Caspases

胱天蛋白酶
  • 文章类型: Journal Article
    目的:黑色素瘤2(AIM2)蛋白的缺失会触发炎症小体级联的激活。目前尚不清楚AIM2是否在肝细胞癌(HCC)和射频消融(RFA)中发挥作用,使用射频波来治疗肿瘤。在这项研究中,我们调查了RFA是否可以诱导焦亡,也称为细胞炎性坏死,在肝癌中通过AIM2-炎症小体信号在体内和体外。
    方法:BALB/c裸鼠用于产生HepG2或SMMC-7721细胞来源的肿瘤异种移植物。用短发夹RNA(shRNA)和表达载体转染,分别,用于功能和机械研究。使用流式细胞术检查下游效应,qRT-PCR,ELISAs,和其他分子检测。
    结果:RFA显著抑制肝癌细胞移植瘤的生长。流式细胞术分析显示RFA可诱导焦亡。此外,AIM2,NLRP3,caspase-1,γ-H2AX,与对照组相比,RFA处理的小鼠肝组织中DNA-PKc的表达水平明显更高。此外,白细胞介素(IL)-1β和IL-18的表达水平在肝癌细胞来源的异种移植小鼠中明显高于那些没有RFA治疗。值得注意的是,RFA完全消融组的疗效明显高于部分消融组.HCC细胞中AIM2的敲低或过表达表明AIM2在RFA诱导的焦亡中起作用。
    结论:RFA可以通过AIM2诱导细胞凋亡来抑制HCC肿瘤的生长。因此,对AIM2介导的炎症小体信号进行治疗干预可能有助于改善HCC患者的RFA治疗结果。
    OBJECTIVE: The absence of melanoma 2 (AIM2) protein triggers the activation of the inflammasome cascade. It is unclear whether AIM2 plays a role in hepatocellular carcinoma (HCC) and radiofrequency ablation (RFA), which uses radiofrequency waves to treat tumors. In this study, we investigated if RFA could induce pyroptosis, also called cell inflammatory necrosis, in HCC through AIM2-inflammasome signaling in vivo and in vitro.
    METHODS: BALB/c nude mice were used to generate HepG2 or SMMC-7721 cell-derived tumor xenografts. HCC cells with knockdown or overexpression of AIM2 were created using short hairpin RNA (shRNA) and expression vector transfection, respectively, for functional and mechanistic studies. Downstream effects were examined using flow cytometry, qRT-PCR, ELISAs, and other molecular assays.
    RESULTS: RFA significantly suppressed tumor growth in HCC cell xenografts. Flow cytometry analysis revealed that RFA could induce pyroptosis. Furthermore, AIM2, NLRP3, caspase-1, γ-H2AX, and DNA-PKc had significantly greater expression levels in liver tissues from mice treated with RFA compared with those of the controls. Additionally, interleukin (IL)-1β and IL-18 expression levels were significantly higher in the HCC cell-derived xenograft mice treated with RFA compared with those without RFA. Notably, a significantly greater effect was achieved in the RFA complete ablation group versus the partial ablation group. Knockdown or overexpression of AIM2 in HCC cells demonstrated that AIM2 exerted a role in RFA-induced pyroptosis.
    CONCLUSIONS: RFA can suppress HCC tumor growth by inducing pyroptosis via AIM2. Therefore, therapeutically intervening with AIM2-mediated inflammasome signaling may help improve RFA treatment outcomes for HCC patients.
