Liu Zheng, Hou Fengyan, Jin He, Xiao Ya, Fan Xia, Yang Xue, Yan Jun, Liang Huaping
Research Institute of Surgery, State Key Laboratory of Trauma, Burns, and Combined Injury, Daping Hospital, Third Military Medical University, Chongqing 400042, China. Corresponding author: Liang Huaping, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2015 Feb;27(2):110-4. doi: 10.3760/cma.j.issn.2095-4352.2015.02.007.
To observe protective effects of agmatine (AGM) on inflammatory response and spleen immune function in mice with trauma.
Forty-eight adult male C57BL/6 mice were randomly divided into three groups (n = 16 each), including control group, model group (bilateral femoral fracture and removal of 35% of the total blood volume), and AGM group (trauma/hemorrhage and AGM 200 mg/kg). Eight mice in each group were sacrificed at 3 hours and 24 hours, respectively, after modeling, and blood samples and tissue homogenate of spleen and liver were collected. The contents of tumor necrosis factor-α (TNF-α), interleukins (IL-6, IL-1β) in serum and liver tissue were determined with enzyme linked immunosorbent assay (ELISA). Serum aspartate transaminase (AST), alanine aminotransferase (ALT) and lactic dehydrogenase (LDH) were determined with automatic biochemistry analyzer. Spleen proliferation response stimulated with concanavalin A (ConA) was evaluated with methyl thiazolyl tetrazolium colourimetry (MTT). γ-interferon (IFN-γ) and IL-2 releases were determined with ELISA.
Compared with control group, 3 hours after trauma/hemorrhage, the levels of serum TNF-α, IL-6, and IL-1β in model group were significantly elevated [TNF-α (ng/L): 145.38±31.50 vs. 23.06±11.14, IL-6 (ng/L): 496.94±50.76 vs. 47.13±17.47, IL-1β (ng/L): 321.31±43.02 vs. 29.25±16.24,all P < 0.01]. It was found that AGM treatment could alleviate the increase in serum pro-inflammatory mediators induced by trauma/hemorrhage, such as TNF-α (ng/L: 111.56±25.47 vs. 145.38±31.50), IL-6 (ng/L: 412.56±44.33 vs. 496.94±50.76), IL-1β (ng/L: 273.38±45.25 vs. 321.31±43.02, P < 0.05 or P < 0.01). Twenty-four hours after trauma/hemorrhage, serum pro-inflammatory mediators were recovered to the levels in control group. There was no significant difference in TNF-α and IL-6 levels at 3 hours after trauma/hemorrhage among groups. Compared with control group, the expressions of liver TNF-α and IL-6 in model group were increased at 24 hours following trauma [TNF-α (ng/mg): 32.93±4.90 vs. 26.58±2.33,IL-6 (ng/mg): 11.20±1.66 vs. 8.38±0.89,both P < 0.01]. However, AGM inhibited the level of TNF-α (ng/mg: 28.92±3.16 vs. 32.93±4.90) and IL-6 (ng/mg: 9.03±1.28 vs. 11.20±1.66) in the liver as induced by trauma/hemorrhage (P < 0.05 and P < 0.01). At 24 hours after modeling, model group and AGM group had distinctly higher serum AST, ALT, LDH levels than those of control group [AST (U/L): 405.9±31.2, 245.7±22.1 vs. 128.2±15.9; ALT (U/L): 92.1±6.3, 51.6±5.0 vs. 30.1±3.2; LDH (U/L): 606.7±36.3, 478.7±25.3 vs. 384.0±16.6, all P < 0.01]. Nevertheless,the increase in serum AST, ALT and LDH was alleviated in AGM group (all P < 0.01). Meantime, trauma/hemorrhage produced a noticeable depression of proliferation of splenic cells and IFN-γ and IL-2 release stimulated with ConA compared with control group [proliferation rate: (40.97±4.13)% vs. (89.99±7.76)%, IFN-γ (ng/L): 91.6±12.3 vs. 353.2±21.5,IL-2 (ng/L): 53.4±6.4 vs. 91.0±12.2,all P < 0.01]. In contrast, AGM notably restored the capacity of proliferation response of splenic cells [proliferation rate: (74.86±5.75)% vs. (40.97±4.13)%,P < 0.01],enhanced the release of IFN-γ and IL-2 stimulated with ConA [IFN-γ (ng/L): 327.8±23.6 vs. 91.6±12.3, IL-2 (ng/L): 74.8±10.4 vs. 53.4±6.4, both P < 0.01].
