Institute of Medical Sciences, Tzu-Chi University, Hualien, Taiwan.
PLoS One. 2012;7(10):e47403. doi: 10.1371/journal.pone.0047403. Epub 2012 Oct 10.
Successful drug treatment for sepsis-related acute lung injury (ALI) remains a major clinical problem. This study was designed to assess the beneficial effects of post-treatment of oroxylin A (OroA), a flavonoid, in ameliorating lipopolysaccharides (LPS)-induced lung inflammation and fatality.
Rats were injected with LPS (10 mg/kg, iv) to induce ALI, and OroA was given (15 mg/kg, iv) 1 hr or 6 hrs after LPS challenge. Twenty four hrs after LPS challenge, biochemical changes in the blood and lung tissues, and morphological/histological alterations in the lung associated with inflammation and injury were examined. Therapeutic effect of OroA was assessed by measuring the survival rate in endotoxemic mice.
LPS (10 mg/kg, iv) significantly altered WBC counts, elevated plasma tumor necrosis factor (TNF)-α and nitric oxide (NO), increased pulmonary edema, thickened alveolar septa, and decreased survival rate. These changes were ameliorated by OroA (15 mg/kg, iv) administered 1 hr or 6 hrs after LPS challenge. This post-treatment also significantly attenuated LPS-induced activation of nuclear factor-κB (NF-κB) and the release of high mobility group box 1 (HMGB1) in lung tissues. Furthermore, post-treatment with OroA (60 mg/kg, ip) administered 1 hr or 6 hrs after LPS challenge in mice significantly increased survival rate.
OroA administered after induction of ALI by LPS significantly prevent and revere lung tissues injuries with increased survival rate. Positive post-treatment effects of OroA suggest that OroA is a potentially useful candidate for managing lung inflammation in LPS-induced endotoxemia and septic shock.
成功治疗脓毒症相关急性肺损伤(ALI)仍然是一个主要的临床问题。本研究旨在评估奥罗西林 A(OroA)治疗对改善脂多糖(LPS)诱导的肺炎症和死亡率的有益作用,OroA 是一种黄酮类化合物。
大鼠静脉注射 LPS(10mg/kg,iv)诱导 ALI,在 LPS 攻击后 1 小时或 6 小时给予 OroA(15mg/kg,iv)。在 LPS 攻击后 24 小时,检测血液和肺组织的生化变化,以及与炎症和损伤相关的肺形态/组织学改变。通过测量内毒素血症小鼠的存活率来评估 OroA 的治疗效果。
LPS(10mg/kg,iv)显著改变白细胞计数,增加血浆肿瘤坏死因子(TNF)-α和一氧化氮(NO),增加肺水肿,肺泡间隔增厚,降低存活率。OroA(15mg/kg,iv)在 LPS 攻击后 1 小时或 6 小时给药可改善这些变化。这种治疗后还显著抑制了 LPS 诱导的核因子-κB(NF-κB)的激活和肺组织中高迁移率族蛋白 1(HMGB1)的释放。此外,在 LPS 攻击后 1 小时或 6 小时给予小鼠奥罗西林 A(60mg/kg,ip)治疗后,显著提高了存活率。
LPS 诱导 ALI 后给予奥罗西林 A 治疗可显著预防和逆转肺组织损伤,提高存活率。奥罗西林 A 的积极治疗后作用表明,奥罗西林 A 是治疗 LPS 诱导的内毒素血症和感染性休克中肺炎症的潜在有用候选药物。