PPAR-γ在严重烧伤后延迟补液诱导的肠屏障损伤中的作用机制研究

Study on the Mechanism of PPAR-γ in Delayed Fluid Resuscitation-Induced Intestinal Barrier Injury after Severe Burns

  • 摘要: 背景 严重烧伤后延迟补液是加剧肠屏障损伤的关键临床难题,但其分子机制尚未明确,本研究背景旨在探讨过氧化物酶体增殖物激活受体γ(PPAR-γ)在这一病理过程中的核心作用及调控机制。目的 本研究旨在探讨过氧化物酶体增殖物激活受体γ(PPAR-γ)在严重烧伤后延迟补液诱导的肠屏障损伤中的关键作用及其分子机制,以揭示其作为潜在干预靶点的可行性。方法 建立30%TBSAⅢ度烧伤C57BL/6小鼠模型,随机分为假伤组、即刻补液组、延迟补液组(伤后3h、6h)及未补液组,以观察补液时机对肠屏障的影响;另设延迟补液+PPAR-γ激动剂(罗格列酮)或抑制剂(GW9662)干预组,验证其作用。检测小肠病理损伤、肠屏障通透性、紧密连接蛋白、炎症因子及PPAR-γ表达。结果 肠屏障损伤程度(病理评分、血清iFABP/DAO升高、ZO-1/Occludin下调)及炎症因子表达与补液延迟时间呈正相关,且伴随PPAR-γ表达下调。与6h延迟补液组相比,激活PPAR-γ可显著减轻病理损伤、降低通透性与炎症因子、增加紧密连接蛋白表达(P<0.05);抑制PPAR-γ则加重损伤(P<0.05)。结论 在严重烧伤延迟补液模型中,PPAR-γ的表达下调是肠屏障损伤的关键因素,其激活可部分逆转损伤,提示PPAR-γ通路是潜在的干预靶点。

     

    Abstract: Background : Delayed fluid replacement after severe burns is a key clinical challenge that exacerbates intestinal barrier injury, but its molecular mechanism is not yet clear. The background of this study aims to explore the core role and regulatory mechanism of peroxisome proliferator activated receptor gamma (PPAR-γ) in this pathological process. Objective The aim of this study is to explore the key role and molecular mechanism of peroxisome proliferator activated receptor gamma (PPAR-γ) in delayed fluid replacement induced intestinal barrier injury after severe burns, in order to reveal its feasibility as a potential intervention target. Methods A mouse model of 30% TBSA third-degree burns was established using C57BL/6 mice, which were randomly divided into sham injury group, immediate resuscitation group, delayed resuscitation group (3h and 6h post-injury), and no resuscitation group to observe the effect of resuscitation timing on the intestinal barrier; another group was set up for delayed resuscitation + PPAR-γ agonist (rosiglitazone) or inhibitor (GW9662) intervention to verify its effect. The pathological damage of the small intestine, intestinal barrier permeability, tight junction protein, inflammatory factors, and PPAR-γ expression were detected. Results The degree of intestinal barrier injury (pathological score, elevated serum iFABP/DAO, downregulation of ZO-1/Occludin) and the expression of inflammatory factors were positively correlated with the delay in resuscitation time, accompanied by downregulation of PPAR-γ expression. Compared with the 6h delayed resuscitation group, activation of PPAR-γ significantly alleviated pathological damage, reduced permeability and inflammatory factors, and increased tight junction protein expression (P<0.05); inhibition of PPAR-γ aggravated the injury (P<0.05). Conclusion In the model of delayed fluid resuscitation after severe burns, the downregulation of PPAR-γ expression is a key factor in intestinal barrier injury, and its activation can partially reverse the damage, suggesting that the PPAR-γ pathway is a potential intervention target.

     

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