Fukuma K, Marubayashi S, Okada K, Yamada K, Kimura A, Dohi K
Department of Surgery II, Hiroshima University School of Medicine, Japan.
Surgery. 1999 Apr;125(4):421-30.
Lazaroids are nonglucocorticoid analogs of methylprednisolone with multiple actions. We investigated whether lazaroid U-74389G could attenuate endotoxin-induced liver injury. We hypothesized that U-74389G treatment may protect against hepatic injury by suppressing proinflammatory gene up-regulation through inhibition of activation of nuclear factor kappa B (NF-kappa B). We also compared the efficacy of U-74389G with methylprednisolone in endotoxin-induced liver injury.
Lipopolysaccharide (Escherichia coli, 30 mg/kg given intraperitoneally) was administered to male ICR mice, and U-74389G (3 mg/kg intraperitoneally) or methylprednisolone (30 mg/kg intravenously) was administered simultaneously. Phosphate-buffered saline solution (0.15 mL intravenously) was administered to mice that served as a control group.
U-74389G and methylprednisolone treatment significantly increased survival rates 48 hours after lipopolysaccharide injection and protected against lipopolysaccharide-induced liver injury in vivo, as indicated by the decreased hepatic lipid peroxidation, tumor necrosis factor-alpha, and inducible nitric oxide synthase messenger RNA formation, hepatic enzyme release, and neutrophil infiltration in the liver. U-74389G and methylprednisolone also showed inhibitory effects on NF-kappa B activation in the liver.
These findings suggest that U-74389G can suppress proinflammatory gene up-regulation through inhibition of NF-kappa B activation and that it is a promising new antioxidant drug for the treatment of endotoxin shock.
拉扎oids是具有多种作用的甲基强的松龙非糖皮质激素类似物。我们研究了拉扎oid U-74389G是否能减轻内毒素诱导的肝损伤。我们假设U-74389G治疗可能通过抑制核因子κB(NF-κB)激活来抑制促炎基因上调,从而预防肝损伤。我们还比较了U-74389G与甲基强的松龙在内毒素诱导的肝损伤中的疗效。
给雄性ICR小鼠腹腔注射脂多糖(大肠杆菌,30mg/kg),同时腹腔注射U-74389G(3mg/kg)或静脉注射甲基强的松龙(30mg/kg)。给作为对照组的小鼠静脉注射磷酸盐缓冲盐水溶液(0.15mL)。
U-74389G和甲基强的松龙治疗显著提高了脂多糖注射后48小时的存活率,并在体内预防了脂多糖诱导的肝损伤,表现为肝脂质过氧化、肿瘤坏死因子-α和诱导型一氧化氮合酶信使核糖核酸形成减少,肝酶释放减少,肝脏中性粒细胞浸润减少。U-74389G和甲基强的松龙对肝脏中的NF-κB激活也有抑制作用。
这些发现表明,U-74389G可通过抑制NF-κB激活来抑制促炎基因上调,并且它是一种有前途的用于治疗内毒素休克的新型抗氧化药物。