Funk J L, Moser A H, Strewler G J, Feingold K R, Grünfeld C
Department of Medicine, University of California, San Francisco, USA.
Mol Med. 1996 Mar;2(2):204-10.
Parathyroid hormone-related protein (PTHrP) is a ubiquitous and highly conserved vasoactive peptide whose role and regulation in normal physiology remain an enigma. Recently, we demonstrated that low-dose endotoxin (LPS) induces intrasplenic, but not systemic, levels of PTHrP; and that tumor necrosis factor, a pro-inflammatory cytokine, is the major mediator of this effect. We have therefore hypothesized that, with higher, lethal doses of endotoxin, PTHrP could be induced in multiple tissues to such a degree that it could contribute to the lethality of septic shock.
Northern blot analysis was used to measure PTHrP mRNA levels in vital organs of rats after administration of a near lethal dose (5 mg/250 g) of LPS (or vehicle alone). Plasma levels of PTHrP were also measured by immunoradiometric assay. The ability of the immunoglobulin fraction of two different PTHrP(1-34) antisera to protect from LPS-induced lethality was also studied in mice using survival analysis.
In response to a near-lethal dose of endotoxin, PTHrP mRNA levels increased acutely in every vital organ examined (spleen, lung, heart, kidney, and liver). Circulating levels of PTHrP also increased, peaking 2 hr after administration of high-dose endotoxin. Passive immunization of mice with anti-PTHrP(1-34) antibody 6 hr prior to administration of a lethal dose of LPS protected mice from endotoxin-induced death (p < 0.00005).
These results suggest that PTHrP belongs to the cascade of pro-inflammatory cytokines induced during lethal endotoxemia that is responsible for the toxic effects of LPS.
甲状旁腺激素相关蛋白(PTHrP)是一种广泛存在且高度保守的血管活性肽,其在正常生理学中的作用和调节机制仍是一个谜。最近,我们发现低剂量内毒素(LPS)可诱导脾脏内而非全身的PTHrP水平升高;并且促炎细胞因子肿瘤坏死因子是这种效应的主要介导因子。因此,我们推测,在更高的致死剂量内毒素作用下,PTHrP可能在多个组织中被诱导到一定程度,从而导致脓毒症休克的致死性。
采用Northern印迹分析来测定给予接近致死剂量(5mg/250g)LPS(或仅给予载体)后大鼠重要器官中PTHrP mRNA水平。还通过免疫放射测定法测量血浆中PTHrP水平。在小鼠中使用生存分析研究了两种不同的PTHrP(1 - 34)抗血清的免疫球蛋白部分保护小鼠免受LPS诱导的致死性的能力。
在给予接近致死剂量的内毒素后每个检测的重要器官(脾脏、肺、心脏、肾脏和肝脏)中,PTHrP mRNA水平急剧升高。循环中的PTHrP水平也升高,在给予高剂量内毒素后2小时达到峰值。在给予致死剂量LPS前6小时用抗PTHrP(1 - 34)抗体对小鼠进行被动免疫可保护小鼠免于内毒素诱导的死亡(p < 0.00005)。
这些结果表明,PTHrP属于致死性内毒素血症期间诱导的促炎细胞因子级联反应,该级联反应导致LPS的毒性作用。