Sheen-Chen Shyr-Ming, Ho Hsin-Tsung, Eng Hock-Liew
Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung Medical Center, College of Medicine, Chang Gung University, Niao-Sung Hsiang, Kaohsiung Hsien, Taiwan.
Dig Dis Sci. 2009 Nov;54(11):2357-61. doi: 10.1007/s10620-008-0652-9. Epub 2008 Dec 18.
Apoptosis is an important process in a wide variety of different biological systems. In addition to caspases, recently, calpains, another family of proteases, have been found to be involved in apoptosis of many cell systems. This study is designed with the aims to evaluate the possible effect of Z-LLY-FMK (a calpain inhibitor) on intestine apoptosis after bile duct ligation in rats. Male Sprague-Dawley rats weighing 250-300 g were randomized to five groups (n = 6 in each group). Group 1 (CONTROL: C) underwent Sham operation and were simultaneously treated with the same amount of normal saline. Group 2 (CONTROL with DMSO: CDMSO) underwent Sham operation and were simultaneously treated with the same amount of dimethylsulfoxide (DMSO). Group 3 (Obstructive jaundice: OB) underwent common bile duct ligation without any other manipulation. Group 4 (Obstructive jaundice with Z-LLY-FMK: OBZLLY) underwent common bile duct ligation and were simultaneously treated with Z-LLY-FMK (dissolved in DMSO). Group 5 (Obstructive jaundice with ZFA-FMK: OBZFA) underwent common bile duct ligation and were simultaneously treated with ZFA-FMK (dissolved in DMSO). After 3 days, intestine tissue was harvested for apoptosis measurements. There was no significant difference between Sham operation group (C) and Sham operation with DMSO group (CDMSO) either in jejunum (P = 0.924) or in ileum (P = 0.996). When compared to Sham operation group (C), increased intestine apoptosis occurred in either jejunum (P < 0.001) or in ileum (P < 0.001) after common bile duct ligation (OB). After administration of Z-LLY-FMK (OBZLLY), the increased intestine apoptosis after common bile duct ligation (OB) was significantly diminished either in jejunum or in ileum (P < 0.001 and P < 0.001). Moreover, administration of ZFA (OBZFA) failed to show the same phenomenon in either jejunum (P = 0.993) or ileum (P = 0.485). There was a significant difference in intestine apoptosis in either jejunum (P < 0.001) or in ileum (P < 0.001) between OBZLLY group and OBZFA group. Significantly increased intestine apoptosis occurred after common bile duct ligation. The administration of Z-LLY-FMK could effectively diminish the intestine apoptosis after common bile duct ligation, whereas the administration of ZFA-FMK failed to show the same effect.
细胞凋亡是多种不同生物系统中的一个重要过程。除了半胱天冬酶外,最近还发现钙蛋白酶(另一类蛋白酶家族)参与了许多细胞系统的凋亡过程。本研究旨在评估Z-LLY-FMK(一种钙蛋白酶抑制剂)对大鼠胆管结扎后肠道细胞凋亡的可能影响。将体重250-300克的雄性Sprague-Dawley大鼠随机分为五组(每组n = 6)。第1组(对照组:C)接受假手术,并同时给予等量的生理盐水。第2组(DMSO对照组:CDMSO)接受假手术,并同时给予等量的二甲基亚砜(DMSO)。第3组(梗阻性黄疸组:OB)进行胆总管结扎,未进行任何其他操作。第4组(Z-LLY-FMK治疗的梗阻性黄疸组:OBZLLY)进行胆总管结扎,并同时给予Z-LLY-FMK(溶解于DMSO)。第5组(ZFA-FMK治疗的梗阻性黄疸组:OBZFA)进行胆总管结扎,并同时给予ZFA-FMK(溶解于DMSO)。3天后,采集肠道组织进行细胞凋亡检测。假手术组(C)和DMSO假手术组(CDMSO)在空肠(P = 0.924)或回肠(P = 0.996)方面均无显著差异。与假手术组(C)相比,胆总管结扎(OB)后空肠(P < 0.001)或回肠(P < 0.001)的肠道细胞凋亡增加。给予Z-LLY-FMK(OBZLLY)后,胆总管结扎(OB)后增加的肠道细胞凋亡在空肠或回肠中均显著减少(P < 0.001和P < 0.001)。此外,给予ZFA(OBZFA)在空肠(P = 0.993)或回肠(P = 0.485)中均未显示出相同的现象。OBZLLY组和OBZFA组在空肠(P < 0.001)或回肠(P < 0.001)的肠道细胞凋亡方面存在显著差异。胆总管结扎后肠道细胞凋亡显著增加。给予Z-LLY-FMK可有效减少胆总管结扎后的肠道细胞凋亡,而给予ZFA-FMK则未显示出相同的效果。