摘要
目的采用SD-SD大鼠原位肝移植模型,观察NBD多肽预处理供肝对术后肝脏缺血再灌注损伤(ischemia reperfusion injury,IRI)的影响,并探讨其可能的保护机制。方法 105只SD大鼠采用抽签法随机分为3组,NBD预处理组(24对动物,供体术前2 h经腹腔注射8 mg/kg的NBD多肽并建立原位肝移植模型)、移植组(24对动物,注射同体积的生理盐水作为对照)和假手术组(9只动物)。术后3、6、24 h分别处死动物,检测3组中ALT水平,ELISA检测血清中TNF-α含量。取NBD预处理组和移植组肝脏组织,HE染色观察肝脏病理学改变。采用TUNEL检测肝细胞凋亡,EMSA检量NF-κB转录活性,Western blot检测p-IKK-2和IκBα在肝组织的表达。结果 NBD预处理组和移植组术后各时间点的ALT水平、TNF-α含量均明显高于假手术组。NBD预处理组中ALT水平、NF-κB活性、p-IKK-2表达、TNF-α含量较移植组均明显降低(P<0.05);IκBα表达则较移植组明显增强(P<0.05);术后6 h,NBD预处理组中病理损伤、凋亡细胞较移植组明显减轻。结论 NBD多肽预处理供体可通过抑制供肝中NF-κB活性,有效改善肝移植IRI。
Objective NF-κB essential modulator binding domain peptides( NBD peptides) interfere the formation of IκB kinase complex( IKK) and down-regulate the classical NF-κB signaling pathway.The aim of this study was to determine the effects of NBD peptides pretreatment on ischemia reperfusion injury( IRI)after orthotopic liver transplantation in rats.Methods A total of 105 Sprague Dawley( SD) rats were randomly divided into 3 groups,NBD group( donors were given 8 mg /kg NBD peptides intra-peritoneally in 2 h before surgery and performed orthotropic liver transplantation according to the Kamada technique,totally 24pairs),control group( treated with the same volume of physiological saline,totally 24 pairs) and shamoperation group( n = 9).Animals were sacrificed at 3,6,and 24 h after surgery.The serum levels of alanine aminotransferase( ALT) and tumor necrosis factor( TNF-α) were measured in the 3 groups.The levels of IKK phosphorylation and IκBα degradation,NF-κB transcriptional activity and cell apoptosis were detected by Western blotting,EMSA and TUNEL respectively.Morphological changes of liver tissues were observed after HE staining.Results The levels of ALT and TNF-α in the both NBD group and control group were significantly higher than that of sham-operation group( P < 0.05).Compared with the control group,pretreatment with NBD peptides had significantly lower ALT level,NF-κB transcriptional activity,IKK complex phosphorylation,and TNF-α levels( P < 0.05),while enhanced IκBα expression( P < 0.05).NBD peptides pretreatment also ameliorated the pathological damages and cell apoptosis in 6 h after operation.Conclusion NBD peptides pretreatment attenuates hepatic IRI by preventing NF-κB activation.
引文
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