Choi Seok Ho, Suh Gil Joon, Kwon Woon Yong, Kim Kyung Su, Park Min Ji, Kim Taegyun, Ko Jeong In
From the Trauma Center (S.H.C.), Dankook University Hospital, Cheonan-si, Chungnam, Republic of Korea; and Department of Emergency Medicine (G.J.S., W.Y.K., K.S.K., M.J.P., T.K., J.I.K.), Seoul National University College of Medicine, Seoul, Republic of Korea.
J Trauma Acute Care Surg. 2017 Mar;82(3):566-574. doi: 10.1097/TA.0000000000001337.
The aim of this study was to investigate whether a nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (Nox) inhibitor, apocynin, reduces reactive oxygen species (ROS) production, suppresses the nuclear factor κB (NF-κB) pathway, attenuates lung injury, and improves survival in rat hemorrhagic shock (HS) model.
Blood was drawn from male Sprague-Dawley rats (290-340 g) to maintain a mean arterial pressure of 20-25 mm Hg for 40 minutes. The rats were resuscitated with the drawn blood, and a vehicle (HS), a low dose of apocynin (20 mg/kg, LD-Apo), or a high dose of apocynin (40 mg/kg, HD-Apo) was administered intraperitoneally. The survival of the rats was observed for 72 hours. Then, a separated set of rats was euthanized at 6 hours post-HS induction. We measured gp91-phox (Nox2) expression, Nox activity, cytoplasmic phosphorylated inhibitor κB-α (p-IκB-α) expression, NF-κB p65 DNA-binding activity, tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) gene expressions, malondialdehyde (MDA) level, myeloperoxidase (MPO) activity, and histological damage in the lung tissues.
The survival rates of the sham, HS, HS + LD-Apo, and HS + HD-Apo groups were 100% (5/5), 30% (3/10), 40% (4/10), and 70% (7/10), respectively. A high dose of apocynin decreased gp91-phox expression, Nox activity, and MDA level in the lung tissues during HS and resuscitation. It also decreased p-IκB-α expression, NF-κB p65 DNA-binding activity, TNF-α and IL-6 gene expressions, and MPO activity in the lung tissues and attenuated histological lung injuries. However, a low dose of apocynin failed to show these benefits.
The administration of a high dose of apocynin inhibited Nox2 expression and Nox activity, reduced lipid peroxidation, suppressed the NF-κB pathway and subsequent pro-inflammatory cytokines transcription in the lung tissues, and attenuated lung injury during HS and resuscitation in rats.
本研究旨在探讨烟酰胺腺嘌呤二核苷酸磷酸(NADPH)氧化酶(Nox)抑制剂白杨素是否能减少活性氧(ROS)生成、抑制核因子κB(NF-κB)通路、减轻肺损伤并提高大鼠失血性休克(HS)模型的生存率。
从雄性Sprague-Dawley大鼠(290 - 340 g)采血,维持平均动脉压在20 - 25 mmHg 40分钟。大鼠用采得的血液进行复苏,并腹腔注射溶剂(HS组)、低剂量白杨素(20 mg/kg,LD-Apo组)或高剂量白杨素(40 mg/kg,HD-Apo组)。观察大鼠72小时的生存率。然后,在HS诱导后6小时处死另一组大鼠。我们检测了肺组织中gp91-phox(Nox2)表达、Nox活性、细胞质磷酸化抑制蛋白κB-α(p-IκB-α)表达、NF-κB p65 DNA结合活性、肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)基因表达、丙二醛(MDA)水平、髓过氧化物酶(MPO)活性以及肺组织的组织学损伤。
假手术组、HS组、HS + LD-Apo组和HS + HD-Apo组的生存率分别为100%(5/5)、30%(3/10)、40%(4/10)和70%(7/10)。高剂量白杨素在HS及复苏过程中降低了肺组织中gp91-phox表达、Nox活性和MDA水平。它还降低了肺组织中p-IκB-α表达、NF-κB p65 DNA结合活性、TNF-α和IL-6基因表达以及MPO活性,并减轻了肺组织学损伤。然而,低剂量白杨素未显示出这些益处。
高剂量白杨素给药可抑制大鼠HS及复苏过程中肺组织Nox2表达和Nox活性,减少脂质过氧化,抑制NF-κB通路及随后的促炎细胞因子转录,并减轻肺损伤。