首页|川陈皮素调节RIP1/RIP3/MLKL信号通路对慢性心力衰竭大鼠心肌坏死性凋亡的影响

川陈皮素调节RIP1/RIP3/MLKL信号通路对慢性心力衰竭大鼠心肌坏死性凋亡的影响

The effect of Nobiletin regulating the RIP1/RIP3/MLKL signaling pathway on myocardial necrotic apoptosis in rats with chronic heart failure

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目的 探究川陈皮素(Nob)调节受体相互作用蛋白激酶1/受体相互作用蛋白激酶3/混合谱系激酶样结构域蛋白(RIP1/RIP3/MLKL)信号通路对慢性心力衰竭(CHF)大鼠心肌坏死性凋亡的影响及作用机制.方法 于2022 年9 月—2023 年3 月在南方医科大学中心实验室进行实验.建立大鼠CHF模型,将造模成功的75 只大鼠按随机数字表法分为模型组(CHF组)、川陈皮素低剂量组(Nob-L组,7.5 mg·kg-1·d-1 Nob)、川陈皮素中剂量组(Nob-M组,15 mg·kg-1·d-1 Nob)、川陈皮素高剂量组(Nob-H组,30 mg·kg-1·d-1 Nob)和通路抑制剂Necrostatin-1 组(Nec-1组,2.45 mg·kg-1·d-1 Nec-1),每组15 只.另取15 只大鼠作为假手术组(Sham组)只打开胸腔不进行结扎.干预28d后,采用超声心动图检测左心室功能;酶联免疫吸附试验(ELISA)检测血清肿瘤坏死因子-α(TNF-α)、白介素-1β(IL-1β)、丙二醛(MDA)、超氧化物歧化酶(SOD)和总抗氧化能力(T-AOC)水平;苏木精-伊红(HE)和马松(Masson)染色观察心肌组织病理变化及纤维化情况;原位末端转移酶标记技术(TUNEL)观察心肌组织凋亡情况;蛋白质印迹法(Western blot)检测心肌组织RIP1、RIP3、MLKL磷酸化水平及半胱氨酰天冬氨酸蛋白酶(Caspase-8)蛋白表达.结果 与Sham组比较,CHF组心肌组织部分细胞损伤坏死、结构紊乱、心肌细胞肿胀、有大量的炎性细胞浸润,心肌组织胶原蛋白沉积和纤维化增加,与CHF组比较,Nob-L组、Nob-M组、Nob-H组和Nec-1 组心肌纤维排列逐渐规则、心肌细胞肿胀、坏死及炎性细胞浸润减少、胶原沉积和纤维化减少.与 Sham 组比较,CHF 组左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)、IL-1β、TNF-α 和 MDA 水平、细胞凋亡率、p-RIP1/RIP1、p-RIP3/RIP3、p-MLKL/MLKL表达显著增加,左心室射血分数(LVEF)、左心室轴缩短分数(FS)、SOD和T-AOC水平、Caspase-8 表达显著降低;与CHF组比较,Nob-L组、Nob-M组、Nob-H组、Nec-1 组上述指标均改善(F/P =102.557/<0.001、117.684/<0.001、364.401/<0.001、268.087/<0.001、124.566/<0.001、229.003/<0.001、193.585/<0.001、182.164/<0.001、142.657/<0.001,140.900/<0.001、169.680/<0.001、103.485/<0.001、108.277/<0.001、200.435/<0.001),且Nob-L组、Nob-M组、Nob-H组的干预效果呈剂量依赖性(P<0.05).结论 Nob可能通过抑制RIP1/RIP3/MLKL信号通路的激活,减轻炎性反应及氧化应激,抑制CHF大鼠的心肌坏死性凋亡,对CHF大鼠发挥保护作用.
Objective To investigate the effect and mechanismof Nobiletin(Nob)on necrotic apoptosis in chronic heart failure(CHF)rats by regulating the receptor interacting protein kinase 1/receptor interacting protein kinase 3/mixed line-age kinase like domain protein(RIP1/RIP3/MLKL)signaling pathway.Methods From September 2022 to March 2023,exper-iment was conducted in Central Laboratory of Southern Medical University.A CHF rat model was established,and 75 suc-cessfully modeled rats were randomly divided into model group(CHF group),low-dose Nob group(Nob-L group,7.5 mg·kg-1·d-1 Nob),mediumdose Nob group(Nob-M group,15 mg·kg-1·d-1 Nob),high-dose Nob group(Nob-H group,30 mg·kg-1·d-1 Nob),and pathway inhibitor Nec-1 group(Nec-1 group,2.45 mg·kg-1·d-1 Nec-1)according to the random number table method,with 15 rats in each group.Another 15 rats were selected as the sham operation group(Sham group),with only the thoracic cavity opened and no ligation performed.Echocardiography was applied to detect and detect left ventricular function.Enzyme linked immunosorbent