Department of Surgery, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts 02114, USA.
J Surg Res. 2010 Sep;163(1):146-54. doi: 10.1016/j.jss.2010.04.024. Epub 2010 May 10.
Despite global efforts to improve the treatment of sepsis, it remains a leading cause of morbidity and mortality in intensive care units. We have previously shown that suberoylanilide hydroxamic acid (SAHA), a histone deacetylase inhibitor, markedly improves survival in a murine model of lipopolysaccharide (LPS)-induced shock. SAHA has anti-inflammatory properties that have not been fully characterized. The liver plays an important role in the production of acute phase reactants involved in the inflammatory cascade and is also one of the major organs that can become dysfunctional in septic shock. The purpose of this study was to assess the effect of SAHA treatment on MAP kinases and associated inflammatory markers in murine liver after LPS-induced injury.
C57B1/6J mice were randomly divided into three groups: (A) experimental-given intraperitoneal (i.p.) SAHA (50 mg/kg) in dimethyl sulfoxide (DMSO) vehicle solution (n = 12); (B) control- given vehicle only (n = 12), and; (C) sham-given no treatment (n = 7). Two hours later, experimental and control mice were injected with LPS (20 mg/kg, i.p.) and experimental mice received a second dose of SAHA. Livers were harvested at 3, 24, and 48 h for analysis of inflammatory markers using Western Blot, Polymerase Chain Reaction (PCR), and Enzyme-Linked Immunosorbent Assay (ELISA) techniques.
After 3 h, the livers of animals treated with SAHA showed significantly (P < 0.05) decreased expression of the pro-inflammatory MAP kinases phosphorylated p38, phosphorylated ERK, myeloperoxidase and interleukin-6, and increased levels of the anti-inflammatory interleukin-10 compared with controls. Phospho-p38 expression remained low in the SAHA treated groups at 24 and 48 h.
Administration of SAHA is associated with attenuation of MAPK activation and alteration of inflammatory and anti-inflammatory markers in murine liver after a lethal LPS insult. The suppression of MAPK activity is rapid (within 3 h), and is sustained for up to 48 h post-treatment. These results may in part account for the improvement in survival shown in this model.
尽管全球都在努力改善脓毒症的治疗效果,但它仍然是重症监护病房发病率和死亡率的主要原因。我们之前已经表明,琥珀酰亚胺基羟肟酸(SAHA),一种组蛋白去乙酰化酶抑制剂,可显著改善脂多糖(LPS)诱导的休克的小鼠模型的存活率。SAHA 具有尚未充分表征的抗炎特性。肝脏在产生参与炎症级联的急性期反应物方面起着重要作用,并且也是在脓毒性休克中可能出现功能障碍的主要器官之一。本研究的目的是评估 LPS 诱导损伤后 SAHA 治疗对小鼠肝脏中 MAP 激酶和相关炎症标志物的影响。
C57B1/6J 小鼠随机分为三组:(A)实验组-腹腔内(i.p.)给予 DMSO 载体溶液中的 SAHA(50mg/kg)(n=12);(B)对照组-仅给予载体(n=12),和;(C)假手术组-未给予治疗(n=7)。两小时后,实验组和对照组小鼠注射 LPS(20mg/kg,i.p.),实验组小鼠给予第二剂 SAHA。在 3、24 和 48 小时收获肝脏,用于 Western Blot、聚合酶链反应(PCR)和酶联免疫吸附测定(ELISA)技术分析炎症标志物。
3 小时后,与对照组相比,用 SAHA 治疗的动物的肝脏显示出明显(P<0.05)降低的促炎 MAP 激酶磷酸化 p38、磷酸化 ERK、髓过氧化物酶和白细胞介素-6 的表达,以及抗炎白细胞介素-10 的水平增加。在 SAHA 处理组中,磷酸化 p38 的表达在 24 和 48 小时仍然较低。
在致命 LPS 损伤后,SAHA 的给药与 MAPK 激活的衰减以及小鼠肝脏中炎症和抗炎标志物的改变相关。MAPK 活性的抑制是快速的(在 3 小时内),并在治疗后 48 小时内持续。这些结果可能部分解释了该模型中存活率的提高。