炎症介质通过延迟嗜中性粒细胞凋亡促进内皮细胞的损伤

本研究采用分离纯化的人外周血NTP,以LPS/TNF激活后5:1和10:1与内皮细胞共同培养或隔离培养,加或不加10ng/ml IL-6、10%(v/v)烧伤血清,24h后观察NTP凋亡对体外培养内皮细胞损伤程度的影响及其关系。结果表明激活的NTP对内皮细胞没有明显损伤,但是加入IL-6和烧伤血清后,NTP凋亡延迟,内皮细胞受到损伤,表现为发生坏死,并且NTP对内皮细胞的损伤需要两种细胞的直接接触。     

放射损伤,烧伤与放烧复合伤血清成份对心肌细胞钙离子…

本实验研究了放射损伤,烧伤与放烧复合伤后血清成份对培养心肌细胞Ｌ－型钙离子通道活动的影响。结果表明：伤后血清对上述通道的有激活作用,从而改变细胞内钙离子水平,此可能为伤后心脏功能抑制的一个重要机理。在作用强度上,复合伤血清重于单一伤,烧伤重于放射损伤,这是导致不同伤后血清对心功能抑制程度不一的重要因素。     

大鼠双下肢骨折合并失血对心肌细胞损伤的作用及其机制

目的：探讨双下肢骨折创伤失血反应可否诱导心肌细胞发生凋亡反应,为深入研究骨折创伤后心肌损伤机制奠定基础。方法：SD大鼠20只,随机分为对照组及创伤组（n=10）,制备双下肢骨折创伤失血模型;原代心肌细胞培养复制创伤模型。ELISA检测血清IL-2、IL-6、IL-10、TNF-α水平;心肌组织HE染色、Tunel试验观察心肌受损、凋亡;Western blot及RT-PCR检测心肌组织凋亡调控基因Bcl-2/Bax表达变化。结果：创伤后血清炎性因子时间依赖性改变,IL-2（8 h）、IL-6、IL-10（4 h）、TNF-α（1 h）达到峰值,随后逐步回落;心肌HE染色发现心肌细胞肿大,排列紊乱,炎细胞浸润;Tunel试验证实大量核染成棕褐色的心肌细胞,凋亡指数增加（P<0.05）;Western blot及RT-PCR检测表明,无论在体及心肌细胞培养中,促凋亡基因Bax表达上调（P<0.05）,而抑凋亡基因Bcl-2表达下调（P<0.05）。结论：大鼠双下肢骨折创伤失血反应通过诱导心肌细胞凋亡进而造成心肌损伤。     

中风膏对氧糖剥夺/再复氧损伤大鼠海马神经干细胞增殖的影响

目的：研究中风膏对体外氧糖剥夺/再复氧损伤大鼠神经干细胞增殖的影响。方法：采用悬浮培养法分离纯化新生SD大鼠大脑海马神经干细胞,免疫荧光法鉴定细胞,第3代贴壁培养神经干细胞氧糖剥夺2 h后,复氧培养24 h造模。实验分为正常对照组、模型组、中风膏5%含药血清组、中风膏10%含药血清组、中风膏20%含药血清组,每组6个复孔,分1 d、3 d、5 d、7 d 4个时间点。CCK8法检测细胞活力,流式细胞仪测定细胞凋亡。结果：悬浮培养细胞均高表达巢蛋白（nestin）。在增殖试验中,正常组与模型对照组比较,模型对照组的细胞增殖能力明显降低（P<0.01）;与模型对照组相比,第3日,中风膏20%治疗组的细胞增殖能力明显增强（P<0.01）;实验第5日、7日,中风膏5%、10%、20%组细胞增殖能力明显增强（P<0.01）。在凋亡实验中,与正常组比较,模型对照组的细胞凋亡明显升高（P<0.01）;与模型对照组相比,中风膏20%组细胞凋亡显著下降（P<0.01）。结论：中风膏含药血清对海马神经干细胞OGD/R损伤后的增殖能力有显著的修复作用,20%中风膏含药血清对干细胞损伤有治疗作用,可降低细胞凋亡。     

