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汉防己甲素通过保护糖萼损伤和抑制炎症反应缓解脂多糖诱导的急性肾损伤。

Phillyrin Relieves Lipopolysaccharide-Induced AKI by Protecting Against Glycocalyx Damage and Inhibiting Inflammatory Responses.

机构信息

Department of Respirator Medicine and Intensive Care Unit, Affiliated Hospital of Binzhou Medical University, Binzhou, China.

Department of Cell Biology, Binzhou Medical University, Yantai, China.

出版信息

Inflammation. 2020 Apr;43(2):540-551. doi: 10.1007/s10753-019-01136-5.

Abstract

Damage to the integrity of heparin sulfate (HS) in the endothelial glycocalyx is an important factor of glomerular filtration barrier dysfunction, which is the basic pathological feature of acute kidney injury (AKI). AKI is a common clinical critical illness with few drugs options offering effective treatment. Phillyrin (Phil), the main pharmacological component of Forsythia suspensa, possesses a wide range of pharmacological activities. However, the effects of Phil on lipopolysaccharide (LPS)-induced AKI have yet to be reported. The aim of the present study is to analyze the effects of Phil on HS damage and inflammatory signaling pathways in LPS-induced AKI. Results revealed that Phil reduces pathological changes and improves renal function in LPS-induced AKI. Further analysis indicated that Phil effectively protects against glycocalyx HS degradation in LPS-stimulated EA.hy926 cells in vitro and LPS-induced AKI mice in vivo. The protective effect of Phil on HS damage may be associated with the isolate's ability to suppress the production of reactive oxygen species, and decrease expression levels of cathepsin L and heparanase in vitro and in vivo. In addition, ELISA and Western blot results revealed that Phil inhibits the activation of the NF-κB and MAPK signaling pathways and decreases the levels of inflammatory cytokines (IL-1β, IL-6, and TNF-α) in LPS-induced ARDS mice. In general, protection against endothelial glycocalyx HS damage and inhibition of inflammatory responses by Phil may be used as treatment targets for LPS-induced AKI.

摘要

肝素硫酸(HS)在内皮糖萼完整性的损伤是肾小球滤过屏障功能障碍的一个重要因素,这是急性肾损伤(AKI)的基本病理特征。AKI 是一种常见的临床危重症,很少有药物选择提供有效的治疗方法。连翘酚(Phil)是连翘的主要药理成分,具有广泛的药理活性。然而,Phil 对脂多糖(LPS)诱导的 AKI 的影响尚未见报道。本研究旨在分析 Phil 对 LPS 诱导的 AKI 中 HS 损伤和炎症信号通路的影响。结果表明,Phil 可减轻 LPS 诱导的 AKI 中的病理变化,改善肾功能。进一步分析表明,Phil 可有效防止 LPS 刺激的 EA.hy926 细胞和 LPS 诱导的 AKI 小鼠体内糖萼 HS 降解。Phil 对 HS 损伤的保护作用可能与其抑制活性氧产生的能力有关,并且可降低体外和体内组织 cathepsin L 和 heparanase 的表达水平。此外,ELISA 和 Western blot 结果表明,Phil 可抑制 NF-κB 和 MAPK 信号通路的激活,并降低 LPS 诱导的 ARDS 小鼠中炎症细胞因子(IL-1β、IL-6 和 TNF-α)的水平。总之,Phil 对内皮糖萼 HS 损伤的保护作用和抑制炎症反应可能可作为 LPS 诱导的 AKI 的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae7/7095384/deb1ae7f03c5/10753_2019_1136_Fig1_HTML.jpg

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