山药多糖对脓毒症大鼠心肌损伤及JAK2/STAT3信号通路的影响
作者:
作者单位:

(1.开封市中心医院 神内重症,河南省开封市 475000;2.开封市中心医院神经内科,河南省开封市 475000)

作者简介:

孙永,硕士研究生,副主任医师,研究方向为重症神经、重症感染,E-mail:sy1983s@163.com。

基金项目:

河南省医学科技攻关计划项目(LHGJ20200839)


Effects of yam polysaccharide on myocardial injury and JAK2/STAT3 signal pathway in septic rats
Author:
Affiliation:

1.Neurological Intensive Care Unit, Kaifeng, Henan 475000, China ;2.Department of Neurology, Kaifeng Central Hospital, Kaifeng, Henan 475000, China)

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    摘要:

    目的]探索山药多糖(RDPS-Ⅰ)对脓毒症大鼠心肌损伤及酪氨酸蛋白激酶2(JAK2)/信号转导和转录激活因子3(STAT3)信号通路的影响。[方法]将90只大鼠随机分为RDPS-Ⅰ低(1.0 g/kg)、中(2.0 g/kg)、高(3.0 g/kg)剂量组及模型组、阳性对照组、假手术组。通过取出盲肠进行结扎、穿孔的方法复制脓毒症大鼠,造模完成后,RDPS-Ⅰ低、中、高剂量组分别给予相应剂量RDPS-Ⅰ灌胃,阳性对照组予以200 mg/kg剂量皮下注射4 mL/kg的氨苄西林溶液,其余两组给予生理盐水,每12 h干预1次,连续干预6天。干预结束后,检测大鼠血流动力学指标平均动脉压(MAP)、左心室收缩压(LVSP)、心率(HR);苏木精-伊红(HE)染色观察脓毒症大鼠心肌组织病理学变化;TUNEL染色检测脓毒症大鼠心肌细胞凋亡;酶联免疫吸附法(ELISA)测定大鼠血清中炎症因子水平;Western blot检验大鼠心肌组织中JAK2/STAT3信号通路蛋白表达水平。[结果]相比于假手术组,模型组大鼠心肌组织排列紊乱,出现严重炎症细胞浸润现象,LVSP、HR、MAP降低56%、54%、55%(P<0.05),血清肿瘤坏死因子α(TNF-α)、白细胞介素6(IL-6)、白细胞介素1β(IL-1β)、核因子κB(NF-κB)水平及心肌组织中p-JAK2/JAK2、p-STAT3/STAT3和细胞凋亡率分别增加2.25、1.94、1.99、1.99、2.96、2.26、3.67倍(P<0.05);与模型组相比,经RDPS-Ⅰ干预,大鼠心肌组织排列紊乱程度、炎症细胞浸润程度均逐渐缓解,RDPS-Ⅰ低剂量组LVSP、HR、MAP分别增加了0.54、0.35、0.34倍,TNF-α、IL-6、IL-1β、NF-κB水平和心肌组织中p-JAK2/JAK2、p-STAT3/STAT3及细胞凋亡率分别降低28%、19%、18%、26%、27%、29%、25%;RDPS-Ⅰ中剂量组LVSP、HR、MAP分别增加了0.92、0.67、0.83倍,TNF-α、IL-6、IL-1β、NF-κB水平及心肌组织中p-JAK2/JAK2、p-STAT3/STAT3和细胞凋亡率分别降低45%、41%、40%、50%、49%、50%、50%;RDPS-Ⅰ高剂量组LVSP、HR、MAP分别增加了1.21、1.10、1.15倍(P<0.05),TNF-α、IL-6、IL-1β、NF-κB水平及心肌组织中p-JAK2/JAK2、p-STAT3/STAT3和细胞凋亡率分别降低64%、63%、63%、66%、70%、66%、70%(P<0.05)。[结论]RDPS-Ⅰ可以减轻炎症反应,改善脓毒症大鼠心肌损伤和功能障碍,可能与抑制JAK2/STAT3信号通路有关。

    Abstract:

    Aim To explore the effects of yam polysaccharide (RDPS-Ⅰ) on myocardial injury and tyrosine protein kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling pathway in septic rats. Methods Ninety rats were randomly divided into:RDPS-Ⅰ low (1.0 g/kg), medium (2.0 g/kg), and high (3.0 g/kg) dose groups, model group, positive control group and sham operation group. The cecal ligation and perforation method was used to establish a sepsis rat model, after the model was completed, RDPS-Ⅰ low, medium and high dose groups were given corresponding dose yam polysaccharide by gavage respectively; The positive control group was given 200 mg/kg subcutaneous injection of 4 mL/kg ampicillin solution; The other two groups were given normal saline, and intervened once every 12 hours, for 6 consecutive days. After the intervention, the hemodynamic indicators of the rats were measured, including mean arterial pressure (MAP), left ventricular systolic pressure (LVSP), and heart rate (HR); Hematoxylin-Eosin (HE) staining was used to observe the pathological changes of septic rat myocardium; TUNEL staining was used to detect cardiomyocyte apoptosis of septic rat; enzyme-linked immunosorbent assay (ELISA) was used to determine the levels of inflammatory cytokines in septic rat serum; Western blot was used to test the expression level of JAK2/STAT3 signaling pathway proteins in rat myocardial tissue. Results Compared with the sham operation group, the myocardial tissue was disordered and occurred with severe inflammatory cell infiltration in the model group; LVSP, HR, MAP decreased by 56%, 54%, 55% (P<0.05). The levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), interleukin-1β (IL-1β), and nuclear factor-κB (NF-κB) in serum and p-JAK2/JAK2, p-STAT3/STAT3 and apoptosis rates in myocardial tissue were increased by 2.5,1.4,1.9,1.9,2.6,2.26 and 3.67 times (P<0.05), respectively. Compared with model group, the degree of myocardial tissue disorder and inflammatory cell infiltration were gradually relieved after RDPS-Ⅰ intervention; LVSP, HR and MAP increased by 0.4,0.35 and 0.34 times in low dose RDPS-Ⅰ group, respectively; TNF-α, IL-6, IL-1β, NF-κB, p-JAK2/JAK2, p-STAT3/STAT3 and apoptosis rate decreased by 28%, 19%, 18%, 26%, 27%, 29%, 25%, respectively. LVSP, HR and MAP increased by 0.2,0.67 and 0.83 times in medium dose RDPS-Ⅰ group, respectively. TNF-α, IL-6, IL-1β, NF-κB, p-JAK2/JAK2, p-STAT3/STAT3 and apoptosis rate decreased by 45%, 41%, 40%, 50%, 49%, 50%, 50%, respectively. LVSP, HR and MAP increased by 1.1,1.10 and 1.15 times in high dose RDPS-Ⅰ group (P<0.05), respectively. TNF-α, IL-6, IL-1β, NF-κB, p-JAK2/JAK2, p-STAT3/STAT3 and apoptosis rate decreased by 64%, 63%, 63%, 66%, 70%, 66%, 70% (P<0.05), respectively. Conclusion Yam polysaccharide can reduce inflammation, and improve myocardial injury and dysfunction in septic rats, which may be related to the inhibition of JAK2/STAT3 signaling pathway.

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孙永,史兆博,刘美香,赵燕.山药多糖对脓毒症大鼠心肌损伤及JAK2/STAT3信号通路的影响[J].中国动脉硬化杂志,2022,30(8):669~675.

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  • 收稿日期:2021-12-10
  • 最后修改日期:2022-03-02
  • 在线发布日期: 2022-07-11