离体大鼠主动脉内皮细胞氧化应激损伤模型的建立及评价

目的：建立离体大鼠主动脉内皮细胞氧化应激损伤模型,为细胞损伤及细胞凋亡的调控研究提供基础。方法：大鼠断头处死在无菌条件下开胸取主动脉,经组织块培养法后传代培养得到充足主动脉内皮细胞,接种于96孔板或爬片培养,每组设6个复孔,用于之后的各项试验检测。以不加H₂O₂的组作为对照组,以不同浓度的H₂O₂（100、200、300、400、500 μmol/L）作用于内皮细胞相同时间12 h,来筛选最佳作用浓度;依据结果以相同浓度的H₂O₂（100和200 μmol/L）分别作用不同时间（3、6、9、12及24 h）,来筛选最佳作用时间。通过免疫荧光法鉴定、细胞存活率检测、生化指标（LDH-L、NO、MDA、SOD）检测及内皮细胞凋亡指数等变化,评价及验证模型的建立。结果：对细胞内Ⅷ型胶原抗原进行免疫荧光染色后鉴定血管内皮细胞培养成功;在12 h的相同作用时间下,随着H₂O₂浓度的加大,细胞存活率呈显著下降（77.63%±5.20%~40.90%±2.10%）;相同浓度（100 μmol/L组和200 μmol/L组）随着作用时间的增加,细胞存活率呈显著递减（100 μmol/L组为86.83%±12.11%~44.26%±5.70%,200 μmol/L组为78.28%±11.98%~34.45%±5.87%）;以H₂O₂浓度为100 μmol/L作用3、6、9、12及24 h,培养液中生化指标在9 h后LDH-L与MDA呈显著递增,NO与SOD呈显著递减;在H₂O₂浓度为100 μmol/L与作用时间12 h的条件下,流式检测结果显示内皮细胞凋亡率为16.92%±2.37%,显著高于对照组2.68%±0.47%（P<0.01）; TUNEL检测内皮细胞凋亡指数为17.65%±2.36%,显著高于对照组的3.23%±0.57%（P<0.01）。结论：该方法成功建立了体外血管内皮细胞氧化应激损伤模型,探索了轻重适度的诱导细胞损伤和细胞凋亡的造模方法,可以成为开展多种血管内皮细胞损伤及凋亡调控机制研究的基础。     

JNK激酶介导mGluR1对细胞凋亡的不同效应

代谢型谷氨酸受体1（mGluR1）可以通过激活多条信号通路促进或抑制细胞凋亡.然而,导致这种生理功能差异的机制尚不明确.本研究选用两种细胞系,即大鼠神经胶质瘤细胞系（C6）和人胚胎肾细胞（HEK293）分别研究内源性和外源转染的mGluR1的激活对细胞凋亡的影响及其调节机制. 结果显示,内源性mGluR1的活化能够激活PI3K/ERK/JNK通路,抑制凋亡试剂STS诱导的细胞凋亡;而外源转染的mGluR1的活化能够分别激活PI3K/ERK和JNK通路,同时促进STS诱导的应激损伤. HEK293细胞中,应用JNK通路抑制剂SP600125,能够部分抑制由mGluR1激活介导的caspase 3的剪切和细胞凋亡;而在C6细胞中阻断JNK通路,则加剧了由mGluR1活化而引起的细胞凋亡. 本文结果提示：mGluR1通过不同信号通路影响细胞凋亡,其中JNK通路可能是调控细胞凋亡的关键途径.本文为受体激活对细胞凋亡能够产生不同的调控作用提供了相应的证据.     

