涂怀宇, 杨光, 云宏芳, 张纪岩, 李沛雨. Beta-AR对脓毒症小鼠生存和炎症反应的影响[J]. 解放军医学院学报. DOI: 10.12435/j.issn.2095-5227.2023.116
引用本文: 涂怀宇, 杨光, 云宏芳, 张纪岩, 李沛雨. Beta-AR对脓毒症小鼠生存和炎症反应的影响[J]. 解放军医学院学报. DOI: 10.12435/j.issn.2095-5227.2023.116
TU Huaiyu, YANG Guang, YUN Hongfang, ZHANG Jiyan, LI Peiyu. Effects of β-adrenergic receptor on survival and inflammatory response of septic mice[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL. DOI: 10.12435/j.issn.2095-5227.2023.116
Citation: TU Huaiyu, YANG Guang, YUN Hongfang, ZHANG Jiyan, LI Peiyu. Effects of β-adrenergic receptor on survival and inflammatory response of septic mice[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL. DOI: 10.12435/j.issn.2095-5227.2023.116

Beta-AR对脓毒症小鼠生存和炎症反应的影响

Effects of β-adrenergic receptor on survival and inflammatory response of septic mice

  • 摘要:
      背景  与心血管和免疫疾病治疗有关的β肾上腺素受体(Beta-adrenergic receptor,Beta-AR)可能是治疗脓毒症的新靶点。
      目的  繁育敲除β受体基因小鼠(β-KO小鼠),通过盲肠结扎穿刺术(cecal ligation and puncture,CLP)模型,评测小鼠生存率、器官病理改变、炎症损伤变化。
      方法  鉴定β-KO小鼠基因,取12只雄性β-KO小鼠和12只同条件的野生型(WT)小鼠,行CLP后,观测7天生存率。同理,另取12只β-KO小鼠和12只WT小鼠,在CLP 48 h后取肝、肺,观察组织病理改变,用免疫组织化学染色法检测肝、肺组织中肿瘤坏死因子-α(TNF-α)和CD68水平的变化,用酶联免疫吸附ELISA检测肝组织匀浆细胞因子TNF-a和白介素6(IL-6)的水平表达。
      结果  基因型鉴定显示β-KO小鼠繁育成功,β-KO小鼠较WT组7天生存率提升(P=0.043)。CLP后48 h,β-KO小鼠肝、肺病理损伤评分较WT组改善(P=0.022、P=0.006)。免疫组织化学染色揭示β-KO小鼠肝、肺组织的TNF-α和CD68水平低于WT。ELISA揭示β-KO小鼠肝脏匀浆组织中的炎症因子TNF-α和 IL-6 含量低于WT组(P=0.009,P=0.022)。
      结论  阻断β受体信号转导提高脓毒症小鼠生存率,缓解肝、肺损伤,减轻其炎性因子的表达,对脓毒症小鼠可能具有保护作用。

     

    Abstract:
      Background  The beta-adrenergic receptor (Beta-AR), associated with the treatment of cardiovascular and immune diseases, may constitute a novel therapeutic target for sepsis management.
      Objective  To breed some beta-receptor gene knockout mice (β-KO mice) and establish a cecal ligation and puncture (CLP) model, and evaluate the murine survival rates, organ pathology alterations, and inflammatory injury changes of mice.
      Methods  Upon genetic identification of β-KO mice, twelve male β-KO mice and an equivalent cohort of twelve wild-type (WT) mice under identical conditions were subjected to CLP, followed by a seven-day survival rate monitoring. Similarly, an additional set of twelve β-KO and twelve WT mice were selected, and hepatic and pulmonary tissues were harvested at 48 hours after CLP to observe histopathological changes. Immunohistochemical staining techniques were employed to detect alterations in tumor necrosis factor-alpha (TNF-α) and CD68 levels within hepatic and pulmonary tissues. Furthermore, enzyme-linked immunosorbent assay(ELISA) was utilized to quantify the expression levels of hepatic tissue homogenate cytokines TNF-α and interleukin-6 (IL-6).
      Results  Genotypic identification confirmed successful breeding of β-KO mice, with a significant enhancement in seven-day survival rates in β-KO mice compared to the WT group (P=0.043). At 48 hours after CLP, β-KO mice exhibited amelioration in hepatic and pulmonary pathological injury scores relative to the WT group (P=0.022, P=0.006). Immunohistochemical staining revealed reduced levels of TNF-α and CD68 in the hepatic and pulmonary tissues of β-KO mice compared to WT. ELISA analyses demonstrated that the concentrations of pro-inflammatory cytokines TNF-α and IL-6 in the hepatic homogenates of β-KO mice were significantly lower than those in the WT group (P=0.009, P=0.022).
      Conclusion  Inhibition of beta-adrenergic signaling pathways enhances survival rates in septic mice, mitigates hepatic and pulmonary injury, and attenuates the expression of inflammatory cytokines, potentially exerting a protective effect in septic murine models.

     

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