热休克反应对小鼠油酸肺损伤的影响

热休克反应对小鼠油酸肺损伤的影响贾松惠,李立文,孙志东,喻召才,李静,王安辉,温光楠（第四军医大学病理生理学教研室西安７１００３２）亚致死剂量的热刺激可以通过热休克蛋白的大量产生而提高细胞的抗损伤能力￣〔１〕。本实验旨在通过观察热休克反应后小鼠油酸肺...     

人热休克因子1突变体的应用研究进展

热休克因子1是调节应激反应的主要转录因子,它在应激条件下可被活化。通过基因突变得到正显性和负显性热休克因子1,它们不需要外界条件刺激就分别具有启动热休克蛋白的表达或竞争抑制内源热休克因子1活性的能力。目前,已有多个热休克因子1的突变体应用于疾病研究。介绍了热休克因子1的结构和活化途径,以及热休克因子1突变体在肿瘤、神经系统及心血管系统等方面的应用进展。     

人热休克因子1突变体的应用研究进展

热休克因子1是调节应激反应的主要转录因子,它在应激条件下可被活化。通过基因突变得到正显性和负显性热休克因子1,它们不需要外界条件刺激就分别具有启动热休克蛋白的表达或竞争抑制内源热休克因子1活性的能力。目前,已有多个热休克因子1的突变体应用于疾病研究。介绍了热休克因子1的结构和活化途径,以及热休克因子1突变体在肿瘤、神经系统及心血管系统等方面的应用进展。     

热休克因子1基因剔除对小鼠生长繁殖的影响

目的观察HSF1基因剔除对小鼠生长、繁殖的影响。方法用HSF1基因剔除纯合子、杂合子和野生型小鼠建立交配对,HSF1基因正常繁殖组（简称HSF1正常组）30对、HSF1基因缺陷繁殖组（简称HSF1缺陷组）72对。观察母鼠产仔数、生产胎数、每胎产仔数、成年鼠体重。结果HSF1缺陷组母鼠平均产仔数（13.00±11.50）较少,与HSF1正常组（26.46±16.02）比较差异有显著性（P〈0.01）。HSF1缺陷组母鼠每胎产仔数（4.65±2.33）亦较少,与HSF1正常组（7.56±3.08）比较差异有显著性（P〈0.01）。HSF1缺陷组母鼠平均生产胎数（2.79±2.64）与HSF1正常组（3.50±2.19）比较差异无显著性（P〉0.05）。HSF1缺陷组成年小鼠平均体重（20.53±4.62）较轻,与HSF1正常组（23.06±3.39）比较差异有显著性（P〈0.01）。结论HSF1基因剔除小鼠被广泛应用于研究HSF1功能,但HSF1基因剔除对生殖、生长和健康状态的影响不容忽视。     

热休克蛋白HSP70在LPS诱导急性肺损伤中的表达

目的检测内毒素诱导急性肺损伤中热休克蛋白70的表达状况,探讨HSP70在急性肺损伤中的作用机制。方法在LPS致Wistar大鼠急性肺损伤动物模型上,采用免疫组织化学(SABC法)和蛋白印迹实验研究各组动物肺组织中HSP70的表达情况。结果LPS处理后1h,大鼠的支气管粘膜上皮及肺泡上皮细胞HSP70的表达与正常对照组相比明显增多,2h的表达达到高峰,6h后与对照组水平一致。Western blot结果显示,LPS处理2h、4h时,HSP70的表达较对照组明显增强。结论LPS诱导的急性肺损伤中可引起支气管、细支气管和肺泡上皮细胞HSP70应激性表达,提示HSP70对肺损伤起保护作用。     

热休克蛋白27和热休克因子1在子痫前期胎盘表达及意义

目的:研究热休克蛋白27(heat shock protein 27,HSP27)与热休克因子l(heat shock factor 1,HSFl)在子痫前期孕妇胎盘中的表达情况.方法:选择2011年6月-2012年6月在南京医科大学第一附属医院产科住院分娩的子痫前期患者21例(子痫前期组),以同期分娩的正常孕妇21例(正常妊娠组)作为对照组,采用实时定量聚合酶链反应(RT-PCR)、免疫组化(Immunohistochemistry)、蛋白印迹法(Western Blotting)检测两组孕妇胎盘HSP27mRNA和蛋白的表达以及HSF1蛋白表达水平,分析其是否存在组间差异.结果:子痫前期组胎盘中HSP27mRNA表达(3.28±0.34)高于正常妊娠组(1.87±0.22)和蛋白的表达明显增高,HSF1蛋白表达增高,差异具有统计学意义;HSF1与HSP27呈正相关关系(r=0.73,P＜0.05).结论:胎盘中HSF1是HSP27表达的主要调控因子.     