脂多糖直接损伤血管内皮细胞后内皮细胞膜脂的修饰

我们前期的研究显示,脂多糖（lipopolysaccharide,LPS）直接损伤人脐静脉血管内皮细胞（human umbilical vein endothelial cell,HUVEC）后,HUVEC膜粘度随LPS浓度的增加而增大,这暗示LPS可能改变HUVEC的膜结构和组成。本文旨在研究LPS直接损伤HUVEC后内皮细胞膜脂的修饰。用高效毛细管电泳（high performance capillary electrophoresis,HPCE)污测定HUVEC膜磷脂组成,HUVEC用不同浓度（O、0.3125、0.625、1.25、2.5、5、7、8.5、9、10μg/ml）的LPS无血清培养液直接损伤3h;用含LPS（0.625μg/ml）的无血清培养液直接损伤1、3、6、12、24、48h。结果显示：在3h LPS的作用下,HUVEC的总磷脂含量随LPS浓度的增加而增加,在0.625μg/ml LPS的浓度条件下,HUVEC的总磷脂含量随LPS作用时间的延长而降低;LPS的作用浓度和作用时间对磷脂酰鞘磷脂（SM）、磷脂酰乙醇胺（PE）以及磷脂酰丝氨酸（PS）的含量影响不大。LPS激活膜磷脂代谢的反应特性表现出典型的酶促动力学特性。实验结果表明,LPS可直接激活血管内皮细胞膜磷脂代谢,诱导HUVEC膜磷脂的修饰,提示LPS直接损伤血管内皮细胞HUVEC的途径可能与膜结构组成及膜脂代谢有关。     

人参皂甙Rg1抗OxLDL诱导内皮细胞凋亡及分子机制

目的 探讨人参皂甙Rg1抑制氧化低密度脂蛋白（oxidized low-density lipoprotein,OxLDL)诱导血管内皮细胞凋亡的作用及其相关分子机制。方法 以体外培养的牛主动脉内皮细胞为模型。分别加入OxLDL200μg/ml(OxLDL组）和OxLDL200μg/ml Rg140μg/ml（Rg1组）;对照组不加任何诱导物,培养24小时后观察细胞形态变化,DNA电泳,TUNEL染色检测细胞有无凋亡及凋亡的程度,Western blot分析各组内皮细胞型一氧化氮合酶（endothelial Nitric Oxide Synthase,eNOS)的表达水平。结果 （1）对照组和OxLDL组血管内皮细胞凋亡比例分别为8%和41.35%;(2)Rg1组血管内皮细胞凋亡比例为13.29%;(3)OxLDL抑制牛主动脉内皮细胞的eNOS表达水平,此抑制作用具有剂量依赖性。人参皂甙Rg1可使被OxLDL抑制的eNOS表达水平回升。结论 （1）OxLDL能诱导血管内皮细胞凋亡。（2）人参皂甙Rg1能抑制OxLDL诱导的血管内皮细胞凋亡。（3）此作用可能与上调内皮细胞的eNOS水平,减轻细胞的脂质过氧化损伤有关。     

基于自噬与凋亡机制研究左归丸对化疗损伤颗粒细胞及膜细胞的影响

目的 探讨左归丸含药血清对化疗损伤性颗粒细胞和膜细胞的影响及作用机制。方法 制备左归丸含药血清,培养大鼠卵巢颗粒细胞和膜细胞,使用磷酰胺氮芥造模分组后给药。CCK-8法测定颗粒细胞和膜细胞存活率,实时荧光定量PCR法（RT-PCR）及蛋白质免疫印迹法（Western blot）分别检测卵巢自噬启动因子Beclin-1、微管结合蛋白轻链3（LC3B）、自噬受体蛋白p62、凋亡蛋白Bax、Caspase3在转录水平和翻译水平上的表达。结果 10%左归丸含药血清对于细胞存活的挽救率最高。Beclin-1、LC3B、Bax、Caspase3在磷酰胺氮芥作用的颗粒细胞和膜细胞中,相对于空白对照组有高表达（P<0.05）,10%左归丸含药血清可下调上述蛋白质在模型组中的表达（P<0.05）;然而受体蛋白p62较空白对照组升高（P<0.05）,10%左归丸含药血清可上调模型组p62的表达（P<0.05）。此外,在颗粒细胞实验组中,激活或抑制自噬途径后,自噬相关蛋白的表达在发生相应改变的同时,凋亡相关蛋白的表达也会发生相应改变。结论 磷酰胺氮芥可通过促进凋亡、激活自噬/溶酶体降解途径的机制损伤颗粒细胞和膜细胞。10%左归丸含药血清能缓解由此带来的损伤,同时影响了颗粒细胞和膜细胞自噬和凋亡过程。在磷酰胺氮芥损伤颗粒细胞的过程和10%左归丸含药血清缓解其损伤过程中均存在自噬与凋亡串流（cross-talk）。     

