Ribeiro S P, Villar J, Downey G P, Edelson J D, Slutsky A S
Department of Medicine, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, Toronto, ON, Canada.
Crit Care Med. 1994 Jun;22(6):922-9. doi: 10.1097/00003246-199406000-00008.
To examine the hypothesis that induction of heat shock proteins by a nonthermal mechanism would confer protection against experimental sepsis.
Prospective, blind, randomized, laboratory study.
University research laboratory.
Sixty-two adult male Sprague-Dawley rats (weight range 250 to 350 g).
Administration of sodium arsenite or saline in an animal model of sepsis by cecal ligation and perforation.
Sixty-two rats were randomly divided into two groups: group 1 received sodium arsenite (6 mg/kg iv) and group 2 received saline injection, in a blinded fashion. Eighteen hours after receiving sodium arsenite or saline, cecal ligation and perforation were performed and the animals were monitored for mortality for 96 hrs. Sodium arsenite injection, in the absence of an increase in body temperature, induced heat shock protein of 72-kilodalton molecular weight expression in the lung, which was detected 2 hrs after injection, peaked between 9 and 24 hrs, and returned to baseline by 48 hrs. Prior administration of sodium arsenite conferred significant protection against cecal ligation and perforation-induced mortality at 18 hrs (p = .002) and 24 hrs (p v .026) after cecal ligation and perforation, and correlated with expression of heat shock proteins in the lungs. However, at 48 and 96 hrs, when heat shock protein expression returned to basal values, the mortality rates of both groups were indistinguishable.
We conclude that in vivo injection of sodium arsenite induces expression of HSP-72 in the lungs, and confers transient protection against experimental sepsis during the period that heat shock proteins are also expressed.
检验非热机制诱导热休克蛋白可对实验性脓毒症起到保护作用这一假说。
前瞻性、盲法、随机、实验室研究。
大学研究实验室。
62只成年雄性斯普拉格-道利大鼠(体重范围250至350克)。
在盲肠结扎并穿孔的脓毒症动物模型中给予亚砷酸钠或生理盐水。
62只大鼠随机分为两组:第1组接受亚砷酸钠(静脉注射6毫克/千克),第2组接受生理盐水注射,采用盲法。在接受亚砷酸钠或生理盐水18小时后,进行盲肠结扎并穿孔,对动物进行96小时的死亡率监测。注射亚砷酸钠后,在体温未升高的情况下,诱导肺中分子量为72千道尔顿的热休克蛋白表达,注射后2小时可检测到,在9至24小时达到峰值,48小时恢复至基线水平。预先给予亚砷酸钠可在盲肠结扎并穿孔后18小时(p = 0.002)和24小时(p = 0.026)对盲肠结扎并穿孔诱导的死亡率提供显著保护,且与肺中热休克蛋白的表达相关。然而,在48和96小时,当热休克蛋白表达恢复至基础值时,两组的死亡率无差异。
我们得出结论,体内注射亚砷酸钠可诱导肺中HSP - 72的表达,并在热休克蛋白也表达的期间对实验性脓毒症提供短暂保护。