Gorevic P D, Levo Y, Chatpar P C, Frangione B, Franklin E C
J Clin Invest. 1979 Feb;63(2):254-61. doi: 10.1172/JCI109297.
Endotoxin has been shown to induce amyloidosis in mice and to result in the appearance in serum of large amounts of amyloidrelated protein (SAA). After injection of 300 mug lipopolysaccharide Escherichia coli, SAA behaves as an acute phase reactant with levels reaching a peak of >600 mug/ml at 18-22 h and returning to base line (<50 mug/ml) by 48 h in each of four strains tested; only the endotoxin-resistant C3H/HeJ strain showed a smaller response. Lesser, though significant, elevations were also found after subcutaneous injection of 25 mg of casein, bovine serum albumin, ovalbumin, or monomeric immunoglobulin G, whereas pyrogen-free human serum albumin/U. S. Pharmacopeia failed to raise SAA levels. SAA generation may thus be a result of endotoxin contamination of these protein preparations. Also present in equivalent amounts in acidified serum from endotoxin-treated mice, but barely detectable in control sera, was a 3,000-dalton molecule whose amino acid sequence is identical to the amino terminal 24 residues of mouse albumin. The appearance of SAA and the amino terminal albumin fragment after endotoxin were unaffected by pretreatment with cobra venom factor, and equivalent levels were found in C5-deficient mice. Pretreatment with pepstatin in vivo, or before acidification in vitro, prevented the appearance of the albumin fragment but had no effect on the appearance of SAA, whereas leupeptin and antipain did not affect the appearance of either SAA or the albumin fragment. These studies suggest that the generation of SAA after endotoxin administration does not involve complement activation or intravascular proteolytic activity, whereas the liberation of a specific peptic-like cleavage product of albumin appears to be the consequence of an acid protease.
内毒素已被证明可在小鼠中诱导淀粉样变性,并导致血清中出现大量淀粉样相关蛋白(SAA)。注射300微克大肠杆菌脂多糖后,SAA表现为急性期反应物,在所测试的四个品系中,其水平在18 - 22小时达到峰值>600微克/毫升,并在48小时回到基线水平(<50微克/毫升);只有对内毒素有抗性的C3H/HeJ品系反应较小。皮下注射25毫克酪蛋白、牛血清白蛋白、卵清蛋白或单体免疫球蛋白G后,也发现了较小但显著的升高,而无热原的人血清白蛋白/美国药典未能提高SAA水平。因此,SAA的产生可能是这些蛋白质制剂受到内毒素污染的结果。在内毒素处理小鼠的酸化血清中也等量存在,但在对照血清中几乎检测不到的是一种3000道尔顿的分子,其氨基酸序列与小鼠白蛋白的氨基末端24个残基相同。内毒素处理后SAA和白蛋白氨基末端片段的出现不受眼镜蛇毒因子预处理的影响,在C5缺陷小鼠中也发现了等量水平。体内用胃蛋白酶抑制剂预处理,或在体外酸化前预处理,可防止白蛋白片段的出现,但对SAA的出现没有影响,而亮抑酶肽和抗蛋白酶对SAA或白蛋白片段的出现均无影响。这些研究表明,内毒素给药后SAA的产生不涉及补体激活或血管内蛋白水解活性,而白蛋白特定的类胃蛋白酶裂解产物的释放似乎是一种酸性蛋白酶作用的结果。