左旋精氨酸在冠脉搭桥术中心肌保护作用研究进展

冠状动脉搭桥术(Coronary artery bypass grafting,CABG)中发生心肌缺血再灌注损伤是难以避免的,而冠状动脉内皮损伤导致一氧化氮(nitrogen monoxidum NO)合成及释放减少是导致心肌缺血/再灌注损伤(Myocardial ischemia/reperfusion injury MI/RI)的重要因素。本文通过对左旋精氨酸(left-arginine,L-Arg)与NO、MI/RI之间的联系、L-Arg对MI/RI的保护作用及其机制、L-Arg-NO的心肌保护作用与剂量之间关系以及L-Arg在CABG中的临床应用等方面的研究进行综述,阐明提供外源性L-Arg通过L-Arg-NO通路促进体内NO的合成及释放,探讨左旋精氨酸在冠脉搭桥术中心肌保护作用的可行性。     

大鼠心肌缺血再灌注损伤模型的改进与评判

目的改进大鼠急性心肌缺血再灌注损伤(MI/RI)模型的制备方法,并进行综合评判,为后续开展MI/RI研究奠定良好的模型基础。方法将36只清洁级Wistar大鼠随机分为3组:正常组(Normal组),不干预左冠状动脉前降支(LAD);假手术组(Sham组),仅穿线,不结扎LAD;缺血再灌注组(MI/RI组),结扎LAD30 min,再灌注120 min。大鼠于麻醉后连续记录心电图,气管切开行呼吸机辅助通气,开胸对大鼠LAD分别进行干预后从心电图、心肌酶含量测定、心梗面积及心肌病理组织学检查等方面对改进后的模型进行综合评判。结果 MI/RI组心电图有明显ST-T动态变化;MI/RI组肌酸激酶同工酶(CK-MB)水平于2 h后显著升高;与Sham组比较,MI/RI组梗死面积明显增大;MI/RI组心肌细胞变性坏死明显,炎性细胞广泛浸润。结论改进后的造模方法不但降低了手术难度,而且成功建立了大鼠MI/RI模型,为后续开展MI/RI研究奠定了良好的模型基础。     

参附注射液对心肌缺血/再灌注损伤血流动力学和心肌酶的影响

目的：探讨参附注射液对家兔心肌缺血/再灌注（I/R）损伤的保护作用及其机制。方法：家兔30只,随机分为3组（n=10）：对照组、心肌缺血/再灌注损伤（MI/RI）组和参附注射液组,统一标准喂养。行药物预处理10 min后,手术结扎家兔冠状动脉左心室支,建立急性心肌缺血再灌注模型,观察急性心肌缺血和再灌注状态下血流动力学及心肌组织中酶的变化。结果：与对照组比较：MI/RI组心脏舒缩功能减退,丙二醛（MDA）含量增高,超氧化物歧化酶（SOD）、谷光甘肽过氧化物酶（GSH-PX）和细胞能源Na＋-K＋-ATP酶及Ca2＋-ATP酶活性降低,乳酸脱氢酶（LDH）、肌酸激酶（CK）大量释放。而与MI/RI组比较：参附注射液组能不同程度的恢复左心室收缩压（LVSP）、心室内压最大变化速率（±dp/dtmax）（P〈0.01）,降低左室舒张末期压（LVEDP）（P〈0.01）,抑制MDA、LDH、CK升高,增强SOD、GSH-PX、Na＋,K＋-ATP及Ca2＋-ATP活力。结论：参附注射液对心肌缺血/再灌注损伤具有明显的保护作用。     

左旋精氨酸在冠脉搭桥术中心肌保护作用研究进展

冠状动脉搭桥术（Coron aryartery bypass grafting,CABG）中发生心肌缺血再灌注损伤是难以避免的,而冠状动脉内皮损伤导致一氧化氮（nitrogen monoxidum NO）合成及释放减少是导致心肌缺血／再灌注损伤（Myocardia lischemia／reperfusion injuryM／RI）的重要因素。本文通过对左旋精氨酸（1eft-arginine,L-Arg）与NO、MI／RI之间的联系、L-Arg对MI／RI的保护作用及其机制、L-Arg-NO的心肌保护作用与剂量之间关系以及L-Arg在CABG中的临床应用等方面的研究进行综述,阐明提供外源性L-Arg通过L-Arg-NO通路促进体内NO的合成及释放,探讨左旋精氨酸在冠脉搭桥术中心肌保护作用的可行性。     

