Shimojo Nobutake, Jesmin Subrina, Zaedi Sohel, Maeda Seiji, Gando Satoshi, Yamaguchi Iwao, Goto Katsutoshi, Miyauchi Takashi
Cardiovascular Division, Department of Internal Medicine, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan.
Exp Biol Med (Maywood). 2006 Jun;231(6):1058-63.
During severe sepsis, several immunological defense mechanisms initiate a cascade of inflammatory events leading to multiorgan failure, including septic encephalopathy and ultimately death. Endothelin-1 (ET-1) has recently been investigated in different cerebral pathologies. Some reports suggest the involvement of ET-1 in sepsis. However, no study to date has reported the alterations in expression of the genes encoding preproET-1 and ET receptors in the frontal cortex of the septic brain. Male Sprague-Dawley (SD) rats 8 weeks of age were administered either saline or 15 mg/kg lipopolysaccharide (LPS) at different time points (1, 3, 6, and 10 hrs). Rats that did not receive LPS were considered to be controls. The rats were sacrificed with ether, and the brain tissues were harvested. Systolic and diastolic blood pressure decreased 1 hr after LPS administration and then gradually returned to normal, without any change in the heart rate. We confirmed the induction of endotoxemia in the brains of SD rats by measuring the expression of nitric oxide synthase (NOS) mRNA induced in the cerebrum. The expression of inducible NOS (iNOS) mRNA in the brains of SD rat after LPS administration was 30-fold higher than that in the brains of control rats. mRNA expression of preproET-1 in the frontal cortex of SD rats after LPS administration was 2-fold higher than that in control rats. A time-dependent increase in the expression of the gene encoding the ET(A) receptor (vasoconstrictive property) after LPS administration was observed in SD rat brain, whereas expression of the gene encoding the ET(B) receptor (vasodilatatory property) showed an initial upregulation and then gradually decreased as sepsis progressed. In conclusion, we report for the first time that expressions of the genes encoding ET-1 and ET receptors are altered in the endotoxemic brain and that these alterations are time-dependent in SD rats. The alterations in the ET system in brain tissue observed in the present study may contribute to the understanding of the pathophysiological changes in the endotoxemic brain.
在严重脓毒症期间,多种免疫防御机制引发一系列炎症事件,导致多器官功能衰竭,包括脓毒性脑病,最终导致死亡。内皮素-1(ET-1)最近在不同的脑部疾病中得到了研究。一些报告表明ET-1与脓毒症有关。然而,迄今为止,尚无研究报道脓毒症脑额叶皮质中前体ET-1和ET受体编码基因的表达变化。8周龄雄性Sprague-Dawley(SD)大鼠在不同时间点(1、3、6和10小时)给予生理盐水或15mg/kg脂多糖(LPS)。未接受LPS的大鼠被视为对照组。用乙醚处死大鼠,采集脑组织。LPS给药后1小时收缩压和舒张压下降,然后逐渐恢复正常,心率无任何变化。我们通过测量大脑中诱导型一氧化氮合酶(NOS)mRNA的表达,证实了SD大鼠脑内内毒素血症的诱导。LPS给药后SD大鼠脑内诱导型NOS(iNOS)mRNA的表达比对照大鼠脑内高30倍。LPS给药后SD大鼠额叶皮质中前体ET-1的mRNA表达比对照大鼠高2倍。在SD大鼠脑中观察到LPS给药后ET(A)受体(血管收缩特性)编码基因的表达呈时间依赖性增加,而ET(B)受体(血管舒张特性)编码基因的表达则先上调,然后随着脓毒症的进展逐渐下降。总之,我们首次报道了内毒素血症脑内ET-1和ET受体编码基因的表达发生改变,且这些改变在SD大鼠中具有时间依赖性。本研究中观察到的脑组织中ET系统的改变可能有助于理解内毒素血症脑的病理生理变化。