Department of Pharmacology, Faculty of Pharmacy, University of Misan, Amarah, Iraq.
Department of Pharmacology, Faculty of Medicine, Al-Nahrain University, Baghdad, Iraq.
J Med Life. 2022 May;15(5):685-697. doi: 10.25122/jml-2021-0255.
Ischemic reperfusion injury (IRI) of the kidneys is a direct sequela of surgical procedures associated with the interruption of blood supply. The pathophysiology of IRI is complicated, and several inflammatories, apoptosis, and oxidative stress pathways are implicated. Among the major receptors directly involved in renal IRI are the toll-like receptors (TLRs), specifically TLR2 and TLR4. In this study, we investigated the effects of Lipopolysaccharide from (TLR2 and TLR4 antagonist, LPS-RS) and the ultrapure form (pure TLR4 antagonist, ULPS-RS) on the histopathological changes and TLRs expression in an animal model of bilateral renal IRI. Forty-eight adult male rats were allocated into six groups (N=8) as follows: sham group (negative control without IRI), control group (rats underwent bilateral renal ischemia for 30 minutes and 2 hours of reperfusion), vehicle group (IRI+ vehicle), LPS-RS group (IRI+ 0.5 mg/kg of LPS-RS), ULPS-RS group (IRI+ 0.1 mg/kg of ULPS-RS), ULPS-RSH group (IRI+ 0.2 mg/kg of ULPS-RS). Significant improvement in the histopathological damages induced by renal IRI was found in the ULPS-RS treated groups at both doses compared with the control group. The protective effect of ULPS-RS was associated with significantly reduced TLR4 expression without affecting TLR2. Regarding LPS-RS, the tested dose adversely affected the renal tissues as manifested by the histopathological findings, although it similarly affected TLRs expression as ULPS-RS. Our results demonstrated that ULPS-RS was renoprotective while LPS-RS had no protective effect against the tissue damages induced by renal IRI.
肾脏缺血再灌注损伤(IRI)是与血液供应中断相关的外科手术的直接后果。IRI 的病理生理学很复杂,涉及几种炎症、细胞凋亡和氧化应激途径。在直接参与肾 IRI 的主要受体中,有 Toll 样受体(TLRs),特别是 TLR2 和 TLR4。在这项研究中,我们研究了脂多糖(TLR2 和 TLR4 拮抗剂,LPS-RS)和超纯形式(纯 TLR4 拮抗剂,ULPS-RS)对双侧肾 IRI 动物模型的组织病理学变化和 TLRs 表达的影响。48 只成年雄性大鼠被分配到 6 个组(每组 8 只),如下所示:假手术组(无 IRI 的阴性对照)、对照组(大鼠双侧肾缺血 30 分钟,再灌注 2 小时)、载体组(IRI+载体)、LPS-RS 组(IRI+0.5mg/kg LPS-RS)、ULPS-RS 组(IRI+0.1mg/kg ULPS-RS)、ULPS-RSH 组(IRI+0.2mg/kg ULPS-RS)。与对照组相比,在两个剂量的 ULPS-RS 治疗组中,肾 IRI 引起的组织病理学损伤均有明显改善。ULPS-RS 的保护作用与 TLR4 表达的显著降低有关,而不影响 TLR2。关于 LPS-RS,虽然它对 TLRs 表达的影响与 ULPS-RS 相似,但测试剂量对肾脏组织产生了不利影响,表现为组织病理学发现。我们的研究结果表明,ULPS-RS 具有肾保护作用,而 LPS-RS 对肾 IRI 引起的组织损伤没有保护作用。