Emergency Hospital, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt.
Chemistry Department, College of Science, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi Arabia.
Oxid Med Cell Longev. 2018 Oct 14;2018:3509091. doi: 10.1155/2018/3509091. eCollection 2018.
The Toll-like receptor-4 (TLR4)/nuclear factor kappa B (NF-B) signaling pathway is vital in the pathogenesis of hepatic ischemia/reperfusion (HIR) injury. Dipeptidyl peptidase-4 (DPP4) inhibitors exert protective effects on IR injury of the kidney, heart, and lung; however, their effect on the liver is still unknown. Thus, the purpose of this study was to examine whether pretreatment with vildagliptin (Vilda), a DPP4 inhibitor, produces hepatic protection against IR injury and to investigate its influence on TLR4/NF-B signaling in a rat model. Thirty male Wistar rats were divided into 3 groups: the sham group: subjected to a sham operation and received normal saline; the HIR group: subjected to HIR and received normal saline; and the Vilda + HIR group: subjected to HIR with pretreatment of 10 mg/kg/day Vilda for 10 days intraperitoneally. Hepatic ischemia lasted for 45 minutes followed by 3-hour reperfusion; then blood and liver samples were collected for biochemical and histopathological examination. The HIR group produced a significant increase in serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), hepatic malondialdehyde (MDA), nitric oxide (NO), and tumor necrosis factor alpha (TNF-) levels and a significant reduction in the hepatic catalase level in comparison to the sham group. Moreover, a significant upregulation of gene and protein expressions of TLR4, NF-B, and high-mobility group box-1 (HMGB1) along with caspase-3 protein expression was observed in the HIR group when compared with the sham group. Histopathological examination of the liver from the HIR group showed necrosis, sinusoidal congestion, hemorrhage, and hepatocyte degeneration. Administration of Vilda ameliorated the biochemical and histopathological changes caused by HIR. Vildagliptin showed for the first time a hepatoprotective effect in HIR injury through downregulation of TLR4/NF-B/HMGB1 and caspase-3 hepatic expressions.
Toll 样受体 4(TLR4)/核因子 κB(NF-κB)信号通路在肝缺血/再灌注(HIR)损伤的发病机制中至关重要。二肽基肽酶-4(DPP4)抑制剂对肾、心和肺的 IR 损伤具有保护作用;然而,其对肝脏的影响尚不清楚。因此,本研究旨在探讨 DPP4 抑制剂维达格列汀(Vilda)预处理是否对 HIR 损伤产生肝保护作用,并研究其在大鼠模型中对 TLR4/NF-κB 信号通路的影响。30 只雄性 Wistar 大鼠分为 3 组:假手术组:接受假手术并给予生理盐水;HIR 组:接受 HIR 并给予生理盐水;Vilda+HIR 组:接受 HIR 并在术前 10 天每天腹腔内给予 10mg/kg Vilda。肝缺血持续 45 分钟,然后再灌注 3 小时;然后采集血液和肝组织样本进行生化和组织病理学检查。与假手术组相比,HIR 组血清丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、肝丙二醛(MDA)、一氧化氮(NO)和肿瘤坏死因子-α(TNF-α)水平显著升高,肝过氧化氢酶水平显著降低。此外,与假手术组相比,HIR 组 TLR4、NF-κB 和高迁移率族蛋白 1(HMGB1)基因和蛋白表达显著上调,同时 caspase-3 蛋白表达也显著上调。HIR 组肝组织的组织病理学检查显示坏死、窦状隙充血、出血和肝细胞变性。给予 Vilda 可改善 HIR 引起的生化和组织病理学变化。维达格列汀通过下调 TLR4/NF-κB/HMGB1 和 caspase-3 的肝表达,首次显示出对 HIR 损伤的肝保护作用。