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连翘苷对感染性休克小鼠急性肺损伤的作用与机制

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目的 探讨连翘苷通过腺苷酸活化蛋白激酶(adenosine monophosphate activated protein kinase,AMPK)/哺乳动物雷帕霉素靶蛋白(mammalian target of rapamycin,mTOR)/p70核糖体S6蛋白激酶(p70 S6 kinase,p70S6K)信号通路介导的自噬对感染性休克小鼠急性肺损伤(Acute lung injury,ALI)的影响.方法 随机选择12只小鼠作为对照组,其余小鼠通过腹腔注射20 mg·kg1 脂多糖(Lipopolysaccharide,LPS)构建感染性休克小鼠模型,将感染性休克小鼠随机平分为模型组、低、中、高剂量实验组(5 mg·kg-1、10 mg.kg-1、20 mg·kg-1连翘苷)、高剂量+抑制剂组(20 mg·kg-1连翘苷+20 mg·kg-1 AMPK抑制剂compound C),每组均12只小鼠.称量肺干重及湿重,计算W/D比值;ELISA法检测BALF中炎性因子肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素 1β(interleukin-1β,IL-1β)、白细胞介素6(interleukin-6,IL-6)水平、血清内毒素(endotoxin,ET)含量、肺组织髓过氧化物酶(myeloperoxidase,MPO)活性;HE染色检测肺组织病理变化;Western blot检测自噬蛋白微管相关蛋白-轻链 3(microtubule-associated protein-light chain 3,LC3)-Ⅱ/Ⅰ、Beclin 1、Ras 相关 GTP 结合蛋白 7(Ras-associated GTP binding protein 7,Rab7)、溶酶体关联膜蛋白 2(lysosomal associated membrane protein 2,LAMP2)、AMPK/mTOR/p70S6K信号通路蛋白表达.结果 对照组、模型组、低、中、高剂量实验组和高剂量+抑制剂组小鼠肺组织 LC3-Ⅱ/Ⅰ 比值分别为 1.43±0.14、0.73±0.07、0.81±0.07、1.12±0.10、1.39±0.13、0.76±0.08,Beclin1 蛋白水平分别为 1.05±0.11、0.43±0.05、0.50±0.05、0.76±0.08、0.98±0.10、0.46±0.05,Rab7蛋白水平分别为 1.53±0.17、0.67±0.06、0.70±0.07、1.04±0.10、1.41±0.14、0.69±0.06,LAMP2 蛋白水平分别为 1.47±0.15、0.72±0.07、0.81±0.08、1.09±0.11、1.35±0.13、0.74±0.07,p-AMPK/AMPK 蛋白水平分别为0.95±0.05、0.33±0.03、0.39±0.04、0.68±0.07、0.91±0.09、0.36±0.04,p-mTOR/mTOR蛋白水平分别为 0.28± 0.02、0.94±0.06、0.88±0.07、0.57±0.05、0.30±0.03、0.87±0.09,p70S6K 蛋白水平分别为 0.32±0.07、0.96±0.04、0.90±0.07、0.69±0.06、0.38±0.04、0.92±0.06.上述指标:模型组与对照组比较,差异均有统计学意义(均P<0.05);中、高剂量实验组与模型组比较,差异均有统计学意义(均P<0.05);高剂量+抑制剂组与高剂量实验组比较,差异均有统计学意义(均P<0.05).结论 连翘苷可能通过调控AMPK/mTOR/p70S6K信号通路介导的自噬对感染性休克小鼠ALI起到改善作用.
Effect and mechanism of Phillyrin on acute lung injury in septic shock mice
Objective To investigate the impact of phillyrin on acute lung injury(ALI)in septic shock mice through autophagy mediated by adenosine monophosphate activated protein kinase(AMPK)/mammalian target of rapamycin(mTOR)/p70 S6 kinase(p70S6K)signal pathway.Methods Twelve mice were randomly selected as the control group,and the rest of the mice were injected intraperitoneally with 20 mg·kg-1 LPS to construct the model of septic shock,the mice with septic shock were randomly divided into a model group,an Experimental-L,-M,-H group(5 mg·kg-1,10 mg·kg-1,20 mg·kg-1 phillyrin),and an Experimental-H+compound C group(20 mg·kg-1 phillyrin+20 mg·kg-1 AMPK inhibitor compound C),there were 12 mice in each group.The lung dry weight and wet weight were weighed,and the W/D ratio was calculated;the levels of inflammatory factors tumor necrosis factor-α(TNF-α),interleukin-iβ(IL-1β),interleukin-6(IL-6)in BALF,serum endotoxin(ET)and myeloperoxidase(MPO)of lung tissue were detected by ELISA;HE staining was applied to detect pathological changes of lung tissue;Western blot was applied to detect the expression of autophagic proteins microtubule-associated protein-light chain 3(LC3-Ⅱ/Ⅰ),Beclin 1,Ras-associated GTP binding protein 7(Rab7),lysosomal associated membrane protein 2(LAMP2)and AMPK/mTOR/p70S6K signaling pathway proteins.Results In control group,model group,Experimental-L,-M,-H group and Experimental-H+compound C group LC3-Ⅱ/Ⅰ ratios were 1.43±0.14,0.73±0.07,0.81± 0.07,1.12±0.10,1.39±0.13,0.76±0.08,respectively.Beclinl protein levels were 1.05±0.11,0.43±0.05,0.50± 0.05,0.76±0.08,0.98±0.10,0.46±0.05,respectively.Rab7 protein levels were 1.53±0.17,0.67±0.06,0.70± 0.07,1.04±0.10,1.41±0.14,0.69±0.06,respectively.LAMP2 protein levels were 1.47±0.15,0.72±0.07,0.81± 0.08,1.09±0.11,1.35±0.13,0.74±0.07,respectively.p-AMPK/AMPK protein levels were 0.95±0.05,0.33± 0.03,0.39±0.04,0.68±0.07,0.91±0.09,0.36±0.04,respectively.p-mTOR/mTOR protein levels were 0.28± 0.02,0.94±0.06,0.88±0.07,0.57±0.05,0.30±0.03,0.87±0.09,respectively.The protein levels of p70S6K were 0.32±0.07,0.96±0.04,0.90±0.07,0.69±0.06,0.38±0.04,0.92±0.06,respectively.There were statistical differences between the model group and the control group(all P<0.05).There were statistical differences between Experimental-M,-H group and model group(all P<0.05).There were significant differences between Experimental-H+compound C group and Experimental-H group(all P<0.05).Conclusions Phillyrin may improve ALI in septic shock mice by regulating autophagy mediated by AMPK/mTOR/p70S6K signaling pathway.

PhillyrinAMPK/mTOR/p70S6K signal pathwayAutophagySeptic shockAcute lung injury

张凡、韦焕杰、李龙、欧阳涛、蔡娟、梁秋玲、曾育辉

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广东药科大学附属第一医院急诊科,广州 510080

广东药科大学临床医学院,广州 510080

连翘苷 AMPK/mTOR/p70S6K信号通路 自噬 感染性休克 急性肺损伤

广东省医学科学技术研究项目

A2022517

2024

中国临床解剖学杂志
中国解剖学会

中国临床解剖学杂志

CSTPCD北大核心
影响因子:0.7
ISSN:1001-165X
年,卷(期):2024.42(2)
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