Department of Orthopedic Trauma Surgery, RWTH Aachen University, Aachen, Germany.
Department of Surgery, Helios Kliniken Stralsund, Stralsund, Germany.
Cytokine. 2018 Mar;103:127-132. doi: 10.1016/j.cyto.2017.09.021. Epub 2017 Sep 30.
PPARβ/δ agonists are known to modulate the systemic inflammatory response after sepsis. In this study, inflammation modulation effects of PPARβ/δ are investigated using the selective PPARβ/δ agonist (GW0742) in a model of haemorrhagic shock (HS)-induced sterile systemic inflammation.
Blood pressure-controlled (35±5mmHg) HS was performed in C57/BL6 mice for 90min. Low-dose GW0742 (0.03mg/kg/BW) and high-dose GW0742 (0.3mg/kg/BW) were then administered at the beginning of resuscitation. Mice were sacrificed 6h after induction of HS. Plasma levels of IL-6, IL-1β, IL-10, TNFα, KC, MCP-1, and GM-CSF were determined by ELISA. Myeloperoxidase (MPO) activity in pulmonary and liver tissues was analysed with standardised MPO kits.
In mice treated with high-dose GW0742, plasma levels of IL-6, IL-1β, and MCP-1 were significantly increased compared to the control group mice. When compared to mice treated with low-dose GW0742 plasma levels of IL-6, IL-1β, GM-CSF, KC, and MCP-1 were significantly elevated in high-dose-treated mice. Low-dose GW0742 treatment was associated with a non-significant downtrend of inflammatory factors in mice with HS. No significant changes of MPO activity in lung and liver were observed between the control group and the GW0742 treatment groups.
This study identified dose-dependent effects of GW0742 on systemic inflammation after HS. While high-dose GW0742 substantially enhanced the systemic inflammatory response, low-dose GW0742 led to a downtrend of pro-inflammation cytokine expression. The exact mechanisms are yet unknown and need to be assessed in further studies.
已知过氧化物酶体增殖物激活受体β/δ(PPARβ/δ)激动剂可调节脓毒症后的全身炎症反应。在这项研究中,我们使用选择性 PPARβ/δ 激动剂(GW0742)在出血性休克(HS)诱导的无菌性全身炎症模型中研究了 PPARβ/δ 的炎症调节作用。
在 C57/BL6 小鼠中进行血压控制(35±5mmHg)的 HS 90 分钟。在复苏开始时给予低剂量 GW0742(0.03mg/kg/BW)和高剂量 GW0742(0.3mg/kg/BW)。HS 诱导后 6 小时处死小鼠。通过 ELISA 测定血浆中 IL-6、IL-1β、IL-10、TNFα、KC、MCP-1 和 GM-CSF 的水平。用标准 MPO 试剂盒分析肺和肝组织中的髓过氧化物酶(MPO)活性。
与对照组相比,高剂量 GW0742 治疗组小鼠的血浆 IL-6、IL-1β 和 MCP-1 水平显著升高。与低剂量 GW0742 治疗组相比,高剂量 GW0742 治疗组的血浆 IL-6、IL-1β、GM-CSF、KC 和 MCP-1 水平显著升高。在 HS 小鼠中,低剂量 GW0742 治疗与炎症因子的非显著下降趋势相关。在对照组和 GW0742 治疗组之间,肺和肝组织中的 MPO 活性没有观察到显著变化。
本研究发现 GW0742 对 HS 后全身炎症有剂量依赖性影响。高剂量 GW0742 显著增强全身炎症反应,而低剂量 GW0742 导致促炎细胞因子表达下降趋势。确切机制尚不清楚,需要在进一步的研究中评估。