Vasques Enio Rodrigues, Cunha José Eduardo Monteiro, Kubrusly Marcia Saldanha, Coelho Ana Maria, Sanpietri Sandra N, Nader Helena B, Tersariol Ivarne L S, Lima Marcelo A, Chaib Eleazar, D'Albuquerque Luiz Augusto Carneiro
Gastroenterology Department LIM 37, University of São Paulo Medical School.
Pharmacology Department of Federal University of São Paulo, São Paulo, SP, Brazil.
Arq Bras Cir Dig. 2018 Jun 21;31(1):e1352. doi: 10.1590/0102-672020180001e1352.
Intracellular calcium overload is known to be a precipitating factor of pancreatic cell injury in acute pancreatitis (AP). Intracellular calcium homeostasis depends of Plasmatic Membrane Calcium ATPase (PMCA), Sarcoplasmic Endothelial Reticulum Calcium ATPase 2 (SERCA 2) and the Sodium Calcium Exchanger (NCX1). The antioxidant melatonin (Mel) and Trisulfate Disaccharide (TD) that accelerates NCX1 action could reduce the cell damage determined by the AP.
To evaluate m-RNA expressions of SERCA2 and NCX1 in acute pancreatitis induced by sodium taurocholate in Wistar rats pre-treated with melatonin and/or TD.
Wistar rats were divided in groups: 1) without AP; 2) AP without pre-treatment; 3) AP and Melatonin; 4) AP and TD; 5) AP and Melatonin associated to TD. Pancreatic tissue samples were collected for detection of SERCA2 and NCX1 m-R NA levels by polymerase chain reaction (PCR).
Increased m-RNA expression of SERCA2 in the melatonin treated group, without increase of m-RNA expression of the NCX1. The TD did not affect levels of SERCA2 and NCX1 m-RNA expressions. The combined melatonin and TD treatment reduced the m-RNA expression of SERCA2.
The effect of melatonin is restricted to increased m-RNA expression of SERCA2. Although TD does not affect gene expression, its action in accelerating calcium exchanger function can explain the slightest expression of SERCA2 m-RNA when associated with Melatonin, perhaps by a joint action of drugs with different and but possibly complementary mechanisms.
细胞内钙超载是急性胰腺炎(AP)胰腺细胞损伤的一个促发因素。细胞内钙稳态依赖于质膜钙ATP酶(PMCA)、肌浆网/内质网钙ATP酶2(SERCA 2)和钠钙交换体(NCX1)。抗氧化剂褪黑素(Mel)和加速NCX1作用的三硫酸二糖(TD)可减轻AP所致的细胞损伤。
评估褪黑素和/或TD预处理的Wistar大鼠经牛磺胆酸钠诱导急性胰腺炎后SERCA2和NCX1的mRNA表达。
将Wistar大鼠分为几组:1)无AP组;2)未预处理的AP组;3)AP和褪黑素组;4)AP和TD组;5)AP、褪黑素与TD联合组。收集胰腺组织样本,通过聚合酶链反应(PCR)检测SERCA2和NCX1 mRNA水平。
褪黑素治疗组SERCA2的mRNA表达增加,而NCX1的mRNA表达未增加。TD不影响SERCA2和NCX1 mRNA的表达水平。褪黑素与TD联合治疗降低了SERCA2的mRNA表达。
褪黑素的作用仅限于增加SERCA2的mRNA表达。尽管TD不影响基因表达,但其加速钙交换功能的作用可以解释与褪黑素联合使用时SERCA2 mRNA表达略有下降的原因,这可能是由于药物通过不同但可能互补的机制共同作用的结果。