Zhao Qiong, Wang Wenjian, Wang Rurong, Cheng Yan
Department of Anesthesiology and Laboratory of Anesthesia and Intensive Care Medicine, West China Hospital of Sichuan University, Chengdu, China.
Department of Anesthesia and Pain Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
J Surg Res. 2016 Jun 1;203(1):183-92. doi: 10.1016/j.jss.2016.03.050. Epub 2016 Mar 30.
Activation of capsaicin-sensitive sensory nerves and TRPV1 present on them can ameliorate the ischemia-reperfusion injury in vital organs by evoking the release of neuropeptides including calcitonin gene-related peptide (CGRP) and substance P. However, the underlying changes in TRPV1 and neuropeptide receptor expressions, including calcitonin receptor-like receptor (CRLR) and neurokinin 1 receptor (NK1R), after lung ischemia-reperfusion injury (LIRI) remain uncharacterized.
Thirty-two male Sprague-Dawley rats were randomly and equally divided into sham (sham thoracotomy) and ischemia-reperfusion (occlusion of the left pulmonary hilus for 1 h followed by reperfusion for 4 h) groups. Blood gas levels were measured and histopathologic examination was performed. Left lung lobes and brainstem tissue samples were harvested for use in quantitative real-time PCR, Western blot, and immunohistochemistry to measure TRPV1, CRLR, and NK1R transcript and protein levels. Additionally, CGRP and substance P protein levels were quantified in the lungs using enzyme-linked immunosorbent assay.
LIRI exacerbated blood gas exchange and increased the pulmonary tissue injury score. Furthermore, LIRI increased CGRP levels in the lung, TRPV1-immunoreactivity (ir) in the bronchiolar epithelium and smooth muscle of the pulmonary artery, and the intensity of neuronal CRLR-ir and NK1R-ir in the commissural nucleus of the solitary tract. Similarly, LIRI significantly elevated both transcription and translation of TRPV1 in the lungs and CRLR and NK1R in the brainstem.
Both transcription and translation of TRPV1 in the lungs and CRLR and NK1R in the brainstem of rats can be upregulated by LIRI in a rapid manner (within 5 h).
辣椒素敏感感觉神经及其上存在的瞬时受体电位香草酸亚型1(TRPV1)的激活,可通过引发包括降钙素基因相关肽(CGRP)和P物质在内的神经肽释放,改善重要器官的缺血再灌注损伤。然而,肺缺血再灌注损伤(LIRI)后TRPV1及神经肽受体表达的潜在变化,包括降钙素受体样受体(CRLR)和神经激肽1受体(NK1R),仍未明确。
32只雄性Sprague-Dawley大鼠被随机等分为假手术组(假开胸)和缺血再灌注组(左肺门阻断1小时,随后再灌注4小时)。测量血气水平并进行组织病理学检查。采集左肺叶和脑干组织样本,用于定量实时聚合酶链反应、蛋白质印迹法和免疫组织化学,以检测TRPV1、CRLR和NK1R的转录本和蛋白质水平。此外,使用酶联免疫吸附测定法对肺组织中的CGRP和P物质蛋白水平进行定量。
LIRI加剧了血气交换并增加了肺组织损伤评分。此外,LIRI增加了肺组织中CGRP水平、肺小支气管上皮和肺动脉平滑肌中TRPV1免疫反应性(ir),以及孤束连合核中神经元CRLR-ir和NK1R-ir的强度。同样,LIRI显著提高了肺组织中TRPV1以及脑干中CRLR和NK1R的转录和翻译水平。
LIRI可在短时间内(5小时内)快速上调大鼠肺组织中TRPV1以及脑干中CRLR和NK1R的转录和翻译水平。