基于网络药理学和体外实验探讨附子-干姜抗心肌缺血再灌注损伤的作用机制CSCD

运用网络药理学方法探讨附子-干姜(Aconiti Lateralis Radix Preparata-Zingiberis Rhizoma,AZ)抗心肌缺血再灌注损伤(myocardial ischemia-reperfusion injury,MI/RI)的潜在机制。通过中药系统药理数据库TCMSP筛选AZ的活性成分;Disgenet数据库获得MI/RI靶点;STITCH数据库获得蛋白互作;用DAVID数据库获得GO功能富集与KEGG信号通路并利用Cytoscape 3.8.0进行绘图;细胞实验验证网络药理学预测的结果。结果共获得AZ活性成分16个、治疗靶点171个;作图分析发现AKT1、IL6、TNF为潜在靶点;GO富集分析发现AZ可能通过凋亡、炎症、血管舒张发挥治疗作用;KEGG分析发现AZ可能通过PI3K-AKT信号通路、TNF信号通路、HIF信号通路发挥治疗作用;体外研究发AZ可使缺氧复氧损伤的大鼠血管内皮细胞存活率提高、降低凋亡率、氧化损伤;提高HIF-α、VEGF、eNOS蛋白的表达。附子-干姜激活HIF/VEGF/eNOS信号通路,降低血管内皮细胞氧化损伤、凋亡率发挥抗心肌缺血再灌注损伤的作用。     

促红细胞生成素通过提高Sca-1+干细胞的功能参与小鼠心肌梗死的修复(英文)

心肌梗死(myocardial infarction, MI)是目前全球主要的死亡病因之一。随着临床治疗水平的提高,MI急性期的死亡率已显著下降,但其对心肌重构及心功能的长远影响仍无法有效防治。促红细胞生成素(erythropoietin, EPO)是一种糖蛋白细胞因子,具有促进造血、抗凋亡和促血管生成的作用。研究表明EPO在心脏缺血损伤、心力衰竭等心血管疾病中发挥心肌保护作用,机制与促进心脏祖细胞活化有关。本研究旨在探讨EPO是否可通过增强Sca-1⁺干细胞的活性促进MI的修复。通过直接注射法将达贝泊汀-α (darbepoetin alpha,一种长效EPO类似物,EPO_anlg)注射到成年小鼠MI的交界区,观测MI面积、心脏重构及功能、心肌细胞凋亡及微血管密度变化。用磁性分选技术从新生和成年小鼠心脏中分离Lin^-Sca-1⁺干细胞,分别用于克隆形成能力及EPO效应的测定。结果显示,和单纯的MI组相比,在体应用EPOanlg可显著降低MI面积、心肌细胞凋亡率,减轻左室腔的扩张,同时提高心功能、增...     

有氧运动与干细胞动员的心肌细胞增殖研究进展

适宜运动是防治心脏疾病的有效方式,其作用机制尚未完全阐明,安全有效的运动处方需要系统研究。运动可使正常心肌细胞发生生理性肥大与增殖以及多种细胞因子的分泌和干细胞的有效动员,促进心肌细胞增殖分化。成体心肌细胞增殖的来源包括存活的心肌细胞、心肌干/祖细胞以及外周的骨髓间充质干细胞等。干细胞的动员、趋化归巢并分化为心肌细胞是心肌损伤修复的细胞基础。本文从心肌细胞增殖潜力、心肌梗死(MI)的干细胞治疗和运动促进MI心肌细胞增殖等三个方面综述运动促进干细胞动员,诱导内源性心肌细胞再生对MI心肌修复和心功能改善的可能机制、存在问题及相关研究进展。     

维生素E在青年和老年大鼠肾脏缺血/再灌注损伤中的作用

目的:探讨维生素E(VE)在青年和老年大鼠肾缺血/再灌注损伤(RI/RI)中的作用。方法:采用夹闭双侧肾动、静脉45min后恢复血流的方法制作RI/RI模型,测定血清中尿素氮(BUN)、肌酐(Scr)、丙二醛(MDA)、超氧化物歧化酶(SOD)、一氧化氮(NO)、诱生型一氧化氮合酶(iNOS)浓度,免疫组化检测肾皮质热休克蛋白70(HSP70)表达。流式细胞术检测肾皮质细胞凋亡率。结果:缺血/再灌注(I/R)后BUN、Scr含量明显升高,老年I/R组MDA含量高于青年I/R组,SOD含量低于青年IR组,HSP70、NO以及肾皮质细胞凋亡率高于control组;VE可显著降低RI/RI大鼠BUN、Scr、MDA、iNOS水平,升高NO和SOD水平,增加HSP70的表达,降低肾皮质细胞凋亡率。结论:VE可通过促进肾组织HSP70的表达,增加NO和SOD水平,提高大鼠体内清除自由基的能力,从而对青、老年大鼠肾缺血/再灌注损伤(RI/RI)起到一定的保护作用。     