肌肽对低氧所致大鼠血管内皮细胞损伤的保护作用

目的：研究肌肽对低氧所致大鼠血管内皮细胞损伤的影响。方法：建立低氧条件下大鼠血管内皮细胞损伤模型,用MTT法观察肌肽对低氧损伤的血管内皮细胞活性的影响,测定细胞培养基中LDH活力,并对细胞骨架进行考马斯亮蓝R-250染色观测其细胞结构。结果：浓度为10mmol/L～20mmol/L肌肽孵育血管内皮细胞6h后,可以抑制缺氧12h和24h引起的血管内皮细胞活性下降,同时减少LDH的释放,保持细胞骨架完整。结论：肌肽对低氧所致的血管内皮细胞损伤具有保护作用。     

LPS and cytokine-induced endothelial cell IL-6 release and ELAM-1 expression; involvement of serum.

In this in vitro study, the influence of serum-concentration, heat inactivation of the serum and the origin of the serum on the responsiveness of cultured human umbilical vein endothelial cells (HUVEC) to immunological challenges was investigated. Addition of human serum during stimulation with 1 microgram/ml bacterial lipopolysaccharide (LPS) increased endothelial cell ELAM-1 expression and interleukin (IL)-6 release five to ten-fold. Full endothelial cell responsiveness to LPS required 10 to 50% human serum and was largely abrogated after heating the serum for 30 minutes at 56 degrees C. Addition of newborn or fetal bovine serum instead of human serum, induced even higher IL-6 release and ELAM-1 expression in response to LPS, whilst heat-inactivation of these serum-batches only moderately decreased endothelial cell responses. Endothelial cell IL-6 release and ELAM-1 expression after stimulation with IL-1 beta and tumor necrosis factor-alpha (TNF-alpha) were less influenced by heat inactivation of the serum and by omission of serum, whilst responses to PMA remained completely unaffected by such modifications in assay media. Finally, we demonstrated that endothelial cell IL-8 release also and ICAM-1 expression in response to LPS and cytokines were increased by addition of human serum, indicating that the use of serum-free assay media, or the use of media enriched with heat-inactivated (HI) human serum interferes with physiological endothelial cell responsiveness.(ABSTRACT TRUNCATED AT 250 WORDS)     

Characterization and expression kinetics of an endothelial cell activation antigen present in vivo only in acute inflammatory tissues

Endothelial cell activation by endotoxin (LPS), tumor necrosis factor (TNF), Interleukin-1-alpha, beta (IL-1-alpha, beta) and phorbolesters (TPA) results in increased monocyte adhesion. Examination of kinetics of monocyte adhesion shows that the onset of adherence enhancement (AE) is similar in all five agents (about 300% AE at 6 h), while its decrease is delayed in LPS/TNF versus IL-1-alpha, beta/TPA-induced activation (LPS versus IL-1-beta:260% versus 60% at 18 h). Monoclonal antibody (4D10), raised against 24 h LPS-stimulated endothelial cells detects an endothelial cell-specific activation antigen at Mr 81,000 that is induced by LPS, TNF, IL-1-alpha, beta and TPA (within 6 h about 100% positive cells). Decrease in antigen-positive cells is delayed in LPS/TNF versus IL-1-alpha, beta/TPA-induced antigen expression (LPS vs. IL-1-beta: 60% vs. 5% at 24 h). In situ the antigen is not expressed in normal and chronic inflammatory tissues. Acute inflammatory tissues, including contact and atopic dermatitis, psoriasis and periodontitis, however, show endothelial cells staining strongly positive. In contact eczemas at different times after elicitation (0, 6, 24, 72, 96 h), expression of the antigen is first seen after 24 h and is still strong at 96 h. These data indicate that LPS/TNF conduct an endothelial cell activation program in vitro, showing the same prolonged kinetics that is found for endothelial cell activation in the acute inflammatory process in vivo.     

