Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an Shaanxi, People's Republic of China.
Department of Immunology, Shaanxi University of Chinese Medicine, Xianyang Shaanxi, People's Republic of China.
Shock. 2019 Dec;52(6):e163-e172. doi: 10.1097/SHK.0000000000001310.
Sepsis, a life-threatening organ dysfunction due to a dysregulated response to infection, is a common complication of major surgery. Previous studies have shown that methane possesses protective properties. This study aims to investigate the protective effect of methane-rich saline (MRS) on sepsis-induced liver injury. In an in vivo experiment, C57BL/6 mice received cecal ligation and puncture to create a septic model followed by MRS treatment (10 mL/kg, ip treatment) 30 min and 12 h after the operation. We found that methane effectively decreased the serum aspartate aminotransferase, alanine aminotransferase and liver index, as well as the liver pathological damage, and reduced the localized infiltration of inflammatory cells. Methane suppressed the expression of the toll-like receptor 4/nuclear factor-kappa B (NF-κB) signaling pathway and stimulated the expression of peroxisome proliferator-activated receptor-γ (PPAR-γ) during sepsis, which inhibited the activation of NF-κB and decreased the level of inflammatory cytokines, such as tumor necrosis factor-α, interleukin-6, and interleukin-1β. Moreover, we found that MRS treatment relieved reactive oxygen species (ROS) damage by upregulating heme oxygenase-1, superoxide dismutase and glutathione, and downregulating malondialdehyde, which was consistent with the results of dihydroethidium fluorescent staining. MRS treatment also regulated apoptosis-related proteins, such as Bax, Bcl-2, and caspase-3. In the in vitro experiment, HepG2 cells received inflammatory stimulation induced by LPS followed by methane-rich medium (MRM) treatment. We found that MRM alleviated the inflammatory damage, ROS damage and regulated the expression of PPAR-γ/NF-κB. Our data indicated that methane treatment prevented liver damage in sepsis via anti-inflammatory, anti-oxidative, and anti-apoptotic properties that involved the PPAR-γ/ NF-κB signaling pathway.
脓毒症是一种由感染引起的失控反应导致的危及生命的器官功能障碍,是大手术的常见并发症。先前的研究表明,甲烷具有保护作用。本研究旨在探讨富含甲烷生理盐水(MRS)对脓毒症诱导的肝损伤的保护作用。在体内实验中,C57BL/6 小鼠接受盲肠结扎穿孔术(CLP)以建立脓毒症模型,然后在手术后 30 分钟和 12 小时给予 MRS 治疗(10mL/kg,腹腔注射)。我们发现,甲烷能有效降低血清天冬氨酸转氨酶、丙氨酸转氨酶和肝指数,以及减轻肝病理损伤和局部炎症细胞浸润。甲烷在脓毒症中抑制了 Toll 样受体 4/核因子-κB(NF-κB)信号通路的表达,刺激了过氧化物酶体增殖物激活受体-γ(PPAR-γ)的表达,抑制了 NF-κB 的激活,降低了肿瘤坏死因子-α、白细胞介素-6 和白细胞介素-1β等炎症细胞因子的水平。此外,我们发现 MRS 治疗通过上调血红素加氧酶-1、超氧化物歧化酶和谷胱甘肽,下调丙二醛,缓解了活性氧(ROS)损伤,这与二氢乙啶荧光染色的结果一致。MRS 治疗还调节了凋亡相关蛋白,如 Bax、Bcl-2 和 caspase-3。在体外实验中,HepG2 细胞接受脂多糖诱导的炎症刺激后,再用富含甲烷的培养基(MRM)处理。我们发现,MRM 减轻了炎症损伤、ROS 损伤,并调节了 PPAR-γ/NF-κB 的表达。我们的数据表明,甲烷通过抗炎、抗氧化和抗凋亡作用,通过 PPAR-γ/NF-κB 信号通路,预防脓毒症引起的肝损伤。