IgE介导的肥大细胞脱颗粒信号转导途径的研究进展

肥大细胞(mast cell,MC)是过敏性疾病的关键细胞之一.机体的过敏反应很大程度依赖于肥大细胞膜上的特异性受体FcεRI.肥大细胞膜上交联的FcεRI引发了下游的一系列信号事件并导致脱颗粒,包括细胞因子及趋化因子产生以及白三烯的释放.由于IgE在过敏反应中的重要作用,现在的研究主要集中在FcεRI下游的信号事件.其脱颗粒的分子机制是一个由多种蛋白质分子介导的,各个环节受到精确调控的复杂过程.对肥大细胞脱颗粒分子机制的深入研究将给过敏性疾病提供一个新的治疗方案.     

紫杉醇对NK-92MI细胞杀伤功能及凋亡的影响

探讨紫杉醇对人自然杀伤细胞系NK-92MI细胞株杀伤活性及凋亡的影响。用不同浓度的紫杉醇处理NK.92MI细胞后,测定NK-92MI细胞的增殖率和对靶细胞的杀伤作用;同时检测NK·92MI细胞凋亡率及凋亡相关基因Bcl-2、Ba】【的表达。结果表明,紫杉醇可以抑制NK-92MI细胞增殖并且降低其杀伤活性,机制可能是通过诱导NK.92MI细胞的凋亡,而后者与Bcll2/Ba】【基因表达增高有关。     

Receptor fusion proteins for the inhibition of cytokines

Cells are exposed to a large variety of cytokines that signal through corresponding cytokine receptors. In healthy tissues or tissues that respond properly to disturbed homeostasis, the cross-talk of a few conserved core signaling pathways downstream of the cytokine receptors is translated into an adequate cellular response. In chronic inflammatory diseases but also in cancer associated inflammation cytokine expression and the downstream signaling networks are dysregulated. Targeted therapies are aimed at the specific interference with dysregulated cytokine signaling. In this article some concepts of pharmacological intervention with cytokine signaling will be reviewed including biologics that target cytokines and cytokine receptors. Receptor fusion proteins consisting of the ligand-binding domains of cytokine receptors are highly specific and potent cytokine inhibitors and will be discussed in more detail.     

IK细胞因子在小鼠早孕期子宫内膜的表达规律及其在胚胎着床中的作用

通过Real-time PCR、Western blot及免疫组织化学方法分析了IK细胞因子(IK cytokine)在早孕小鼠(妊娠D1~D7)子宫内膜中的表达规律及宫角注射IK细胞因子反义寡聚脱氧核苷酸后对胚胎着床的影响。结果显示,IK细胞因子mRNA表达在D1~D4逐渐升高,于D4达到高峰(P<0.05);Western blot和免疫组织化学结果与Real-time PCR结果基本一致,其蛋白表达在D1~D5逐渐升高,于D5达到高峰(P<0.05);IK细胞因子在D5胚胎着床点的表达显著高于着床旁组织;假孕小鼠子宫内膜IK细胞因子蛋白表达明显低于正常妊娠,且整个假孕过程中没有表达高峰;宫角注射IK细胞因子反义寡聚脱氧核苷酸后24 h和48 h(即D4和D5)子宫内膜IK细胞因子表达明显受到抑制,MHCⅡ抗原表达增强,且胚胎着床数量明显减少(P<0.05),提示IK细胞因子在胚胎着床中发挥着重要作用。     

Into the Eye of the Cytokine Storm

Summary: The cytokine storm has captured the attention of the public and the scientific community alike, and while the general notion of an excessive or uncontrolled release of proinflammatory cytokines is well known, the concept of a cytokine storm and the biological consequences of cytokine overproduction are not clearly defined. Cytokine storms are associated with a wide variety of infectious and noninfectious diseases. The term was popularized largely in the context of avian H5N1 influenza virus infection, bringing the term into popular media. In this review, we focus on the cytokine storm in the context of virus infection, and we highlight how high-throughput genomic methods are revealing the importance of the kinetics of cytokine gene expression and the remarkable degree of redundancy and overlap in cytokine signaling. We also address evidence for and against the role of the cytokine storm in the pathology of clinical and infectious disease and discuss why it has been so difficult to use knowledge of the cytokine storm and immunomodulatory therapies to improve the clinical outcomes for patients with severe acute infections.     

