首页|柴胡皂苷d通过抑制炎性反应减轻大鼠肝脏缺血再灌注损伤

柴胡皂苷d通过抑制炎性反应减轻大鼠肝脏缺血再灌注损伤

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目的 观察柴胡皂苷d(SSd)预处理对大鼠肝缺血再灌注损伤(HIRI)炎性反应和Toll样因子受体4(TLR4)/核因子-κB(NF-κB)传导通路的影响。方法 随机数字表法将24只雄性SD大鼠分为假手术组(Sham组)、缺血再灌注组(I/R组)和SSd预处理组(SSd组),每组8只。SSd组在术前连续5 d腹腔注射2mg/kg SSd,Sham组和I/R组腹腔注射等量浓度的二甲基亚砜(DMSO)。随后,I/R组和SSd组采用Pringle法阻断第一肝门1 h,Sham组只行开腹、关腹手术和肝门解剖等操作。术后6 h,采集大鼠的血清及肝标本。生化检测血清的谷丙转氨酶(ALT)、谷草转氨酶(AST)值;酶联免疫吸附试验(ELISA)法检测血清肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-1β水平;苏木精-伊红(HE)染色观察肝组织细胞损伤和坏死情况;实时定量反转录聚合酶链反应(RT-qPCR)检测肝脏TLR4、TNF-α及IL-1β的相对表达水平;蛋白质印迹法(Western blot)检测TLR4、MyD88和NF-κB在3组肝组织的表达差异。结果 血清学指标:I/R组ALT、AST、TNF-α及IL-1β 高于 Sham 组[(1 526。16±147。42)U/L 比(71。32±10。21)U/L、(2 705。17±127。81)U/L 比(189。78±20。04)U/L、(48。60±23。03)pg/ml 比(6。67±1。72)pg/ml、(119。18±40。35)pg/ml 比(5。55±3。61)pg/ml,t=27。85、54。99、5。13、7。93,P<0。01];而 SSd 组上述指标低于 I/R 组[(402。79±67。54)U/L 比(1 526。16±147。42)U/L、(658。89±88。35)U/L 比(2 705。17±127。81)U/L、(11。38±5。08)pg/ml 比(48。60±23。03)pg/ml、(24。82±5。98)pg/ml 比(119。18±40。35)pg/ml,t=19。59、37。25、4。63、6。54,P<0。01],差异有统计学意义。HE染色观察肝组织病理改变及评分:给予SSd干预后,SSd组肝脏组织损伤轻于I/R组,Suzuki评分差异有统计学意义(5。40±1。67 比 8。00±0。71,t=3。20,P<0。01)。进一步通过 RT-qPCR 结果发现,I/R 组 TLR4、TNF-α 及 IL-1β 的 mRNA 相对表达量明显高于 Sham 组(2。45±0。32 比 1。00±0。00、1。96±0。17 比1。00±0。00、1。63±0。19 比 1。00±0。00,t=4。63、7。93、5。74,P<0。01),而 SSd 组 TLR4、TNF-α 及IL-1β 的 mRNA 相对表达量低于 I/R 组(1。92±0。20 比 2。45±0。32、1。55±0。05 比 1。96±0。17、1。24±0。07 比 1。63±0。19,t=3。45、3。97、3。36,P<0。05),差异均有统计学意义。Western blot 结果提示,I/R 组的 TLR4、MyD88 和 NF-κB 蛋白的表达高于 Sham 组(t=27。95、8。67、4。26,P<0。01),而SSd 组的 TLR4、MyD88 和 NF-κB 蛋白的表达水平则低于 SSd 组(t=3。69、9。43、2。86,P<0。05),差异有统计学意义。结论 SSd预处理可以显著降低大鼠HIRI的炎症反应,其作用机制可能与下调TLR4/NF-κB信号转导通路蛋白的表达有关。
Saikosaponin d attenuates hepatic ischemia-reperfusion injury by inhibiting inflammatory response in rats
Objective To investigate the effects of Saikosaponin d(SSd)pretreatment on the inflammatory response and Toll-like receptor 4(TLR4)/nuclear factor-κB(NF-κB)signaling pathway in rats with hepatic ischemia-reperfusion injury(HIRI).Methods Totally,24 male SD rats were randomly divided into three groups using a random number table:Sham group,ischemia-reperfusion group(I/R group),and SSd pretreatment group(SSd group),with 8 rats in each group.The SSd group received intraperitoneal injections of 2 mg/kg SSd for 5 consecutive days before surgery,and the Sham and I/R groups received equal concentrations of dimethyl sulfoxide(DMSO).Subsequently,the I/R and SSd groups underwent Pringle's maneuver to occlude the hepatic portal vein for 1 h,and the Sham group only underwent laparotomy and hepatic portal anatomy without occlusion.At 6 h post-surgery,serum and liver samples were collected.Biochemical analysis was performed to measure serum alanine aminotransferase(ALT)and aspartate aminotransferase(AST)levels.The enzyme linked immunosorbent assay(ELISA)was