正显性热休克因子1突变体抑制6-OHDA诱导细胞死亡的研究

热休克因子1是真核细胞应激反应时热休克蛋白表达的主要转录调控因子。它在非应激条件下被抑制性复合体抑制以非活化形式存在,只有在受到应激时才会暂时活化。通过基因突变得到的正显性突变体在不需要外界环境刺激的条件下就能激活细胞内源性热休克蛋白的表达。环境神经毒素是引起帕金森病的一个重要因素,它们能够氧化损伤多巴胺能神经元,最终引起细胞死亡。Western blot和双荧光素酶检测证明,在SH-SY5Y细胞中转染正显性热休克因子1突变体能够明显上调HSP70的表达。并且通过检测细胞培养基中的乳酸脱氢酶的含量证明正显性热休克因子1突变体能够显著抑制神经毒素6-羟基多巴胺诱导的细胞死亡。这些结果表明,正显性热休克因子1突变体在帕金森病的防治方面可能具有潜在的应用前景。     

热休克因子1活性的调控机制

热休克因子1(HSF1)是调控热休克蛋白(HSPs)表达的核心转录因子,可被热应激、氧化应激、缺氧/血、pH下降等刺激因素激活,与靶基因的热休克元件特异性结合,增强HSPs表达,发挥内源性保护作用.HSF1活性的调控发生在HSF1三聚化、转位入核、结合DNA和调节转录等多个环节,受到分子伴侣蛋白、磷酸化作用、氧化-还原等机制共同调控,其复杂而精确的调控对于应激应答、生长发育等过程有重要意义.     

氧化还原作用对热休克转录因子1结构和功能的调控

为了评价半胱氨酸巯基氧化还原介导剂对人热休克转录因子 1(hHSF1)的氧化还原、结构和功能的作用 ,在体外用浓度为 0 .3～ 0 .5mmol/L的巯基氧化型介导剂二酰胺 (diamideDM )处理hHSF1;在体内用浓度为0 .1mmol/L的γ 谷氨酰半胱氨酸合成酶抑制剂丁硫堇处理HeLa细胞 ,都可形成一种致密的、分子内二硫键交联的氧化型hHSF1(ox hHSF1) ,使hHSF1三体形成和活化被阻断。二酰胺的这种作用呈剂量依赖 ;在电泳前加入浓度为 0 .4～ 0 .5mmol/L的巯基还原剂二硫苏糖醇 (DTT)到DM处理过的标本中再培育 ,能迅速和完全逆转这种作用。HSF1单体和三体功能域α 螺旋卷曲结构的计算机模型显示 ,在hHSF1单体N端和C端的疏水重复区中 ,半胱氨酸C1(第 15 3位氨基酸 )与半胱氨酸C4(第 373位氨基酸 )、C5(第 378位氨基酸 )非常接近 ,在合适的氧化作用下很容易形成二硫键 ,使HSF1单体形式较为稳定 ,不能形成三体并活化。结果表明 ,hHSF1的结构和功能与半胱氨酸上巯基的氧化还原化学性能相关 ;氧化作用和转录因子分子内巯基二硫键交联形成ox HSF1单体 ,可能是衰老细胞热体克转录反应呈渐减性的原因。     

