Department of Hepatobiliary Surgery, Chinese PLA General Hospital, Beijing, China.
J Surg Res. 2012 Nov;178(1):248-54. doi: 10.1016/j.jss.2012.01.057. Epub 2012 Apr 1.
It is reported that hepatic ischemia/reperfusion (I/R) during hepatectomy accelerates liver tumor growth. Hepatic I/R induces inflammation cytokines, which can accelerate the outgrowth of liver tumor. Inhibitory CpG sequence (iCpG) is an inhibitor of TLR9, which plays an important role in hepatic I/R. The aim of this study was to examine whether iCpG could prevent hepatic I/R-induced metastases of the liver tumor.
A murine tumor model that underwent partial hepatic I/R or sham operation was treated with iCpG or control DNA sequence (Ctrl ODN). Tumor growth and metastases were observed on day 14 after surgery; Endothelial leukocyte adhesion molecules such as E-selectin and intracellular adhesion molecule-1 (ICAM-1) protein expression were measured 24 h after reperfusion by Western blotting; E-selectin and ICAM-1 mRNA expression in hepatic tissue was measured 2 h after reperfusion by RT-PCR; NF-κB activity in hepatic tissue was measured 2 h after reperfusion by electrophoretic gel mobility shift assay.
The tumor growth in the mice subjected to hepatic I/R was remarkably stimulated when compared with the mice subjected to laparotomy alone. The iCpG had no significant inhibitory effect on tumor growth in sham-operated mice subjected to tumor. However, iCpG could reduce the tumor growth and inhibit the activation of NF-κB and downregulate the E-selectin and ICAM-1 mRNA and protein in the mice with tumor subjected to I/R.
ICpG might reduce I/R-induced hepatic metastases of liver tumor cells by inhibiting NF-κB expression and downregulating the adhesive molecules, such as E-selectin and ICAM-1.
据报道,肝切除术中的肝缺血/再灌注(I/R)会加速肝肿瘤生长。肝 I/R 诱导炎症细胞因子,从而加速肝肿瘤的生长。抑制性 CpG 序列(iCpG)是 TLR9 的抑制剂,在肝 I/R 中发挥重要作用。本研究旨在探讨 iCpG 是否可以预防肝 I/R 引起的肝肿瘤转移。
建立部分肝 I/R 或假手术的小鼠肿瘤模型,并用 iCpG 或对照 DNA 序列(Ctrl ODN)处理。术后第 14 天观察肿瘤生长和转移;再灌注后 24 小时通过 Western blot 测定内皮白细胞黏附分子如 E-选择素和细胞间黏附分子-1(ICAM-1)蛋白表达;再灌注后 2 小时通过 RT-PCR 测定肝组织中 E-选择素和 ICAM-1mRNA 表达;再灌注后 2 小时通过电泳凝胶迁移率变动分析测定肝组织中 NF-κB 活性。
与单独剖腹手术相比,肝 I/R 小鼠的肿瘤生长明显受到刺激。iCpG 对假手术的荷瘤小鼠的肿瘤生长没有明显的抑制作用。然而,iCpG 可以减少 I/R 荷瘤小鼠的肿瘤生长,抑制 NF-κB 的激活,并下调 E-选择素和 ICAM-1mRNA 和蛋白的表达。
iCpG 可能通过抑制 NF-κB 表达和下调黏附分子如 E-选择素和 ICAM-1,减少 I/R 引起的肝肿瘤细胞肝转移。