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三碘甲状腺原氨酸通过下调受磷蛋白在脓毒症诱导的心肌病中的保护作用

Protective role of triiodothyronine in sepsis‑induced cardiomyopathy through phospholamban downregulation.

作者信息

Xie Qiumin, Yi Qin, Zhu Jing, Tan Bin, Xiang Han, Wang Rui, Liu Huiwen, Chen Tangtian, Xu Hao

机构信息

Department of Clinical Laboratory, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Structural Birth Defect and Reconstruction, Chongqing 400014, P.R. China.

Department of Pediatric Research Institute, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Structural Birth Defect and Reconstruction, Chongqing 400014, P.R. China.

出版信息

Int J Mol Med. 2025 Mar;55(3). doi: 10.3892/ijmm.2025.5488. Epub 2025 Jan 17.

Abstract

Sepsis is often a cause of mortality in patients admitted to the intensive care unit. Notably, the heart is the organ most susceptible to the impact of sepsis and this condition is referred to as sepsis‑induced cardiomyopathy (SIC). Low triiodothyronine (T3) syndrome frequently occurs in patients with sepsis, and the heart is one of the most important target organs for the action of T3. Phospholamban (PLN) is a key protein associated with Ca‑pump‑mediated cardiac diastolic function in the myocardium of mice with SIC, and PLN is negatively regulated by T3. The present study aimed to explore whether T3 can protect cardiac function during sepsis and to investigate the specific molecular mechanism underlying the regulation of PLN by T3. C57BL/6J mice and H9C2 cells were used to establish and models, respectively. Myocardial damage was detected via pathological tissue sections, a Cell Counting Kit-8 assay, an apoptosis assay and crystal violet staining. Intracellular calcium levels and reactive oxygen species were detected by Fluo‑4AM and DHE fluorescence. The protein and mRNA expression levels of JNK and c‑Jun were measured by western blotting and reverse transcription‑quantitative PCR to investigate the molecular mechanisms involved. Subsequently, 100 clinical patients were recruited to verify the clinical application value of PLN in SIC. The results revealed a significant negative correlation between PLN and T3 in the animal disease model. Furthermore, the expression levels of genes and proteins in the JNK/c‑Jun signaling pathway and PLN expression levels were decreased, whereas the expression levels of sarcoplasmic reticulum calcium ATPase were increased after T3 treatment. These results indicated that T3 alleviated myocardial injury in SIC by inhibiting PLN expression and its phosphorylation, which may be related to the JNK/c‑Jun signaling pathway. Accordingly, PLN may have clinical diagnostic value in patients with SIC.

摘要

脓毒症常常是重症监护病房收治患者的死亡原因。值得注意的是,心脏是最易受脓毒症影响的器官,这种情况被称为脓毒症诱导的心肌病(SIC)。低三碘甲状腺原氨酸(T3)综合征在脓毒症患者中经常出现,而心脏是T3发挥作用的最重要靶器官之一。受磷蛋白(PLN)是与SIC小鼠心肌中钙泵介导的心脏舒张功能相关的关键蛋白,且PLN受T3负调控。本研究旨在探讨T3在脓毒症期间是否能保护心脏功能,并研究T3对PLN调控的具体分子机制。分别使用C57BL/6J小鼠和H9C2细胞建立模型。通过病理组织切片、细胞计数试剂盒-8检测、凋亡检测和结晶紫染色来检测心肌损伤。通过Fluo-4AM和DHE荧光检测细胞内钙水平和活性氧。通过蛋白质免疫印迹法和逆转录定量PCR检测JNK和c-Jun的蛋白质和mRNA表达水平,以研究其中涉及的分子机制。随后,招募100例临床患者以验证PLN在SIC中的临床应用价值。结果显示,在动物疾病模型中PLN与T3之间存在显著负相关。此外,T3处理后,JNK/c-Jun信号通路中的基因和蛋白质表达水平以及PLN表达水平降低,而肌浆网钙ATP酶的表达水平升高。这些结果表明,T3通过抑制PLN表达及其磷酸化减轻了SIC中的心肌损伤,这可能与JNK/c-Jun信号通路有关。因此,PLN可能对SIC患者具有临床诊断价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81a1/11781518/43c40e083c3b/ijmm-55-03-05488-g00.jpg

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