首页|黄芪通过抑制NF-κB减轻大鼠移植肝脏缺血再灌注损伤的实验研究

黄芪通过抑制NF-κB减轻大鼠移植肝脏缺血再灌注损伤的实验研究

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目的:探讨黄芪(AM)对大鼠移植肝脏缺血再灌注损伤的保护作用及机制,方法:选用128只雄性健康SD大鼠,随机分成黄芪给药组(AM组)和生理盐水对照组(NS组),以二袖套法建立原位肝移植模型.术后1,2,4 h检测血清丙氨酸转氨酶(ALT)值,ELISA检测肿瘸坏死因子-α(TNF-α)值,Western Blot检测肝组织细胞间黏附分子-1(ICAM-1)的表达,免疫组化法及ELISA测定肝组织核因子-κB(NF-κB)的表达,术后3 d取肝脏标本做HE染色检查,TUNEL法检测肝脏细胞凋亡.结果:在肝移植完成后AM组ALT分别为(9.4±0.4),(10.8±0.5),(14.3±1.1)μkat/L,较NS组的(12.4±0.6),(15.9±0.8).(18.7±1.1)μkat/L低(P<0.05);AM组TNF-α水平分别为(757±54),(977±60),(318±53)ng/L,较Ns组(1258±132),(1831±165),(499±66)ng/L低(P<0.05);AM组的NF-κB,ICAM-1水平在各个时间点均低于NS组(P<0.05);AM组肝细胞凋亡程度低于NS组(P<0.05);AM组肝脏组织的病理改变较NS组肝脏组织的损伤轻.结论:黄芪能减少炎症介质释放,减轻移植后肝脏结构和功能上的破坏,提高肝脏耐受缺血再灌注损伤的能力.
Astragalus membranaceu reduces ischemia-reperfusion injury of rat liver graft by inhibiting NF-κB
AIM: To investigate the protective role of astragalus membranaceu ( AM) in ischemic reperfusion injury of rat liver graft and its mechanism. METHODS: One hundred and twenty-eight male Sprague Dawley (SD) rats were randomly divided equally into AM group and NS group and were used as donors and recipients of orthotopic liver transplantation. One hour,2 h and 4 h following liver transplantation,samples of blood and hepatic tissues were taken for assay. Amounts of TNF-α (tumor necrosis factor-α) and ALT ( alanine aminotransferase) values in serum were detected. The activity of NF-κB (nuclear factor kappa B) was determined by immunohistochemical staining and ELISA,and the expression of ICAM-1 ( intercellular adhesion molecule-1 ) protein level was determined by Western Blotting. Three days following the transplantation,apoptosis indexes were observed by TUNEL. RESULTS: In AM group ALT values were (9. 4 ± 0.4),(10. 8 ± 0. 5) and (14. 3 ± 1. 1) μkat/L respectively,which were lower than(12.4 ±0. 6),(15.9 ±0.8) and(18.7± 1.1) μkat/L respectively in NS group(P <0. 05). TNF-α concentrations were(757± 54),(977 ±60) and(318 ± 53) ng/L,which were also lower than (1258 ± 132),(1831 ± 165 ) and (499 ±66) ng/L respectively in NS group(P <0.05). Expression of ICAM-1 and the activity of NF-κB in AM group were also lower than those in NS group ( P < 0. 05 ). The apoptosis indexes in the AM group were lower than those in NS group ( P < 0. 05 ). Histological examination revealed that the injuries of hepatic tissues in NS group were more severity than those in AM group. CONCLUSION: Astragalus membranaceu protects hepatic I/R injury after liver transplantation,improves liver graft function and reduces the release of inflammatory mediators.

liver transplantationreperfusion injuryastragalus membranaceuNF-κBICAM-1

陈蓁臻、孙科、陈勇、成名翔、黄庆勇、龚建平、涂兵

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重庆医科大学附属第二医院肝胆外科,重庆,400010

肝移植 缺血再灌注损伤 黄芪 核因子子-κB 细胞间黏附分子-1

国家自然科学基金

30801126

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(7)
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