Department of Medicine V (Hepatology & Gastroenterology), Aarhus University Hospital, Aarhus C, Denmark.
Scand J Clin Lab Invest. 2011 Apr;71(2):150-6. doi: 10.3109/00365513.2010.547213. Epub 2010 Dec 30.
Clinical or experimentally induced, active inflammation up-regulates the in vivo capacity of urea synthesis (CUNS), which promotes nitrogen removal from the body and metabolic catabolism. We have shown that tumor necrosis factor α (TNF-α) up-regulates CUNS and increases interleukin 6 expression (IL-6) within hours of administration. The described effect of TNF-α on nitrogen homeostasis may, therefore, depend on IL-6.
Three hours after the i.v. injection of 125 μg.kg⁻¹ of IL-6 or placebo, we evaluated the CUNS, hepatocyte urea cycle enzyme protein levels and the mRNA levels of the urea cycle enzyme genes in rats. The prevailing rat serum acute phase proteins and their liver mRNA levels were also measured.
IL-6 did not change CUNS or hepatocyte urea cycle enzyme protein levels, whereas urea cycle enzyme mRNA levels, except for ornithine transcarbamylase (OTC), decreased by approximately 20%. The liver mRNA levels of α2MG, haptoglobin and α1AGP all increased by 1.5- to 2-fold (p < 0.001). In serum, only the α2MG concentration slightly increased (p < 0.001), whereas the levels of the other circulating acute phase proteins remained unchanged.
IL-6 is not the mediator of the in vivo CUNS up-regulation observed 3 h after TNF-α administration, but it may be involved in the down-regulation of urea cycle genes. IL-6 may also mediate TNF-α effects on acute phase protein gene expression. Thus, IL-6 did not contribute to the in vivo hepatic component of inflammation-associated catabolism.
临床或实验性诱导的活性炎症会上调体内尿素合成能力(CUNS),从而促进氮从体内排出和代谢分解。我们已经表明,肿瘤坏死因子 α(TNF-α)在给药后数小时内上调 CUNS 并增加白细胞介素 6 表达(IL-6)。因此,TNF-α对氮平衡的描述作用可能取决于 IL-6。
在静脉注射 125μg.kg-1 的 IL-6 或安慰剂后 3 小时,我们评估了大鼠的 CUNS、肝细胞尿素循环酶蛋白水平和尿素循环酶基因的 mRNA 水平。还测量了占主导地位的大鼠血清急性期蛋白及其肝 mRNA 水平。
IL-6 并未改变 CUNS 或肝细胞尿素循环酶蛋白水平,而除鸟氨酸转氨甲酰酶(OTC)外,尿素循环酶 mRNA 水平降低了约 20%。α2MG、触珠蛋白和α1AGP 的肝 mRNA 水平均增加了 1.5-2 倍(p < 0.001)。在血清中,只有 α2MG 浓度略有增加(p < 0.001),而其他循环急性期蛋白的水平保持不变。
IL-6 不是 TNF-α给药后 3 小时观察到的体内 CUNS 上调的介导物,但它可能参与了尿素循环基因的下调。IL-6 也可能介导 TNF-α对急性期蛋白基因表达的影响。因此,IL-6 并未促成与炎症相关分解代谢的体内肝成分。