Caspase-1抑制剂对实验性急性胰腺炎肾损害的治疗作用

Therapeutic effect of Caspase-1 inhibitor on renal injury in experimental acute pancreatitis

  • 摘要: 目的: 评价Caspase-1抑制剂对实验性急性胰腺炎(AP)肾损伤的治疗作用。方法: SD大鼠4 2只,随机分为3组:正常对照组(HC组,n=6);AP造模+生理盐水组(AP S组,n=18);AP造模+ICE抑制剂组(AP ICE I组,n=18)。以5%牛磺胆酸钠逆行注入胰胆管诱发AP模型,造模后2h腹腔注射生理盐水和Caspase-1抑制剂,12h后重复一次;HC组模拟胰胆管穿刺操作,但不注射药物。分别在各时间点将存活的大鼠处死,留取标本。结果: AP S组血清尿素氮(BUN)、肌酐(Cr)水平显著升高(P<0.01vsHC);AP ICE I组在12h和18h其水平显著降低(P<0.01vsAP S)。AP S组血清IL-1β水平显著升高(P<0.01vsHC);AP ICE I组其水平显著降低(P<0.01vsAP S)。HC组肾内可见Caspase-1及IL-18mRNA表达,但IL-1βmRNA表达较弱;AP S组其表达水平显著上调(P<0.01 vs HC);AP-ICE-I组IL-1β及 IL-18mRNA的表达显著下调(P<0.01vs AP-S),而 Caspase-1 mRNA 表达无显著改变(P>0.05)。Caspase-1抑制剂治疗对肾脏病理改变影响不明显。结论: Caspase-1激活的细胞因子 IL-1β及IL-18在AP肾损害过程中发挥重要的作用;ICE 抑制剂可有效地改善肾功能损害。

     

    Abstract: Objective: To assess the therapeutic effect of Caspase-1 inhibitor on renal injury in experimental acute pancreatitis (AP). Methods: Forty-two SD rats were randomly divided into three groups: healthy controls (HC, n=6); AP-S group (n=18); AP-ICE-I group (n=18). AP was induced by retrograde infusion of 5% sodium taurocholate into the bili-pancreatic duct in SD rats. HC rats underwent identical surgical procedures and duct cannulation without sodium taurocholate. In AP-S group, rats received the first intraperitoneal injection of isotonic saline 2 hours after induction of acute pancreatitis and repeated after 12 hours. In AP-ICE-I group, rats were firstly given ICE inhibitor intraperitoneally 2 hours after induction of pancreatitis. As in APS group, this was repeated at 12 hours. Surviving rats were killed at certain time points, and all samples were obtained for subsequent analysis. Results: The serum levels of BUN and creatinine in AP-S group were increased significantly (P<0.01 vs HC), which were decreased significantly at 12 h and 18 h in AP-ICE-I group (P<0.01 vs AP-S). The serum IL-1β levels were signi ficantly higher in AP-S group (P<0.01 vs HC), which were decreased significantly in AP-ICE-I group (P<0.01 vs AP-S). Intrarenal expressions of Caspase-1 and IL-18 mRNA could be observed, but IL-1βmRNA expression was weak in HC, which were increased significantly in AP-S group (P<0.01 vs HC). The expressions of IL-1β and IL-18 mRNA were decreased significantly in AP-ICE-I group (P<0.01 vs AP-S), whereas Caspase-1 mRNA expression had no significant differences (P>0.05). Caspase-1 inhibition had no effect on the severity of renal tissue damage. Conclusion: The expressions of Caspase-1 activated cytokines IL-1β and IL-18 play a pivotal role during the course of renal injury in AP. Caspase-1 inhibitor improves renal functions effectively.

     

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