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  • 文章类型: Journal Article
    焦亡,被称为程序性细胞死亡的一种典型模式,通常的特征是裂解的gasdermin家族(GSDMs)在细胞膜上形成孔并诱导细胞破裂,在此过程中还发现了天冬氨酸特异性蛋白酶(caspases)的激活。糖尿病肾病(DKD)是由肾脏糖尿病的并发症引起的,肾脏最重要的功能,肾小球滤过率(GFR),发生下降到低于90%的通常,甚至导致肾功能衰竭在严重的情况下。高血糖引起的持续炎症状态暗示了DKD的关键病理,越来越多的证据表明,焦亡是这种慢性免疫介导的炎症性疾病的重要原因。目前,GSDM的扩展发现,焦亡,它与先天免疫的联系更具吸引力,需要大量的研究来理清焦亡在DKD病理学中的意义。在这次审查中,我们梳理了关于焦亡的经典研究和新发现,刺破了DKD中新型的焦亡觉醒,并集中在DKD治疗中焦亡的重要性,旨在为DKD提供新的研究靶点和治疗策略。
    Pyroptosis, known as one typical mode of programmed cell death, is generally characterized by the cleaved gasdermin family (GSDMs) forming pores in the cell membrane and inducing cell rupture, and the activation of aspartate-specific proteases (caspases) has also been found during this process. Diabetic Kidney Disease (DKD) is caused by the complication of diabetes in the kidney, and the most important kidney\'s function, Glomerular Filtration Rate (GFR), happens to drop to less than 90% of its usual and even lead to kidney failure in severe cases. The persistent inflammatory state induced by high blood glucose implies the key pathology of DKD, and growing evidence shows that pyroptosis serves as a significant contributor to this chronic immune-mediated inflammatory disorder. Currently, the expanded discovery of GSDMs, pyroptosis, and its association with innate immunity has been more attractive, and overwhelming research is needed to sort out the implication of pyroptosis in DKD pathology. In this review, we comb both classical studies and newly founds on pyroptosis, prick off the novel awakening of pyroptosis in DKD, and center on the significance of pyroptosis in DKD treatment, aiming to provide new research targets and treatment strategies on DKD.
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  • 文章类型: Journal Article
    背景:Aurora激酶A(AURKA)是一种有效的癌基因,在肿瘤发生过程中经常异常表达。并且与各种恶性肿瘤的化学抗性有关。然而,AURKA在化疗耐药中的作用在很大程度上仍然难以捉摸。方法:在几种癌细胞或caspase缺陷细胞系模型中,通过免疫印迹测定法评估了病毒感染或凋亡刺激下AURKA的裂解。通过活细胞成像和免疫荧光染色实验探索Asp132处AURKA裂解对有丝分裂的影响。使用TUNEL研究了化疗药物紫杉醇诱导的AURKA的Asp132裂解的作用,在小鼠肿瘤异种移植模型和患者组织中的免疫组织化学测定。结果:AURKA在Asp132的蛋白水解裂解通常发生在几种癌细胞类型中,无论病毒感染或凋亡刺激。机械上,caspase3/7/8在Asp132处切割AURKA,Asp132切割形式的AURKA通过破坏有丝分裂期间中期的中心体形成和双极纺锤体组装来促进细胞凋亡。AURKAD132A突变阻断裂解的半胱天冬酶3和EGR1的表达,这导致紫杉醇在体外和体内使用鼠异种移植模型和癌症患者对肿瘤细胞集落形成和恶性生长的治疗作用降低。结论:这项研究表明,caspase介导的AURKAD132蛋白水解对于紫杉醇引起细胞凋亡至关重要,并表明AURKAD132是化疗的潜在关键靶标。
    Background: Aurora kinase A (AURKA) is a potent oncogene that is often aberrantly expressed during tumorigenesis, and is associated with chemo-resistance in various malignancies. However, the role of AURKA in chemo-resistance remains largely elusive. Methods: The cleavage of AURKA upon viral infection or apoptosis stimuli was assesed by immunoblotting assays in several cancer cells or caspase deficient cell line models. The effect of AURKA cleavage at Asp132 on mitosis was explored by live cell imaging and immunofluorescence staining experiments. The role of Asp132-cleavage of AURKA induced by the chemotherapy drug paclitaxel was investigated using TUNEL, immunohistochemistry assay in mouse tumor xenograft model and patient tissues. Results: The proteolytic cleavage of AURKA at Asp132 commonly occurs in several cancer cell types, regardless of viral infection or apoptosis stimuli. Mechanistically, caspase 3/7/8 cleave AURKA at Asp132, and the Asp132-cleaved forms of AURKA promote cell apoptosis by disrupting centrosome formation and bipolar spindle assembly in metaphase during mitosis. The AURKAD132A mutation blocks the expression of cleaved caspase 3 and EGR1, which leads to reduced therapeutic effects of paclitaxel on colony formation and malignant growth of tumor cells in vitro and in vivo using a murine xenograft model and cancer patients. Conclusions: This study reveals that caspase-mediated AURKAD132 proteolysis is essential for paclitaxel to elicit cell apoptosis and indicates that AURKAD132 is a potential key target for chemotherapy.