AGM can dramatically alleviate spleen immunosuppression, excessive inflammation and organ damage induced by trauma/hemorrhage.
观察胍丁胺(AGM)对创伤小鼠炎症反应及脾脏免疫功能的保护作用。
48只成年雄性C57BL/6小鼠随机分为三组(每组n = 16),包括对照组、模型组(双侧股骨骨折并放血35%全血量)和AGM组(创伤/出血后给予AGM 200 mg/kg)。建模后分别于3小时和24小时处死每组8只小鼠,采集血液样本及脾脏和肝脏组织匀浆。采用酶联免疫吸附测定(ELISA)法测定血清及肝脏组织中肿瘤坏死因子-α(TNF-α)、白细胞介素(IL-6、IL-1β)含量。用自动生化分析仪测定血清天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)和乳酸脱氢酶(LDH)。采用甲基噻唑基四氮唑比色法(MTT)评估用刀豆蛋白A(ConA)刺激的脾脏增殖反应。用ELISA法测定γ-干扰素(IFN-γ)和IL-2释放量。
与对照组比较,创伤/出血后3小时,模型组血清TNF-α、IL-6和IL-1β水平显著升高[TNF-α(ng/L):145.38±31.50比23.06±11.14,IL-6(ng/L):496.94±50.76比47.13±17.47,IL-1β(ng/L):321.31±43.02比29.25±16.24,均P < 0.01]。发现AGM治疗可减轻创伤/出血诱导的血清促炎介质增加,如TNF-α(ng/L:111.56±25.47比145.38±31.50)、IL-6(ng/L:412.56±44.33比496.94±50.76)、IL-1β(ng/L:273.38±45.25比321.31±43.02,P < 0.05或P < 0.01)。创伤/出血后24小时,血清促炎介质恢复至对照组水平。创伤/出血后3小时各组间TNF-α和IL-6水平无显著差异。与对照组比较,创伤后24小时模型组肝脏TNF-α和IL-6表达增加[TNF-α(ng/mg):32.93±4.90比26.58±2.33,IL-6(ng/mg):11.20±1.66比8.38±0.89,均P < 0.01]。然而,AGM抑制创伤/出血诱导的肝脏中TNF-α(ng/mg:28.92±3.16比32.93±4.90)和IL-6(ng/mg:9.03±1.28比11.20±1.66)水平(P < 0.05和P < 0.01)。建模后24小时,模型组和AGM组血清AST、ALT、LDH水平明显高于对照组[AST(U/L):405.9±31.2、245.7±22.1比128.2±15.9;ALT(U/L):92.1±6.3、51.6±5.0比30.1±3.2;LDH(U/L):606.7±36.3、478.7±25.3比384.0±16.6,均P < 0.01]。然而,AGM组血清AST、ALT和LDH的升高得到缓解(均P < 0.01)。同时,与对照组比较,创伤/出血使脾脏细胞增殖以及ConA刺激的IFN-γ和IL-2释放明显降低[增殖率:(40.97±4.13)%比(89.99±7.76)%,IFN-γ(ng/L):91.6±12.3比353.2±21.5,IL-2(ng/L):53.4±6.4比91.0±12.2,均P < 0.01]。相反,AGM显著恢复脾脏细胞增殖反应能力[增殖率:(74.86±5.75)%比(40.97±4.13)%,P < 0.01],增强ConA刺激的IFN-γ和IL-2释放[IFN-γ(ng/L):327.8±23.6比91.6±12.3,IL-2(ng/L):74.8±10.4比53.4±6.4,均P < 0.01]。
AGM可显著减轻创伤/出血诱导的脾脏免疫抑制、过度炎症反应及器官损伤。