Liu Yanan, Feng Lizhi, Yao Lan
Department of Critical Care Medicine, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan, Hubei 430060, P.R. China.
Curr Mol Med. 2024;24(3):344-354. doi: 10.2174/1566524023666230309124004.
Sepsis often induces hepatic dysfunction and inflammation, accounting for a significant increase in the incidence and mortality rates. To this end, albiflorin (AF) has garnered enormous interest due to its potent anti-inflammatory activity. However, the substantial effect of AF on sepsis-mediated acute liver injury (ALI), along with its potential mechanism of action, remains to be explored.
An LPS-mediated primary hepatocyte injury cell model in vitro and a mouse model of CLP-mediated sepsis in vivo were initially built to explore the effect of AF on sepsis. Furthermore, the hepatocyte proliferation by CCK-8 assay in vitro and animal survival analyses in vivo for the survival time of mice were carried out to determine an appropriate concentration of AF. Then, flow cytometry, Western blot (WB), and TUNEL staining analyses were performed to investigate the effect of AF on the apoptosis of hepatocytes. Moreover, the expressions of various inflammatory factors by ELISA and RT-qPCR analyses and oxidative stress by ROS, MDA, and SOD assays were determined. Finally, the potential mechanism of AF alleviating the sepsis-mediated ALI via the mTOR/p70S6K pathway was explored through WB analysis.
AF treatment showed a significant increase in the viability of LPS-inhibited mouse primary hepatocytes cells. Moreover, the animal survival analyses of the CLP model mice group indicated a shorter survival time than the CLP+AF group. AF-treated groups showed significantly decreased hepatocyte apoptosis, inflammatory factors, and oxidative stress. Finally, AF exerted an effect by suppressing the mTOR/p70S6K pathway.
In summary, these findings demonstrated that AF could effectively alleviate sepsis-mediated ALI via the mTOR/p70S6K signaling pathway.
脓毒症常诱发肝功能障碍和炎症,导致发病率和死亡率显著上升。为此,白花芍药苷(AF)因其强大的抗炎活性而备受关注。然而,AF对脓毒症介导的急性肝损伤(ALI)的显著作用及其潜在作用机制仍有待探索。
最初构建了体外脂多糖(LPS)介导的原代肝细胞损伤细胞模型和体内盲肠结扎穿孔(CLP)介导的脓毒症小鼠模型,以探究AF对脓毒症的影响。此外,通过体外CCK-8法检测肝细胞增殖情况以及体内动物生存分析小鼠的存活时间,以确定AF的合适浓度。然后,进行流式细胞术、蛋白质免疫印迹(WB)和TUNEL染色分析,以研究AF对肝细胞凋亡的影响。此外,通过酶联免疫吸附测定(ELISA)和逆转录定量聚合酶链反应(RT-qPCR)分析测定各种炎症因子的表达,并通过活性氧(ROS)、丙二醛(MDA)和超氧化物歧化酶(SOD)检测测定氧化应激。最后,通过WB分析探索AF通过mTOR/p70S6K途径减轻脓毒症介导的ALI的潜在机制。
AF处理后,LPS抑制的小鼠原代肝细胞活力显著增加。此外,CLP模型小鼠组的动物生存分析表明其存活时间比CLP+AF组短。AF处理组的肝细胞凋亡、炎症因子和氧化应激显著降低。最后,AF通过抑制mTOR/p70S6K途径发挥作用。
总之,这些研究结果表明,AF可通过mTOR/p70S6K信号通路有效减轻脓毒症介导的ALI。