Bai H L, Duan H J, Chen C, Liu L Y, Wu Y S, Han S F, Wang X T
The Second Clinical Medical College of Shanxi Medical University, Taiyuan 030001, China.
Department of Burns and Plastic Surgery, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China.
Zhonghua Shao Shang Za Zhi. 2021 Mar 20;37(3):271-278. doi: 10.3760/cma.j.cn501120-20200120-00030.
To observe the functional changes of skeletal muscle in severely burned rats, and to investigate the effects and possible mechanisms of Janus kinase/signal transducer and activator of transcription 3 (JAK/STAT3) pathway inhibitor in skeletal muscle function. The experiment research method was applied. One hundred and twenty male Wistar rats of 8-week-old were divided into sham injury group, simple burn group, and burn+JAK/STAT3 inhibitor group according to the random number table, with 40 rats in each group. Rats in simple burn group and burn+JAK/STAT3 inhibitor group were inflicted with 50% total body surface area full-thickness scald on the back and abdomen, and rats in sham injury group were sham injured. Rats in burn+JAK/STAT3 inhibitor group were intraperitoneally injected with JAK/STAT3 inhibitor ruxolitinib. On post injury day (PID) 0 (immediately), 1, 4, 7, and 14, 8 rats in each group were used to measure the specific force generated by extensor digitorum longus in optimal length stimulated with pulse frequency of 20, 40, 60, 80, 100, 120, 140, and 160 Hz using a multichannel electrophysiological instrument, and specific force in fatigue period of extensor digitorum longus in optimal length stimulated with pulse frequency of 50 Hz for 0, 10, 20, 30, 60, 120, 180, 240, and 300 s. On PID 0, 1, 4, 7, and 14, carbonyl compound content of extensor digitorum longus was determined by ultraviolet spectrophotometry, and ATP content of extensor digitorum longus was determined by micrometry. Data were statistically analyzed with analysis of variance for repeated measurement, analysis of variance for factorial design, Bonferroni method, and test. Compared with those of sham injury group, specific forces of extensor digitorum longus of rats in simple burn group were significantly decreased after being stimulated with all the pulse frequency on PID 0, 1, 7, and all the pulse frequency except for 20 Hz on PID 4, and pulse frequency of 20 and 40 Hz on PID 14 (<0.05 or <0.01). Compared with those of simple burn group, specific forces of extensor digitorum longus of rats in burn+JAK/STAT3 inhibitor group were significantly increased after being stimulated with all the pulse frequency except for 20 Hz on PID 1 and all the pulse frequency on PID 4, 7, and 14 (<0.05 or <0.01). Compared with those of sham injury group, specific forces of extensor digitorum longus of rats in simple burn group were significantly decreased in fatigue period at all the time points post injury and stimulation time points except for 240 s on PID 7 (<0.05 or <0.01). Compared with those of simple burn group, specific forces of extensor digitorum longus of rats in burn+JAK/STAT3 inhibitor group were obviously increased in fatigue period at all the stimulation time points except for 60 and 300 s on PID 1 and 240 s on PID 4, and all the stimulation time points on PID 7 and 14 (<0.05 or <0.01). The carbonyl compound content of extensor digitorum longus of rats in simple burn group on PID 0, 1, 4, 7, and 14 was (0.651±0.155), (0.739±0.194), (0.618±0.086), (0.813±0.162), (0.615±0.115) nmol/mg, which were obviously higher than (0.196±0.019), (0.156±0.004), (0.169±0.023) (0.156±0.027), (0.175±0.008) nmol/mg in sham injury group (=7.219, 6.491, 10.938, 9.182, 11.589, <0.01) and (0.538±0.069), (0.369±0.059), (0.273±0.061), (0.334±0.109), (0.318±0.101) nmol/mg in burn+JAK/STAT3 inhibitor group (=2.446, 4.689, 8.355, 5.754, 6.097, <0.05 or <0.01). The ATP content in extensor digitorum longus of rats in simple burn group on PID 1, 4, 7, and 14 was obviously lower than that in sham injury group (=7.159, 7.591, 7.473, 4.026, <0.01) and burn+JAK/STAT3 inhibitor group (=2.295, 2.575, 2.453, 2.997, <0.05). After severe burn, the specific force of extensor digitorum longus in rats decreased significantly after being stimulated with different pulse frequencies, and the extensor digitorum longus in rats was prone to fatigue. Blocking the JAK/STAT3 signaling pathway can reduce the oxidative stress of muscle protein and increase ATP content, thereby reducing the muscle strength decline caused by burn injury and improving the muscle strength decline during fatigue period.
