Zhang L P, Li J G
Department of Critical Care Medicine, the Affiliated Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Zhonghua Yi Xue Za Zhi. 2016 Dec 27;96(48):3893-3897. doi: 10.3760/cma.j.issn.0376-2491.2016.48.009.
To investigate whether glabridin has a beneficial effect on lipopolysaccharide (LPS) induced acute respiratory distress syndrome (ARDS) in rats, and to explore the possible underlying mechanisms. Thirty-two Wistar rats were randomly assigned into control group, model group (LPS group), glabridin group (GLA group), and ulinastatin group (UTI group), with 8 rats in each group. ARDS rat model was reproduced by intraperitoneal injection of LPS (10 mg/kg). The rats in the control group received an equal volume of normal saline at the same times. The rats in GLA group were gavaged by glabridin (30 mg/kg). The rats in UTI group were injected ulinastatin (20 000 U/kg). Animals were sacrificed 12 hours after LPS challenge. Plasma and lung tissue samples were collected. Histopathological evaluation, lung wet/dry (W/D)ratio, tumor necrosis factor-α (TNF-α), interleukin-18 (IL-18), malondialdehyde (MDA), nitric oxide (NO) and superoxide dismutase(SOD)were analyzed. Immunohistochemical method was used to detect the protein expression of p38MAPK and ERK. Western blot method was used to detect the changes of p38 mitogen activated protein kinase (p-p38MAPK) and phosphorylated extracellular regulated protein kinases (pERK) protein expression in lung tissues. In the control groups, lung tissue showed a normal structure and clear pulmonary alveoli under a light microscope. In the model group, ARDS characters such as extensive thickening of the alveolar wall, significant infiltration of inflammatory cells, demolished structure of pulmonary alveoli, and hemorrhage were found. In the GLA and UTI treatment group, these pathological changes in lung were markedly alleviated compare with LPS-induced ARDS group. Compared with control groups, lung W/D ratio, TNF-α and IL-18 in plasma, and lung MDA, NO levels in lung homogenates of the LPS group were increased significantly, while the lung SOD levels of the LPS group were decreased. Compared with the LPS group, lung W/D ratio, TNF-α and IL-18 in plasma , and lung MDA, NO levels in lung homogenates of the GLA group and UTI group were decreased significantly, while the lung SOD levels of the GLA and ulinastatin groups were increased [TNF-α(μg/L): 51.7±10.3 vs 105.7±30.5, IL-18(μg/L): 37.9±13.9 vs 49.2±14.5, MDA (nmol/mgprot): 2.87±0.62 vs 3.81±0.42, NO(μmol/L): 18.96±0.79 vs 28.58±2.51, SOD(U/mgprot): 115.5±15.2 vs 75.9±14.0, all <0.05]. Immunohistochemistry showed that the positive expressions of p38MAPK and ERK in cytoplasm and nucleus of the glabridin and ulinastatin treatment group were significantly lower than those of the model group. Western blot showed that compared with the control group, the p-p38MAPK and pERK protein expression in LPS group were significantly increased. And the glabridin and ulinastatin inhibited the protein expressions compared with model group. Traditional Chinese medicine glabridin significantly ameliorated the lung injury induced by LPS in rats via reducing inflammation which caused by the inhibition of p38MAPK and ERK signaling pathway and antioxidant effect.
为探讨光甘草定对脂多糖(LPS)诱导的大鼠急性呼吸窘迫综合征(ARDS)是否具有有益作用,并探究其可能的潜在机制。将32只Wistar大鼠随机分为对照组、模型组(LPS组)、光甘草定组(GLA组)和乌司他丁组(UTI组),每组8只。通过腹腔注射LPS(10 mg/kg)复制ARDS大鼠模型。对照组大鼠在相同时间给予等量生理盐水。GLA组大鼠灌胃给予光甘草定(30 mg/kg)。UTI组大鼠注射乌司他丁(20 000 U/kg)。LPS攻击12小时后处死动物,采集血浆和肺组织样本,分析组织病理学、肺湿/干(W/D)比值、肿瘤坏死因子-α(TNF-α)、白细胞介素-18(IL-18)、丙二醛(MDA)、一氧化氮(NO)和超氧化物歧化酶(SOD)。采用免疫组织化学方法检测p38丝裂原活化蛋白激酶(p38MAPK)和细胞外调节蛋白激酶(ERK)的蛋白表达。采用蛋白质印迹法检测肺组织中p38丝裂原活化蛋白激酶(p-p38MAPK)和磷酸化细胞外调节蛋白激酶(pERK)蛋白表达的变化。对照组肺组织在光镜下结构正常,肺泡清晰。模型组可见肺泡壁广泛增厚、炎症细胞显著浸润、肺泡结构破坏和出血等ARDS特征。与LPS诱导的ARDS组相比,GLA和UTI治疗组肺组织的这些病理变化明显减轻。与对照组相比,LPS组肺W/D比值、血浆TNF-α和IL-18以及肺匀浆中肺MDA、NO水平显著升高,而LPS组肺SOD水平降低。与LPS组相比,GLA组和UTI组肺W/D比值、血浆TNF-α和IL-18以及肺匀浆中肺MDA、NO水平显著降低,而GLA组和乌司他丁组肺SOD水平升高[TNF-α(μg/L):51.7±10.3 vs 105.7±30.5,IL-18(μg/L):37.9±l3.9 vs 49.2±14.5,MDA(nmol/mgprot):2.87±0.62 vs 3.81±0.42,NO(μmol/L):18.96±0.79 vs 28.58±2.51,SOD(U/mgprot):115.5±15.2 vs 75.9±14.0,均P<0.05]。免疫组织化学显示,光甘草定和乌司他丁治疗组细胞质和细胞核中p38MAPK和ERK的阳性表达明显低于模型组。蛋白质印迹显示,与对照组相比,LPS组p-p38MAPK和pERK蛋白表达显著增加,而与模型组相比,光甘草定和乌司他丁抑制了蛋白表达。中药光甘草定通过抑制p38MAPK和ERK信号通路减轻炎症反应及抗氧化作用,显著改善LPS诱导的大鼠肺损伤。