Chen Zhian, Lin Hui, Su Xixiong, Xu Wenmang, Fang Wei, Ruan Guangping, Wang Zhen, Xu Guangchao, Pang Rongqing
Basic Medical Laboratory, People's Liberation Army Joint Logistic Support Force 920th Hospital, Kunming City, Yunnan Province, China.
Graduate School, Kunming Medical University, Kunming City, Yunnan Province, China.
Biochem Biophys Rep. 2024 Dec 21;41:101904. doi: 10.1016/j.bbrep.2024.101904. eCollection 2025 Mar.
Previous studies have confirmed that burns and scalds can lead to metabolic disorders in the liver. However, the effects of severe burns at various time points on liver lipid metabolism disorders, as well as the relationship between these disorders and liver function, metabolism, and infection, have not yet been investigated.This study established a SD rat scald model, macroscopic observation of weight changes, histological staining, Western blot detection of fat browning and metabolic indicators, reverse transcription quantitative polymerase chain reaction analysis of the expression of liver new fat generation genes, determination of liver function and inflammatory indicators.The results show that steam scalding of 30 % of the back skin surface area of rats for 30, 20, and 10 s can result in severe skin scalds. Liver Oil Red O staining revealed fat deposition in the scald group, which became more pronounced with longer scald durations. The fat deposition was most evident on the fifth day post-scald and gradually returned to normal over time. This phenomenon is primarily attributed to elevated liver function indicators, including TBIL, ALT, and AST, in the scald group compared to the control group. Additionally, there was activation of peripheral blood inflammatory cells (WBC, MON, NEU,TNF-α, IL-6, and IL-10) and infiltration of inflammatory cells in the liver, along with liver cell edema. The honeycomb-like appearance of peripheral epididymal fat and the significant increase in the expression of lipolytic proteins (UCP1, ATGL, HSL, and P-HSL) were also observed, alongside abnormal expression of key genes (CES and SCD1) associated with liver neovascularization. The changes are caused by the combined effects of these factors.
先前的研究已经证实,烧伤和烫伤会导致肝脏代谢紊乱。然而,严重烧伤在不同时间点对肝脏脂质代谢紊乱的影响,以及这些紊乱与肝功能、代谢和感染之间的关系,尚未得到研究。本研究建立了SD大鼠烫伤模型,宏观观察体重变化、组织学染色、蛋白质免疫印迹法检测脂肪褐变和代谢指标、逆转录定量聚合酶链反应分析肝脏新脂肪生成基因的表达、测定肝功能和炎症指标。结果表明,大鼠背部皮肤表面积30%蒸汽烫伤30、20和10秒可导致严重皮肤烫伤。肝脏油红O染色显示烫伤组有脂肪沉积,烫伤时间越长越明显。烫伤后第5天脂肪沉积最明显,随时间逐渐恢复正常。这种现象主要归因于与对照组相比,烫伤组肝功能指标升高,包括总胆红素(TBIL)、谷丙转氨酶(ALT)和谷草转氨酶(AST)。此外,外周血炎症细胞(白细胞、单核细胞、中性粒细胞、肿瘤坏死因子-α、白细胞介素-6和白细胞介素-10)被激活,肝脏有炎症细胞浸润,同时伴有肝细胞水肿。还观察到附睾外周脂肪呈蜂窝状外观,脂解蛋白(解偶联蛋白1、脂肪甘油三酯脂肪酶、激素敏感性脂肪酶和磷酸化激素敏感性脂肪酶)表达显著增加,以及与肝脏新血管生成相关的关键基因(羧酸酯酶和硬脂酰辅酶A去饱和酶1)表达异常。这些变化是由这些因素的综合作用引起的。