Li Ailin, Li Jing, Bao Yuhua, Yuan Dingshan, Huang Zhongwei
Department of Emergency Medicine, The Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, P.R. China.
Department of Genetics and Biochemistry, Clemson University, Clemson, SC 29634, USA.
Exp Ther Med. 2016 Sep;12(3):1531-1536. doi: 10.3892/etm.2016.3476. Epub 2016 Jun 24.
Dysregulation of inflammatory cytokines and liver injury are associated with the pathogenesis of sepsis. Xuebijing injection, a Chinese herbal medicine, has been used in the treatment of sepsis and can contribute to the improvement of patients' health. However, the underlying molecular mechanisms are not yet clearly illuminated. In the present study, a septic rat model with liver injury was established by the cecal ligation and puncture (CLP) method. Histological alterations to the liver, activities of alanine aminotransferase (ALT) and aspartate aminotransferase (AST), levels of inflammatory cytokine secretion and the expression of suppressors of cytokine signaling 1 (SOCS-1) in the CLP model rats with and without Xuebijing treatment were determined. The results showed that Xuebijing injection ameliorated the pathological changes in liver tissues caused by sepsis, and reduced the sepsis-induced elevation in serum ALT and AST levels. Furthermore, Xuebijing injection markedly downregulated the expression of tumor necrosis factor α and interleukin (IL)-6, and upregulated the expression of IL-10. More importantly, SOCS1 expression levels at the protein and mRNA levels were further increased by Xuebijing. These findings demonstrate that Xuebijing injection can significantly alleviate liver injury in CLP-induced septic rats via the regulation of inflammatory cytokine secretion and the promotion of SOCS1 expression. The protective effects of Xuebijing injection suggest its therapeutic potential in the treatment of CLP-induced liver injury.
炎症细胞因子失调和肝损伤与脓毒症的发病机制相关。中药注射液血必净已用于脓毒症治疗,并有助于改善患者健康状况。然而,其潜在分子机制尚未完全阐明。在本研究中,采用盲肠结扎穿孔(CLP)法建立肝损伤脓毒症大鼠模型。测定了血必净治疗组和未治疗组CLP模型大鼠肝脏的组织学改变、丙氨酸氨基转移酶(ALT)和天冬氨酸氨基转移酶(AST)活性、炎症细胞因子分泌水平以及细胞因子信号转导抑制因子1(SOCS-1)的表达。结果显示,血必净注射液改善了脓毒症所致肝组织病理变化,降低了脓毒症诱导的血清ALT和AST水平升高。此外,血必净注射液显著下调肿瘤坏死因子α和白细胞介素(IL)-6的表达,并上调IL-10的表达。更重要的是,血必净进一步提高了SOCS1在蛋白和mRNA水平的表达。这些结果表明,血必净注射液可通过调节炎症细胞因子分泌和促进SOCS1表达,显著减轻CLP诱导的脓毒症大鼠肝损伤。血必净注射液的保护作用提示其在治疗CLP诱导的肝损伤方面具有治疗潜力。