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双环醇抗脓毒症诱导的小鼠暴发性肝炎作用及机制研究

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目的:探讨双环醇(Bicyclol)对脓毒症所致暴发性肝炎(FH)的防治作用及潜在机制。方法:采用脂多糖(LPS)/D-半乳糖(D-Gal)建立小鼠FH模型,灌胃给予Bicyclol处理,观察小鼠24 h内生存率;化学显色法检测血清谷草转氨酶(AST)和谷丙转氨酶(ALT)活性、肝组织过氧化氢酶(CAT)和超氧化物歧化酶(SOD)活性、谷胱甘肽(GSH)和丙二醛(MDA)水平;HE和TUNEL染色评估肝脏病理学变化;ELISA法检测血清白细胞介素6(IL-6)、白细胞介素1β(IL-1β)和血清肿瘤坏死因子α(TNF-α)水平;Western blotting检测肝组织核转录因子kappa B 抑制蛋白 α(IKBα)、磷酸化 IκBα(p-IKBα)、核转录因子kappa B(NF-κB)、核红细胞2相关因子2(Nrf2)、NAD(P)H:醌氧化还原酶1(NQO1)和血红素加氧酶1(HO1)蛋白表达。结果:Bicyclol预处理提高FH小鼠生存率,降低ALT和AST活性,减轻肝组织病变,降低Suzuki评分(P<0。05,P<0。01)。同时,降低TNF-α、IL-1β、IL-6和MDA水平,升高GSH水平以及CAT和SOD酶活力,下调p-IκBα和胞核NF-κB表达,增加IκBα、胞核Nrf2、NQO 1和HO1表达(P<0。05,P<0。01)。此外,Bicyclol治疗处理也显著降低FH小鼠血清ALT和AST活性(P<0。05,P<0。01)。结论:Bicyclol 对 LPS/D-Gal 所致的 FH 具有显著防治作用,其作用机制可能与抑制NF-κB信号介导的炎症反应以及激活Nrf2/NQO1/HO1信号通路缓解氧化应激有关。
Protective effects and mechanism of bicyclol against sepsis-induced fulminant hepatitis in mice
AIM:To investigate the preventive ef-fect and potential mechanism of bicyclol on sepsis-induced fulminant hepatitis(FH).METHODS:The FH model was established by lipopolysaccharide(LPS)/D-galactose(D-Gal),and mice were orally ad-ministrated with bicyclol and the survival rate with-in 24 h was recorded.The activities of glutamate aminotransferase(AST),alanine aminotransferase(ALT),catalase(CAT)and superoxide dismutase(SOD),and the content of glutathione(GSH)and malondialdehyde(MDA)in liver tissue were mea-sured by chemiluminescence.The histopathological changes of liver were examined by HE and TUNEL staining.The levels of tumor necrosis factor α(TNF-α),interleukin 1β(IL-1β)and interleukin 6(IL-6)were measured using ELISA.The protein expression of nuclear transcription factor kappa B inhibitory protein α(IκBα),phosphorylated IκBα(p-IκBα),nu-clear transcription factor kappa B(NF-κB),nuclear red blood cell 2 related factor 2(Nrf2),NAD(P)H:quinone oxidoreductase 1(NQO1),and heme oxy-genase 1(HO1)in liver tissue was examined by Western blotting.RESULTS:Pre-treatment with bi-cyclol improved survival ratio of FH mice,reduced ALT and AST activities,alleviated liver tissue le-sions,and lowered Suzuki score.Meanwhile,the levels of TNF-α,IL-1β,IL-6 and MDA were reduced,the GSH level and CAT and SOD enzyme activities were increased,the protein expression of p-IκBαand nuclear NF-κB was down-regulated,and the protein levels of IκBα,nuclear Nrf2,NQO1 and HO1 were up-regulated.Moreover,post-treatment with Bicyclol also significantly reduced ALT and AST activities in FH mice.CONCLUSION:Bicyclol exhibit-ed remarkable hepaprotective efects on FH caused by LPS/D-Gal,the potential mechanism underlying the anti-infammatory and antioxidative activities of Bicyclol might be associated with the suppression of NF-κB signaling pathway and the activation of Nrf2/NQO1/HO1 signaling pathway.

fulminant hepatitissepsisbicyclolinflammationoxidative stress

陈丽君、方伟

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锦州医科大学研究生培养基地(重庆大学附属三峡医院药学部),重庆 404000

暴发性肝炎 脓毒症 双环醇 炎症 氧化应激

2024

中国临床药理学与治疗学
中国药理学会

中国临床药理学与治疗学

CSTPCD北大核心
影响因子:0.97
ISSN:1009-2501
年,卷(期):2024.29(11)