Experimental Medicine Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Shock. 2013 Apr;39(4):397-403. doi: 10.1097/SHK.0b013e31828c2b75.
The inflammatory response after liver ischemia/reperfusion (I/R) contributes to increased risk of liver failure after liver surgery. Strategies aimed to preventing inflammation could be beneficial in reducing liver I/R injury. Recent studies have demonstrated that peptide Bβ15-42 is able to decrease the injury of I/R in heart and kidney by inhibition of leukocyte migration and preserving endothelial barrier function. Prompted by these results, we hypothesized that Bβ15-42 could also possess anti-inflammatory abilities to protect from or reduce hepatic I/R injury. Therefore, in this study, we aimed to evaluate the effects of Bβ15-42 in a model of liver I/R injury in rats. Rats were treated with Bβ15-42 at initiation of reperfusion and 2 h thereafter. Rats were killed at 0.5, 6, 24, and 48 h after reperfusion. Hepatic mRNA levels of fibrinogen-α (Fgα), Fgβ, Fgγ were significantly increased after I/R. Treatment with Fg-derived Bβ15-42 ameliorated liver I/R injury, as indicated by lower serum aminotransferase levels and fewer I/R-associated histopathologic changes. Bβ15-42 treatment decreased leukocyte infiltration and expression of hepatic inflammatory cytokines. Moreover, Bβ15-42 significantly reduced high-mobility group box 1 release and altered mitogen-activated protein kinase activation. In conclusion, Bβ15-42 treatment protected against liver warm I/R injury. The mechanism of protective action of Bβ15-42 seemed to involve its ability to reduce hepatic inflammatory response through preventing high-mobility group box 1 release and altering mitogen-activated protein kinase activation.
肝缺血/再灌注(I/R)后的炎症反应增加了肝手术后肝功能衰竭的风险。旨在预防炎症的策略可能有益于减少肝 I/R 损伤。最近的研究表明,肽 Bβ15-42 通过抑制白细胞迁移和维持内皮屏障功能,能够减少心脏和肾脏的 I/R 损伤。受这些结果的启发,我们假设 Bβ15-42 也可能具有抗炎能力,以保护肝脏免受或减轻 I/R 损伤。因此,在这项研究中,我们旨在评估 Bβ15-42 在大鼠肝 I/R 损伤模型中的作用。大鼠在再灌注开始时和之后 2 小时接受 Bβ15-42 治疗。大鼠在再灌注后 0.5、6、24 和 48 小时处死。I/R 后,纤维蛋白原-α(Fgα)、Fgβ和 Fgγ的肝 mRNA 水平显著升高。Fg 衍生的 Bβ15-42 治疗改善了肝 I/R 损伤,表现为血清转氨酶水平降低和 I/R 相关的组织病理学变化减少。Bβ15-42 治疗减少了白细胞浸润和肝炎性细胞因子的表达。此外,Bβ15-42 显著降低了高迁移率族蛋白 B1 的释放并改变了丝裂原活化蛋白激酶的激活。总之,Bβ15-42 治疗可预防肝热缺血再灌注损伤。Bβ15-42 的保护作用机制似乎涉及通过防止高迁移率族蛋白 B1 的释放和改变丝裂原活化蛋白激酶的激活来减少肝炎症反应的能力。