Activation of intrinsic and extrinsic proapoptotic signaling pathways in interleukin-18-mediated human cardiac endothelial cell death

Endothelial cells are the primary targets of circulating immune and inflammatory mediators. We hypothesize that interleukin-18, a proinflammatory cytokine, induces endothelial cell apoptosis. Human cardiac microvascular endothelial cells (HCMEC) were treated with interleukin (IL) 18. mRNA expression was analyzed by ribonuclease protection assay, protein levels by immunoblotting, and cell death by enzyme-linked immunosorbent assay and fluorescence-activated cell sorter analysis. We also investigated the signal transduction pathways involved in IL-18-mediated cell death. Treatment of HCMEC with IL-18 increases 1) NF-kappaB DNA binding activity; 2) induces kappaB-driven luciferase activity; 3) induces IL-1beta and TNF-alpha expression via NF-kappaB activation; 4) inhibits antiapoptotic Bcl-2 and Bcl-X(L); 5) up-regulates proapoptotic Fas, Fas-L, and Bcl-X(S) expression; 6) induces fas and Fas-L promoter activities via NF-kappaB activation; 7) activates caspases-8, -3, -9, and BID; 8) induces cytochrome c release into the cytoplasm; 9) inhibits FLIP; and 10) induces HCME cell death by apoptosis as seen by increased annexin V staining and increased levels of mono- and oligonucleosomal fragmented DNA. Whereas overexpression of Bcl-2 significantly attenuated IL-18-induced endothelial cell apoptosis, Bcl-2/Bcl-X(L) chimeric phosphorothioated 2'-MOE-modified antisense oligonucleotides potentiated the proapoptotic effects of IL-18. Furthermore, caspase-8, IKK-alpha, and NF-kappaB p65 knockdown or dominant negative IkappaB-alpha and dominant negative IkappaB-beta or kinase dead IKK-beta significantly attenuated IL-18-induced HCME cell death. Effects of IL-18 on cell death are direct and are not mediated by intermediaries such as IL-1beta, tumor necrosis factor-alpha, or interferon-gamma. Taken together, our results indicate that IL-18 activates both intrinsic and extrinsic proapoptotic signaling pathways, induces endothelial cell death, and thereby may play a role in myocardial inflammation and injury.     

Adipose-derived mesenchymal stem cells ameliorate the inflammatory reaction in CLP-induced septic acute lung injury rats via sTNFR1

We hypothesized that the adipose-derived mesenchymal stem cells (ADMSCs), which secrete high amounts of soluble molecules, such as soluble tumor necrosis factor receptor 1 (sTNFR1), may ameliorate sepsis-induced acute lung injury (ALI). A total of 120 male adult Sprague–Dawley rats were separated into four groups: the sham control (SC), sepsis induced by cecal ligation and puncture (CLP), CLP–ADMSCs, and CLP–sTNFR1 small interfering RNA (siRNA) groups; CLP groups underwent CLP and then received 1 × 10⁶ ADMSCs with or without knockdown of sTNFR1 intravenously at 1 hr after surgery. Rats were killed at 3, 6, 24, and 48 hr after the SC or CLP procedures. 5-Ethynyl-2′-deoxyuridine-labeled ADMSCs extensively colonized the lungs at 6, 24, and 72 hr after injection. The lung wet/dry (W/D) weight ratios in the CLP group were higher than those in SC group; however, ADMSCs ameliorated the W/D weight ratios following CLP, and this effect was abolished by sTNFR1 siRNA treatment. The levels of serum sTNFR1 and interleukin-10 (IL-10) were higher in the CLP–ADMSCs group and lower in the SC group than in other groups; interestingly, these levels were higher in CLP and CLP–sTNFR1 siRNA groups than in SC group. Tumor necrosis factor-α and IL-6 levels increased significantly after CLP, and ADMSCs could alleviate these changes, but the effect was weakened by sTNFR1 siRNA treatment. The lung cell apoptosis and edema levels were consistent with IL-6 levels among all groups. Therapeutically administered ADMSCs secrete sTNFR1, which most likely protects against ALI in septic rats by ameliorating inflammation and lung edema.     

