Kassem Mohamad, Niazi Zahid Rasul, Abbas Malak, El Habhab Ali, Kreutter Guillaume, Khemais-Benkhiat Sonia, Auger Cyril, Antal Maria-Cristina, Schini-Kerth Valérie B, Toti Florence, Kessler Laurence
EA7293, Vascular and Tissular Stress in Transplantation, Federation of Translational Medicine of Strasbourg, Faculty of Medicine, University of Strasbourg, Illkirch-Graffenstaden, France.
UMR CNRS 7213, Laboratory of Biophotonics and Pharmacology, Faculty of Pharmacy, University of Strasbourg, Illkirch-Graffenstaden, France.
Ann Transplant. 2017 Mar 31;22:177-186. doi: 10.12659/aot.901009.
BACKGROUND In organ transplantation, particularly pancreas transplantation, donor age is a determinant factor for graft survival. Physiological aging is crucial in the progressive deterioration of organs in adulthood. We compared the senescence and function features of pancreas and vascular tissues in young rats and middle-aged rats. MATERIAL AND METHODS Islet morphology and the area of cells secreting insulin or glucagon was investigated using immunohistology in young rats (12 weeks) and middle-aged rats (52 weeks) (n=8). Senescence markers, oxidative stress (ROS), and tissue factor (TF) were measured in the rat pancreases. Circulating microparticles (MPs) were measured as surrogates of vascular cell injury. Vascular function was studied in mesenteric arterial rings. RESULTS Larger islets were twice as frequent in young rats versus middle-aged rats. In middle-aged rats there was a significant decrease of the β-cells/islet area ratio. Western blot analysis showed an increased expression of p53, p21, and p16 senescence markers (2-, 7- and 3-fold respectively) with no modification in caspase-3 activation. A 30% decrease of endothelial nitric oxide synthase (eNOS) was observed together with a 4-fold increase in TF expression. ROS formation increased significantly (2-fold) in middle-aged rats and their main source, determined by pharmacological inhibition, was NADPH oxidase and uncoupled nitric-oxide (NO) synthase. No sign of vascular injury (microparticles) or dysfunction was evidenced. CONCLUSIONS Modification in islet morphology and function were detected in middle-aged rats before any measurement of macro-vascular dysfunction. The data indicate a pancreatic senescence in the process of aging associated with uncontrolled accumulation of oxidative species that suggests a determining role of donor age in transplantation.
背景 在器官移植中,尤其是胰腺移植,供体年龄是移植物存活的一个决定性因素。生理衰老在成年期器官的渐进性衰退中至关重要。我们比较了年轻大鼠和中年大鼠胰腺及血管组织的衰老和功能特征。
材料与方法 采用免疫组织学方法研究了年轻大鼠(12周龄)和中年大鼠(52周龄)(n = 8)的胰岛形态以及分泌胰岛素或胰高血糖素的细胞面积。检测了大鼠胰腺中的衰老标志物、氧化应激(ROS)和组织因子(TF)。测量循环微颗粒(MPs)作为血管细胞损伤的替代指标。在肠系膜动脉环中研究血管功能。
结果 与中年大鼠相比,年轻大鼠中较大胰岛的出现频率是其两倍。在中年大鼠中,β细胞/胰岛面积比显著降低。蛋白质印迹分析显示衰老标志物p53、p21和p16的表达增加(分别增加2倍、7倍和3倍),而半胱天冬酶-3的激活没有改变。观察到内皮型一氧化氮合酶(eNOS)减少30%,同时TF表达增加4倍。中年大鼠中ROS形成显著增加(2倍),通过药理学抑制确定其主要来源是NADPH氧化酶和未偶联一氧化氮(NO)合酶。未发现血管损伤(微颗粒)或功能障碍的迹象。
结论 在未检测到大血管功能障碍之前,就已在中年大鼠中检测到胰岛形态和功能的改变。数据表明衰老过程中胰腺出现衰老,伴有氧化物质的不受控制积累,这表明供体年龄在移植中起决定性作用。