胰十二指肠切除术后肠黏膜屏障损伤与肠道细菌移位的临床研究

目的:探讨胰十二指肠切除手术后肠道细菌移位(BT)与术后全身炎症反应综合征(SIRS)关系。方法:40例择期行胰十二指肠切除手术患者,于术前和术后1、3、5天采集外周血,进行血浆D-乳酸,全血细菌DNA检测.全血DNA提取后进行PCR扩增,采用靶基因为大肠杆菌特异性β半乳糖苷酶基因和16SrRNA基因。观察患者术后10天以监测SIRS情况。结果:术前PCR检测全血细菌DNA均为阴性,术后共有13例阳性。术后出现全身炎症反应综合征(SIRS)的患者PCR阳性率为85.7%(12/14),无SIRS组为3.8%(1/26()P<0.01)。PCR阳性组SIRS发生率为93.2%(12/13),阴性组为7.4%(2/27)(P<0.01).PCR阳性的患者外周血血浆D-乳酸浓度较PCR阴性者明显升高(P<0.01),有SIRS的患者外周血血浆D-乳酸浓度较无SIRS患者明显升高(P<0.01)。结论:胰十二指肠切除术后肠黏膜屏障损伤与BT关系密切,术后SIRS和与BT密切相关。PCR技术对术后SIRS有较好的早期预警价值。     

Use of the addressing sequence of yeast D-lactate dehydrogenase for insertion of CYP11A1p into the inner membrane of yeast mitochondria

Mammalian cytochrome P450scc (CYP11A1p) is a pseudointegral protein of the inner membrane of mitochondria with the active center exposed in the matrix. Upon import of the CYP11A1p precursor into yeast mitochondria, only a minor part was incorporated into the inner mitochondrial membrane and acquired catalytic activity (Kovaleva, I. E., Novikova, L. A., Nazarov, P. A., Grivennikov, S. I., and Luzikov, V. N. (2003) Eur. J. Biochem., 270, 222-229). The present work is an attempt to increase the efficiency of this process by substitution of the inherent N-terminal presequence of CYP11A1p by the addressing signal of D-lactate dehydrogenase (D-LD) of the yeast Saccharomyces cerevisiae. D-LD is known to be inserted into the inner membrane of mitochondria through its transmembrane domain located close to the N-terminus of the polypeptide chain in such a way that the protein globule is exposed in the intermembrane space. The hybrid protein D-LD(1-72)-mCYP11A1p synthesized in yeast cells was imported into yeast mitochondria, underwent processing, and was inserted into the inner membrane on the side of the intermembrane space. In the presence of adrenodoxin and adrenodoxin reductase, the hybrid protein exhibited cholesterol side-chain cleavage activity. Thus, CYP11A1p insertion into the inner membrane of mitochondria mediated by the D-LD topogenic signal resulted in the catalytically active mCYP11A1p domain in the hybrid protein.     

粘质沙雷氏菌H3010发酵型D-乳酸脱氢酶基因的克隆表达、纯化及酶学性质研究

通过PCR技术从粘质沙雷氏菌H3010基因组DNA中扩增出该D-乳酸脱氢酶基因,连接至pET-28a（＋）表达载体,转入大肠杆菌BL21（DE3）中进行了重组表达,优化了酶纯化的条件,并对其酶学性质进行初步研究。结果表明,获得的该酶编码基因全长993bp,编码330个氨基酸,大小为37kDa。经优化表达及纯化条件后重组酶纯度可达90％。酶学性质研究发现,该重组酶最适反应温度为60℃,最适酶促反应pH为7．5（O．2mol／L磷酸盐缓冲液）,37℃下测得对底物丙酮酸的动力学参数Km=3．39mmol／L,Vmax=6．87mmol／（mg·min）,对辅酶NADH的动力学参数Km=1．43mmol／L,Vmax=1．61mmo]／（mg·min）。为酶法生产D-乳酸及利用代谢工程构建产D-乳酸的基因工程菌打下基础。     

Cumene peroxide and Fe2+-ascorbate-induced lipid peroxidation and effect of phosphoglucose isomerase

Malondialdehyde (MDA) is one of cytotoxic aldehydes produced in cells as a result of lipid peroxidation and further MDA metabolism in cytoplasm is not known. In our experiments the liver fraction 10,000 g containing phosphoglucose isomerase and enzymes of the glyoxalase system was used and obtained experimental data shows that in this fraction there is an aggregate of reactions taking place both in membranes (lipid peroxidation) and outside membranes. MDA accumulation is relatively slow because MDA is a substrate of aldehyde isomerase (MDA ↔ methylglyoxal). The well known enzyme phosphoglucose isomerase acts as an aldehyde isomerase (Michaelis constant for this enzyme Km = 133 ± 8 μM). MDA conversion to methylglyoxal and further to neutral product D-lactate (with GSH as a cofactor) occurs in cytoplasm and D-lactate should be regarded as the end product of two different parametabolic reactions: lipid peroxidation or protein glycation.     