Pressure Controlled Ventilation to Induce Acute Lung Injury in Mice

Murine models are extensively used to investigate acute injuries of different organs systems (1-34). Acute lung injury (ALI), which occurs with prolonged mechanical ventilation, contributes to morbidity and mortality of critical illness, and studies on novel genetic or pharmacological targets are areas of intense investigation (1-3, 5, 8, 26, 30, 33-36). ALI is defined by the acute onset of the disease, which leads to non-cardiac pulmonary edema and subsequent impairment of pulmonary gas exchange (36). We have developed a murine model of ALI by using a pressure-controlled ventilation to induce ventilator-induced lung injury (2). For this purpose, C57BL/6 mice are anesthetized and a tracheotomy is performed followed by induction of ALI via mechanical ventilation. Mice are ventilated in a pressure-controlled setting with an inspiratory peak pressure of 45 mbar over 1 - 3 hours. As outcome parameters, pulmonary edema (wet-to-dry ratio), bronchoalveolar fluid albumin content, bronchoalveolar fluid and pulmonary tissue myeloperoxidase content and pulmonary gas exchange are assessed (2). Using this technique we could show that it sufficiently induces acute lung inflammation and can distinguish between different treatment groups or genotypes (1-3, 5). Therefore this technique may be helpful for researchers who pursue molecular mechanisms involved in ALI using a genetic approach in mice with gene-targeted deletion.     

急性肺损伤大鼠肺组织高迁移率族蛋白1的表达及其意义

目的动态观察高迁移率族蛋白1（HGMB1）在失血性休克复合内毒素注射致急性肺损伤（ALl）大鼠肺组织的表达情况,初步探讨HMGB1在ALI发病机制中的作用。方法采取失血性休克复合内毒素注射手段建立ALl大鼠动物模型,采用RT-PCR方法,检测肺组织HMGB1mRNA的表达情况。结果正常大鼠肺组织有少量HMGBlmRNA表达,遭受失血性休克复合内毒素注射打击后,HMGB1mRNA表达迅速升高,至ALI24h达最高峰,随后有所下降,ALl各组大鼠表达水平与正常对照组比较差异均有统计学意义（P〈0．01）。结论正常大鼠肺组织有一定水平HMGBlmRNA的表达,遭受失血性休克及内毒素注射打击后,HMGBlmRNA表达异常增高,可引起过度炎症反应,从而促进ALI的发生与发展。     

Stimulation of Brain AMP-Activated Protein Kinase Attenuates Inflammation and Acute Lung Injury in Sepsis

Sepsis and septic shock are enormous public health problems with astronomical financial repercussions on health systems worldwide. The central nervous system (CNS) is closely intertwined in the septic process but the underlying mechanism is still obscure. AMP-activated protein kinase (AMPK) is a ubiquitous energy sensor enzyme and plays a key role in regulation of energy homeostasis and cell survival. In this study, we hypothesized that activation of AMPK in the brain would attenuate inflammatory responses in sepsis, particularly in the lungs. Adult C57BL/6 male mice were treated with 5-aminoimidazole-4-carboxamide ribonucleotide (AICAR, 20 ng), an AMPK activator, or vehicle (normal saline) by intracerebroventricular (ICV) injection, followed by cecal ligation and puncture (CLP) at 30 min post-ICV. The septic mice treated with AICAR exhibited elevated phosphorylation of AMPKα in the brain along with reduced serum levels of aspartate aminotransferase, tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β) and interleukin-6 (IL-6), compared with the vehicle. Similarly, the expressions of TNF-α, IL-1β, keratinocyte-derived chemokine and macrophage inflammatory protein-2 as well as myeloperoxidase activity in the lungs of AICAR-treated mice were significantly reduced. Moreover, histological findings in the lungs showed improvement of morphologic features and reduction of apoptosis with AICAR treatment. We further found that the beneficial effects of AICAR on septic mice were diminished in AMPKα2 deficient mice, showing that AMPK mediates these effects. In conclusion, our findings reveal a new functional role of activating AMPK in the CNS to attenuate inflammatory responses and acute lung injury in sepsis.     

Calcium–Permeable Channels and Endothelial Dysfunction in Acute Lung Injury

The increased permeability of the lung microvascular endothelium is one critical initiation of acute lung injury (ALI). The disruption of vascular-endothelium integrity results in leakiness of the endothelial barrier and accumulation of protein-rich fluid in the alveoli. During ALI, increased endothelial-cell (EC) permeability is always companied by high frequency and amplitude of cytosolic Ca²⁺ oscillations. Mechanistically, cytosolic calcium oscillations include calcium release from internal stores and calcium entry via channels located in the cell membrane. Recently, numerous publications have shown substantial evidence that calcium-permeable channels play an important role in maintaining the integrity of the endothelium barrier function of the vessel wall in ALI. These novel endothelial signaling pathways are future targets for the treatment of lung injury. This short review focuses on the up-to-date research and provide insight into the contribution of calcium influx via ion channels to the disruption of lung microvascular endothelial-barrier function during ALI.     

