首页|白细胞介素-15预处理调控脓毒症诱导的心肌细胞凋亡及其相关机制研究

白细胞介素-15预处理调控脓毒症诱导的心肌细胞凋亡及其相关机制研究

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目的 研究白细胞介素(IL)-15 对脂多糖(LPS)诱导的脓毒症心肌细胞凋亡的影响,并探讨其相关的作用机制。方法 H9C2 细胞分为对照组(常规培养的H9C2 细胞)、凋亡组(建立LPS诱导的心肌细胞损伤模型,未进行其他干预)和干预组(采用 10 ng/ml重组大鼠IL-15 干预心肌H9C2 细胞损伤模型 6 h)。甲基噻唑基四唑(MTT)法和流式细胞仪检测IL-15 干预对H9C2 细胞增殖和凋亡的影响,四甲基罗丹明乙酯(TMRE)染色测定线粒体膜电位。10 mg/kg LPS腹腔注射建立小鼠脓毒症模型,采用腹腔注射含 100 µg/ml IL-15 的生理盐水 100 µl进行干预。通过HE染色评估小鼠心肌病理损伤。ELISA法检测小鼠心肌组织氧化应激指标。实时荧光定量PCR和蛋白质印迹法检测小鼠心肌组织中血红素氧合酶(HO)-1、核转录相关因子 2(Nrf2)mRNA和蛋白的表达。结果 凋亡组H9C2 细胞凋亡率[(47。9±5。1)%]明显高于对照组[(2。1±0。3)%],差异有统计学意义(P<0。05),而干预组H9C2 细胞凋亡率[(20。7±2。7)%]则明显低于凋亡组(P<0。05)。LPS诱导可以显著抑制心肌细胞的增殖活性,IL-15 能够抑制 LPS 诱导的心肌细胞活力降低(P<0。05)。凋亡组H9C2 细胞线粒体膜电位相对值(2。6±4。6)明显低于对照组H9C2 细胞线粒体膜电位相对值(7。4±5。2),差异有统计学意义(P<0。05);干预组H9C2 细胞线粒体膜电位相对值(4。2±4。9)明显高于凋亡组(P<0。05)。LPS作用后显著增强了H9C2 细胞线粒体膜电位的丧失,IL-15 干预会减少LPS诱导的H9C2 细胞线粒体膜电位的丧失。HE染色切片镜下观察显示小鼠脓毒症模型心肌组织出现明显损伤及炎症细胞浸润;IL-15 干预可改善LPS诱导的小鼠心肌损伤。脓毒症模型小鼠心肌组织中超氧化物歧化酶(SOD)和总抗氧化能力(T-AOC)水平较正常小鼠明显降低,而丙二醛(MDA)水平则明显升高(P<0。05)。IL-15 干预小鼠心肌组织SOD、T-AOC水平均升高,MDA水平均降低(P<0。05)。正常小鼠心肌组织中HO-1 和Nrf2 的mRNA和蛋白表达水平均较低;脓毒症模型小鼠心肌组织中HO-1、Nrf2 的mRNA和蛋白表达水平较正常小鼠明显升高(P<0。05);IL-15 干预小鼠心肌组织中HO-1、Nrf2的mRNA和蛋白表达水平进一步升高(P<0。05)。结论 IL-15 可减轻脓毒症诱导的心肌细胞凋亡,改善脓毒症小鼠心肌损伤程度。其机制可能与IL-15 激活HO-1/Nrf2 信号通路,进而抑制脓毒症心肌组织氧化应激有关。
Interleukin-15 pretreatment regulates sepsis induced cardiomyocyte apoptosis and its related mechanisms
Objective To study the effect of interleukin-15(IL-15)on lipopolysaccharide(LPS)-induced apoptosis of septic cardiomyocytes and its related mechanism.Methods H9C2 cells were divided into control group(H9C2 cells in conventional culture),apoptosis group(LPS-induced myocardial cell injury model was established),and intervention group(10 ng/ml recombinant rat IL-15 was used in myocardial H9C2 cell injury model for 6 h).The effects of IL-15 on H9C2 cell proliferation and apoptosis were detected by methyl thiazolyl tetrazolium(MTT)assay and flow cytometry,the level of mitochondrial membrane potential was detected by staining of tetramethylrhodamine ethyl ester(TMRE).The sepsis mouse model was established by intraperitoneal injection of 10 mg/kg LPS,and 100 µl of normal saline containing 100 µg/ml IL-15 was injected intraperitoneally.HE staining was used to evaluate the pathological injury of mouse myocardium.The indexes of oxidative stress in mouse myocardium were detected by ELISA.The effects of IL-15 on the expression of heme oxygenase 1(HO-1)and NF-E2-related factor 2(Nrf2)mRNAs and proteins in myocardium of mouse sepsis model were detected by real-time fluorescence quantitative PCR and Western bloting.Results The apoptosis rate of H9C2 cells in the apoptosis group was significantly higher than that in the control group(47.9%±5.1%vs.2.1%±0.3%,P<0.05).The apoptosis rate of H9C2 cells in the intervention group was 20.7%±2.7%,which was significantly lower than that in the apoptosis group(P<0.05).LPS could significantly inhibit the proliferation of myocardial cells,while IL-15 could inhibit LPS-induced decrease in myocardial cell viability(P<0.05).The relative mitochondrial membrane potential of myocardial H9C2 cells in the apoptosis group was significantly lower than that in the control group(2.6±4.6 vs.7.4±5.2,P<0.05).The relative mitochondrial membrane potential of myocardial H9C2 cells in the intervention group was 4.2±4.9,which was significantly higher than that in the apoptosis group(P<0.05).LPS significantly enhanced the loss of mitochondrial membrane potential of myocardial H9C2 cells,and IL-15 intervention weakened the loss of mitochondrial membrane potential of H9C2 cells induced by LPS(P<0.05).HE staining revealed obvious myocardial tissue damage and inflammatory cell infiltration in mouse sepsis model.IL-15 ameliorated LPS-induced myocardial injury in mice.The expression levels of superoxide dismutase(SOD)and total antioxidant capacity(T-AOC)in myocardium of sepsis mice were significantly lower than those in normal mice,while the expression level of malondialdehyde(MDA)in sepsis mice was significantly higher than that in normal mice(P<0.05).After IL-15 intervention,the expression of SOD and T-AOC in myocardium of sepsis mice was increased,and the expression of MDA was decreased(P<0.05).The mRNA and protein expression levels of HO-1 and Nrf2 were low in myocardium of normal mice.The mRNA and protein expression levels of HO-1 and Nrf2 in myocardium of sepsis mice were significantly higher than those in normal mice(P<0.05).After IL-15 intervention,the mRNA and protein expression levels of HO-1 and Nrf2 were significantly increased in myocardium of sepsis mice(P<0.05).Conclusion IL-15 can protect cardiomyocyte apoptosis induced by sepsis and decrease myocardial injury in sepsis mice.The mechanism may be related to the activation of HO-1/Nrf2 signaling pathway and the inhibition of myocardial oxidative stress in septic mice.

Interleukin-15SepsisCardiomyocyte apoptosisOxidative stress

李惠、熊翅、李浪、郭艳丹、张媛、王玉梅、许文平

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510010 广东 广州,中国人民解放军南部战区总医院健康医学科

白细胞介素-15 脓毒症 心肌细胞凋亡 氧化应激

广东省科技计划项目

2015A030302062

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(7)