flra-2/AM and bovine serum albumin (BSA), incubated at 37°C for 30 min. in the dark and then washed three times for further use. After centrifugation at 500 r.p.m for 5 min. and three rounds of cell washing, calcium-free buffer was used for cell suspension and incubated at 37°C for 5 min. Resting intracellular calcium concentration was calculated using a fluorospectrophotometer (SENS-9000/9003; Zolix Company, Beijing, China). Perfusion of Tyrode's solution with high calcium was initially performed and then replaced with perfusion of Tyrode's solution with normal calcium until the fluorescence intensity of F340/F38 ration had decreased. Subsequently, 1 lm of Iono perfusion was used with the perfusion of Tyrode's solution with normal calcium until the fluorescence intensity of F340/F38 ration decreased. The imaging system for calcium dual-wavelength (Olympus Optical Co., Ltd, Tokyo, Japan) was used to detect fluorescence intensity with an excitation wavelength of 340 and 380 nm and an emission wavelength of 510 nm.

Statistical analysis
SPSS21.0 software (SPSS, Inc, Chicago, IL, USA) was used for data analysis. Measurement data are displayed as mean AE S.D., and count data comparisons made between two groups (which had a normal distribution) were analysed using a t-test. Comparisons among multiple groups were analysed using analysis of variance (ANOVA). P < 0.05 was considered as being statistically significantly.

Pathological changes observed under a light microscope
In the NS group, the rat alveolar was observed and noted as having a clear structure with thin walls and no exudate within the alveolar space. In the LPS group after 6 hrs had passed, a narrowed alveolar space, expanded pulmonary capillary, a few red cells, epithelial cells and neutrophils were observed. As time increased, the narrowed alveolar space increased. The alveolar wall thickened and more inflammatory cell infiltration was evident. 24 hrs later, a thicker alveolar wall, capillary closure, alveolar structure disorder and alveolar space disappearance was observed. All pathological changes were slightly reduced in the Tan-L group, whereas a significant alleviatory changes were observed in the KO + LPS, Tan-M and Tan-H groups over all time-points of the experiment. Furthermore, oedema in the KO + Tan-H group displayed significant levels of reduction (Fig. 1).

Changes in PaO 2 among the five groups
The PaO 2 across all time-points in the LPS group was remarkably lower than in that of the NS group (P < 0.05). The KO + LPS, Tan-M, Tan-H and KO + Tan-H groups all had an increased PaO 2 levels compared to the LPS group, but distinctly lower PaO2 levels than the NS group. The Tan-M and Tan-H groups had higher PaO 2 levels than the LPS group, but exhibited lower levels than the NS group (P < 0.05). PaO 2 levels in the Tan-L group did not display any not considerable changes over time (P > 0.05). The PaO 2 level at each respective time-point was remarkably higher in the KO + Tan-H group than in the Tan-H group (Table 1).

W/D ratio and pulmonary coefficient of rats among the seven groups
In comparison with the NS group, the calculated W/D ratio and pulmonary coefficient of the rats was remarkably higher in the other six groups (P < 0.05). The KO + LPS, Tan-M, Tan-H and KO + Tan-H groups had a lower W/D ratio and pulmonary coefficient than the LPS group, however, were still higher than the NS group (P < 0.05). The W/D ratio and pulmonary coefficient in the Tan-L group did not change significantly over time (P > 0.05). The W/D ratio and pulmonary coefficient of the rats in the KO + Tan-H group were significantly lower than in the Tan-H group ( Table 2).

Levels of TNF-a, IL-1b and IL-6 among the five groups
The level of change in TNF-a, IL-1b and IL-6 levels in the lung tissues as well as the BALF, essentially followed the same basic trend. The levels of TNF-a, IL-1b and IL-6 had all remarkably increased in the LPS group after both 12 and 24 hrs in comparison with the NS group (P < 0.05). The levels of TNF-a, IL-1b and IL-6 in the Tan-L group were not significantly different to the LPS group (P > 0.05). The KO + LPS, Tan-M, Tan-H and KO + Tan-H groups had lower levels of TNF-a, IL-1b and IL-6 than the LPS group, but higher levels than the NS group (P < 0.05). The levels of TNF-a, IL-1b and IL-6 were significantly lower in the KO + Tan-H group than in the Tan-H group. The levels of TNF-a, IL-1b and IL-6 displayed distinctive increases in accordance with time increases in the LPS, Tan-L and KO + Tan-H groups (P < 0.05) (Fig. 2).

