Zhao Gaofeng, Yu Yong-Ming, Kaneki Masao, Bonab Ali A, Tompkins Ronald G, Fischman Alan J
From the Surgical Service, Massachusetts General Hospital, Shriners Hospitals for Children, and Harvard Medical School, Boston, MA.
Ann Surg. 2015 May;261(5):1006-12. doi: 10.1097/SLA.0000000000000764.
Recent studies have suggested that epidermal burn injuries are associated with inflammation and immune dysfunction. Simvastatin has been shown to possess potent anti-inflammatory properties. Thus, we hypothesized that simvastatin protects against burn-induced apoptosis in the spleen via its anti-inflammatory activity.
Wild-type, tumor necrosis factor alpha knockout (TNF-α KO) and NF-κB KO mice were subjected to full-thickness burn injury or sham treatment. The mice then were treated with or without simvastatin, and the spleen was harvested to measure the extent of apoptosis. Expression levels of TNF-α and NF-κB were also determined in spleen tissue and serum.
Burn injury induced significant splenic apoptosis and systemic cytokine production. Simvastatin protected the spleen from apoptosis, reduced cytokine production in the serum, and increased the survival rate. Simvastatin decreased burn-induced TNF-α and NF-κB expression in the spleen and serum. TNF-α and NF-κB KO mice demonstrated lower levels of apoptosis in spleen in response to burn injury. Simvastatin did not further decrease burn-caused apoptosis and mortality in either strain of KO mice.
Simvastatin reduces burn-induced splenic apoptosis via downregulation of the TNF-α/NF-κB pathway.
近期研究表明,表皮烧伤与炎症和免疫功能障碍有关。辛伐他汀已被证明具有强大的抗炎特性。因此,我们推测辛伐他汀通过其抗炎活性保护脾脏免受烧伤诱导的细胞凋亡。
将野生型、肿瘤坏死因子α基因敲除(TNF-α KO)和核因子κB基因敲除(NF-κB KO)小鼠进行全层烧伤或假处理。然后对小鼠进行辛伐他汀处理或不处理,采集脾脏以测量细胞凋亡程度。还测定了脾脏组织和血清中TNF-α和NF-κB的表达水平。
烧伤诱导了显著的脾脏细胞凋亡和全身细胞因子产生。辛伐他汀保护脾脏免受细胞凋亡,降低血清中细胞因子产生,并提高存活率。辛伐他汀降低了烧伤诱导的脾脏和血清中TNF-α和NF-κB的表达。TNF-α和NF-κB KO小鼠在烧伤后脾脏中的细胞凋亡水平较低。辛伐他汀在两种基因敲除小鼠品系中均未进一步降低烧伤引起的细胞凋亡和死亡率。
辛伐他汀通过下调TNF-α/NF-κB途径减少烧伤诱导的脾脏细胞凋亡。