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脂多糖诱导的蒙古沙土鼠脓毒症模型中血浆血小板激活因子乙酰水解酶活性的降低。

Decrease of plasma platelet-activating factor acetylhydrolase activity in lipopolysaccharide induced mongolian gerbil sepsis model.

机构信息

Department of Microbiology and Li Ka Shing Institute of Health Sciences, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.

出版信息

PLoS One. 2010 Feb 12;5(2):e9190. doi: 10.1371/journal.pone.0009190.

Abstract

Platelet-activating factor (PAF) plays an important role in the pathogenesis of sepsis, and the level of plasma PAF acetylhydrolase (pPAF-AH), which inactivates PAF, decreases in sepsis patients except for the sepsis caused by severe leptospirosis. Usually, increase of pPAF-AH activity was observed in lipopolysaccharide (LPS)-induced Syrian hamster and rat sepsis models, while contradictory effects were reported for mouse model in different studies. Here, we demonstrated the in vivo effects of LPS upon the change of pPAF-AH activity in C57BL/6 mice and Mongolian gerbils. After LPS-treatment, the clinical manifestations of Mongolian gerbil model were apparently similar to that of C57BL/6 mouse sepsis model. The pPAF-AH activity increased in C57BL/6 mice after LPS induction, but decreased in Mongolian gerbils, which was similar to that of the human sepsis. It thus suggests that among the LPS-induced rodent sepsis models, only Mongolian gerbil could be used for the study of pPAF-AH related to the pathogenesis of human sepsis. Proper application of this model might enable people to clarify the underline mechanism accounted for the contradictory results between the phase II and phase III clinical trials for the administration of recombinant human pPAF-AH in the sepsis therapy.

摘要

血小板激活因子(PAF)在脓毒症发病机制中起重要作用,除由严重钩端螺旋体病引起的脓毒症外,脓毒症患者血浆 PAF 乙酰水解酶(pPAF-AH)的水平降低,而该酶可使 PAF 失活。通常,在脂多糖(LPS)诱导的叙利亚仓鼠和大鼠脓毒症模型中观察到 pPAF-AH 活性增加,而在不同研究中,对小鼠模型的报道则存在矛盾的影响。在这里,我们在 C57BL/6 小鼠和蒙古沙鼠体内证明了 LPS 对 pPAF-AH 活性变化的体内影响。在 LPS 处理后,蒙古沙鼠模型的临床表现明显类似于 C57BL/6 小鼠脓毒症模型。LPS 诱导后,C57BL/6 小鼠的 pPAF-AH 活性增加,但蒙古沙鼠的 pPAF-AH 活性降低,与人类脓毒症相似。因此,在 LPS 诱导的啮齿动物脓毒症模型中,只有蒙古沙鼠可用于研究与人类脓毒症发病机制相关的 pPAF-AH。正确应用该模型可能有助于阐明在脓毒症治疗中给予重组人 pPAF-AH 的 II 期和 III 期临床试验之间出现矛盾结果的潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91c6/2820537/c4f655ec0f28/pone.0009190.g001.jpg

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