TRPM7 protein expressions in the PIMs among the five groups
The TRPM7 protein was not detected in the KO + LPS or KO + Tan-H group. TRPM7 protein expression levels exhibited notable increases in the LPS group more so than in the NS group (P < 0.05). TRPM7 protein expression in the Tan-L group was not significantly different to the LPS group (P > 0.05). The Tan-M and  Tan-H groups had a lower TRPM7 protein expression than the LPS group, however, higher TRPM7 protein expression than the NS group (P < 0.05). This result suggested that the Tan-H group had a greater effect on the experiment efficacy and was a factor owing to why the data provided below only included the NS, LPS and Tan-H groups (Fig. 3).

Staining the serosa of PIMs detected by DAB staining
In the NS group, litter fluorescence staining was observed this indicated that litter TRPM7 was expressed in the cell membrane. TRPM7 protein expression was not detected in the KO + LPS or KO + Tan-H group. However, fluorescence staining was significantly evident in the LPS group suggesting that TRPM7 was on a large scale distributed throughout the cell membrane. Fluorescence staining was significantly lower in the PIMs serosa of the Tan-H group than in the LPS group (Fig. 4).

TRPM7L current changes on PIMs of rats among the three groups
Under a voltage clamp of 0 mV, depolarization was conducted using a step stimulation of 20 mV to depolarize the À100 mV to +100 mV. Once an analysis had been conducted, it was observed from the current density image, that the current density was positively correlated with the absolute value of voltage in the KO + LPS, Tan-H, KO + Tan-H and LPS groups (P < 0.05). The opposite result was obtained in the KO + LPS, Tan-H, Tan-H and KO + Tan-H groups. The current density was found to be negatively correlated with the absolute value of voltage in the KO + Tan-H group (all P < 0.05; Fig. 5).

Ca 2+ concentration in PIMS of rats among the five groups
The Ca 2+ concentration in the NS, LPS and Tan-H groups was measured using the IonOpti 9 software (Fig. 6). F340/F380 was representative of the changes in Ca 2+ concentration. Tyrode free of Ca 2+ demonstrated that there were no significant differences in fluorescence density among the three groups. The fluorescence peak was rather visible and fluorescence density in the KO + LPS, LPS, Tan-H and KO + Tan-H groups was significantly higher than the NS group [after the addition of 20 mm of CaCl 2 (P < 0.05)]. However, fluorescence density was a significantly lower in the KO + LPS, Tan-H and KO + Tan-H groups than in the LPS group. The fluorescence peak was significantly lower in KO + Tan-H group than in the Tan-H group (all P < 0.05). All data above indicated that Ca 2 + in the cytoplasm of the LPS group had increased significantly. Furthermore, these results indicated that the relative fluorescence density was enhanced after being combined with Fura-2. Based on using ionomycin of high selectivity and Ca 2+ vector (1 lm) as the internal control, no significant difference was observed in the fluorescence density among the three groups. This highlighted that the potential ability of calcium influx was not significantly different among the three groups (Fig. 6).