Cytokine--factors of the neuroendocrine regulation

The given review is devoted to studying of a role cytokine in immune, nervous and endocrine systems. Ways of cytokine action in a brain are described. Are discussed neurotrophic and behavioural effects cytokine in a brain and mechanisms of their action. Acentuated, that there are groups cytokine which mainly show activity, operating in immune system, other groups cytokine are most active in nervous system, carrying out neurotrophic, neuroprotection functions or expressed and are produced in endocrine system and in a greater degree function as hormones. New approaches to functional classification cytokine are discussed.     

Three-Dimensional Gradients of Cytokine Signaling between T Cells

Immune responses are regulated by diffusible mediators, the cytokines, which act at sub-nanomolar concentrations. The spatial range of cytokine communication is a crucial, yet poorly understood, functional property. Both containment of cytokine action in narrow junctions between immune cells (immunological synapses) and global signaling throughout entire lymph nodes have been proposed, but the conditions under which they might occur are not clear. Here we analyze spatially three-dimensional reaction-diffusion models for the dynamics of cytokine signaling at two successive scales: in immunological synapses and in dense multicellular environments. For realistic parameter values, we observe local spatial gradients, with the cytokine concentration around secreting cells decaying sharply across only a few cell diameters. Focusing on the well-characterized T-cell cytokine interleukin-2, we show how cytokine secretion and competitive uptake determine this signaling range. Uptake is shaped locally by the geometry of the immunological synapse. However, even for narrow synapses, which favor intrasynaptic cytokine consumption, escape fluxes into the extrasynaptic space are expected to be substantial (≥20% of secretion). Hence paracrine signaling will generally extend beyond the synapse but can be limited to cellular microenvironments through uptake by target cells or strong competitors, such as regulatory T cells. By contrast, long-range cytokine signaling requires a high density of cytokine producers or weak consumption (e.g., by sparsely distributed target cells). Thus in a physiological setting, cytokine gradients between cells, and not bulk-phase concentrations, are crucial for cell-to-cell communication, emphasizing the need for spatially resolved data on cytokine signaling.     

Naturally occurring and synthetic constitutive-active cytokine receptors in disease and therapy

Cytokines control immune related events and are critically involved in a plethora of patho-physiological processes including autoimmunity and cancer development. Mutations which cause ligand-independent, constitutive activation of cytokine receptors are quite frequently found in diseases. Many constitutive-active cytokine receptor variants have been directly connected to disease development and mechanistically analyzed. Nature’s solutions to generate constitutive cytokine receptors has been recently adopted by synthetic cytokine receptor biology, with the goal to optimize immune therapeutics. Here, CAR T cell immmunotherapy represents the first example to combine synthetic biology with genetic engineering during therapy. Hence, constitutive-active cytokine receptors are therapeutic targets, but also emerging tools to improve or modulate immunotherapeutic strategies. This review gives a comprehensive insight into the field of naturally occurring and synthetic constitutive-active cytokine receptors.     

Interleukin-21: a key cytokine for controlling HIV and other chronic viral infections

The differentiation, homeostatic proliferation and effector functions of different immune cells are controlled, to a large extent, by cytokines. Viruses often cause immune response dysfunctions by causing defects in the cytokine networks. The defects are often manifested by altered cytokine secretion and/or responsiveness to the cytokine. Among these cytokines, Interleukin-21 (IL-21) is a relatively recently discovered cytokine, which is mainly produced by CD4(+) T cells in the body, and exerts multiple and pleiotropic effects on various immune cells. Recent studies have shown that the cytokine is indispensable for controlling chronic viral infections. This review summarizes current knowledges concerning the biological effects of this cytokine on different components of the immune system. We also discuss how it contributes toward mounting efficient antiviral immunity and controlling chronic viral infections, especially HIV-1. The IL-1 cytokine represents a novel therapeutic agent for virus-infected patients as well as an adjuvant in antiviral vaccination strategies.     

The role of suppressors of cytokine signalling in thymopoiesis and T cell activation

Cytokines play an essential role in mediating interactions between cells of the immune system. Suppressors of cytokine signalling proteins act to negatively regulate these cytokine signals, thereby exerting control over the expression of cytokine responsive genes. Various lines of experimental evidence suggest that two closely related members of the this family, suppressor of cytokine signalling 1 and 3, are important in the processes of T cell development, activation and homeostasis. This review outlines the principles underlying these processes and relates these to the potentially important roles played by suppressor of cytokine signalling 1 and 3.