Role of high-mobility group box-1 in myocardial ischemia/reperfusion injury and the effect of ethyl pyruvate.

Role of high-mobility group box-1 in myocardial ischemia/reperfusion injury and the effect of ethyl pyruvate.
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高迁移率族box-1在心肌缺血/再灌注损伤中的作用及丙酮酸乙酯的作用

DOI:
10.3892/etm.2015.2290
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发表时间:
2015-04
影响因子:
2.7
通讯作者:
Fang J
Fang J
中科院分区:
医学4区
文献类型:
--
作者:
Lin Y;Chen L;Li W;Fang J

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高迁移率族蛋白1(HMGB 1)是一种促炎细胞因子,在缺血/再灌注(I/R)后触发并放大炎症级联反应。丙酮酸乙酯(EP)已被报道在几种I/R模型中抑制HMGB 1的释放。本研究旨在探讨HMGB 1在大鼠心肌I/R模型中的潜在作用以及EP的影响。雄性Sprague道利大鼠进行30 min心肌缺血和48 h再灌注。在方案1中,将大鼠分配到四个组之一(n=16/组):磷酸盐缓冲盐水(PBS)或三种不同剂量(1、10或100 μg/kg)的重组人HMGB 1(rhHMGB 1)。在方案2中,大鼠也被分配到四个组之一(每组n=16):假手术组、对照组、EP组和EP + rhHMGB 1组。再灌注前静脉注射EP(40 mg/kg)或rhHMGB 1(100 μg/kg)。进行血流动力学测量,并计算心肌梗死面积(IS)。Western blotting检测HMGB 1、肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)的表达水平。在方案1中,rhHMGB 1(100 μg/kg)组的IS较PBS组显著增加,且伴随TNF-α和IL-6水平的升高。在方案2大鼠中,与假手术组相比,I/R导致HMGB 1表达增加4.8倍,IS增加,心功能受损。EP可明显抑制HMGB 1的升高,抑制TNF-α和IL-6的活化,减轻心功能不全。这种心肌保护作用被rhHMGB 1所消除。总之,心肌I/R后HMGB 1的蓄积对心脏有害。EP可对心肌I/R损伤发挥强有力的保护作用,这些益处与HMGB 1的减少有关。
High-mobility group box-1 (HMGB1) acts as a proinflammatory cytokine that triggers and amplifies the inflammation cascade following ischemia/reperfusion (I/R). Ethyl pyruvate (EP) has been reported to inhibit HMGB1 release in several I/R models. This study was designed to investigate the potential role of HMGB1 in a rat myocardial I/R model and to determine the effect of EP. Male Sprague Dawley rats were subjected to 30 min myocardial ischemia and 48 h reperfusion. In protocol 1, the rats were assigned to one of four groups (n=16 per group): Phosphate-buffered saline (PBS) or recombinant human HMGB1 (rhHMGB1) at three different doses (1, 10 or 100 μg/kg). In protocol 2, the rats were also assigned to one of four groups (n=16 per group): Sham, control, EP and EP + rhHMGB1. EP (40 mg/kg) or rhHMGB1 (100 μg/kg) was injected intravenously prior to reperfusion. Hemodynamic measurements were performed, and myocardial infarct size (IS) was calculated. Western blotting was conducted to evaluate HMGB1, tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) expression levels. In the protocol 1 rats, the IS was markedly increased in the rhHMGB1 (100 μg/kg) group compared with that in the PBS group, and this increase was accompanied by elevated levels of TNF-α and IL-6. In the protocol 2 rats, I/R resulted a 4.8-fold increase in HMGB1 expression with an increased IS and impaired cardiac function compared with the sham group. EP significantly inhibited the elevated HMGB1 level, suppressed the activated TNF-α and IL-6 and reduced cardiac dysfunction. This cardioprotection was abolished by rhHMGB1. In conclusion, accumulation of HMGB1 is deleterious to the heart following myocardial I/R. EP can exert a strong protective effect against myocardial I/R injury, and these benefits are associated with a reduction in HMGB1.
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