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脓毒症的短期影响及衰老对不同脑区转录谱的影响。

Short-Term Effects of Sepsis and the Impact of Aging on the Transcriptional Profile of Different Brain Regions.

机构信息

Departamento de Emergências Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Hospital Israelita Albert Einstein, Instituto Israelita de Ensino e Pesquisa, São Paulo, Brazil.

出版信息

Inflammation. 2019 Jun;42(3):1023-1031. doi: 10.1007/s10753-019-00964-9.

Abstract

Among the clinical manifestations observed in septic patients, sepsis-associated encephalopathy (SAE) is probably the most obscure and poorly explored. It is well established, however, that SAE is more prevalent in aged individuals and related to a worse outcome. In this context, we decided to investigate the acute effects of sepsis, induced by cecal ligation and puncture (CLP), on the cerebral transcriptional profile of young and old rats. The idea was to highlight important signaling pathways possibly implicated in the early stages of SAE. Global gene expression analysis of three different brain regions (hippocampus, cerebellum, and cortex) indicated a relatively small interference of sepsis at the transcriptional level. Cerebellum tissue was the least affected by sepsis in aged rats. The increased expression of S100a8, Upp1, and Mt2a in all three brain regions of young septic rats indicate that these genes may be involved in the first line of response to sepsis in the younger brain. On the other hand, altered expression of a network of genes involved in sensory perception of smell in the cortex of aged rats, but not in young ones, indicates an earlier disruption of cortex function, possibly more sensitive to the systemic inflammation. The expression of S100a8 at the protein level was confirmed in all brain regions, with clear-up regulation in septic aged cortex. Taken together, our results indicate that the transcriptional response of the central nervous system to early sepsis varies between distinct brain regions and that the cortex is affected earlier in aged animals, in line with early neurological manifestations observed in older patients.

摘要

在脓毒症患者的临床表现中,脓毒症相关性脑病(SAE)可能是最模糊和研究最少的。然而,已经确定 SAE 在老年人中更为普遍,并与更差的预后相关。在这种情况下,我们决定研究由盲肠结扎和穿刺(CLP)引起的脓毒症对年轻和老年大鼠大脑转录谱的急性影响。我们的想法是突出可能与 SAE 早期阶段有关的重要信号通路。对三个不同脑区(海马体、小脑和皮层)的全基因表达分析表明,脓毒症在转录水平上的干扰相对较小。在老年大鼠中,小脑组织受脓毒症的影响最小。年轻脓毒症大鼠所有三个脑区中 S100a8、Upp1 和 Mt2a 的表达增加表明这些基因可能参与年轻大脑对脓毒症的一线反应。另一方面,在老年大鼠皮层中,参与嗅觉感觉感知的基因网络的表达发生改变,而在年轻大鼠中则没有,这表明皮层功能更早受到干扰,可能对全身炎症更为敏感。S100a8 的蛋白水平表达在所有脑区均得到证实,脓毒症老年皮层中的表达下调。总之,我们的研究结果表明,中枢神经系统对早期脓毒症的转录反应在不同脑区之间存在差异,并且在老年动物中皮层更早受到影响,与在老年患者中观察到的早期神经表现一致。

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