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  • 文章类型: Journal Article
    Gasdermins是膜孔形成蛋白,会引起焦亡,细胞破裂并释放细胞因子的炎性细胞死亡,趋化因子,和其他主机报警信号,例如ATP和HMGB1,它们在感染和危险部位募集和激活免疫细胞。在人类中有五种gasdermins-gasderminsA到E。表达gasderminD并在侵入性感染或组织损伤的细胞溶质传感器组装成大的大分子结构时激活它,叫做炎性体。炎性体募集并激活炎性胱天蛋白酶(胱天蛋白酶1、4、5和11),切割gasderminD以去除抑制性C末端结构域,允许N端结构域与膜酸性脂质结合并寡聚化入孔中。最近的研究已经确定了不依赖炎性体的蛋白水解途径,该途径激活了gasderminD和其他gasdermins。这里,我们回顾了不依赖炎性体的焦亡通路以及它们在正常生理和疾病中的作用。
    Gasdermins are membrane pore-forming proteins that cause pyroptosis, an inflammatory cell death in which cells burst and release cytokines, chemokines, and other host alarm signals, such as ATP and HMGB1, which recruit and activate immune cells at sites of infection and danger. There are five gasdermins in humans - gasdermins A to E. Pyroptosis was first described in myeloid cells and mucosal epithelia, which express gasdermin D and activate it when cytosolic sensors of invasive infection or tissue damage assemble into large macromolecular structures, called inflammasomes. Inflammasomes recruit and activate inflammatory caspases (caspase 1, 4, 5, and 11), which cut gasdermin D to remove an inhibitory C-terminal domain, allowing the N-terminal domain to bind to membrane acidic lipids and oligomerize into pores. Recent studies have identified inflammasome-independent proteolytic pathways that activate gasdermin D and the other gasdermins. Here, we review inflammasome-independent pyroptosis pathways and what is known about their role in normal physiology and disease.
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  • 文章类型: Journal Article
    目的:动物表现出旨在消除感知危险的生理变化,引起类似的发烧症状。然而,高热表明临床结局较差.Caspase11(Casp11)与许多炎症性疾病有关。Casp11是否会导致发烧尚不清楚。在这项研究中,我们研究了下丘脑视前区(PO/AH)小胶质细胞Casp11在发热中的作用。
    方法:我们使用LPS诱导的发热大鼠模型进行实验。我们通过ELISA测量体温并探讨外周巨噬细胞和PO/AH小胶质细胞在发热信号中的功能,免疫组织化学,免疫荧光,流式细胞术,巨噬细胞耗竭,蛋白质印迹,和RNA-seq。然后,在体外观察到巨噬细胞在高温环境中对小胶质细胞的影响。最后,腺相关病毒用于敲除或过表达PO/AH中的小胶质细胞Casp11,以确定Casp11在发热中的作用。
    结果:我们发现外周巨噬细胞和PO/AH小胶质细胞在发热过程中起重要作用,巨噬细胞和小胶质细胞耗竭证明了这一点。通过RNA-seq分析,我们发现发热期间PO/AH中Casp11的表达显著增加。共培养和条件培养以非接触方式模拟巨噬细胞对小胶质细胞Casp11活化的诱导。小胶质细胞Casp11敲低降低体温,致热因素,和炎性体,反之亦然。
    结论:我们报告Casp11引起发烧。机械上,外周巨噬细胞通过细胞因子传递免疫信号给PO/AH中的小胶质细胞,激活Casp11非规范炎性体。我们的发现发现了一个新颖的玩家,小胶质细胞Casp11,在控制发烧中,为发热免疫信号的传递和放大提供解释。
    OBJECTIVE: Animals exhibit physiological changes designed to eliminate the perceived danger, provoking similar symptoms of fever. However, a high-grade fever indicates poor clinical outcomes. Caspase11 (Casp11) is involved in many inflammatory diseases. Whether Casp11 leads to fever remains unclear. In this study, we investigate the role of the preoptic area of the hypothalamus (PO/AH) microglia Casp11 in fever.
