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替西罗莫司对鼠重症急性胰腺炎相关急性肺损伤炎症反应的影响。

Effects of Tec Tyrosine Kinase Inhibition on the Inflammatory Response of Severe Acute Pancreatitis-Associated Acute Lung Injury in Mice.

机构信息

Department of Gastroenterology, Qilu Hospital, Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong Province, China.

出版信息

Dig Dis Sci. 2019 Aug;64(8):2167-2176. doi: 10.1007/s10620-019-05524-7. Epub 2019 Feb 14.

Abstract

BACKGROUND

The Tec kinase family is involved in acute and chronic inflammatory diseases, but its relationship with severe acute pancreatitis (SAP) remains unclear.

AIMS

To investigate whether Tec tyrosine kinase can be used as a target for severe acute pancreatitis-associated acute lung injury (PALI).

METHODS

A total of 90 mice were randomly assigned into four groups: SAP (n = 15), control (n = 15), SAP + α-cyano-β-hydroxy-β-methyl-N-(2,5-dibromophenyl)propenamide (LFM-A13) (pretreated with Tec kinase inhibitor LFM-A13, n = 15), and SAP + Tec siRNA (pretreated with PBS/negative control siRNA/Tec siRNA, n = 45). SAP was induced by caerulein and lipopolysaccharide. Animals were sacrificed at 0, 3, 24, 48, and 72 h, respectively. Pathological changes and scores of the lung and pancreas were determined using hematoxylin-eosin staining. Expression of Tec and phosphorylated Tec (p-Tec) were examined by real-time polymerase chain reaction, Western blot, and immunoprecipitation. Serum levels of amylase, myeloperoxidase, and pro-inflammatory cytokines were measured by ELISA.

RESULTS

The expression of Tec in lung tissue was significantly higher in the SAP group than in the control group (p < 0.05), and p-Tec expression gradually increased with time. Furthermore, p-Tec expression was significantly lower in the SAP + LFM-A13 group than in the SAP group (p < 0.05); however, Tec expression did not vary. Tec inhibitors, LFM-A13 and Tec siRNA, alleviated pathological damage and release of inflammatory cytokines (p < 0.05).

CONCLUSIONS

Tec tyrosine kinase plays a key role in PALI, and is therefore a potential target for clinical treatment.

摘要

背景

Tec 激酶家族参与急性和慢性炎症性疾病,但它与重症急性胰腺炎(SAP)的关系尚不清楚。

目的

研究 Tec 酪氨酸激酶是否可作为重症急性胰腺炎相关急性肺损伤(PALI)的靶点。

方法

将 90 只小鼠随机分为 4 组:SAP 组(n=15)、对照组(n=15)、SAP+α-氰基-β-羟基-β-甲基-N-(2,5-二溴苯基)丙烯酰胺(LFM-A13)预处理组(Tec 激酶抑制剂 LFM-A13 预处理,n=15)和 SAP+Tec siRNA 预处理组(PBS/阴性对照 siRNA/Tec siRNA 预处理,n=45)。采用胆酸钠和脂多糖诱导 SAP。分别于 0、3、24、48 和 72 h 处死动物。采用苏木精-伊红染色法观察肺和胰腺的病理变化和评分。采用实时聚合酶链反应、Western blot 和免疫沉淀法检测 Tec 和磷酸化 Tec(p-Tec)的表达。采用 ELISA 法检测血清淀粉酶、髓过氧化物酶和促炎细胞因子水平。

结果

SAP 组肺组织 Tec 表达明显高于对照组(p<0.05),p-Tec 表达随时间逐渐升高。此外,SAP+LFM-A13 组 p-Tec 表达明显低于 SAP 组(p<0.05);然而,Tec 表达没有变化。Tec 抑制剂 LFM-A13 和 Tec siRNA 减轻了病理损伤和炎症细胞因子的释放(p<0.05)。

结论

Tec 酪氨酸激酶在 PALI 中起关键作用,因此是临床治疗的潜在靶点。

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