Department of Pediatric Emergency Medicine and Critical Care Medicine, Children's Hospital of Fudan University, Shanghai, China.
Department of Child and Family Research Institute, the BC Children'sHospital, Vancouver, BC,Canada.
Mitochondrion. 2019 Nov;49:89-96. doi: 10.1016/j.mito.2018.11.008. Epub 2019 Jul 26.
To characterize the mitochondrial respiratory chain complex IV(complex IV) activity and protein expression during polymicrobial sepsis.
Polymicrobial peritonitis, a clinically relevant mouse model of sepsis, was generated by cecum ligation and puncture (CLP) in Sprague- Dawley rats. The rats were randomly divided into 3 groups as follows: the sepsis without resuscitation (S), sepsis and fluid resuscitated (R) group, and a control (C) group. Twelve hours after the sepsis model was established, tissue specimens were obtained from the myocardium, liver and skeletal muscle. Mitochondrial respiratory chain complex IV activity of all tissue specimens was detected by spectrophotometry. Western blot was used to measure the liver mitochondrial respiratory chain complex IV protein content. The ultrastructure changes of mitochondria were detected by transmission electron microscopy.
In myocardial cells, complex IV activity decreased significantly in the S and R groups as compared to the C group. There were no differences in complex IV activity between groups in skeletal muscle cells while in liver cells, complex IV activity and content was significantly decreased for the S group but no differences were observed between the C and R groups. Increased matrix volume and reduced density with generalized disruption of the normal cristae pattern was most extensive in the liver, followed by cardiac muscle cells with that in skeletal muscle cells been relatively mild in the S group. Mitochondrial fusion/fission and mitochondrial autophagy was also observed in the S group by transmission electron microscopy. Mitochondrial ultrastructure was preserved in the R-group and was similar to that seen in the C-group.
Changes in complex IV activity and mitochondrial ultrastructure, a manifestation of the mitochondrial dysfunction varied depending on cell type. These changes are partly reversed by fluid therapy. Therapies aimed at mitochondrial resuscitation should be explored.
研究多微生物脓毒症时线粒体呼吸链复合物 IV(复合物 IV)活性和蛋白表达的特征。
采用盲肠结扎穿刺术(CLP)建立多微生物腹膜炎,即脓毒症的一种临床相关的小鼠模型。将大鼠随机分为 3 组:未复苏的脓毒症组(S 组)、脓毒症和液体复苏组(R 组)和对照组(C 组)。在建立脓毒症模型 12 小时后,从心肌、肝脏和骨骼肌获取组织标本。通过分光光度法检测所有组织标本的线粒体呼吸链复合物 IV 活性。使用 Western blot 测量肝线粒体呼吸链复合物 IV 蛋白含量。通过透射电子显微镜检测线粒体的超微结构变化。
在心肌细胞中,与 C 组相比,S 组和 R 组复合物 IV 活性显著降低。在骨骼肌细胞中,复合物 IV 活性在各组之间没有差异,而在肝细胞中,S 组复合物 IV 活性和含量显著降低,但 C 组和 R 组之间没有差异。基质体积增加,正常嵴图案普遍破坏导致密度降低,在肝脏中最为广泛,其次是心肌细胞,在 S 组中骨骼肌细胞相对较轻。透射电镜还观察到 S 组的线粒体融合/裂变和线粒体自噬。R 组保留了线粒体的超微结构,与 C 组相似。
复合物 IV 活性和线粒体超微结构的变化,表现为线粒体功能障碍,因细胞类型而异。这些变化部分通过液体治疗得到逆转。应探索针对线粒体复苏的治疗方法。