A thioredoxin fusion protein of VanH, a D-lactate dehydrogenase from Enterococcus faecium: cloning, expression, purification, kinetic analysis, and crystallization.

The gene encoding the vancomycin resistance protein VanH from Enterococcus faecium, a D-lactate dehydrogenase, has been cloned into a thioredoxin expression system (pTRxFus) and expressed as a fusion protein. The use of several other expression systems yielded only inclusion bodies from which no functional protein could be recovered. Experiments to remove the thioredoxin moiety by enterokinase cleavage at the engineered recognition site under a variety of conditions resulted in nonspecific proteolysis and inactivation of the protein. The intact fusion protein was, therefore, used for kinetic studies and crystallization trials. It has been purified to greater than 90% homogeneity by ammonium sulfate precipitation followed by phenyl Sepharose chromatography. Based on k(cat)/KM for pyruvate, it is 20% as active as native VanH. Michaelis constants for NADPH, NADH, and pyruvate, of approximately 3.5 microM, 19.0 microM, and 1.5 mM, respectively, were comparable to those reported for the native VanH (Bugg TDH et al., 1991, Biochemistry 30:10408-10415). Like native VanH, maximum activity of the fusion protein requires the presence of an anion (phosphate or acetate), however, in addition, a strongly reducing environment is needed for optimal efficacy. Competitive inhibition constants for ADP-ribose, NAD+, and oxamate have also been determined. Crystallization by hanging drop vapor diffusion produced two different crystal forms, one hexagonal and the other tetragonal. Flash-frozen crystals of the tetragonal form diffracted to 3.0 A resolution at a synchrotron radiation source.     

大肠杆菌琥珀酸和乙酸合成途径的删除及其重组菌株的D-乳酸发酵

菌株CICIM B0013-030 (B0013,ack-pta,pps,pflB) 可积累D-乳酸作为主要发酵产物,然而副产物琥珀酸和乙酸的含量分别高达乳酸的11.9％和7.1％。为构建副产物含量低的产D-乳酸重组大肠杆菌菌株,本研究删除了菌株B0013-030的琥珀酸 (frdA) 和乙酸 (tdcDE) 合成途径,并考察了重组菌株在摇瓶和发酵罐中经两阶段发酵 (好氧生长菌体和厌氧发酵产酸) 利用葡萄糖发酵D-乳酸的性能。结果表明,分别构建含有frdA::difGm和tdcDE::difGm突变盒的重组质粒,并利用Red重组系统将突变盒整合于染色体上的目的基因,再利用Xer重组系统去除抗生素抗性基因,依次获得了重组菌株B0013-040B (B0013-030,frdA) 和B0013-050B (B0013-040B,tdcDE)。摇瓶发酵结果表明,frdA基因的删除使得菌株B0013-040B副产物琥珀酸的含量降低了80.8％;在7 L发酵罐中进行乳酸发酵,菌株B0013-040B的D-乳酸产量达114.5 g/L,光学纯度大于99.9％,但仍积累1.0 g/L琥珀酸和5.4 g/L乙酸。进一步删除了tdcD和tdcE基因的菌株B0013-050B,在7 L发酵罐中生产111.9 g/L D-乳酸,乙酸和琥珀酸的合成量分别降低为0.4 g/L,其他副产物含量也维持较低水平,表明该菌株具有较优良的D-乳酸发酵性能。     

双歧杆菌三联活菌胶囊对非酒精性脂肪性肝炎患者血清D-乳酸和二胺氧化酶水平的影响

目的探讨双歧杆菌三联活菌胶囊对非酒精性脂肪性肝炎（NASH）患者血清D-乳酸和二胺氧化酶（DAO）水平的影响。方法选取NASH患者88例,随机分为对照组和观察组。对照组患者予以适度的节食、加强休息与适当的体育锻炼,观察组患者加用双歧杆菌三联活菌胶囊420 mg,2次/d,连用8周。观察两组患者治疗前后肝功能指标丙氨酸转氨酶（ALT）和谷氨酰转肽酶（γ-GT）,血清D-乳酸和DAO水平的变化。结果治疗8周后,两组患者ALT和γ-GT水平均较前明显下降（P〈0.05或P〈0.01）,且观察组下降幅度较对照组更明显（P〈0.05）;两组患者血清D-乳酸和DAO水平均较前明显下降（P〈0.05或P〈0.01）,且观察组下降幅度较对照组更明显（P〈0.05）。结论双歧杆菌三联活菌胶囊辅助治疗NASH疗效较好,能降低血清D-乳酸和DAO水平,改善其肝功能指标。     