Discussion
ALI as well as acute respiratory distress syndrome (ARDS) are both clinical entities marked by multi-factorial origins of which are frequently clinically observed among traumatically injured patients [16].
Our study aimed to establish an effective alternative ALI treatment approach. Consequently, this study was devoted to uncovering the role of Tan IIA in LPS-induced ALI through the regulation of TRPM7 in rat models. Initially, alveolar observations made in the NS group indicated a clear structure with thin walls and no exudates in the alveolar space. The LPS group displayed a notably narrowed alveolar space, expanded PC, few red cells, epithelial cells as well as evidence of neutrophils. All pathological changes declined in the Tan-L, Tan-M and Tan-H groups in a dose-dependent manner. ALI and ARDS continue to elude health care givers, and at present there still remains no wide consensus for an efficient solution for intensive medical care. ALI and ARDS are characterized by lung oedema owing to an elevated alveolar-capillary barrier permeability, subsequent arterial oxygenation impairment, epithelial and endothelial injury in addition to an influx of neutrophils into both the broncheoalveolar and interstitial space [17]. Recently, Tan IIA has been revealed act in a direct manner on neutrophils. Tan IIA has exhibited its ability to decreases neutrophil infiltration in the intestinal mucosa and colonic inflammatory cytokines in dextran sulphate sodium (DSS)-treated mice and suppresses neutrophil migration and activation [18]. A previous study demonstrated that Tan IIA was able to inhibited LPS-induced pulmonary inflammation in [Muc1 (À/À) Muc1] KO wild-type [Muc1 (+/+)] mice. Reduced levels of neutrophil infiltration, TNF-a and keratinocyte chemoattractant levels in A549 alveolar epithelial cells were further testament to the suggested findings [19]. As our findings were in line with the above studies, we subsequently concluded that Tan IIA is able to reduce the inflammatory reactions brought about by ALI. Importantly, W/D, levels of TNF-a, IL-1b, IL-6, TRPM7 protein expression and Ca 2+ concentrations were significantly higher in the LPS group than the NS group. However, the resultant PaO 2 levels had declined in the LPS group when compared to the NS group. The dose-dependent declined W/D, levels of TNF-a, IL-1b and IL-6, TRPM7 protein expression, Ca 2+ concentration and PaO 2 were all elevated in the Tan-M and Tan-H groups in comparison with the LPS group. TNF-a, IL-1b and IL-6 are well known for having primary roles in the pathogenesis of inflammatory diseases like rheumatoid arthritis [20], while the use of TNF-a inhibitors have demonstrated considerable effectiveness in the treatment of inflammatory diseases such as psoriasis and psoriatic arthritis [21]. The levels of IL-6, IL-1b, TNF-a and extracellular signal-regulated kinases (ERKs) have been suggested as playing important roles in inflammatory pain [22]. Studies have highlighted Tan IIA pro-apoptotic, anti-tumour and also antiinflammatory abilities [23]. One study investigated the effects of phenyl-b-D-glucopyranoside on inflammation by performing LPS-stimulated murine Raw 264.7 macrophages. The results displayed that Phenyl-b-D-glucopyranoside can attenuate pro-inflammatory cytokines such as IL-1b, TNF-a and IL-6 in a concentration-dependent manner [24]. After Tan IIA treatment, the expressions of TNF-a and IF-1b had both decreased significantly. This suggested that Tan IIA reverses mechanical allodynia and inhibits the HMGB1-TLR4 pathway [25]. One study demonstrated that the mild constrictive effect induced by Tan IIA is influenced by the integrity of nitric oxide and endothelium production and that the potent dilative effects observed were reported to be primarily initiated by suppressing the influx of extracellular Ca 2+ as well as downregulating intracellular Ca 2+ release [26]. Remarkably, TRPM7 can encode a Ca 2+ channel with kinase activity and control cell migration and adhesion. This suggests that TRPM7 has the potential to play a part in the mechanosensory complexes used by cancer cells during the metastasis formation [27]. The excessive activity of the TRPM7 channel results in nitrosative and oxidative stress and can lead to cell rounding mediated by m-calpain [28]. Another study demonstrated that TRPM7 is a pivotal mediator for anoxia-induced neuronal death [29]. Furthermore, the current density was detected as being positively correlated with the absolute value of voltage in the LPS group in comparison with the NS group. This opposite result was observed in the Tan-H group as compared with the LPS group. Based on the findings of our study, we established that Tan IIA inhibits LPS-induced ALI via TRPM7 in addition to the downregulating of pro-inflammatory factors.

NS LPS KO+LPS Tan A (H) KO+TAN A (H)
In conclusion, our study demonstrated that Tan IIA decreases calcium influx in PIMs, which in turn inhibits pro-inflammatory factors from alleviating LPS-induced ALI by suppressing TRPM7 expression. Our findings' gives have provided new insight and perspective for current ALI treatment and future ALI treatment studies. ALI is well defined among human beings; however, there is no consensus in regards to the principal features of ALI in animal models. Further experiments are required to confirm the key findings of our study.