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[轻度低温对脓毒症小鼠白细胞介素-3表达的影响]

[The effect of mild hypothermia on interleukin-3 expression in septic mice].

作者信息

Li Xiaorong, Jiang Liangyan, Lai Jie, Tang Zhanhong, Hu Juntao

机构信息

Department of Critical Care Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China. Corresponding author: Hu Juntao, Email:

出版信息

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2020 Dec;32(12):1461-1466. doi: 10.3760/cma.j.cn121430-20200820-00586.

Abstract

OBJECTIVE

To investigate whether or not mild hypothermia can inhibit the expression and release of interleukin-3 (IL-3) in septic mice and whether it has a protective effect on septic mice.

METHODS

According to random number table method, 120 male C57BL/6 mice were divided into sham operation group (Sham group), sepsis normal temperature group (NT group) and sepsis mild hypothermia group (HT group), with 40 mice in each group. The acute septic mice model was established by cecal ligation and puncture (CLP) method. In the HT group, body temperature decreased to 32-34 centigrade at 1 hour after CLP and was maintained for 8 hours, followed by rewarming slowly to 36-38 centigrade. In the NT group, mice were resuscitated after CLP and body temperature was maintained at 36-38 centigrade throughout the experimental periods, while in Sham group, the cecum was not ligated or punctured and resuscitated routinely. The average arterial pressure (MAP) of 20 mice in each group was monitored for 12 hours after CLP, and the survival time was observed for 4 days. The serum of remaining mice was collected at 12 hours after CLP, and the mice were killed for organ tissues. The serum levels of IL-3, interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) were determined by enzyme linked immunosorbent assay (ELISA). Western blotting was used to detect IL-3 protein expression in spleen and lung tissues. The pathological changes of lung and liver tissues were observed under microscope and the semi-quantitative scoring was performed.

RESULTS

MAP of NT group and HT group decreased after CLP with the prolongation of time. MAP (mmHg, 1 mmHg = 0.133 kPa) of HT group at 10 hours and 12 hours after CLP were significantly higher than those of NT group (10 hours: 74.4±12.4 vs. 62.9±7.2, 12 hours: 68.4±3.7 vs. 57.5±9.6, both P < 0.01). Compared with Sham group, serum levels of IL-3, IL-6 and TNF-α in NT group and HT group were significantly increased at 12 hours after CLP [IL-3 (ng/L): 2.21±0.87, 0.18±0.04 vs. 0, IL-6 (ng/L): 51.22±18.65, 24.68±6.20 vs. 1.36±0.34, TNF-α (ng/L): 101.43±38.60, 72.15±25.12 vs. 14.49±5.17, all P < 0.01]. IL-3 protein expressions of spleen and lung tissues in NT group and HT group were significantly increased compared to those in Sham group (IL-3/β-actin: spleen tissue 0.200±0.039, 0.135±0.023 vs. 0.090±0.023, lung tissue 0.085±0.009, 0.056±0.009 vs. 0.039±0.005, all P < 0.01). The serum levels of IL-3, IL-6 and TNF-α were significantly lower in HT group than those in the NT group [IL-3 (ng/L): 0.18±0.04 vs. 2.21±0.87, IL-6 (ng/L): 24.68±6.20 vs. 51.22±18.65, TNF-α (ng/L): 72.15±25.12 vs. 101.43±38.60, all P < 0.01]. The expressions of IL-3 protein in HT group were significantly lower than those in NT group (IL-3/β-actin: spleen tissue 0.135±0.023 vs. 0.200±0.039, lung tissue 0.056±0.009 vs. 0.085±0.009, both P < 0.01). The lung tissue injury and liver tissue injury scores in HT group were significantly lower than those in NT group (lung tissue injury score: 4.00±1.41 vs. 6.67±2.16, P = 0.03, liver tissue injury score: 3.83±1.47 vs. 7.17±2.14, P = 0.01). Compared to NT group, the 4-day survival rate of HT group was significantly improved (50% vs. 30%, P < 0.01).

CONCLUSIONS

Mild hypothermia can significantly inhibit the expression and release of IL-3 in septic mice, attenuate organ injury, and protecte septic mice.

摘要

目的

探讨轻度低温是否能抑制脓毒症小鼠白细胞介素-3(IL-3)的表达和释放,以及对脓毒症小鼠是否具有保护作用。

方法

采用随机数字表法,将120只雄性C57BL/6小鼠分为假手术组(Sham组)、脓毒症常温组(NT组)和脓毒症轻度低温组(HT组),每组40只。采用盲肠结扎穿孔(CLP)法建立急性脓毒症小鼠模型。HT组在CLP术后1小时将体温降至3234℃,维持8小时,随后缓慢复温至3638℃。NT组在CLP术后进行复苏,整个实验期间体温维持在36~38℃,而Sham组不结扎或穿刺盲肠,常规复苏。CLP术后对每组20只小鼠监测12小时平均动脉压(MAP),观察4天生存时间。CLP术后12小时收集其余小鼠血清,处死小鼠取器官组织。采用酶联免疫吸附测定(ELISA)法测定血清中IL-3、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平。采用蛋白质印迹法检测脾脏和肺组织中IL-3蛋白表达。在显微镜下观察肺和肝组织的病理变化并进行半定量评分。

结果

CLP术后,NT组和HT组的MAP随时间延长而下降。CLP术后10小时和12小时HT组的MAP(mmHg,1 mmHg = 0.133 kPa)显著高于NT组(10小时:74.4±12.4比62.9±7.2,12小时:68.4±3.7比57.5±9.6,均P < 0.01)。与Sham组相比,CLP术后12小时NT组和HT组血清中IL-3、IL-6和TNF-α水平显著升高[IL-3(ng/L):2.21±0.87,0.18±0.04比0,IL-6(ng/L):51.22±18.65,24.68±6.20比1.36±0.34,TNF-α(ng/L):101.43±38.60,72.15±25.12比14.49±5.17,均P < 0.01]。与Sham组相比,NT组和HT组脾脏和肺组织中IL-3蛋白表达显著增加(IL-3/β-肌动蛋白:脾脏组织0.200±0.039,0.135±0.023比0.090±0.023,肺组织0.085±0.009,0.056±0.009比0.039±0.005,均P < 0.01)。HT组血清中IL-3、IL-6和TNF-α水平显著低于NT组[IL-3(ng/L):0.18±0.04比2.21±0.87,IL-6(ng/L):24.68±6.20比51.22±18.65,TNF-α(ng/L):72.15±25.12比101.43±38.60,均P < 0.01]。HT组IL-3蛋白表达显著低于NT组(IL-3/β-肌动蛋白:脾脏组织0.135±0.023比0.200±0.039,肺组织0.056±0.009比0.085±0.009,均P < 0.01)。HT组肺组织损伤和肝组织损伤评分显著低于NT组(肺组织损伤评分:4.00±1.41比6.67±2.16,P = 0.03,肝组织损伤评分:3.83±1.47比7.17±2.14,P = 0.01)。与NT组相比,HT组4天生存率显著提高(50%比30%,P < 0.01)。

结论

轻度低温可显著抑制脓毒症小鼠IL-3的表达和释放,减轻器官损伤,对脓毒症小鼠具有保护作用。

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