D-乳酸生产菌菊糖芽孢乳杆菌来源的D-乳酸脱氢酶同工酶

【目的】菊糖芽孢乳杆菌(Sporolactobacillus inulinus)作为典型的同型发酵产D-乳酸的优势菌株,能够高效生产高纯度的D-乳酸。该菌株发酵受到多方面环境因素影响。糖代谢的关键酶例如葡萄糖激酶、磷酸果糖激酶、丙酮酸激酶以及乳酸脱氢酶均为由葡萄糖代谢成为乳酸的关键酶,该菌中相关代谢酶的研究是发酵调控至关重要的基础。分析S.inulinus的基因组表明有3个推测为D-乳酸脱氢酶的基因,其中已有报道研究了1个双功能蛋白[bifunctional protein(BP)]。本研究分别克隆并解析了另2个D-乳酸脱氢酶同工酶的性质。【方法】本研究以S.inulinus Y2-8基因组DNA为模板,克隆得到2个D-ldh基因(dldh、dhdh),经测序分别为D-乳酸脱氢酶[D-lactic acid dehydrogenase(DLDH)]和D-羟基酸脱氢酶[D-isomer specific 2-hydroxyacid dehydrogenase(DHDH)]的基因。构建的重组菌表达蛋白DLDH,DHDH均具有催化丙酮酸生成D-乳酸的功能。【结果】重组菌表达的蛋白经镍柱亲和层析达到电泳纯。SDS-PAGE分析表明DLDH的表观分子量为37 k Da,DHDH的表观分子量为39 k Da。此外,DLDH以丙酮酸为底物时Km值为(0.58±0.04)mmol/L,对底物有较高的亲和力,最适反应温度为35°C,最适p H为6.5;而DHDH以丙酮酸为底物时Km值为(1.70±0.08)mmol/L最适反应温度为30°C,最适p H为7.5。另有报道的BP以丙酮酸为底物时Km值为(3.40±0.02)mmol/L,最适反应温度为30°C,最适p H为5.5。【结论】根据对底物丙酮酸的亲和力,最适温度及最适p H,推测DLDH是乳酸发酵中产D-乳酸的主导催化剂。结合相关酶学性质的分析可为今后的发酵调控提供理论依据。     

Functional significance of brain glycogen in sustaining glutamatergic neurotransmission

The involvement of brain glycogen in sustaining neuronal activity has previously been demonstrated. However, to what extent energy derived from glycogen is consumed by astrocytes themselves or is transferred to the neurons in the form of lactate for oxidative metabolism to proceed is at present unclear. The significance of glycogen in fueling glutamate uptake into astrocytes was specifically addressed in cultured astrocytes. Moreover, the objective was to elucidate whether glycogen derived energy is important for maintaining glutamatergic neurotransmission, induced by repetitive exposure to NMDA in co-cultures of cerebellar neurons and astrocytes. In the astrocytes it was shown that uptake of the glutamate analogue d -[³H]aspartate was impaired when glycogen degradation was inhibited irrespective of the presence of glucose, signifying that energy derived from glycogen degradation is important for the astrocytic compartment. By inhibiting glycogen degradation in co-cultures it was evident that glycogen provides energy to sustain glutamatergic neurotransmission, i.e. release and uptake of glutamate. The relocation of glycogen derived lactate to the neuronal compartment was investigated by employing d -lactate, a competitive substrate for the monocarboxylate transporters. Neurotransmitter release was affected by the presence of d -lactate indicating that glycogen derived energy is important not only in the astrocytic but also in the neuronal compartment.     

胰十二指肠切除术后肠黏膜屏障损伤与肠道细菌移位的临床研究（英文）

目的：探讨胰十二指肠切除手术后肠道细菌移位（BT）与术后全身炎症反应综合征（SIRS）关系。方法：40例择期行胰十二指肠切除手术患者,于术前和术后1、3、5天采集外周血,进行血浆D-乳酸,全血细菌DNA检测.全血DNA提取后进行PCR扩增,采用靶基因为大肠杆菌特异性β半乳糖苷酶基因和16SrRNA基因。观察患者术后10天以监测SIRS情况。结果：术前PCR检测全血细菌DNA均为阴性,术后共有13例阳性。术后出现全身炎症反应综合征（SIRS）的患者PCR阳性率为85.7%（12/14）,无SIRS组为3.8%（1/26（）P〈0.01）。PCR阳性组SIRS发生率为93.2%（12/13）,阴性组为7.4%（2/27）（P〈0.01）.PCR阳性的患者外周血血浆D-乳酸浓度较PCR阴性者明显升高（P〈0.01）,有SIRS的患者外周血血浆D-乳酸浓度较无SIRS患者明显升高（P〈0.01）。结论：胰十二指肠切除术后肠黏膜屏障损伤与BT关系密切,术后SIRS和与BT密切相关。PCR技术对术后SIRS有较好的早期预警价值。