School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan.
Nutrition Research Center, Taipei Medical University Hospital, Taipei 11031, Taiwan.
Nutrients. 2020 Apr 10;12(4):1047. doi: 10.3390/nu12041047.
This study investigated the effects of a single dose of arginine (Arg) administration at the beginning of sepsis on CD4 T-cell regulation and liver inflammation in C57BL/6J mice. Mice were divided into normal control (NC), sham (SH), sepsis saline (SS), and sepsis Arg (SA) groups. An inducible nitric oxide (NO) synthase (iNOS) inhibitor was administered to additional sepsis groups to evaluate the role of NO during sepsis. Sepsis was induced using cecal ligation and puncture (CLP). The SS and SA groups received saline or Arg (300 mg/kg body weight) via tail vein 1 h after CLP. Mice were euthanized at 12 and 24 h post-CLP. Blood, para-aortic lymph nodes, and liver tissues were collected for further measurement. The findings showed that sepsis resulted in decreases in blood and para-aortic lymph node CD4 T-cell percentages, whereas percentages of interleukin (IL)-4- and IL-17-expressing CD4 T cells were upregulated. Compared to the SS group, Arg administration resulted in maintained circulating and para-aortic lymph node CD4 T cells, an increased Th1/Th2 ratio, and a reduced Th17/Treg ratio post-CLP. In addition, levels of plasma liver injury markers and expression of inflammatory genes in liver decreased. These results suggest that a single dose of Arg administered after CLP increased Arg availability, sustained CD4 T-cell populations, elicited more-balanced Th1/Th2/Th17/Treg polarization in the circulation and the para-aortic lymph nodes, and attenuated liver inflammation in sepsis. The favorable effects of Arg were abrogated when an iNOS inhibitor was administered, which indicated that NO may be participated in regulating the homeostasis of Th/Treg cells and subsequent liver inflammation during sepsis.
本研究旨在探讨脓毒症早期给予精氨酸(Arg)单剂量治疗对 C57BL/6J 小鼠 CD4 T 细胞调节和肝脏炎症的影响。将小鼠分为正常对照组(NC)、假手术组(SH)、脓毒症盐水组(SS)和脓毒症精氨酸组(SA)。另外,还向脓毒症组给予诱导型一氧化氮合酶(iNOS)抑制剂,以评估 NO 在脓毒症中的作用。通过盲肠结扎穿孔术(CLP)诱导脓毒症。SS 和 SA 组在 CLP 后 1 小时通过尾静脉给予盐水或 Arg(300mg/kg 体重)。在 CLP 后 12 和 24 小时处死小鼠。采集血液、腹主动脉旁淋巴结和肝组织进行进一步测量。结果表明,脓毒症导致血液和腹主动脉旁淋巴结 CD4 T 细胞百分比下降,而白细胞介素(IL)-4 和 IL-17 表达的 CD4 T 细胞百分比上调。与 SS 组相比,Arg 给药后可维持循环和腹主动脉旁淋巴结 CD4 T 细胞,增加 Th1/Th2 比值,并降低 Th17/Treg 比值。此外,血浆肝损伤标志物水平和肝内炎症基因表达降低。这些结果表明,CLP 后给予单次 Arg 剂量可增加 Arg 的可用性,维持 CD4 T 细胞群,在循环和腹主动脉旁淋巴结中引发更平衡的 Th1/Th2/Th17/Treg 极化,并减轻脓毒症中的肝脏炎症。当给予 iNOS 抑制剂时,Arg 的有利作用被阻断,表明 NO 可能参与调节 Th/Treg 细胞的内稳态以及脓毒症期间的后续肝脏炎症。