Chen Xiao-Juan, Tang Zhong-Zhi, Zhu Guo-Guo, Cheng Qing, Zhang Wen-Kai, Li Hui-Min, Fu Wei, Lu Qi-Ping
Department of Emergency, Wuhan General Hospital of Guangzhou Military Command, Wuhan, Hubei 430070, P.R. China.
Department of General Surgery, Wuhan General Hospital of Guangzhou Military Command, Wuhan, Hubei 430070, P.R. China.
Mol Med Rep. 2017 Sep;16(3):2389-2396. doi: 10.3892/mmr.2017.6922. Epub 2017 Jul 5.
Severe heat stroke (HS) consists of extreme hyperthermia with thermoregulatory failure, leading to high morbidity and mortality. Liver injury is a complication of HS that is associated with inflammatory responses and Kupffer cells (KCs), which are resident macrophages in the liver that serve as a major source of inflammatory cytokines; however, the association and the underlying mechanisms of KC functions in HS‑induced endotoxemia and inflammation require an improved understanding. The important chemokine macrophage inflammatory protein‑1α (MIP‑1α) increases inflammatory responses and the secretion of inflammatory molecules from KCs, including tumor necrosis factor‑α, interleukin (IL)‑1β and IL‑6. In addition, the activation of c‑Jun N‑terminal kinase (JNK) signaling is responsible for the development of liver inflammation. Therefore, HS animal and cell models were constructed in order to investigate the pathways involved in the HS‑induced dysfunction of KCs. The results of the present study suggest that JNK may be involved in the MIP‑1α‑associated pathogenesis of KCs in HS injury.
严重中暑(HS)表现为体温调节功能衰竭导致的极度体温过高,会引发高发病率和高死亡率。肝损伤是HS的一种并发症,与炎症反应和库普弗细胞(KCs)相关,库普弗细胞是肝脏中的常驻巨噬细胞,是炎症细胞因子的主要来源;然而,KCs功能在HS诱导的内毒素血症和炎症中的关联及潜在机制仍需深入了解。重要的趋化因子巨噬细胞炎性蛋白-1α(MIP-1α)会增强炎症反应以及KCs分泌包括肿瘤坏死因子-α、白细胞介素(IL)-1β和IL-6在内的炎性分子。此外,c-Jun氨基末端激酶(JNK)信号的激活与肝脏炎症的发展有关。因此,构建了HS动物和细胞模型,以研究HS诱导的KCs功能障碍所涉及的途径。本研究结果表明,JNK可能参与了HS损伤中KCs与MIP-1α相关的发病机制。