assay(ELISA)was applied to detect the levels of serum tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β),malondialdehyde(MDA),superoxide dismutase(SOD),and total antioxi-dant capacity(T-AOC).Hematoxylin eosin(HE)and Masson staining were applied to observe the pathological changes and fibrosis of myocardial tissue.The terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling(TUNEL)was applied to observe the apoptosis of myocardial tissue.Western blot was applied to detect RIP1,RIP3,MLKL phospho-rylation levels,and Caspase-8 protein expression.Results Compared with the Sham group,some cells in the myocardial tis-sue of the CHF group were damaged,necrotic,structurally disordered,with myocardial cell swelling,a large number of in-flammatory cell infiltration,and collagen deposition and fibrosis in myocardial tissue increased,Compared with the CHF group,the myocardial fiber arrangement of the Nob-L group,Nob-M group,Nob-H group,and Nec-1 group gradually be-came regular,with myocardial cell swelling,necrosis,and the inflammatory cell infiltration decreased,collagen deposition and fibrosis decreased.Compared with the Sham group,the levels of left ventricular end diastolic diameter(LVEDD),left ventric-ular end systolic diameter(LVESD),IL-1β,TNF-αand MDA,cell apoptosis rate,and the expression of p-RIP1/RIP1,p-RIP3/RIP3,and p-MLKL/MLKL proteins of the CHF group,Nob-L group,Nob-M group,Nob-H group and Nec-1 group were obviously increased(P<0.05),the levels of left ventricular ejection fraction(LVEF),left ventricular axis shortening fraction(FS),SOD,T-AOC,and the expression of Caspase-8 protein of the CHF group,Nob-L group,Nob-M group,Nob-H group and Nec-1 group were obviously reduced(F/P=102.557/<0.001,117.684/<0.001,364.401/<0.001,268.087/<0.001,124.566/<0.001,229.003/<0.001,193.585/<0.001,182.164/<0.001,142.657/<0.001,140.900/<0.001,169.680/<0.001,103.485/<0.001,108.277/<0.001,200.435/<0.001),and the intervention effect of different dosage groups of Nob showed a dose-dependent relationship(P<0.05).Conclusion Nob may alleviate inflammation and oxidative stress by inhibiting the activation of the RIP1/RIP3/MLKL signaling pathway,inhibit necrotic apoptosis in CHF rats,and exert a protective effect on CHF rats.

Chronic heart failureNobiletinRIP1/RIP3/MLKL signaling pathwayInflammatory responseOxidative stressNecrotic apoptosisRat

张鹏、林桂雄、卓裕丰、程宏基、陈钦修、谢文杰、冯燕玲

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511400 广州市番禺区何贤纪念医院心内科

慢性心力衰竭 川陈皮素 RIP1/RIP3/MLKL信号通路 炎性反应 氧化应激 坏死性凋亡 大鼠

广东省基础与应用基础研究基金项目广州市科技计划项目

2021B1551140064202102080548

2024

疑难病杂志
中国医师协会

疑难病杂志

CSTPCD
影响因子:1.171
ISSN:1671-6450
年,卷(期):2024.23(5)
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