国际麻醉学与复苏杂志   2014, Issue (3): 2-2
    
右旋美托咪啶对内毒素诱导的急性肺损伤大鼠P38MAPK的活化及炎症反应的影响
杨颖, 王鹏, 封光, 刘功俭1()
1.徐州医学院
Dexmedetomidine makes the anti-inflammation effect by blocking P38MAPK in the LPS-induced acute lung injury in rats
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摘要:

目的:探讨右旋美托咪啶对内毒素诱导的肺损伤大鼠肺部P38促丝裂原活化蛋白激酶和炎症反应的影响。方法:健康成年雄性SD大鼠随机分为5组(n=10),生理盐水组(Control),内毒素组(LPS),0.2μg/kg/h右旋美托咪啶处理组(Dex 0.2), 1μg/kg/h右旋美托咪啶处理组(Dex 1), 5μg/kg/h右旋美托咪啶处理组(Dex 5)。各右旋美托咪啶处理组在给予内毒素诱导肺损伤之前输注右旋美托咪啶负荷剂量1 μg/kg/h 10分钟,然后持续按各处理组相应剂量输注右旋美托咪啶。Control组与LPS组输注等体积的生理盐水(1ml/kg/h)。收集肺泡灌洗液,动脉血和组织标本,进行动脉血气分析,测量肺组织湿/干重比,观察肺病理学改变,检测支气管肺泡灌洗液(BALF)中TNF-α和IL-10的浓度,利用western blot检测各组大鼠肺组织中p38丝裂原激活的蛋白激酶(p38MAPK)和磷酸化水平。结果:在注射了内毒素(LPS)后, 各组大鼠的动脉氧分压均明显降低;Control组大鼠肺部未见明显的病理改变,LPS组、Dex0.2组和Dex1组大鼠肺部有明显的病理改变,而Dex5组大鼠肺部病理改变较LPS组明显减轻;LPS组、Dex0.2组和Dex1组肺组织湿/干重比、磷酸化的p38 MAPK、支气管肺泡灌洗液中TNF-α和IL-10水平明显高于Control组,上述指标Dex5组明显低于LPS组。结论:右旋美托咪啶能够减轻内毒素造成的大鼠急性肺损伤,其机制可能部分与阻断P38促丝裂原活化蛋白激酶的活化及肺部炎症有关。

关键词: 右旋美托咪啶;抗炎;p38MAPK;内毒素;急性肺损伤
Abstract:

Objective:The aim of this study was to determine if dexmedetomidine diminishes pulmonary dysfunction by blocking the p38MAPK activation. Methods:A total of 50 adult male Sprague-Dawley rats were assigned to one of five groups. The 0.9% sodium chloride group (Control group), the lipopolysaccharides group(LPS group), The LPS plus dexmedetomidine group (0.2, 1or 5.0 μg/kg per hour)(Dex0.2 group, Dex1 group and Dex5 group). The rats in the LPS plus dexmedetomidine group were injected a loading dose of dexmedetomidine (1 μg/kg per hour intravenous infusion over 10 minutes) followed by LPS administration and dexmedetomidine infusion at different doses (0.2, 1and 5 μg/kg per hour , respectively) until the end of the experiment. Simultaneously, the LPS and control groups received an equal volume of 0.9% sodium chloride (1ml/kg per hour).Western blot was used to detect the expression of phosphorylation of p38MAPK in lung tissues,Additionally we examined the concentration of TNF-α and IL-10 in BALF, the histopathologic changes of lung ,arterial blood gases and the lung water content . Results:Histological, arterial blood gas analyses and the lung water content confirmed that LPS induced significant lung injury. With the administration of LPS, the phospho-p38 MAPK substantially increased immediately. The concentrations of cytokines were also increased. However, dexmedetomidine at the dose of 5.0 μg/kg per hour, but not at 0.2 or 1.0 μg/kg per hour, significantly attenuated the effects of LPS. Conclution: Dexmedetomidine may attenuates LPS-induced acute lung injury via mechanisms involving inhibiting p38MAPK activation.

Key words: Dexmedetomidine; Anti-inflammatory effect; p38MAPK; Lipopolysaccharides; Acute lung injury