Effects of HIF-1<i>α</i> Intervention on Neutrophil Extracellular Traps in a Sprague-Dawley Rat Model of Sepsis

目的：证明缺氧诱导因子-1α (hypoxia inducible factor-1α, HIF-1α)通过HIF-1α/糖酵解途径调节中性粒细胞胞外陷阱(Neutrophil Extracellular Traps, NETs)的形成和释放，影响脓毒症(sepsis)炎症反应。方法：建立脓毒症大鼠模型，给予HIF-1α抑制剂。收集各组大鼠外周血进行ELISA检测TLR4、NF-κB、IL-10、CitH3、cfDNA、MPO含量；肺组织样本进行苏木素–伊红(HE)染色、肺损伤评分及RT-qPCR检测HIF-1α、GLUT1、HK、PKM2、LDHA mRNA的表达。结果：肺组织HE染色结果：脓毒症模型组肺泡腔显著闭塞，肺组织实变，实变区肺组织内可见较多炎细胞浸润及损伤肺泡上皮细胞，局灶可见出血，d4较d1炎性渗出明显增多、损伤程度加重；HIF-1α抑制剂组肺组织损伤程度较LPS组同时期减轻，且时间越长，减轻程度越明显。肺损伤评分、肺组织HIF-1α、GLUT1、HK、PKM2、LDHA表达和外周血TLR4、NF-κB、IL-10、CitH3、cfDNA、MPO含量：LPS组d1、d4上述指标较NC组同时期均升高(均P P α (−)组d1较NC组同时期均升高(均P α (−)组d7较d1均显著降低(均P α (−)组d4、d7较LPS组同时期均降低(均P α、糖酵解、NETs、炎症的表达均增高，表明这一通路在脓毒症的调控中发挥了一定作用；(2) 通过抑制HIF-1α，糖酵解、NETs及炎症表达下降，可能为脓毒症的治疗提供一个新的靶点。Objective: To demonstrate that hypoxia-inducible factor-1α (HIF-1α) regulates the formation and release of neutrophil extracellular traps (NETs) through the HIF-1α/glycolysis pathway, thereby modulating the inflammatory response in sepsis. Methods: A rat sepsis model was established and treated with HIF-1α inhibitors. Peripheral blood samples were collected for ELISA detection of TLR4, NF-κB, IL-10, CitH3, cfDNA, and MPO levels. Lung tissue samples underwent hematoxylin and eosin (HE) staining, lung injury scoring, and RT-qPCR analysis of HIF-1α, GLUT1, HK, PKM2, LDHA mRNA expression. Results: HE staining of lung tissue: The sepsis model group (LPS group) exhibited significant alveolar space occlusion, pulmonary consolidation, inflammatory cell infiltration, damaged alveolar epithelial cells, and focal hemorrhage. Inflammatory exudation and tissue damage worsened on day 4 compared to day 1. The HIF-1α inhibition group showed reduced lung injury severity compared to the LPS group at the same time points, with greater improvement over time. Lung injury scores and expression of HIF-1α, GLUT1, HK, PKM2, LDHA, and peripheral blood biomarkers (TLR4, NF-κB, IL-10, CitH3, cfDNA, MPO): Compared to the normal control (NC) group, the LPS group showed elevated levels of all measured indicators at both d1 and d4 (all P P α (−) group, levels of these markers were higher than in the NC group at d1 (all P P α (−) group demonstrated lower levels of these indicators at d4 and d7 compared to the LPS group at the same time points (all P α, glycolysis, NETs, and inflammation significantly increased, indicating that this pathway plays a certain role in the regulation of sepsis. (2) Inhibition of HIF-1α attenuated glycolysis, NETs formation, and inflammatory responses, indicating that targeting HIF-1α may offer a novel therapeutic strategy for sepsis.