分析和实验验证白细胞介素-17 通路及关键基因在肝缺血再灌注损伤中与炎症相关的中心作用。

Analysis and experimental validation of IL-17 pathway and key genes as central roles associated with inflammation in hepatic ischemia-reperfusion injury.

机构信息

Department of Anesthesiology, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Jiefang West Road NO. 61, Changsha, 410005, China.

Clinical Research Center for Anesthesiology of ERAS in Hunan Province, Changsha, China.

出版信息

Sci Rep. 2024 Mar 18;14(1):6423. doi: 10.1038/s41598-024-57139-2.

Abstract

Hepatic ischemia-reperfusion injury (HIRI) elicits an immune-inflammatory response that may result in hepatocyte necrosis and apoptosis, ultimately culminating in postoperative hepatic dysfunction and hepatic failure. The precise mechanisms governing the pathophysiology of HIRI remain incompletely understood, necessitating further investigation into key molecules and pathways implicated in disease progression to guide drug discovery and potential therapeutic interventions. Gene microarray data was downloaded from the GEO expression profile database. Integrated bioinformatic analyses were performed to identify HIRI signature genes, which were subsequently validated for expression levels and diagnostic efficacy. Finally, the gene expression was verified in an experimental HIRI model and the effect of anti-IL17A antibody intervention in three time points (including pre-ischemic, post-ischemic, and at 1 h of reperfusion) on HIRI and the expression of these genes was investigated. Bioinformatic analyses of the screened characterized genes revealed that inflammation, immune response, and cell death modulation were significantly associated with HIRI pathophysiology. CCL2, BTG2, GADD45A, FOS, CXCL10, TNFRSF12A, and IL-17 pathway were identified as key components involved in the HIRI. Serum and liver IL-17A expression were significantly upregulated during the initial phase of HIRI. Pretreatment with anti-IL-17A antibody effectively alleviated the damage of liver tissue, suppressed inflammatory factors, and serum transaminase levels, and downregulated the mRNA expression of CCL2, GADD45A, FOS, CXCL10, and TNFRSF12A. Injection of anti-IL17A antibody after ischemia and at 1 h of reperfusion failed to demonstrate anti-inflammatory and attenuating HIRI benefits relative to earlier intervention. Our study reveals that the IL-17 pathway and related genes may be involved in the proinflammatory mechanism of HIRI, which may provide a new perspective and theoretical basis for the prevention and treatment of HIRI.

摘要

肝缺血再灌注损伤 (HIRI) 会引发免疫炎症反应,可能导致肝细胞坏死和凋亡,最终导致术后肝功能障碍和肝功能衰竭。HIRI 病理生理学的确切机制尚不完全清楚,需要进一步研究疾病进展中涉及的关键分子和途径,以指导药物发现和潜在的治疗干预。从 GEO 表达谱数据库下载基因微阵列数据。进行综合生物信息学分析以识别 HIRI 特征基因,随后验证其表达水平和诊断效能。最后,在实验性 HIRI 模型中验证基因表达,并在三个时间点(包括缺血前、缺血后和再灌注 1 小时)研究抗 IL17A 抗体干预对 HIRI 和这些基因表达的影响。筛选出的特征基因的生物信息学分析表明,炎症、免疫反应和细胞死亡调节与 HIRI 病理生理学显著相关。CCL2、BTG2、GADD45A、FOS、CXCL10、TNFRSF12A 和 IL-17 途径被确定为参与 HIRI 的关键组成部分。在 HIRI 的初始阶段,血清和肝脏 IL-17A 表达显著上调。预先用抗 IL-17A 抗体治疗可有效减轻肝组织损伤,抑制炎症因子和血清转氨酶水平,并下调 CCL2、GADD45A、FOS、CXCL10 和 TNFRSF12A 的 mRNA 表达。缺血后和再灌注 1 小时注射抗 IL17A 抗体与早期干预相比,未能显示出抗炎和减轻 HIRI 的益处。我们的研究表明,IL-17 途径和相关基因可能参与 HIRI 的促炎机制,这可能为 HIRI 的预防和治疗提供新的视角和理论基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eed3/10944831/5392fa1c42ed/41598_2024_57139_Fig1_HTML.jpg

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