摘要
目的:探讨不同剂量栀子苷治疗脓毒症的疗效和主要生物学机制。方法:雄性BALB/c小鼠通过盲肠结扎穿孔技术(cecal ligation and puncture, CLP)复制脓毒症模型。在生存实验中,动物被随机分为以下各组,每组20只:于CLP术后0 h、24 h经小鼠尾静脉分别注射栀子苷20 mg/kg、40 mg/kg或生理盐水(对照组);于CLP术后24 h经小鼠尾静脉注射栀子苷40 mg/kg或生理盐水(对照组)。观察不同组别的生存预后;并流式检测单核细胞CD16、MHC-Ⅱ、TLR2、TLR4表达水平;ELISA检测血清TNF-α、IL-1β、IL-6、IL-10浓度;Western Blot测定PPARγ浓度。结果:40 mg/kg栀子苷CLP后0 h和24 h静脉给药能显著改善脓毒症小鼠模型生存预后,小剂量(20 mg/kg)栀子苷和延迟给药(24 h)无显著获益。与对照组相比,有效剂量栀子苷能不同程度地全面抑制脓毒症小鼠血清细胞因子TNF-α、IL-1β、IL-6、IL-10浓度,差异有统计学意义(P<0.05);能降低脓毒症小鼠24 h单核细胞CD16表达,差异有统计学意义(P<0.05);能增加脓毒症小鼠24 h单核细胞MHCⅡ表达,差异有统计学意义(P<0.05);对脓毒症小鼠24 h单核细胞TLR2、TLR4表达无显著影响,差异无统计学意义(P>0.05);能恢复脓毒症小鼠24 h单核细胞PPARγ蛋白活性(0.69±0.02 vs.0.44±0.02),差异有统计学意义(P<0.05)。结论:早期大剂量栀子苷(40 mg/kg)可以通过调节单核细胞表型,调控细胞因子网络显著改善CLP小鼠脓毒症模型的生存预后。对PPARγ的正性作用可能是栀子苷上游的药理学机制。
Objective:To explore the efficacy and main biological mechanism of geniposide in the treatment of sepsis.Methods:Male BALB/c mice replicate a model of septic excess heat through cecal ligation and puncture(CLP).Different doses of geniposide(20 mg/kg,40 mg/kg)were administered intravenously at 0 h and/or 24 h after CLP.The survival and prognosis of different groups were observed.The expression levels of CD16,MHCⅡ,TLR2,and TLR4 in monocytes were detected by flow cytometry.Serum concentrations of TNF-α,IL-1β,IL-6 and IL-1O were determined by ELISA.The concentrations of PPAR were determined by Western Blot.Results:Intravenous administration of 40 mg/kg gcniposidec at O and 24 hours after CLP significantly improvcd the survival and prognosis of septic mouse models,while small doses(20 mg/kg)and delayed administration(24 hours)had no significant benefits.Effective dose of geniposide could comprehensively inhibit serum cytokine TNF-α,IL-1β,IL-6,IL-10 concentration in sepsis mice(P<0.05).The effective dose of geniposide could reduce the expression of CD16 in monocytes of septic mice at 24 hours(P<0.05),and increase the expression of MHC I in monocytes of septic mice at 24 hours(P<0.05),but has no significant effect on the expression of TLR2 and TLR4 in monocytes of septic mice at 24 hours(P>0.05).The effective dose of geniposide could restore PPAR protein activity in monocytes of septic mice at 24 hours(P<0.05).Conclusion:Early high dose Geniposide can significantly improve the prognosis of sepsis by regulating cytokine network,monocyte phenotype.The positive effect on PPAR may be the upstream pharmacological mechanism of gardeniside.
作者
章德文
丁娴
王睿
陈伟
ZHANG Dewen;DING Xian;WANG Rui;CHEN Wei(Shanghai University of Traditional Chinese Medicine,Shanghai,202103,China;Department of Emergency,the Third Affiliated Hospital of Naval Medical University;Department of Intensive Care Unit,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine)
出处
《临床急诊杂志》
CAS
2023年第7期352-358,共7页
Journal of Clinical Emergency
