Ciftel Serpil, Mercantepe Filiz, Mercantepe Tolga, Ciftel Enver, Klisic Aleksandra
Department of Endocrinology and Metabolism, Erzurum Regional Training and Research Hospital, Erzurum, Turkey.
Department of Endocrinology and Metabolism, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, 53010, Turkey.
Naunyn Schmiedebergs Arch Pharmacol. 2025 Jan;398(1):641-655. doi: 10.1007/s00210-024-03300-7. Epub 2024 Jul 23.
Scalding burns are a common form of thermal injury that often leads to systemic complications. Pro-inflammatory cytokines like interleukin-6 (IL-6) and the activation of signal transducer and activator of transcription 3 (STAT3) pathways have been linked to the pathophysiology of organ damage caused by burns. This study aimed to investigate the potential therapeutic effects of dexmedetomidine, an α2-adrenergic receptor agonist with anti-inflammatory properties, on the interplay of IL-6 and STAT3 pathways in adrenal gland damage following scalding burns in rats. Twenty-eight rats were divided randomly into four groups. Rats in group 1 (n=7, control) were given only 0.9% intraperitoneal (i.p.) NaCl. Rats in group 2 (n=7, DEX) were exposed to 25°C water for 17 s on day 1 and received 100 mcg/kg/day dexmedetomidine i.p. for 3 days; for rats in group 3 (n=7, Burn), boiling water of 94°C was applied inside for 17 s. Rats in group 4 (n=7, Burn+DEX) were exposed to 94°C water for 17 s and received 100 mcg/kg/day dexmedetomidine i.p. for 3 days. Adrenal gland tissues were histopathological examined, and STAT3, IL-6, and TUNEL staining were performed using immunohistochemically. Our results revealed that scalding burns increased IL-6 and STAT3 expression in the adrenal glands of rats. Histological analysis demonstrated that dexmedetomidine administration ameliorated adrenal gland damage and reduced inflammatory cell infiltration. Our findings suggest that dexmedetomidine protects the adrenal glands in scalding burns. This protection appears to be mediated, at least in part, by its modulation of IL-6 and STAT3 pathways.
烫伤是一种常见的热损伤形式,常导致全身并发症。促炎细胞因子如白细胞介素-6(IL-6)以及信号转导和转录激活因子3(STAT3)通路的激活与烧伤引起的器官损伤病理生理学有关。本研究旨在探讨右美托咪定(一种具有抗炎特性的α2肾上腺素能受体激动剂)对大鼠烫伤后肾上腺损伤中IL-6和STAT3通路相互作用的潜在治疗作用。28只大鼠随机分为四组。第1组(n = 7,对照组)大鼠仅腹腔注射0.9%氯化钠。第2组(n = 7,DEX组)大鼠在第1天暴露于25℃水中17秒,并腹腔注射100μg/kg/天右美托咪定,持续3天;第3组(n = 7,烧伤组)大鼠用94℃的沸水烫伤17秒。第4组(n = 7,烧伤+DEX组)大鼠暴露于94℃水中17秒,并腹腔注射100μg/kg/天右美托咪定,持续3天。对肾上腺组织进行组织病理学检查,并采用免疫组织化学方法进行STAT3、IL-6和TUNEL染色。我们的结果显示,烫伤增加了大鼠肾上腺中IL-6和STAT3的表达。组织学分析表明,给予右美托咪定可改善肾上腺损伤并减少炎症细胞浸润。我们的研究结果表明,右美托咪定可保护大鼠烫伤后的肾上腺。这种保护作用似乎至少部分是通过其对IL-6和STAT3通路的调节介导的。