炎症因子、生长因子以及凋亡因子在压疮慢性难愈合性创面中的表达及作用

目的：探讨炎症反应、生长因子及凋亡因子在压疮慢性创面中的表达及作用。方法：选取2013年10月至2015年7月河南大学第一附属医院收治的患者,其中临床Ⅲ、Ⅳ期压疮患者共20例,急性创面10例,正常皮肤组织6例。通过HE染色观察不同创面组织的形态学特征;免疫组织化学法检测组织中细胞凋亡因子Caspase-3的分布规律;荧光定量PCR法定量分析IL-1β、IL-6、TNF-α、VEGF、bFGF及其受体KDR、FGFR1基因水平的变化特征。结果：Ⅲ、Ⅳ期压疮创面中可见炎性细胞浸润;凋亡信号因子caspase-3在压疮组中的表达高于其他两组,差异有统计学意义;IL-1β、IL-6、TNF-α表达高于急性创面组和正常皮肤组;VEGF和bFGF生长因子及其受体KDR和bFGFR1表达分别低于对照组。结论：炎症因子和凋亡因子在压疮慢性创面中持续长时间的高表达、生长因子及其受体显著的低表达可能是压疮慢性难愈合性创面形成的机制和难以彻底治愈的重要因素。     

Homocysteine-thiolactone induces caspase-independent vascular endothelial cell death with apoptotic features

Objective. Cell death is generally classified into two large categories: apoptosis, which represents active, physiological programmed cell death, and necrosis, which represents passive cell death without underlying regulatory mechanisms. Apoptosis plays an important role in tissue homeostasis and its role in endothelium integrity can be influenced by the functional status of endothelial cells. Homocysteine, a sulfated amino-acid product of methionine demethylation, is an independent risk factor for vascular disease (arterial and venous thombosis). Our goal was to investigate the thiol-derivatives effect on the endothelial cell apoptosis. Methods. Three parameters were measured: mitochondrial membrane potential using DiOC₆(3) as the probe, DEVDase activation, and phosphatidylserine exposure on the cell surface with fluorosceinated annexin V labeling which allows apoptosis to be distinguished from necrosis. Results. Homocysteine-thiolactone induced endothelial cell apoptosis in a concentration-dependent manner (range: 50–200 M), independently of the caspase pathway. Only homocysteine-thiolactone, among the thiol derivatives tested, induced apoptosis. Apoptosis was not influenced by the serum concentration in culture medium, suggesting that the observed apoptotic process could occur in vivo. None of the inhibitors used (e.g., leupeptin, fumosinin Bl, catalase, or z-VAD-fmk) was able to prevent homocysteine-induced apoptosis of vascular endothelial cells. Conclusion. The apoptosis of vascular endothelial cells induced by high concentration of homocysteine-thiolactone might be one step atherosclerotic cardiovascular disease, and contribute to its complication.     

Electron microscopic analysis of glucose-induced endothelial damage in primary culture: possible mechanism and prevention

We previously reported that high glucose treated cultured endothelial cells (ECs) showed intercellular gaps by transmission electron microscopy (TEM). These gaps were abrogated with insulin and/or heparin treatment. Our aims were to assess the severity of injury in ECs treated with high glucose for variable duration, and to further study the protective effects of insulin and/or heparin. Cells were also treated with L-buthionine sulfoximine (BSO), a glutathione inhibitor, to help understand the mechanism of high glucose injury. Primary porcine ECs were treated with high glucose (30 mM) for 2, 6 or 10 days; and glucose plus insulin (1 U/ml), glucose plus heparin (5 microg/ml), glucose plus insulin plus heparin for 6 days. ECs were treated with BSO (0.001-0.05 mM) for 2 days. Pellets from trypsinized cells were processed for TEM. High glucose treatment revealed apoptosis or necrosis showing variable cell size, abnormal nuclei, condensation of nuclear chromatin, few mitochondria, cell membrane disruption and needle-shaped structures. Changes increased with duration of exposure. In high glucose plus heparin or insulin treated cultures at least one-half of the cells appeared normal. Most ECs were intact when treated with high glucose plus insulin plus heparin. BSO treatment showed dose-dependent changes with low doses showing apoptosis whereas higher doses revealed necrosis similar to high glucose treatment for 6 or 10 days. High glucose-induced EC injury increased with duration of exposure. These data demonstrate that high glucose injury resembles that of BSO treatment, suggesting that glutathione depletion may be involved in EC injury. Insulin and/or heparin protect against high glucose-induced injury.