Kato Atsushi, Gabay Cem, Okaya Tomohisa, Lentsch Alex B
Department of Surgery, University of Cincinnati College of Medicine, Ohio 45267, USA.
Am J Pathol. 2002 Nov;161(5):1797-803. doi: 10.1016/S0002-9440(10)64456-2.
Hepatic ischemia/reperfusion injury is caused primarily by the products of neutrophils recruited into the liver after reperfusion. The mediators responsible for the development of this inflammatory response are thought to be tumor necrosis factor-alpha and interleukin (IL)-1. Although there is abundant evidence to support a role for tumor necrosis factor-alpha, much less is known about the function of IL-1 in this injury. In the present studies, we investigated whether IL-1 was a critical mediator for the induction of liver inflammation after ischemia/reperfusion. Wild-type and IL-1 receptor I-knockout (IL-1RI(-/-)) mice were exposed to 90 minutes of partial hepatic ischemia and up to 24 hours of reperfusion. In wild-type mice, IL-1beta expression was maximal after ischemia and 8 hours of reperfusion. At the same time, both wild-type and IL-1RI(-/-) mice had severe liver injury as assessed by serum alanine aminotransferase levels and hepatic histopathology. However, IL-1RI(-/-) mice had significantly less neutrophil accumulation in liver tissues as measured by liver myeloperoxidase content and histology. The reduction in hepatic neutrophil recruitment in IL-1RI(-/-) mice was associated with decreased activation of the transcription factor, nuclear factor-kappaB, and reduced expression of the CXC chemokine, macrophage inflammatory protein-2. These data suggest that IL-1 functions to augment neutrophil accumulation, but does not play an essential role in this response.
肝缺血/再灌注损伤主要由再灌注后募集到肝脏中的中性粒细胞产物引起。被认为是这种炎症反应发展的介质是肿瘤坏死因子-α和白细胞介素(IL)-1。虽然有大量证据支持肿瘤坏死因子-α的作用,但关于IL-1在这种损伤中的功能了解得要少得多。在本研究中,我们调查了IL-1是否是缺血/再灌注后诱导肝脏炎症的关键介质。将野生型和IL-1受体I基因敲除(IL-1RI(-/-))小鼠暴露于90分钟的部分肝缺血和长达24小时的再灌注。在野生型小鼠中,缺血和再灌注8小时后IL-1β表达最高。同时,通过血清丙氨酸转氨酶水平和肝脏组织病理学评估,野生型和IL-1RI(-/-)小鼠均有严重的肝损伤。然而,通过肝脏髓过氧化物酶含量和组织学测量,IL-1RI(-/-)小鼠肝脏组织中的中性粒细胞积聚明显较少。IL-1RI(-/-)小鼠肝脏中性粒细胞募集的减少与转录因子核因子-κB的激活减少以及CXC趋化因子巨噬细胞炎性蛋白-2的表达降低有关。这些数据表明,IL-1的作用是增加中性粒细胞的积聚,但在这种反应中不发挥关键作用。