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丙泊酚可能通过抑制核因子-κB表达改善大鼠肝脏缺血再灌注损伤

[Propofol ameliorates rat liver ischemia-reperfusion injury possibly by inhibiting nuclear factor-kappaB expression].

作者信息

He Jing, Lu Kai-Zhi, Tao Guo-Cai

机构信息

Department of Anesthesiology, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2008 Jun;28(6):1064-6.

Abstract

OBJECTIVE

To explore the role of nuclear factor-kappaB (NF-kappaB) in the protective effects of propofol against liver ischemia-reperfusion (IR) injury.

METHODS

Forty male rats were randomized into 4 equal groups, namely the sham operation (N) group, IR group with hepatic IR injury (induced by ischemia of the left, right and median hepatic lobes for 1 h followed by reperfusion for 2 h), propofol (P) group with sham operation and propofol perfusion at 10 mg kg(-1) h(-1), and propofol treatment (PIR) group with IR injury and propofol perfusion. RT-PCR was used to detect the transcription level of NF-kappaB, and Western blotting was used for assaying NF-kappaB protein expression in the liver.

RESULTS

Compared with either the N or the P group, the IR group showed obvious swelling, fatty degeneration and scatter focal necrosis of the hepatocytes as well as mild congestion in the hepatic sinusoid, with significantly increased plasma alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels and NF-kappaB expressions at both mRNA and protein levels (P<0.05). In the PIR group, the histopathological changes of the liver was lessened as compared with the IR group, and ALT and AST elevation was significantly inhibited (P<0.05) as was the protein expression of NF-kappaB (P<0.05), but NF-kappaB transcription level was further enhanced (P<0.05).

CONCLUSION

Propofol can protect the liver from IR injury possibly by inhibiting NF-kappaB expression.

摘要

目的

探讨核因子-κB(NF-κB)在丙泊酚对肝脏缺血再灌注(IR)损伤保护作用中的作用。

方法

将40只雄性大鼠随机分为4组,每组10只,即假手术(N)组、肝IR损伤组(通过左、右及中叶肝缺血1小时后再灌注2小时诱导)、假手术并以10 mg·kg⁻¹·h⁻¹灌注丙泊酚的丙泊酚(P)组、IR损伤并丙泊酚灌注的丙泊酚治疗(PIR)组。采用逆转录-聚合酶链反应(RT-PCR)检测NF-κB的转录水平,蛋白质印迹法检测肝脏中NF-κB蛋白表达。

结果

与N组或P组相比,IR组肝细胞出现明显肿胀、脂肪变性和散在局灶性坏死,肝窦轻度充血,血浆丙氨酸氨基转移酶(ALT)和天冬氨酸氨基转移酶(AST)水平显著升高,且NF-κB mRNA和蛋白表达均显著增加(P<0.05)。与IR组相比,PIR组肝脏组织病理学变化减轻,ALT和AST升高受到显著抑制(P<0.05),NF-κB蛋白表达也受到显著抑制(P<0.05),但NF-κB转录水平进一步升高(P<0.05)。

结论

丙泊酚可能通过抑制NF-κB表达来保护肝脏免受IR损伤。

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