Abstract:Objective This study aimed to investigate the effects of gliotoxin on type Ⅱ alveolar epithelial cell injury and explore its underlying mechanisms.Methods An in vitro model was established by treating A549 cells with gliotoxin (GT). The CCK-8 assay was used to detect the viability of A549 cells after 24-hour co-incubation with different concentrations of GT. Intracellular reactive oxygen species (ROS) content and apoptosis levels were measured by flow cytometry. Western blotting was performed to detect the expression of apoptosis-related proteins Caspase-3, Bax, and Bcl-2.Results As compared with the control group, different concentrations of GT exhibited an inhibitory effect on the proliferative activity of A549 cells. The viability of A549 cells in the 0.500 000 μmol/L, 1.000 000 μmol/L, 2.000 000 μmol/L, and 4.000 000 μmol/L GT groups was all lower than that in the control group, with statistically significant differences in all pairwise comparisons (P < 0.05). These results indicate that the viability of A549 cells starts to decrease at a GT concentration of 0.5 μmol/L, and the inhibitory effect shows a concentration-dependent manner with the increase in GT concentration. Compared with the control group, the 2.0 μmol/L and 4.0 μmol/L groups exhibited increased intracellular ROS content, apoptosis rate, and expression levels of Caspase-3 and Bax, while the expression of Bcl-2 was decreased (P < 0.05).Conclusion GT can reduce the activity of A549 cells, increase their ROS activity, and induce cell apoptosis through the mitochondria-mediated intrinsic apoptotic pathway by upregulating the expressions of Caspase-3 and Bax and downregulating the expression of Bcl-2.