国际麻醉学与复苏杂志   2023, Issue (6): 0-0
    
豆蔻明预处理对小鼠机械通气相关性肺损伤及肺组织Nrf2、SOD2表达的影响
苏凯, 李鑫涛, 田鸣, 薛富善1()
1.首都医科大学附属北京友谊医院
Effect of cardamonin pretreatment on ventilation‑associated lung injury and nuclear factor‑erythroid 2‑related factor 2 and superoxide dismutase 2 expression in the pulmonary tissues of mice
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摘要:

目的 探讨豆蔻明对机械通气相关性肺损伤(ventilation‑associated lung injury, VALI)的影响。 方法 选取8~12周健康C57BL/6小鼠32只,采用随机数字表法分为4组(每组8只):对照组(Sham组)、机械通气组(M组)、机械通气+豆蔻明组(MC组,机械通气前30 min豆蔻明80 mg/kg灌胃)、机械通气+豆蔻明+ML385组(MCM组,机械通气前7 d腹腔注射ML385 30 mg·kg−1·d−1,机械通气前30 min豆蔻明80 mg/kg灌胃)。采用潮气量28 ml/kg机械通气4 h制备小鼠VALI模型。通气完毕后收集支气管肺泡灌洗液(bronchoalveolar lavage fluid, BALF),BCA法测定BALF中蛋白浓度,ELISA法测定BALF中IL‑6、TNF‑α浓度。H‑E染色观察肺组织病理学变化并进行肺损伤评分。Western blot法检测肺组织核转录因子红系2相关因子2(nuclear factor‑erythroid 2‑related factor 2, Nrf2)及超氧化物歧化酶2(superoxide dismutase 2, SOD2)蛋白水平。 结果 与Sham组比较,M组、MC组、MCM组的肺损伤评分及BALF中蛋白、IL‑6、TNF‑α浓度升高(P<0.05),肺组织中Nrf2、SOD2蛋白水平升高(P<0.05)。与MC组比较,M组和MCM组的肺损伤评分及BALF中蛋白、IL‑6、TNF‑α浓度升高(P<0.05),肺组织Nrf2、SOD2蛋白水平降低(P<0.05)。M组和MCM组各指标比较差异无统计学意义(P>0.05)。 结论 豆蔻明预处理可通过增加肺组织Nrf2及SOD2蛋白水平抑制VALI。

关键词: 机械通气相关性肺损伤; 豆蔻明; 炎症; 氧化应激
Abstract:

Objective To investigate the effect of cardamonin on ventilation‑associated lung injury (VALI). Methods According to the random number table method, 32 healthy C57BL/6 mice, aged 8‒12 weeks, were divided into four groups (n=8): a control group (the Sham group), a mechanical ventilation group (the M group), a mechanical ventilation+cardamonin group (the MC group, which was administered by gavage with cardamonin at 80 mg/kg 30 min before mechanical ventilation) and a mechanical ventilation+cardamonin+ML385 group (the MCM group, which were intraperitoneally injected with ML385 at 30 mg·kg−1·d−1 seven days before mechanical ventilation and gavaged with cardamonin at 80 mg/kg 30 min before mechanical ventilation). Then, a tidal volume of 28 ml/kg was set and mechanical ventilation was conducted for 4 h to establish a VALI model of mice. After ventilation, bronchoalveolar lavage fluid (BALF) was collected. The protein concentrations of BALF were detected by bicinchoninic acid (BCA) assay. The concentrations of tumor necrosis factor‑α (TNF‑α) and interleukin‑6 (IL‑6) in BALF were detected by enzyme linked immunosorbent assay (ELISA). The histopathological changes in the lungs were observed by hematoxylin‑eosin (H‑E) staining to evaluate pulmonary damage. The protein levels of nuclear factor‑erythroid 2‑related factor 2 (Nrf2) and superoxide dismutase 2 (SOD2) in lung tissues were detected by Western blot. Results Compared with the Sham group, the M group, MC group, and MCM group showed increases in pulmonary injury score, the concentrations of BALF, IL‑6, and TNF‑α (P<0.05), and the protein levels of Nrf2 and SOD2 protein in lung tissues (P<0.05). Compared with the MC group, the M group and MCM group showed increases in pulmonary injury score, and the concentrations of BALF,IL‑6, and TNF‑α, and decreases in the protein levels of Nrf2 and SOD2 in lung tissues (P<0.05). No differences were detected in each indicators between the M group and the MCM group (P>0.05). Conclusions Pretreatment of cardamonin can inhibit VALI by elevating the levels of Nrf2 and SOD2 in lung tissue.

Key words: Ventilator‑associated pulmonary injury; Cardamonin; Inflammation; Oxidative stress