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乌司他丁对严重烧伤大鼠心肌氧化应激及炎症的影响。

Effects of Ulinastatin on myocardial oxidative stress and inflammation in severely burned rats.

机构信息

Department of Burn Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.

出版信息

Eur Rev Med Pharmacol Sci. 2018 Sep;22(17):5719-5728. doi: 10.26355/eurrev_201809_15840.

Abstract

OBJECTIVE

By constructing the severe burns model in rat, we explored the effects of different doses of Ulinastatin (UTI) on protecting myocardium from oxidative stress and inflammatory reaction.

MATERIALS AND METHODS

The severe burns model in rat was first constructed. Burned rats were intervened with different doses of UTI. Contents of cardiac troponin I (cTnI), Interleukin-1 (IL-1), Interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) in rat serum and heart homogenate were detected by enzyme-linked immunosorbent assay (ELISA). Activities of SOD (superoxide dismutase), CAT (catalase), GSH-Px (glutathione peroxidase), and MDA (malondialdehyde) were detected by commercial kits. The inflammation and pathological changes in rat heart were observed by HE (Hematoxylin-Eosin) staining. Protein expressions of Cox-2, iNOS, NF-κB, Nrf2, and HO-1 in rat myocardium were detected by Western blot.

RESULTS

Higher levels of cTnI, IL-1, IL-6, and TNF-α were found in model group than those of control group (p<0.05). Besides, decreased contents of cTnI, IL-1, IL-6, and TNF-α were observed in both UTI 50 ku/kg group and UTI 100 ku/kg group compared with those of model group (p<0.05). Decreased activities of SOD, CAT, and GSH-Px, as well as increased MDA level were observed in model group than those of control group (p<0.05). However, UTI treatment remarkably elevated SOD, CAT, and GSH-Px activities, whereas downregulated MDA level in burned rats (p<0.05). Abundant infiltration of inflammatory cells was found in the rat's myocardium of model group, which was alleviated in UTI group in a dose-dependent manner. Upregulated Cox-2, iNOS, and NF-κB, as well as downregulated Nrf2 and HO-1 were found in model group compared with those of control group (p<0.05). UTI pretreatment remarkably reversed the above-mentioned trends.

CONCLUSIONS

Ulinastatin alleviates myocardial injury induced by severe burns. It exerts a protective role in myocardium via inhibiting oxidative stress and inflammatory response.

摘要

目的

通过构建大鼠严重烧伤模型,探讨不同剂量尿胰蛋白酶抑制剂(UTI)对心肌氧化应激和炎症反应的保护作用。

材料与方法

首先构建大鼠严重烧伤模型,对烧伤大鼠进行不同剂量 UTI 干预,酶联免疫吸附试验(ELISA)检测大鼠血清和心肌匀浆中心肌肌钙蛋白 I(cTnI)、白细胞介素-1(IL-1)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)的含量,商业试剂盒检测超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、谷胱甘肽过氧化物酶(GSH-Px)和丙二醛(MDA)的活性,HE 染色观察大鼠心脏炎症和病理变化,Western blot 检测大鼠心肌中 Cox-2、iNOS、NF-κB、Nrf2 和 HO-1 的蛋白表达。

结果

模型组大鼠 cTnI、IL-1、IL-6 和 TNF-α 水平高于对照组(p<0.05),UTI 50 ku/kg 组和 UTI 100 ku/kg 组大鼠 cTnI、IL-1、IL-6 和 TNF-α 含量均低于模型组(p<0.05)。模型组大鼠 SOD、CAT 和 GSH-Px 活性降低,MDA 水平升高(p<0.05),UTI 治疗可显著提高烧伤大鼠 SOD、CAT 和 GSH-Px 活性,降低 MDA 水平(p<0.05)。模型组大鼠心肌内可见大量炎性细胞浸润,UTI 组呈剂量依赖性减轻。与对照组相比,模型组 Cox-2、iNOS 和 NF-κB 表达上调,Nrf2 和 HO-1 表达下调(p<0.05),UTI 预处理可显著逆转上述趋势。

结论

尿胰蛋白酶抑制剂减轻严重烧伤引起的心肌损伤,通过抑制氧化应激和炎症反应发挥心肌保护作用。

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