首页|SIRT3缺陷对脓毒症心肌损伤的影响及作用机制

SIRT3缺陷对脓毒症心肌损伤的影响及作用机制

扫码查看
目的 探讨SIRT3缺陷对脂多糖(lipopolysaccharide,LPS)诱导的脓毒症心肌损伤的影响及作用机制.方法 通过对SIRT3基因敲除(SIRT3/-)小鼠及野生型(wild type,WT)小鼠进行LPS(10mg/kg)腹腔注射24h制备脓毒症心肌损伤模型,等体积0.9%氯化钠溶液(normal saline,NS)腹腔注射作为对照,设立WT-NS组、WT-LPS组、SIRT3-/--LPS组、SIRT3-/--NS组.通过对人心脏微血管内皮细胞进行LPS(10μg/ml)刺激24h制备细胞损伤模型.正常培养作为对照,使用SIRT3过表达慢病毒及阴性对照病毒进行细胞转染,设立对照组、LPS组、LPS+SIRT3过表达组、阴性对照病毒组.采用心脏超声检测各组小鼠收缩末期及舒张末期左心室后壁厚度、左心室舒张末期容积.天狼星红染色检测各组心脏组织的胶原蛋白含量.免疫荧光法观察各组心脏微血管中内皮-间充质转化(endothelial-to-mesenchymal transition,EndMT)标志蛋白:血小板-内皮细胞黏附分子(platelet-endothelial cell adhesion molecule,CD31)、α-平滑肌肌动蛋白(α-smooth muscle actin,α-SMA)的表达情况.采用Western blot法检测CD31、α-SMA、SIRT3蛋白和自噬相关蛋白LC3、p62的表达情况.结果 心脏超声发现,SIRT3-/--LPS组左心室舒张末期容积、收缩末期及舒张末期左心室后壁厚度均增加(P<0.001).天狼星红染色结果表明,SIRT3缺陷可显著提升LPS诱导的脓毒症小鼠心脏组织的胶原蛋白含量(P<0.001).LPS可诱导小鼠心脏微血管内皮细胞发生EndMT,而SIRT3缺陷会加重这一变化(P<0.05).LPS可诱导小鼠心脏组织自噬水平应激性升高,而SIRT3缺陷会降低自噬水平(P<0.05).体外实验同样证实了 LPS诱导人心脏微血管内皮细胞自噬应激性增强(P<0.001),此时SIRT3蛋白表达下降伴随着EndMT的发生(P<0.05),而SIRT3过表达明显减轻了 EndMT的程度(P<0.001),自噬水平进一步增加(P<0.05).结论 SIRT3缺陷能加重LPS诱导的脓毒症小鼠心脏舒张功能障碍及纤维化程度,其机制可能与其降低心脏组织自噬水平,促进心脏微血管内皮细胞发生EndMT有关.
Effect and Mechanism of SIRT3 Deficiency on Myocardiac Injury in Sepsis
Objective To investigate the effect of SIRT3 deficiency on myocardiac injury induced by lipopolysaccharide(LPS)in sepsis and its mechanism.Methods SIRT3gene knockout(SIRT3-/-)mice and wild-type(WT)mice were intraperitoneally injected with LPS(10mg/kg)for 24h to prepare myocardial injury model of sepsis,and equal volume normal saline(NS)was injected intraperito-neally as control,WT-NS group,WT-LPS group,SIRT3-/--LPS group and SIRT3-/--NS group were set up.Human heart micro-vascular endothelial cells were stimulated with LPS(10μg/ml)for 24h to prepare cell damage models.Normal culture was used as con-trol,SIRT3 overexpressing lentivirus and negative control virus were used for cell transfection.Control group,LPS group,LPS+SIRT3 overexpressing group and negative control virus group were set up.The left ventricular posterior wall thickness at the end of systole and di-astole and the left ventricular end-diastolic volume were measured by cardiac ultrasound.Sirius red staining was used to detect collagen content in heart tissue of each group.The expression of endothelial-to-mesenchymal transition(EndMT)markers in cardiac microves-sels,which involved platelet-endothelial cell adhesion molecule(CD31)and α-smooth muscle actin(α-SMA)was observed by im-munofluorescence method.Western blot was used to detect the expression of CD31,α-SMA and SIRT3 proteins and autophagy related proteins LC3 and p62.Results Cardiac ultrasound showed that the left ventricular end-diastolic volume,end-systolic and end-dias-tolic posterior wall thickness increased in the SIRT3-/--LPS group(P<0.001).The results of sirius red staining showed that SIRT3 defi-ciency significantly increased the collagen content of LPS-induced heart tissue of mice(P<0.001).LPS could induce EndMT in cardiac microvascular endothelial cells of mice,which was aggravated by SIRT3deficiency(P<0.05).The level of autophagy in heart tissue of mice was stress increased,which was induced by LPS treatment.However,SIRT3deficiency could reduce autophagy level(P<0.05).In vitro experiments also confirmed that LPS induced increased autophagy stress in human heart microvascular endothelial cells(P<0.001),and decreased SIRT3 protein expression was accompanied by the occurrence of EndMT(P<0.05).The overexpression of SIRT3 significantly re-duced the degree of EndMT(P<0.001),and the autophagy level was further increased(P<0.05).Conclusion SIRT3 deficiency can aggravate the degree of cardiac diastolic dysfunction and fibrosis in LPS-induced sepsis mice,and the mechanism may be related to inhibi-ting the autophagy level of heart tissue and promoting the development of EndMT in cardiac microvascular endothelial cells.

SepsisMyocardial injuryCardiac fibrosisEndMTSIRT3

徐天华、刘鹏昊、崔德荣

展开 >

200233 上海交通大学医学院附属第六人民医院麻醉科

脓毒症 心肌损伤 心脏纤维化 内皮-间充质转化 SIRT3

国家自然科学基金青年科学基金

82002015

2024

医学研究杂志
中国医学科学院

医学研究杂志

CSTPCD
影响因子:0.702
ISSN:1673-548X
年,卷(期):2024.53(3)
  • 27