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磷酸二酯酶 III 抑制剂奥普力农对大鼠肝缺血再灌注损伤的影响。

Effect of olprinone, a phosphodiesterase III inhibitor, on hepatic ischemia-reperfusion injury in rats.

机构信息

Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan.

出版信息

Shock. 2010 Apr;33(4):436-41. doi: 10.1097/SHK.0b013e3181be3d7a.

Abstract

I/R injury is the main cause for hepatic dysfunction and failure after liver transplantation and liver resection. Therefore, reduction of I/R injury is the most important goal to improve the outcome of these procedures. Olprinone is a newly developed selective phosphodiesterase III inhibitor, which has been reported to ameliorate renal I/R injury in rats. However, no clear evidence for the actions of olprinone on inflammatory response after hepatic I/R injury has been disclosed thus far. Our study was designed to evaluate the action of olprinone on the hepatic I/R injury in rats. Olprinone increased the cyclic adenosine monophosphate level in injured liver tissue and ameliorated the liver injury after hepatic I/R. Moreover, olprinone suppressed the activation of p38 mitogen-activated protein kinase, c-Jun N-terminal kinase, and nuclear factor-kappaB, cytokine production (TNF-alpha, IL-6, and cytokine-induced neutrophil chemoattractant factor 1), and intercellular adhesion molecule 1 expression in liver after hepatic I/R. These observations suggest that olprinone protects liver against I/R injury via the elevation of cyclic adenosine monophosphate level and suppression of intercellular adhesion molecule 1 expression and cytokine production (TNF-alpha, IL-6, and cytokine-induced neutrophil chemoattractant factor 1), possibly by interfering with the signaling pathways of p38 mitogen-activated protein kinase, c-Jun N-terminal kinase, and nuclear factor-kappaB in rats.

摘要

缺血再灌注损伤是肝移植和肝切除后肝功能障碍和衰竭的主要原因。因此,减少缺血再灌注损伤是改善这些手术结果的最重要目标。奥普力农是一种新开发的选择性磷酸二酯酶 III 抑制剂,已被报道可改善大鼠肾缺血再灌注损伤。然而,迄今为止,尚无明确证据表明奥普力农对肝缺血再灌注后炎症反应有作用。我们的研究旨在评估奥普力农对大鼠肝缺血再灌注损伤的作用。奥普力农增加了受损肝组织中的环磷酸腺苷水平,并改善了肝缺血再灌注后的肝损伤。此外,奥普力农抑制了 p38 丝裂原活化蛋白激酶、c-Jun N 末端激酶和核因子-κB 的激活,以及肝缺血再灌注后细胞因子(TNF-α、IL-6 和细胞因子诱导的中性粒细胞趋化因子 1)的产生和细胞间黏附分子 1 的表达。这些观察结果表明,奥普力农通过升高环磷酸腺苷水平和抑制细胞间黏附分子 1 表达和细胞因子(TNF-α、IL-6 和细胞因子诱导的中性粒细胞趋化因子 1)的产生来保护肝脏免受缺血再灌注损伤,可能通过干扰大鼠 p38 丝裂原活化蛋白激酶、c-Jun N 末端激酶和核因子-κB 的信号通路。

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