观察重度烧伤大鼠骨骼肌的功能变化,探讨Janus激酶/信号转导及转录激活因子3(JAK/STAT3)通路抑制剂对骨骼肌功能的影响及可能机制。采用实验研究方法。将120只8周龄雄性Wistar大鼠按随机数字表分为假伤组、单纯烧伤组和烧伤+JAK/STAT3抑制剂组,每组40只。单纯烧伤组和烧伤+JAK/STAT3抑制剂组大鼠背部和腹部给予50%体表面积的Ⅲ度烫伤,假伤组大鼠进行假伤处理。烧伤+JAK/STAT3抑制剂组大鼠腹腔注射JAK/STAT3抑制剂鲁索替尼。于伤后0天(即刻)、1天、4天、7天和14天,每组取8只大鼠,用多通道电生理仪测定在20、40、60、80、100、120、140和160Hz脉冲频率刺激下,趾长伸肌在最佳长度时产生的比力,以及在50Hz脉冲频率刺激下,趾长伸肌在最佳长度时疲劳期的比力,刺激时间分别为0、10、20、30、60、120、180、240和300s。于伤后0天、1天、4天、7天和14天,用紫外分光光度法测定趾长伸肌的羰基化合物含量,用微量法测定趾长伸肌的ATP含量。数据采用重复测量方差分析、析因设计方差分析、Bonferroni法和t检验进行统计学分析。与假伤组相比,单纯烧伤组大鼠在伤后0天、1天、7天所有脉冲频率刺激下,以及伤后4天除20Hz外的所有脉冲频率刺激下,趾长伸肌的比力均显著降低,伤后14天20Hz和40Hz脉冲频率刺激下比力也显著降低(P<0.05或P<0.01)。与单纯烧伤组相比,烧伤+JAK/STAT3抑制剂组大鼠在伤后1天除20Hz外的所有脉冲频率刺激下,以及伤后4天、7天和14天所有脉冲频率刺激下,趾长伸肌的比力均显著升高(P<0.05或P<0.01)。与假伤组相比,单纯烧伤组大鼠在伤后各时间点及刺激时间点(伤后7天240s除外)的疲劳期,趾长伸肌的比力均显著降低(P<0.05或P<0.01)。与单纯烧伤组相比,烧伤+JAK/STAT3抑制剂组大鼠在伤后1天60s和300s、伤后4天240s除外的所有刺激时间点,以及伤后7天和14天所有刺激时间点的疲劳期,趾长伸肌的比力均明显升高(P<0.05或P<0.01)。单纯烧伤组大鼠在伤后0天、1天、4天、7天和14天趾长伸肌的羰基化合物含量分别为(0.651±0.155)、(0.739±0.194)、(0.618±0.086)、(0.813±0.162)、(0.615±0.115)nmol/mg,明显高于假伤组的(0.196±0.019)、(0.156±0.004)、(0.169±0.023)、(0.156±0.027)、(0.175±0.008)nmol/mg(F=7.219、6.491、10.938、9.182、11.589,P<0.01)和烧伤+JAK/STAT3抑制剂组的(0.538±0.069)、(0.369±0.059)、(0.273±0.061)、(0.334±0.109)、(0.318±0.101)nmol/mg(F=2.446、4.689、8.355、5.754、6.097,P<0.05或P<0.01)。单纯烧伤组大鼠在伤后1天、4天、7天和14天趾长伸肌的ATP含量明显低于假伤组(F=7.159、7.591、7.473、4.026,P<0.01)和烧伤+JAK/STAT3抑制剂组(F=2.295、2.575、2.453、2.997,P<0.05)。重度烧伤后,大鼠趾长伸肌在不同脉冲频率刺激下比力显著降低,且易疲劳。阻断JAK/STAT3信号通路可降低肌肉蛋白的氧化应激,增加ATP含量,从而减轻烧伤所致的肌力下降,改善疲劳期肌力下降。