NBD多肽预处理改善大鼠肝移植缺血再灌注损伤的研究  

NBD peptides pretreatment protects rats against ischemia reperfusion injury after orthotopic liver transplantation

作　　者：成名翔[1] 李青[2] 梁绍勇 郝涌刚[4] 袁智斌[5] 涂兵[6] 刘长安[6] 龚建平[6] 游海波 

机构地区：[1]重庆医科大学附属第一医院肝胆外科,重庆400016 [2]西安交通大学第二附属医院心血管内科,西安710004 [3]重庆市第四人民医院创伤外科,重庆400014 [4]重庆医科大学附属第一医院麻醉科,重庆400016 [5]湖北医药学院附属襄阳医院普外科,湖北襄阳441000 [6]重庆医科大学附属第二医院肝胆外科,重庆400010 [7]重庆市长寿区人民医院肝胆外科,重庆401220

出　　处：《第三军医大学学报》2014年第19期2016-2020,共5页Journal of Third Military Medical University

基　　金：重庆市自然科学基金(CSTCjjA10013)~~

摘　　要：目的采用SD-SD大鼠原位肝移植模型,观察NBD多肽预处理供肝对术后肝脏缺血再灌注损伤(ischemia reperfusion injury,IRI)的影响,并探讨其可能的保护机制。方法 105只SD大鼠采用抽签法随机分为3组,NBD预处理组(24对动物,供体术前2 h经腹腔注射8 mg/kg的NBD多肽并建立原位肝移植模型)、移植组(24对动物,注射同体积的生理盐水作为对照)和假手术组(9只动物)。术后3、6、24 h分别处死动物,检测3组中ALT水平,ELISA检测血清中TNF-α含量。取NBD预处理组和移植组肝脏组织,HE染色观察肝脏病理学改变。采用TUNEL检测肝细胞凋亡,EMSA检量NF-κB转录活性,Western blot检测p-IKK-2和IκBα在肝组织的表达。结果 NBD预处理组和移植组术后各时间点的ALT水平、TNF-α含量均明显高于假手术组。NBD预处理组中ALT水平、NF-κB活性、p-IKK-2表达、TNF-α含量较移植组均明显降低(P<0.05);IκBα表达则较移植组明显增强(P<0.05);术后6 h,NBD预处理组中病理损伤、凋亡细胞较移植组明显减轻。结论 NBD多肽预处理供体可通过抑制供肝中NF-κB活性,有效改善肝移植IRI。Objective NF-κB essential modulator binding domain the formation of IκB kinase complex （IKK） and down-regulate the classical of this study was to determine the effects of NBD peptides pretreatment on after orthotopic liver transplantation in rats. Methods A total of 105 peptides （NBD peptides） interfere NF-κB signaling pathway. The aim ischemia reperfusion injury （IRI） Sprague Dawley （ SD ） rats were randomly divided into 3 groups, NBD group （ donors were given 8 mg/kg NBD peptides intra-peritoneally in 2 h before surgery and performed orthotropic liver transplantation according to the Kamada technique, totally 24 pairs）, control group （treated with the same volume of physiological saline, totally 24 pairs ） and shamoperation group （n = 9）. Animals were sacrificed at 3, 6, and 24 h after surgery. The serum levels of alanine aminotransferase （ALT） and tumor necrosis factor （TNF-α） were measured in the 3 groups. The levels of IKK phosphorylation and IKBot degradation, NF-κB transcriptional activity and cell apoptosis were detected by Western blotting, EMSA and TUNEL respectively. Morphological changes of liver tissues were observed after HE staining. Results The levels of ALT and TNF-α in the both NBD group and control group were significantly higher than that of sham-operation group （P 〈 0. 05 ）. Compared with the control group, pretreatment with NBD peptides had significantly lower ALT level, NF-κB transcriptional activity, IKK complex phosphorylation, and TNF-α levels （ P 〈 0.05 ）, while enhanced IκBcx expression （ P 〈 0.05 ）. NBD peptides pretreatment also ameliorated the pathological NBD peptides pretreatment attenuates hepatic damages and cell apoptosis in 6 h after operation. Conclusion IRI by preventing NF-κB activation.

关 键 词：NBD多肽 NF-ΚB 缺血再灌注损伤 肝移植 

分 类 号：R322.47[医药卫生—人体解剖和组织胚胎学] R617[医药卫生—基础医学]