Department of Gastroenterology, West China Hospital, Sichuan University, Guoxue Lane 37#, Chengdu, 610041, People's Republic of China.
Dig Dis Sci. 2014 Oct;59(10):2423-32. doi: 10.1007/s10620-014-3177-4. Epub 2014 May 6.
Our previous study found that somatostatin (SST) inhibited the intestinal inflammatory injury in a macaque model of intestinal ischemia-reperfusion (IIR); however, the underlying mechanism was unclear.
The present study was aimed to investigate the effects of SST on IFN-γ and the systemic inflammatory response after IIR.
Fifteen macaques were randomly divided into controls, IIR and SST+ IIR groups. ELISA was performed to measure IFN-γ in ileum tissues, ileac epithelial cells (IECs) and ileal lymphocytes, as well as the systemic levels of IL-6, IL-1β, TNF-α and IFN-γ in the peripheral circulation and the portal vein. HE staining was performed to evaluate morphological changes in vital organs. Immunohistochemistry was performed to identify the distribution of IFN-γ, CD4, CD8 and CD57 in the ileum.
After IIR, IFN-γ level was significantly increased in the IECs. IL-6, IL-1β and TNF-α were significantly increased in both the portal vein and the peripheral circulation; in contrast, IFN-γ level was increased in the portal vein alone. Prophylactic SST reversed the change in IFN-γ in the IECs and portal vein. SST led to an alleviation of the pathological changes in systemic vital organs. The distribution of CD4(+), CD57(+) and CD8(+) cells was not positively correlated with the secretion of IFN-γ.
IECs are the main source of IFN-γ production after IIR. SST may indirectly lead to mast cell deactivation through the inhibition of IFN-γ production by IECs. Pretreatment with SST may be beneficial for preventing a massive systemic inflammatory response in vital organs after IIR.
我们之前的研究发现生长抑素(SST)可抑制猴肠缺血再灌注(IIR)模型中的肠道炎症损伤,但具体机制尚不清楚。
本研究旨在探讨 SST 对 IIR 后 IFN-γ 和全身炎症反应的影响。
15 只猕猴随机分为对照组、IIR 组和 SST+IIR 组。采用 ELISA 法检测回肠组织、回肠上皮细胞(IECs)和回肠淋巴细胞中的 IFN-γ,以及外周血和门静脉中白细胞介素 6(IL-6)、白细胞介素 1β(IL-1β)、肿瘤坏死因子-α(TNF-α)和 IFN-γ 的全身水平。HE 染色评估重要器官的形态学变化。免疫组化法鉴定 IFN-γ、CD4、CD8 和 CD57 在回肠中的分布。
IIR 后,IECs 中 IFN-γ 水平显著升高。门静脉和外周血中 IL-6、IL-1β 和 TNF-α 均显著升高,而 IFN-γ 仅在门静脉中升高。预防性 SST 逆转了 IECs 和门静脉中 IFN-γ 的变化。SST 减轻了全身重要器官的病理变化。CD4(+)、CD57(+)和 CD8(+)细胞的分布与 IFN-γ 的分泌无正相关关系。
IIR 后 IECs 是 IFN-γ 产生的主要来源。SST 可能通过抑制 IECs 产生 IFN-γ 而间接导致肥大细胞失活。IIR 前给予 SST 预处理可能有利于防止重要器官发生全身性炎症反应。