血管紧张素 1-7 通过靶向 PI3K/p-Akt/eNOS、Nrf2/HO-1 和 NF-κB/p53 信号通路来保护大鼠肝缺血再灌注损伤。

Targeting PI3K/p-Akt/eNOS, Nrf2/HO-1, and NF-κB/p53 signaling pathways by angiotensin 1-7 protects against liver injury induced by ischemia-reperfusion in rats.

机构信息

Medical Physiology Department, Faculty of Medicine, Minia University, Minia, Egypt.

Biochemistry and Physiology Department, Faculty of Medicine, Mutah University, Al-Karak, Jordan.

出版信息

Cell Biochem Funct. 2024 Jan;42(1):e3938. doi: 10.1002/cbf.3938.

Abstract

The liver is an important organ, and hepatic ischemia-reperfusion (IR) injury is a frequent pathophysiological process that can cause significant morbidity and mortality. Thus, our study aimed to investigate the effect of targeting PI3K/p-Akt/eNOS (phosphoinositide 3-kinase/phospho-protein kinase B/endothelial nitric oxide synthase), Nrf2/HO-1 (nuclear factor-erythroid 2-related factor-2/heme oxygenase-1), and NF-κB/p53 (nuclear factor-κB/tumor protein 53) signaling pathways by using angiotensin (1-7) [ang-(1-7)] against hepatic injury induced by IR. Thirty-two male rats were included in sham group, ang-(1-7)-treated group, hepatic IR group, and hepatic IR group treated with ang-(1-7). The levels of hepatic ang-(1-7), angiotensin II (Ang II), angiotensin-converting enzyme 2 (ACE2), HO-1, malondialdehyde (MDA), PI3K, and p-Akt were assessed. The expressions of eNOS and B-cell leukemia/lymphoma-2 (BCL-2) in the liver were determined. Histological assessment and immunohistochemical expression of NF-κB, p53, and Nrf2 were carried out. The levels of reduced glutathione (GSH), aspartate aminotransferase (AST), alanine aminotransferase (ALT), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6) in serum were estimated. Results showed that administration of ang-(1-7) to hepatic IR rats led to significant amelioration of hepatic damage through a histological evaluation that was associated with significant upregulation of the expressions of PI3K/p-Akt/eNOS and Nrf2/HO-1 with downregulation of NF-κB/p53 signaling pathways. In conclusion, PI3K/p-Akt/eNOS and Nrf2/HO-1 signaling pathways are involved in the protective effects of ang-(1-7) against hepatic damage induced by IR. Therefore, ang-(1-7) can be used to prevent hepatic IR, which occurs in certain conditions such as liver transplantation, hemorrhagic shock, and severe infection.

摘要

肝脏是一个重要的器官,肝缺血再灌注(IR)损伤是一种常见的病理生理过程,可导致显著的发病率和死亡率。因此,我们的研究旨在探讨针对 PI3K/p-Akt/eNOS(磷脂酰肌醇 3-激酶/磷酸蛋白激酶 B/内皮型一氧化氮合酶)、Nrf2/HO-1(核因子-红细胞 2 相关因子-2/血红素加氧酶-1)和 NF-κB/p53(核因子-κB/肿瘤蛋白 53)信号通路的作用,方法是使用血管紧张素(1-7)[ang-(1-7)]来对抗由 IR 引起的肝损伤。32 只雄性大鼠被纳入假手术组、ang-(1-7)治疗组、肝 IR 组和肝 IR 组接受 ang-(1-7)治疗。评估了肝组织中 ang-(1-7)、血管紧张素 II(Ang II)、血管紧张素转换酶 2(ACE2)、HO-1、丙二醛(MDA)、PI3K 和 p-Akt 的水平。测定了肝脏中 eNOS 和 B 细胞白血病/淋巴瘤-2(BCL-2)的表达。进行了 NF-κB、p53 和 Nrf2 的组织学评估和免疫组织化学表达。血清中还原型谷胱甘肽(GSH)、天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)的水平也进行了评估。结果表明,给予 ang-(1-7)可显著改善肝 IR 大鼠的肝损伤,通过组织学评估,这与 PI3K/p-Akt/eNOS 和 Nrf2/HO-1 信号通路的表达显著上调以及 NF-κB/p53 信号通路的下调相关。总之,PI3K/p-Akt/eNOS 和 Nrf2/HO-1 信号通路参与了 ang-(1-7)对 IR 引起的肝损伤的保护作用。因此,ang-(1-7)可用于预防某些情况下发生的肝 IR,如肝移植、失血性休克和严重感染。

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