丙三醇对肠道放射损伤的防护作用及机制研究

Protective effect and mechanism of glycerol against intestinal radiation injury

  • 摘要: 背景 肠道是电离辐射最敏感的器官之一,目前可用的放射防护药物有限且多伴随较高毒性,因此探索低毒的丙三醇是否具有肠道放射防护作用具有重要意义。目的 探讨丙三醇对肠道放射损伤的防护作用及其分子机制,并评估其临床应用潜力。方法 建立小鼠全身电离辐射(ionizing radiation,IR)模型,在照射前给予不同剂量和给药方式的丙三醇,以空肠隐窝细胞增殖5-溴脱氧尿嘧啶核苷(5-bromo-2'-deoxyuridine,BrdU)染色和干细胞数量嗅素蛋白4(olfactomedin 4,Olfm4)染色为指标确定最佳给药方案。观察丙三醇对14 Gy照射后小鼠生存期和体质量变化的影响。通过免疫组化与蛋白印迹法检测照后肠隐窝细胞凋亡剪切型半胱氨酸天冬氨酸蛋白酶3(cleaved cysteine-aspartic acid protease 3,cleaved caspase-3)、末端脱氧核苷酸转移酶介导的dUTP 缺口末端标记法(terminal deoxynucleotidyl transferase dUTP nick end labeling,TUNEL)及相关信号通路p53-PUMA、磷酸化组蛋白H2AX(phosphorylated H2A histone family member X,γ-H2AX)的表达变化。结果 通过检测照后小鼠肠道BrdU+增殖隐窝数量,确定照前3 h 腹腔注射4 g/kg 为丙三醇的最佳给药方案43.1 ± 6.84(IR+丙三醇) vs 19.1 ± 3.96(IR),P<0.001;该方案能够延长受照小鼠的中位存活时间7.5 d(IR+丙三醇) vs 5.5 d(IR),P<0.05,并减缓体质量下降。机制研究表明,丙三醇能够增加照后肠隐窝中Olfm4+干细胞数量1.73 ± 0.22(IR+丙三醇) vs 0.74 ± 0.23(IR),P<0.001,并有效抑制照后6 h 6.8 ± 1.32(IR+丙三醇) vs 3.3 ± 1.16(IR),P<0.001和24 h 4.0 ± 0.82(IR+丙三醇) vs 2.0 ± 0.82(IR),P<0.001的隐窝细胞凋亡。进一步研究发现,丙三醇能够抑制照后肠道组织中p53 和PUMA蛋白的上调,并降低DNA损伤标志物γ-H2AX的水平。结论 丙三醇作为一种低毒安全的化合物,能够通过抑制p53-PUMA信号通路减轻辐射诱导的肠隐窝细胞凋亡和DNA损伤,从而保护肠道干细胞、延长生存时间,在预防和治疗放射性肠损伤方面展现出良好的临床转化前景。

     

    Abstract: Background The intestine is one of the most radiosensitive organs. Currently available radioprotective agents are limited and often associated with high toxicity. Therefore, exploring whether glycerol, a low-toxicity compound, has protective effects against intestinal radiation injury is of great significance. Objective To investigate the protective effect and underlying mechanism of glycerol against intestinal radiation injury and to evaluate its clinical potential.Methods A mouse model of wholebody irradiation was established. Glycerol was administered at different doses and via different routes before irradiation to determine the optimal protocol based on jejunal crypt cell proliferation (BrdU staining) and stem cell number (Olfm4+ staining). The effects of glycerol on survival and body weight changes after 14 Gy irradiation were observed. Apoptosis in intestinal crypts after irradiation (Cleaved-Caspase 3, TUNEL) and the expression of related signaling pathways (P53-PUMA, γ -H2AX) were detected by immunohistochemistry and Western blot.Results The optimal administration protocol was determined as intraperitoneal injection of 4 g/kg glycerol 3 h before irradiation, which significantly increased the number of BrdU+ proliferative crypts (43.1 ± 6.84 vs 19.1 ± 3.96, P < 0.001). This regimen significantly prolonged the median survival time of irradiated mice (7.5 days vs 5.5 days, P <0.05) and mitigated body weight loss. Mechanistic studies revealed that glycerol significantly increased the number of Olfm4+ intestinal stem cells after irradiation (1.73 ± 0.22 vs 0.74 ± 0.23, P < 0.001) and effectively suppressed crypt cell apoptosis at both 6 h (6.8 ± 1.32 vs 3.3 ± 1.16, P < 0.001) and 24 h (4 ± 0.82 vs 2 ± 0.82, P < 0.001) after irradiation. Furthermore, glycerol significantly inhibited the upregulation of P53 and PUMA proteins and reduced the level of the DNA damage marker γ-H2AX in intestinal tissue after irradiation. Conclusion Glycerol, as a low-toxicity and safe compound, can mitigate radiation-induced intestinal crypt cell apoptosis and DNA damage by inhibiting the P53-PUMA signaling pathway, thereby protecting intestinal stem cells and prolonging survival. It demonstrates promising clinical potential for the prevention and treatment of radiation-induced intestinal injury.

     

/

返回文章
返回