Chu Lei, Zhu Fenyong, Zhou Wenjun, Du Zhongxiang, Li Jie, Wang Xiaohong, Wang Lihui, Liu Anding
Clinical Laboratory, Danyang People's Hospital, Danyang 212300, Jiangsu, China (Chu L, Zhu FY, Zhou WJ, Du ZX); Department of Neurosurgery, Danyang People's Hospital, Danyang 212300, Jiangsu, China (Li J); Department of Gastroenterology, Danyang People's Hospital, Danyang 212300, Jiangsu, China (Wang XH); Central Laboratory, Danyang People's Hospital, Danyang 212300, Jiangsu, China (Wang LH); Experimental Medicine Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China (Liu AD). Corresponding author: Chu Lei, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017 Mar;29(3):228-232. doi: 10.3760/cma.j.issn.2095-4352.2017.03.007.
To investigate the effects of baicalein (Bai) on acute lung injury (ALI) induced by intestinal ischemia/reperfusion (I/R) and its mechanism in mice.
Twenty-four male C57BL/6J mice were divided into three groups by random number table: namely sham group, I/R group and Bai+I/R group, with 8 mice in each group. Intestinal I/R induced lung injury model was reproduced by clamping superior mesenteric artery for 90 minutes, followed by reperfusion. Bai (100 mg/kg) was intraperitoneally injected 1 hour before ischemic challenge in the Bai+I/R group. The mice in sham group underwent the similar procedure with I/R group but without vascular occlusion. All mice were sacrificed at 4 hours of reperfusion, and blood was collected from inferior vena cava and lung tissues were harvested. Lung tissues were stained with hematoxylin-eosin (HE), and histological changes were examined under light microscope for pathological score. Lung wet/dry (W/D) ratio was calculated. Lung cell apoptosis was determined by TdT-mediated dUTP nick end labeling (TUNEL) technique. Serum levels of tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) were determined by enzyme-linked immunosorbent assay (ELISA). The mRNA expressions of TNF-α and IL-6 in lung tissues were determined by real-time quantitative reverse transcription-polymerase chain reaction (RT-PCR). The protein expression levels of cytoplasmic inhibitory factor-α of nuclear factor-κB (IκB-α) and nucleus NF-κB were determined by Western Blot.
Under light microscope, a normal lung tissue structure was shown in the sham group and no evidence of obvious lung injury was found. In the I/R group, the alveolar structure was seriously damaged. The alveolar wall was widened and there was significant interstitial edema and leukocytes infiltration. In the Bai+I/R group, pathological damage was significantly decreased as indicated by reduced lung tissue edema and leukocytes infiltration. Compared with the sham group, the lung pathological scores, W/D ratio and cellular apoptosis in the I/R group were significantly increased. Both serum TNF-α and IL-6 contents and lung TNF-α and IL-6 mRNA expressions were significantly increased. Furthermore, I/R significantly resulted in a decrease of IκB-α in the cytoplasm and an increase of NF-κB in the nucleus. Notably, Bai treatment significantly attenuated ALI induced by intestinal I/R injury. Compared with the I/R group, the lung pathological scores and W/D ratio in the Bai+I/R group were significantly decreased (lung pathological score: 4.59±1.17 vs. 6.27±1.34, W/D ratio: 3.79±0.28 vs. 4.32±0.57), cellular apoptosis was significantly decreased [(4.85±2.47)% vs. (8.15±2.33)%], both serum TNF-α and IL-6 contents and lung TNF-α and IL-6 mRNA expressions were significantly decreased [serum TNF-α (pg/L): 124.18±30.49 vs. 167.72±38.65, IL-6 (ng/L): 1.65±0.69 vs. 2.43±0.57; lung TNF-α mRNA (2): 4.75±2.38 vs. 7.69±2.32, IL-6 mRNA (2): 16.45±4.39 vs. 27.69±6.82], additionally, Bai pretreatment significantly increased cytoplasmic IκB-α protein expression (gray value: 0.47±0.11 vs. 0.27±0.09), while decreased nuclear NF-κB protein expression (gray value: 0.57±0.13 vs. 1.07±0.14, all P < 0.05).
Bai could attenuate intestinal I/R injury induced ALI via the inhibition of inflammation and apoptosis.
探讨黄芩苷(Bai)对小鼠肠缺血/再灌注(I/R)诱导的急性肺损伤(ALI)的影响及其机制。
将24只雄性C57BL/6J小鼠通过随机数字表分为三组:即假手术组、I/R组和Bai+I/R组,每组8只。通过夹闭肠系膜上动脉90分钟,随后再灌注,复制肠I/R诱导的肺损伤模型。在Bai+I/R组中,在缺血攻击前1小时腹腔注射Bai(100mg/kg)。假手术组小鼠接受与I/R组相似的操作,但不进行血管闭塞。所有小鼠在再灌注4小时时处死,从下腔静脉取血并采集肺组织。肺组织用苏木精-伊红(HE)染色,在光学显微镜下检查组织学变化并进行病理评分。计算肺湿/干(W/D)比值。采用TdT介导的dUTP缺口末端标记(TUNEL)技术测定肺细胞凋亡。采用酶联免疫吸附测定(ELISA)法测定血清肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平。采用实时定量逆转录-聚合酶链反应(RT-PCR)法测定肺组织中TNF-α和IL-6的mRNA表达。采用蛋白质印迹法测定核因子-κB(NF-κB)的细胞质抑制因子-α(IκB-α)和细胞核NF-κB的蛋白表达水平。
光学显微镜下,假手术组肺组织结构正常,未发现明显肺损伤迹象。I/R组肺泡结构严重受损。肺泡壁增宽,有明显的间质水肿和白细胞浸润。Bai+I/R组病理损伤明显减轻,表现为肺组织水肿和白细胞浸润减少。与假手术组相比,I/R组肺病理评分、W/D比值和细胞凋亡均显著增加。血清TNF-α和IL-6含量以及肺TNF-α和IL-6 mRNA表达均显著增加。此外,I/R显著导致细胞质中IκB-α减少,细胞核中NF-κB增加。值得注意的是,Bai治疗显著减轻了肠I/R损伤诱导的ALI。与I/R组相比,Bai+I/R组肺病理评分和W/D比值显著降低(肺病理评分:4.59±1.17 vs. 6.27±1.34,W/D比值:3.79±0.28 vs. 4.32±0.57),细胞凋亡显著减少[(4.85±2.47)% vs.(8.15±2.33)%],血清TNF-α和IL-6含量以及肺TNF-α和IL-6 mRNA表达均显著降低[血清TNF-α(pg/L):124.18±30.49 vs. 167.72±38.65,IL-6(ng/L):1.65±0.69 vs. 2.43±0.57;肺TNF-α mRNA(2):4.75±2.38 vs. 7.69±2.32,IL-6 mRNA(2):16.45±4.39 vs. 27.69±6.82],此外,Bai预处理显著增加细胞质IκB-α蛋白表达(灰度值:0.47±0.11 vs. 0.27±0.09),同时降低细胞核NF-κB蛋白表达(灰度值:0.57±0.13 vs. 1.07±0.14,均P<0.05)。
Bai可通过抑制炎症和凋亡减轻肠I/R损伤诱导的ALI。