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硫化氢和一氧化碳在实验性胃溃疡愈合机制、胃血流调节和伴随炎症中的相互作用。

Cross-talk between hydrogen sulfide and carbon monoxide in the mechanism of experimental gastric ulcers healing, regulation of gastric blood flow and accompanying inflammation.

机构信息

Department of Physiology, Jagiellonian University Medical College, 16 Grzegorzecka Street 31-531 Cracow, Poland.

Department of Physiology, Jagiellonian University Medical College, 16 Grzegorzecka Street 31-531 Cracow, Poland.

出版信息

Biochem Pharmacol. 2018 Mar;149:131-142. doi: 10.1016/j.bcp.2017.11.020. Epub 2017 Dec 1.

DOI:10.1016/j.bcp.2017.11.020
PMID:29203367
Abstract

Hydrogen sulfide (HS) and carbon monoxide (CO) exert gastroprotection against acute gastric lesions. We determined the cross-talk between HS and CO in gastric ulcer healing process and regulation of gastric blood flow (GBF) at ulcer margin. Male Wistar rats with acetic acid-induced gastric ulcers were treated i.g. throughout 9 days with vehicle (control), NaHS (0.1-10 mg/kg) +/- zinc protoporphyrin (ZnPP, 10 mg/kg), d,l-propargylglycine (PAG, 30 mg/kg), CO-releasing CORM-2 (2.5 mg/kg) +/- PAG. GBF was assessed by laser flowmetry, ulcer area was determined by planimetry/histology. Gastric mucosal HS production was analysed spectrophotometrically. Protein and/or mRNA expression at ulcer margin for vascular endothelial growth factor (VEGF)A, epidermal growth factor receptor (EGFr), cystathionine-γ-lyase (CSE), cystathionine-β-synthase (CBS), 3-mercaptopyruvate sulfurtransferase (3-MST), heme oxygenases (HOs), nuclear factor (erythroid-derived 2)-like 2 (Nrf-2), cyclooxygenase (COX)-2, inducible nitric oxide synthase (iNOS), IL-1β, TNF-α and hypoxia inducible factor (HIF)-1α were determined by real-time PCR or western blot. IL-1α, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-10, IL-12, IL-13, IFN-γ, TNF-α, GM-CSF plasma concentration was assessed using Luminex platform. NaHS dose-dependently decreased ulcer area and increased GBF but ZnPP attenuated these effects. PAG decreased HS production but failed to affect CORM-2-mediated ulcer healing and vasodilation. NaHS increased Nrf-2, EGFr, VEGFA and decreased pro-inflammatory markers expression and IL-1β, IL-2, IL-13, TNF-α, GM-CSF plasma concentration. CORM-2 decreased IL-1β and GM-CSF plasma levels. We conclude that NaHS accelerates gastric ulcer healing increasing microcirculation and Nrf-2, EGFr, VEGFA expression. HS-mediated ulcer healing involves endogenous CO activity while CO does not require HS. NaHS decreases systemic inflammation more effectively than CORM-2.

摘要

硫化氢 (HS) 和一氧化碳 (CO) 对急性胃损伤具有胃保护作用。我们确定了 HS 和 CO 在胃溃疡愈合过程中的相互作用以及溃疡边缘胃血流 (GBF) 的调节。用乙酸诱导胃溃疡的雄性 Wistar 大鼠通过口服给予载体 (对照)、NaHS (0.1-10mg/kg) +/- 锌原卟啉 (ZnPP,10mg/kg)、d,l-炔丙基甘氨酸 (PAG,30mg/kg)、CO 释放 CORM-2 (2.5mg/kg) +/- PAG,持续 9 天。通过激光血流仪评估 GBF,通过平面图/组织学确定溃疡面积。用分光光度法分析胃黏膜 HS 生成。通过实时 PCR 或 Western blot 测定溃疡边缘血管内皮生长因子 (VEGF)A、表皮生长因子受体 (EGFr)、胱硫醚-γ-裂解酶 (CSE)、胱硫醚-β-合酶 (CBS)、3-巯基丙酮酸硫转移酶 (3-MST)、血红素加氧酶 (HOs)、核因子 (红系衍生 2)-样 2 (Nrf-2)、环氧化酶 (COX)-2、诱导型一氧化氮合酶 (iNOS)、白细胞介素-1β (IL-1β)、肿瘤坏死因子-α (TNF-α) 和缺氧诱导因子 (HIF)-1α 的蛋白和/或 mRNA 表达。使用 Luminex 平台评估白细胞介素-1α (IL-1α)、白细胞介素-1β (IL-1β)、白细胞介素-2 (IL-2)、白细胞介素-4 (IL-4)、白细胞介素-5 (IL-5)、白细胞介素-6 (IL-6)、白细胞介素-10 (IL-10)、白细胞介素-12 (IL-12)、白细胞介素-13 (IL-13)、干扰素-γ (IFN-γ)、肿瘤坏死因子-α (TNF-α)、粒细胞-巨噬细胞集落刺激因子 (GM-CSF) 血浆浓度。NaHS 剂量依赖性地减少溃疡面积并增加 GBF,但 ZnPP 减弱了这些作用。PAG 减少 HS 生成,但未能影响 CORM-2 介导的溃疡愈合和血管扩张。NaHS 增加 Nrf-2、EGFr、VEGFA 并降低促炎标志物的表达和白细胞介素-1β、白细胞介素-2 (IL-2)、白细胞介素-13 (IL-13)、肿瘤坏死因子-α (TNF-α)、GM-CSF 血浆浓度。CORM-2 降低白细胞介素-1β 和 GM-CSF 血浆水平。我们得出结论,NaHS 通过增加微循环和 Nrf-2、EGFr、VEGFA 的表达来加速胃溃疡愈合。HS 介导的溃疡愈合涉及内源性 CO 活性,而 CO 不需要 HS。NaHS 比 CORM-2 更有效地降低全身炎症。

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