Wang Yuan-Hung, Liu Tsung-Ta, Kung Woon-Man, Chen Chun-Chi, Wen Ya-Ting, Lin I-Chan, Huang Chi-Chang, Wei Li
Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University Taipei, Taiwan, ROC ; Division of Urology and Surgery, Shuang Ho Hospital, Taipei Medical University New Taipei City, Taiwan, ROC.
Department of Biology and Anatomy, National Defense Medical Center Taipei, Taiwan, ROC.
Int J Clin Exp Pathol. 2015 Aug 1;8(8):8742-53. eCollection 2015.
Heat stroke (HS) has been shown to induce intestinal barrier dysfunction during whole body hyperthermia. HS-induced intestinal permeability change may result from modulation of aquaporin (AQP) expression, which subsequently regulates water homeostasis. This study aimed to evaluate AQP expression in the intestine of rats with HS at different recovery time points. Sprague-Dawley (SD) rats were exposed to an ambient temperature of 40 ± 0.5°C until a maximum core temperature of 40.5°C was attained. The small intestine was surgically removed and histologically examined, and AQP expression was determined by reverse transcription polymerase chain reaction and immunohistochemical staining. H&E staining revealed those intestinal villi were destroyed from HS0 to HS1 and rebuilt from HS3 to HS12. We further stain with activated caspase 3 found expressed at HS0 and back to normal at HS3. Investigation of AQP mRNA expression identified 10 genes. PCR results of AQP1, 3, 7, 8, and 11 transcripts were significantly higher in the HS group than in the sham group. Immunohistochemical staining showed a more than 11-fold increase in AQP3 and 11 expressions at HS0. AQP1 and 8 increased at HS1 and AQP7 increased at HS3 compared with those in the sham group. In this study, we found HS induced jejunum damage and cell apoptosis. AQPs were upregulation/downregulation after HS in different time point suggested that water/glycerol transport was important when hyperthermia occurred. Furthermore, the biological function of the AQP needs more exploration in response to HS.
热射病(HS)已被证明在全身热疗过程中会导致肠道屏障功能障碍。HS诱导的肠道通透性变化可能是由水通道蛋白(AQP)表达的调节引起的,随后调节水平衡。本研究旨在评估不同恢复时间点HS大鼠肠道中AQP的表达。将Sprague-Dawley(SD)大鼠暴露于40±0.5°C的环境温度下,直至达到最高核心温度40.5°C。手术切除小肠并进行组织学检查,通过逆转录聚合酶链反应和免疫组织化学染色测定AQP表达。苏木精-伊红(H&E)染色显示,从HS0到HS1肠绒毛被破坏,从HS3到HS12重建。我们进一步用活化的半胱天冬酶3染色,发现其在HS0表达,在HS3恢复正常。对AQP mRNA表达的研究鉴定出10个基因。HS组中AQP1、3、7、8和11转录本的PCR结果显著高于假手术组。免疫组织化学染色显示,HS0时AQP3和11的表达增加了11倍以上。与假手术组相比,HS1时AQP1和8增加,HS3时AQP7增加。在本研究中,我们发现HS诱导空肠损伤和细胞凋亡。HS后不同时间点AQPs上调/下调表明,热疗发生时水/甘油转运很重要。此外,AQP的生物学功能在应对HS时需要更多探索。