used to detect serum tumor necrosis factor-a(TNF-α)and interleukin(IL)-1β levels.The hematoxy-lin and eosin(HE)staining was utilized to observe liver tissue damage and necrosis.The real-time quanti-tative reverse transcriptase-polymerase chain reaction(RT-qPCR)was conducted to measure the relative expression levels of TLR4,TNF-α,and IL-1β in the liver.Western blotting was used to assess the expres-sion differences of TLR4,MyD88,and NF-κB proteins among the three groups.SPSS and GraphPad Prism were used to perform variance analysis on the liver indices of the three groups of rats,and pairwise compar-isons were performed.Results ALT,AST,TNF-α,and IL-1β were higher in the I/R group than in the Sham group[(1 526.16±147.42)U/L vs.(71.32±10.21)U/L,(2 705.17±127.81)U/L vs.(189.78±20.04)U/L,(48.60±23.03)pg/ml vs.(6.67±1.72)pg/ml,(119.18±40.35)pg/ml vs.(5.55±3.61)pg/ml,t=27.85,54.99,5.13,7.93,P<0.01],while the levels of these markers were lower in the SSd group than in the I/R group[(402.79±67.54)U/L vs.(1 526.16±147.42)U/L,(658.89±88.35)U/L vs.(2 705.17±127.81)U/L,(11.38±5.08)pg/ml vs.(48.60±23.03)pg/ml,(24.82±5.98)pg/ml vs.(119.18±40.35)pg/ml,t=19.59,37.25,4.63,6.54,P<0.01],with sta-tistically significant differences.After SSd intervention,the liver tissue injury in the SSd group was less se-vere than that in the I/R group,and the difference in Suzuki score was statistically significant(5.40±1.67 vs.8.00±0.71,t=3.20,P<0.01).Furthermore,the RT-qPCR results showed that the relative mRNA expression levels of TLR4,TNF-α,and IL-1β in the I/R group were significantly higher than those in the Sham group(2.45±0.32 vs.1.00±0.00,1.96±0.17 vs.1.00±0.00,1.63±0.19 vs.1.00±0.00,t=4.63,7.93,5.74,P<0.01),while the relative mRNA expression levels of TLR4,TNF-α,and IL-1β in the SSd group were lower than those in the I/R group(1.92±0.20 vs.2.45±0.32,1.55±0.05 vs.1.96±0.17,1.24±0.07 vs.1.63±0.19,t=3.45,3.97,3.36,P<0.05),with statistically significant differences.Finally,the Western blotting results suggested that the expression of TLR4,MyD88,and NF-κB proteins in the I/R group was higher than that in the Sham group(t=27.95,8.67,4.26,P<0.01),while the expression of TLR4,MyD88,and NF-κB proteins in the SSd group was lower than that in the SSd group(t=3.69,9.43,2.86,P<0.05),with statistically significant differences.Conclusion SSd pretreatment significantly reduces the inflammatory response in the rat HIRI,potentially through the downregulation of TLR4/NF-κB signaling pathway proteins.

SaikosaponinHepatic ischemia-reperfusion injuryInflammatory reactionToll-like receptor 4Nuclear factor-κB

朱山飞、张建松、郝定盈、苑伟、吴帆、王百林

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暨南大学附属广州红十字会医院普通外科,广州 510220

中山大学附属第一医院贵州医院胃肠外科,贵阳 550000

贵州医科大学临床医学院,贵阳 550004

柴胡皂苷 肝缺血再灌注损伤 炎性反应 Toll样因子受体4 核因子-κB

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(9)