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蛇毒诱导炎症反应,部分依赖于脂质介质。

Snake Venom Induces an Inflammatory Response Which Is Partially Dependent on Lipid Mediators.

机构信息

Immunochemistry Laboratory, Butantan Institute, São Paulo 05503-900, Brazil.

出版信息

Toxins (Basel). 2020 Sep 14;12(9):594. doi: 10.3390/toxins12090594.

Abstract

is a snake of medical importance, as it is responsible for more accidents in humans and domestic animals than all other African snakes put together. The accidents are characterized by local and systemic alterations, such as inflammation, cardiovascular and hemostatic disturbances, which can lead victims to death or permanent disability. However, little is known about the envenomation mechanism, especially regarding the inflammatory response, which is related to severe clinical conditions triggered by the venom. Therefore, the aim of the present study was to evaluate the inflammatory response related to the envenomation using a peritonitis mice model. By pharmacological interventions and use of mice genetically deficient of the 5-lipoxygenase enzyme (5-LO) or platelet-activating factor (PAF) receptor (PAFR the participation of eicosanoids and PAF in this response was also investigated. The obtained results demonstrated that the venom induces an in vivo inflammatory response, characterized by an early increased vascular permeability, followed by an accumulation of polymorphonuclear (PMN) cells in the peritoneal cavity, accompanied by the production of the eicosanoids LTB, LTC, TXB and PGE, as well as the local and systemic production of IL-6 and MCP-1. These inflammatory events were attenuated by the pre-treatment with anti-inflammatory drugs that interfere in lipid mediators' functions. However, 5-LO mice did not show a reduction of inflammatory response induced by the venom, while PAFR mice showed a reduction in both the PMN leukocytes number and the local and systemic production of IL-6 and MCP-1. This study demonstrated that the venom contains toxins that trigger an inflammatory process, which is partially dependent on lipid mediators, and may contribute to the envenomation pathology.

摘要

是一种具有医学重要性的蛇,因为它在人类和家畜中的事故发生率比所有其他非洲蛇加起来还要高。这些事故的特点是局部和全身的改变,如炎症、心血管和止血紊乱,这可能导致受害者死亡或永久残疾。然而,对于中毒机制,特别是与毒液引起的严重临床状况相关的炎症反应,人们知之甚少。因此,本研究旨在使用腹膜炎小鼠模型评估与中毒相关的炎症反应。通过药理学干预和使用 5-脂氧合酶(5-LO)或血小板激活因子(PAF)受体(PAFR)基因缺失的小鼠,研究了花生四烯酸代谢物和 PAF 在这种反应中的参与。获得的结果表明,毒液诱导体内炎症反应,表现为早期血管通透性增加,随后多形核(PMN)细胞在腹膜腔中积聚,并伴有花生四烯酸代谢物 LTB、LTC、TXB 和 PGE 的产生,以及局部和全身产生的 IL-6 和 MCP-1。这些炎症事件通过预先用干扰脂质介质功能的抗炎药物处理而减轻。然而,5-LO 小鼠的炎症反应并没有因毒液而减少,而 PAFR 小鼠的 PMN 白细胞数量以及局部和全身产生的 IL-6 和 MCP-1 均减少。本研究表明,毒液中含有触发炎症过程的毒素,该过程部分依赖于脂质介质,可能导致中毒病理学。

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