Department of Pharmacology & Toxicology & Biochemistry, Faculty of Pharmaceutical Sciences and Pharmaceutical Industries, Future University in Egypt, Cairo, Egypt.
Department of Pharmacology and Toxicology, Faculty of Pharmacy, Zagazig University, Zagazig, Egypt; Faculty of Pharmacy, Sinai University Qantara, Egypt.
Eur J Pharmacol. 2017 Nov 15;815:446-453. doi: 10.1016/j.ejphar.2017.09.037. Epub 2017 Sep 28.
Ischemia reperfusion (I/R) injury is a cellular damage in a hypoxic organ following the restoration of oxygen delivery. It may occur during organ transplantation, trauma and hepatectomies. Nitric oxide (NO) effects during hepatic I/R are complicated. The iNOS-derived NO has a deleterious effect, whereas eNOS-derived NO has a protective effect in liver I/R. Cardamonin (CDN) is an anti-inflammatory molecule and a novel iNOS inhibitor, and Nω-Nitro-L-arginine (L-NNA) is a NOS inhibitor. L-Arginine is a precursor of NOS. This study was designed to investigate the possible protective effects of CDN on hepatic I/R and the role of NO. Wistar rats were randomly divided into 5 groups (Sham, I/R, CDN, L-NNA and L-arginine). Liver ischemia was induced for 45min then reperfusion was allowed for 1h. L-Arginine and CDN ameliorated the deleterious effects of I/R through reducing the oxidative stress and hepatocyte degeneration. Both molecules decreased the elevated inflammatory cytokines and increased the antiapoptotic marker, Bcl2. Both agents increased NO and eNOS expression and decreased iNOS expression. In conclusion, increased NO/eNOS and suppression of iNOS expression have protective effects on I/R injury. While inhibition of eNOS and reduction of NO have deleterious effects on I/R injury. For the first time, we demonstrated that cardamonin improved functional and structural abnormalities of the liver following I/R by improving oxidative stress and inflammation and increasing the availability of NO produced by eNOS. Treatment with cardamonin could be a promising strategy in patients with hepatic I/R injury in different clinical situations.
缺血再灌注(I/R)损伤是缺氧器官在恢复氧输送后发生的细胞损伤。它可能发生在器官移植、创伤和肝切除术中。肝脏 I/R 期间的一氧化氮(NO)作用很复杂。iNOS 衍生的 NO 具有有害作用,而 eNOS 衍生的 NO 在肝 I/R 中具有保护作用。小豆蔻明(CDN)是一种抗炎分子和新型 iNOS 抑制剂,Nω-硝基-L-精氨酸(L-NNA)是一种 NOS 抑制剂。L-精氨酸是 NOS 的前体。本研究旨在探讨 CDN 对肝脏 I/R 的可能保护作用及其与 NO 的关系。Wistar 大鼠随机分为 5 组(假手术、I/R、CDN、L-NNA 和 L-精氨酸)。肝脏缺血 45min 后再灌注 1h。L-精氨酸和 CDN 通过减少氧化应激和肝细胞变性,改善 I/R 的有害作用。两种分子均降低了升高的炎症细胞因子,增加了抗凋亡标志物 Bcl2。两种药物均增加了 NO 和 eNOS 的表达,减少了 iNOS 的表达。总之,增加 NO/eNOS 和抑制 iNOS 表达对 I/R 损伤具有保护作用。而抑制 eNOS 和减少 NO 对 I/R 损伤有有害作用。我们首次证明,小豆蔻明通过改善氧化应激和炎症以及增加由 eNOS 产生的 NO 的可用性,改善了 I/R 后肝脏的功能和结构异常。在不同的临床情况下,用小豆蔻明治疗可能是一种有前途的策略,用于治疗肝脏 I/R 损伤的患者。