L-精氨酸对实验性大鼠急性肺损伤的保护作用

目的 探讨一氧化氮(NO)前体物质L-精氨酸(L-Arg)在内毒素(LPS)致大鼠急性肺损伤中的作用.方法 SD大鼠24只随机分为空白对照组、LPS组和L-Arg(500 mg/kg)组.腹腔注射LPS(100 μg/kg)复制急性肺损伤动物模型.在LPS注射2 h后,取大鼠肺称其湿重与干重,计算肺湿干比,测定肺灌洗液蛋白含量和白细胞数量,并进行肺组织病理学检查.结果 与对照组相比,LPS组肺湿干比、肺灌洗液蛋白含量和白细胞计数显著增高(P<0.01,n=8),病理学切片见急性肺损伤性变化;与LPS组相比,L-Arg组肺湿干比、肺灌洗液蛋白含量和白细胞计数显著降低(P<0.01,n=8),肺组织急性损伤显著减轻.结论 L-Arg具有抗LPS致急性肺损伤的作用.     

血清LRG1、GRP78与急诊脓毒症患者继发急性肺损伤的关系研究

摘要 目的：探讨血清富亮氨酸α-2糖蛋白1（LRG1）、葡萄糖调节蛋白78（GRP78）与急诊脓毒症患者继发急性肺损伤（ALI）的关系。方法：选取2021年1月～2022年10月在我院急诊重症监护室（EICU）接受治疗的155例脓毒症患者为观察组,根据是否继发ALI分为ALI组43例和非ALI组112例,另选取同期我院100名体检健康者为对照组。采用酶联免疫吸附试剂盒检测血清LRG1、GRP78水平。通过单因素及多因素Logistic回归分析脓毒症患者继发ALI的影响因素。受试者工作特征（ROC）曲线分析血清LRG1、GRP78水平对脓毒症患者继发ALI的预测价值。结果：与对照组比较,观察组血清LRG1、GRP78水平升高（P＜0.05）。单因素分析显示,急诊脓毒症患者继发ALI与脓毒症分级、EICU时间、机械通气、脓毒症相关器官衰竭评估（SOFA）评分、血乳酸、LRG1、GRP78有关（P<0.05）。多因素Logistic回归分析显示,脓毒性休克、EICU时间延长和SOFO评分、血乳酸、LRG1、GRP78升高为急诊脓毒症患者继发ALI的独立危险因素（P＜0.05）。ROC曲线分析显示,血清LRG1、GRP78水平单独和联合预测急诊脓毒症患者继发ALI的曲线下面积（AUC）分别为0.790、0.782、0.884,二者联合预测的AUC最大。结论：急诊脓毒症患者血清LRG1、GRP78水平升高与继发ALI密切相关,血清LRG1、GRP78水平联合预测急诊脓毒症患者继发ALI的价值较高。     

对乙酰氨基酚诱导的小鼠药物性肝损伤的模型研究

改良对乙酰氨基酚（acetaminophen,APAP）单独诱导小鼠急性肝损伤的模型和致死模型。随机将小鼠分为4组：空白对照组、APAP3h组、APAP6h组和APAP12h组,每组5只。饥饿15h后用对乙酰氨基酚诱发小鼠肝损伤。测定各组血清ALT、AST及胆红素含量,HE染色观察各组肝组织损伤情况。观察生存率时,小鼠随机分为对照组、禁食＋APAP（500mg／kg）组、禁食＋APAP（300mg／kg）组和不禁食＋APAP（500mg／kg）组,四组同时给药,然后记录各组小鼠的生存情况,绘制四组小鼠的生存曲线。小鼠注射APAP后,随时间的延长,ALT、AST水平逐渐升高,均明显高于空白对照组（P〈0．05）。小鼠肝脏HE染色可见,APAP中毒组小鼠肝细胞坏死及炎性细胞浸润。禁食＋APAP（500mg／kg）组小鼠自16h开始出现死亡,72h时全部死亡,死亡率明显高于不禁食组和禁食＋APAP（300mg/kg）组小鼠。该研究对APAPI起的C57／BL6小鼠药物性肝损伤模型进行改良,使其更加稳定和便于研究,为进一步探究APAP诱导肝毒性的机制及防治措施奠定了基础。     

The Preventive Effects of Lactobacillus casei on Acute Lung Injury Induced by Lipopolysaccharide

