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肝素通过抑制炎症反应挽救脓毒症相关性急性肺损伤和致死率。

Heparin rescues sepsis-associated acute lung injury and lethality through the suppression of inflammatory responses.

机构信息

Department of Intensive Care Medicine, First Affiliated Hospital of China Medical University, 155 North Nanjing Street, Shenyang 110001, China.

出版信息

Inflammation. 2012 Dec;35(6):1825-32. doi: 10.1007/s10753-012-9503-0.

Abstract

Heparin, a potent blood anticoagulant, is known to possess anti-inflammatory activity. In this work, we investigated whether heparin can ameliorate acute lung injury and lethal response in lipopolysaccharide (LPS)-induced mouse model of sepsis. We found that heparin effectively rescued lethality, improved lung pathological changes, inhibited myeloperoxidase (MPO) activity, and reduced malondialdehyde (MDA) level, lung wet/dry weight ratio and Evans blue values in LPS-induced septic mice. In addition, heparin also inhibited the release of tumor necrosis factor (TNF)-α, interleukin-6 (IL-6) and IL-1β in serum and decreased the expression of p-p38, nuclear factor κB (NF-κB) and p-c-SRC kinase in lungs of septic mice. Our findings suggest that heparin is capable of suppressing the lethal response and acute lung injury associated with sepsis, and support the notion that heparin may be a potential therapeutic agent for the conditions associated with septic shock.

摘要

肝素是一种强效的血液抗凝剂,已知具有抗炎活性。在这项工作中,我们研究了肝素是否可以改善脂多糖 (LPS) 诱导的脓毒症小鼠模型中的急性肺损伤和致死反应。我们发现肝素能有效挽救致死率,改善肺病理变化,抑制髓过氧化物酶 (MPO) 活性,降低丙二醛 (MDA) 水平、肺湿/干重比和 Evans 蓝值在 LPS 诱导的脓毒症小鼠中。此外,肝素还抑制了血清中肿瘤坏死因子 (TNF)-α、白细胞介素-6 (IL-6) 和 IL-1β的释放,并降低了脓毒症小鼠肺组织中 p-p38、核因子 κB (NF-κB) 和 p-c-SRC 激酶的表达。我们的研究结果表明,肝素能够抑制与脓毒症相关的致死反应和急性肺损伤,并支持肝素可能是治疗与脓毒性休克相关疾病的潜在治疗剂的观点。

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