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作 者:黄晓雷[1] 陈岱莉[1] 齐晓非[1] 曹君[1] 李元涛[1]
机构地区:[1]南方医科大学附属深圳妇幼保健院麻醉科,深圳518028
出 处:《中华实验外科杂志》2015年第6期1329-1332,共4页Chinese Journal of Experimental Surgery
摘 要:目的 观察脂氧素受体激动剂BML-111对大鼠失血性休克诱发的肝功能损伤和炎性反应的影响.方法 将40只雄性SD大鼠随机分为5组:假手术组、失血性休克-复苏组、低剂量BML-111+失血性休克-复苏组、中剂量BML-111+失血性休克-复苏组、高剂量BML-111+失血性休克-复苏组.全自动生化分析仪检测血浆中肝功能相关指标.酶联免疫吸附试验(ELISA)法检测肝组织诱导型一氧化氮合酶(iNOS)及内皮素-1(ET-1)表达水平.Western blot法检测肝组织胞质p65、κB抑制蛋白(IκB)-α、肿瘤坏死因子-α(TNF-α)及胞核p65蛋白表达水平.结果 0.5、1.0、2.0 mg/kg BML-111分别使失血性休克复苏大鼠血浆谷丙转氨酶(ALT)水平下降22.7%、37.1%和46.1%(P<0.05);0.5、1.0、2.0 mg/kg BML-111分别使失血性休克复苏大鼠血浆谷草转氨酶(AST)水平下降40.6%、52.7%和60.9% (P <0.05);0.5、1.0、2.0 mg/kg BML-111分别使失血性休克复苏大鼠血浆乳酸脱氢酶(LDH)水平下降39.4%、46.4%和58.2% (P <0.05).同时,BML-111缓解失血性休克-复苏大鼠肝脏iNOS和ET-1表达水平升高和核因子-κB (NF-κB)-p65信号通路激活(P<0.05).结论 脂氧素受体激动剂BML-111可通过抑制NF-κB-p65缓解大鼠失血性休克复苏后肝脏损伤和炎性反应.Objective To investigate the effects of BML-111 on liver injury and inflammatory responses after hemorrhagic shock and resuscitation in rats.Methods Forty male SD rats were randomly divided into 5 groups:sham group,hemorrhagic shock-resuscitation (HS-R) group and BML1111-3 group.The serum liver function-related index was monitored by automatic biochemical analyzer.Liver protein levels of inducible nitric oxide synthase (iNOS) and endothelin-1 (ET-1) were detected by enzyme linked immunosorbent assay (ELISA).The protein levels of cytoplasmic p65,inhibitory κB (IκB)-α,tumor necrosis factor-α (TNF-α) and nuclear p65 were detected by Western blotting.Results As compared with HS-R group,0.5,1.0 and 2.0 mg/kg of BML-111 treatments respectively decreased serum alanine transaminase (ALT) levels by 22.7%,37.1% and 46.1% respectively after hemorrhagic shock and resuscitation (P < 0.05).As compared with hemorrhagic shock-resuscitation group,0.5,1.0 and 2.0 mg/kg of BML-111 treatments respectively decreased serum aspartate aminotransferase (AST) levels by 40.6%,52.7% and 60.9% respectively after hemorrhagic shock and resuscitation (P <0.05).As compared with hemorrhagic shock-resuscitation group,0.5,1.0 and 2.0 mg/kg of BML-111 treatments respectively decreased serum lactate dehydrogenase (LDH) levels by 39.4%,46.4% and 58.2% respectively after hemorrhagic shock and resuscitation (P < 0.05).Additionally,treatments of BML-111 also decreased hepatic levels of iNOS and ET-1,and attenuated the activation of hepatic NF-κB-p65 signaling pathway after hemorrhagic shock and resuscitation (P < 0.05).Conclusion BML-111 can attenuate liver injury and inflammatory responses after hemorrhagic shock and resuscitation by inhibiting NF-κB-p65 signaling pathway.
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