Wei Chang-Li, Hon Wei-Min, Lee Kang-Hoe, Khoo Hoon-Eng
Department of Paediatrics, Faculty of Medicine, National University of Singapore, 10 Kent Ridge Crescent, Singapore 119260, Singapore.
Liver Int. 2005 Jun;25(3):647-56. doi: 10.1111/j.1478-3231.2005.01063.x.
Nitric oxide (NO) has been implicated in the pathogenesis of liver cirrhosis. This study investigated the activity of nitric oxide synthase (NOS) in cirrhosis induced by bile duct-ligation (BDL) with NOS inhibitors.
Three days after operation, rats were randomized to receive aminoguanidine (AG, 25 mg/kg/day) or L-N(G)-nitro-L-arginine methyl ester (L-NAME, 10 mg/kg/day) for 21 days.
Vascular NO production, which was increased in BDL cirrhotic rats, was reduced by 75% with AG but not L-NAME chronic administration. AG treatment attenuated liver damage, while L-NAME aggravated it. AG significantly suppressed inducible NOS (iNOS) expression in aorta of BDL rats at both mRNA and protein level, but much less efficient in reducing it in liver. In contrast, endothelial NOS (eNOS) expression was not markedly affected. Calcium-independent NOS activity, which was dramatically increased in aorta of BDL rats, was abolished by AG treatment. In liver, however, both calcium-dependent and -independent NOS activity were increased by AG treatment.
Chronic administration of AG could reduce systemic NO levels as well as suppress iNOS expression and activity in aorta of BDL rats. It also improved liver function, possibly because of its ability to increase hepatic NOS activity, and to correct the systemic hemodynamic disorders by decreasing vascular NO production.
一氧化氮(NO)与肝硬化的发病机制有关。本研究用一氧化氮合酶(NOS)抑制剂研究胆管结扎(BDL)诱导的肝硬化中一氧化氮合酶的活性。
术后三天,将大鼠随机分为两组,分别接受氨基胍(AG,25毫克/千克/天)或L-N(G)-硝基-L-精氨酸甲酯(L-NAME,10毫克/千克/天)治疗21天。
BDL肝硬化大鼠血管中增加的NO生成,在长期给予AG后降低了75%,但长期给予L-NAME则无此效果。AG治疗减轻了肝损伤,而L-NAME则加重了肝损伤。AG在mRNA和蛋白水平上均显著抑制BDL大鼠主动脉中诱导型NOS(iNOS)的表达,但在肝脏中抑制作用较弱。相比之下,内皮型NOS(eNOS)的表达没有明显受到影响。BDL大鼠主动脉中显著增加的非钙依赖型NOS活性,经AG治疗后被消除。然而,在肝脏中,AG治疗使钙依赖型和非钙依赖型NOS活性均增加。
长期给予AG可降低全身NO水平,并抑制BDL大鼠主动脉中iNOS的表达和活性。它还改善了肝功能,可能是因为其能够增加肝脏NOS活性,并通过降低血管NO生成来纠正全身血流动力学紊乱。