Lactobacillus has been reported to inhibit acute lung injury (ALI). However, the molecular mechanism of Lactobacillus casei (L. casei) in preventing ALI has not been identified, so we investigated whether L. casei pretreatment could inhibit the activation of TLR4/MyD88/NF-κB signaling pathway following ALI. ALI model was established by intraperitoneal injection of 2 mg/kg lipopolysaccharide (LPS) to female BALB/c mice. In L. casei LC2W group, mice were intragastrically administrated L. casei LC2W for a week, before the ALI modeling. The serum of normal BALB/c mice after intragastric administration of L. casei LC2W was used for in vitro cell assays. The serum was pre-incubated with mouse macrophage cell line (RAW264.7) and human lung cell line (HLF-A), then LPS was added to co-incubate. Compared with ALI model group, L. casei LC2W pretreatment significantly reduced lung pathological damage, the number of neutrophils and total cells in bronchoalveolar lavage fluid. Besides, L. casei LC2W pretreatment could significantly reverse the abnormal expression of ICAM-1, IL-6, TNF-α and IL-10 in lung tissue and serum, plus, L. casei LC2W significantly reduced the phosphorylation levels of IRAK-1 and NF-κB p65. In vitro, the serum decreased the up-regulation of IL-6 and TNF-α in cell lines induced by LPS. In conclusion, L. casei LC2W intragastric administration pretreatment could significantly improve LPS-induced ALI in mice, probably through circulation to reach the lungs so as to inhibit the inflammatory response induced by activation of TLR4/MyD88/NF-κB signaling pathway.     

脑缺血再灌注损伤大鼠血浆蛋白C活性变化的研究

目的探讨脑缺血再灌注损伤大鼠血浆蛋白C活性的变化及其检测意义。方法取SD大鼠30只,随机分为正常对照组(NC组)、假手术组(SH组)及脑缺血再灌注模型组(IR组),每组10只。线栓法制备左侧局灶性脑缺血再灌注模型,缺血2 h,再灌注24 h,神经功能缺损评分后,右侧颈总动脉取血,离心后取血浆50μl,于-20℃冰冻保存,发色底物法检测蛋白C活性;余血浆2 h内检测凝血功能各指标。结果 IR组大鼠蛋白C活性较NC组及SH组明显降低(P0.01),SH组PC活性较NC组也降低(P0.05);IR组较NC组及SH组PT、APTT明显降低(P0.01),FIB显著增高(P0.01)。结论脑缺血再灌注损伤后PC活性明显改变,检测血浆PC活性的变化对缺血再灌注脑损伤的早期诊断与治疗监测具有重要意义。     

急性肝损伤小鼠中线粒体解耦联蛋白2的表达变化及意义

目的:观察C57小鼠急性肝损伤(acute liver injury,ALI)中解偶联蛋白2(Uncouple Protein2,UCP2)的表达,探讨ALI与UCP2表达变化的意义。方法:领取36只小鼠,随机分为对照组、ALI 1 d组、ALI 4 d组、ALI 7 d组。分别检测血清谷氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)的变化;肝组织病理变化用HE染色观察;利用Western Blot方法分别检测全肝组织蛋白和肝细胞线粒体提纯蛋白中的UCP2蛋白水平的变化;Real Time quality PCR检测UCP2在mRNA水平的表达变化。结果:ALI组1 d、4 d组与对照组相比,ALT(160.69±22.11 vs 34.43±5.19;96.37±15.39 vs 34.43±5.19)、AST(306.54±68.09 vs 97.74±14.49;173.94±26.74 vs 97.74±14.49)表达差异具有统计学意义(P0.05);肝组织病理学检查ALI组1 d和4 d组中肝细胞出现大面积坏死,7d组肝细胞坏死缓解;蛋白水平检测UCP2在ALI 1 d和4 d时全肝组织分别增加2.84倍和2.25倍,在肝线粒体中1 d、4 d和7 d时分别增加2.19倍、1.68倍和1.56倍,差异具有统计学意义(P0.05);mRNA水平检测UCP2在ALI 1 d和4 d与对照组相比明显升高,相对增加3.79倍和1.46倍(P0.05)。结论:急性肝损伤状态下UCP2在蛋白和mRNA水平高表达,UCP2可能对于治疗急性肝损伤具有重要意义。