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二甲双胍通过微小RNA-19a对肝脏缺血再灌注损伤的保护作用

The protective effect of metformin on liver ischemia-reperfusion injury through microRNA-19a

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目的 探讨二甲双胍通过微小RNA(miRNA,miR)-19a对肝脏缺血再灌注损伤的保护机制.方法 30只C57BL/6小鼠随机数字表法分为假手术组、缺血再灌注组、二甲双胍组,每组10只.缺血再灌注组和二甲双胍组小鼠建立肝脏缺血再灌注损伤模型,假手术组小鼠不建模.二甲双胍组小鼠术前3 d每日尾静脉注射二甲双胍200 mg/kg,术前24 h停止给药.假手术组和缺血再灌注组小鼠术前尾静脉注射等体积生理盐水.3组小鼠在术后6 h采用放免法检测血清谷丙转氨酶和谷草转氨酶浓度.取肝脏组织,采用转录组筛选差异miRNA;采用荧光定量聚合酶链反应(PCR)分析差异miRNA表达水平;生物信息学分析miR-19a的靶基因;采用酶联免疫吸附实验分析分析3组小鼠肝脏炎性因子水平变化;采用蛋白质免疫分析miR-19a的靶蛋白沉默调节蛋白1(SIRT1)及其靶蛋白下游分子核转录因子(NF-κB)表达水平.组间比较采用单因素方差分析.结果 二甲双胍组小鼠血清谷丙转氨酶和谷草转氨酶水平[(120.16±14.67)、(111.30±20.45)U/L]低于缺血再灌注组[(120.16±14.67)、(202.45±18.74)U/L],差异有统计学意义(t=9.492、10.390,P<0.05).二甲双胍组小鼠肿瘤坏死因子.α、白细胞介素-1β和白细胞介素-6水平[(67.94±8.16)、(50.46±4.95)、(75.06±6.63)pg/g]低于假手术组[(111.29±8.75)、(93.37±10.79)、(117.94±13.94)pg/g],差异有统计学意义(t=11.460、11.420、8.782,P<0.05).转录组分析结果显示miR-19a为差异最为显著的miRNA.二甲双胍组小鼠miR-19a表达水平(0.78±0.09)低于假手术组(0.95±0.13),差异有统计学意义(t=5.992,P<0.05).生物信息学研究显示SIRT1是miR-19a的靶基因.二甲双胍组小鼠SIRT1蛋白表达水平(0.98±0.10)低于假手术组(1.56±0.12),差异有统计学意义(t=11.680,P<0.05).二甲双胍组小鼠NF-κB p65乙酰化水平(0.72±0.06)高于假手术组(0.35±0.08),差异有统计学意义(t=11.480,P<0.05).结论 二甲双胍通过miR-19a调节SIRT1表达水平,进而影响NF-κB乙酰化,抑制炎性因子的释放,进而对肝脏缺血再灌注损伤起保护作用.
Objective To explore the protective mechanism of metformin against liver ischemia-reperfusion injury through microRNA(miRNA,miR)-19a.Methods 30 C57BL/6 mice were randomly divided into sham operation group,ischemia-reperfusion group,and metformin group by random number ta-ble method,10 mice/per group.Liver ischemia-reperfusion injury models were established in the ischemia-reperfusion group and metformin group mice,while no models were established in the sham surgery group mice.Metformin group mice received daily tail vein injection of 200 mg/kg metformin three days before surgery,and the administration was stopped 24 hours before surgery.The sham surgery group and ischemi-a-reperfusion group mice were injected with an equal volume of physiological saline via the tail vein before surgery.Three groups of mice were tested for serum alanine aminotransferase and aspartate aminotransferase concentrations using radioimmunoassay at 6 hours after surgery.Take liver tissue and screen for differential-ly expressed miRNAs using transcriptome analysis.The differential miRNA expression levels was analyzed by fluorescence quantitative polymerase chain reaction(PCR).MiR-19a target genes was analyzed by bioinformatics analysis.The levels of inflammatory factors in the liver of three groups of mice was analyzed by enzyme linked immunosorbent assay.The expression levels of silent information regulator 1(SIRT1),the target protein of miR-19a,and its downstream molecule Nuclear Transcription Factor(NF kB)were an-alyzed by Western blotting.The comparison of inter group measurement data was conducted using one-way analysis of variance.Results The serum levels of alanine aminotransferase and aspartate aminotransferase in the metformin group mice[(120.16±14.67),(111.30±20.45)U/L]were significantly lower than those in the ischemia-reperfusion group mice[(120.16±14.67),(202.45±18.74)U/L,t=9.492,10.390,P<0.05].The levels of tumor necrosis factor a,interleukin-1 β,and interleukin-6 in the met-formin group mice[(67.94±8.16),(50.46±4.95),(75.06±6.63)pg/g]were lower than those in the sham operation group mice[(111.29±8.75),(93.37±10.79),(117.94±13.94)pg/g,t=11.460,11.420,8.782,P<0.05].Transcriptome analysis showed that miR-19a was the most significantly differ-ent miRNA.The expression level of miR-19a in metformin group mice(0.78±0.09)was lower than that in sham surgery group mice liver tissue(0.95±0.13,t=5.992,P<0.05).Bioinformatics studies showed that SIRT1 is the target gene of miR-19a.The expression level of SIRT1 protein in metformin group mice(0.98±0.10)was lower than that in sham surgery group mice liver tissue(1.56±0.12,t=11.680,P<0.05).The acetylation level of NF kB p65 in metformin group mice(0.72±0.06)was high-er than that in sham surgery group mice liver tissue(0.35±0.08,t=11.480,P<0.05).Conclusion Metformin regulates SIRT1 expression level through miR-19a,thereby affecting NF kB acetylation,inhibi-ting the release of inflammatory factors,and protecting against liver ischemia-reperfusion injury.

MetforminMicroRNA-19aLiver ischemia-reperfusion injurySilencing regula-tory protein 1Nuclear transcription factor

王亮、王建国、王迎

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新乡医学院第一附属医院肝胆胰脾外科,卫辉 453100

二甲双胍 微小RNA-19a 肝脏缺血再灌注损伤 沉默调节蛋白1 核转录因子

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(11)