    METHODS: We perform experiments using a rat model of LPS-induced fever. We measure body temperature and explore the functions of peripheral macrophages and PO/AH microglia in fever signaling by ELISA, immunohistochemistry, immunofluorescence, flow cytometry, macrophage depletion, protein blotting, and RNA-seq. Then, the effects of macrophages on microglia in a hyperthermic environment are observed in vitro. Finally, adeno-associated viruses are used to knockdown or overexpress microglia Casp11 in PO/AH to determine the role of Casp11 in fever.
    RESULTS: We find peripheral macrophages and PO/AH microglia play important roles in the process of fever, which is proved by macrophage and microglia depletion. By RNA-seq analysis, we find Casp11 expression in PO/AH is significantly increased during fever. Co-culture and conditioned-culture simulate the induction of microglia Casp11 activation by macrophages in a non-contact manner. Microglia Casp11 knockdown decreases body temperature, pyrogenic factors, and inflammasome, and vice versa.
    CONCLUSIONS: We report that Casp11 drives fever. Mechanistically, peripheral macrophages transmit immune signals via cytokines to microglia in PO/AH, which activate the Casp11 non-canonical inflammasome. Our findings identify a novel player, the microglia Casp11, in the control of fever, providing an explanation for the transmission and amplification of fever immune signaling.
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  • 文章类型: Journal Article
    Gasdermin(GSDM)蛋白是许多物种中焦亡的执行者。Gasdermin蛋白可以通过酶在其氨基结构域(NT)和羧基结构域(CT)之间的接头区处切割。释放的GSDM-NTs结合细胞膜并形成孔,从而导致细胞成分的释放和裂解性细胞死亡。GSDM介导的焦亡被认为在免疫应答中起重要作用。然而,对鸟类GSDM蛋白和GSDM介导的焦亡知之甚少。在目前的研究中,克隆了编码鸡gasderminA(chGSDMA)和chGSDME的基因。鸡caspase-1(chCASP1)对chGSDMA和chGSDME的裂解,确定chCASP3和chCASP7以及切割位点。从chCASP1介导的裂解获得的chGSDMA-NT和从chCASP3/chCASP7介导的裂解获得的chGSDME-NT可以结合并损伤细胞膜并导致HEK293细胞的细胞死亡。chGSDMA-NT也强烈定位并在细胞核中形成斑点。此外,chGSDMA-NT和chGSDME-NT均对细菌具有生长抑制和杀菌活性。在受到多杀性巴氏杆菌和鼠伤寒沙门氏菌攻击的鸡中,chGSDMA和chGSDME的表达上调,观察到chCASS3的激活和chGSDME的裂解。这项工作为扩大我们对鸟类焦度的了解提供了必要的信息。
    Gasdermin (GSDM) proteins are executioners of pyroptosis in many species. Gasdermin proteins can be cleaved at their linker region between the amino domain (NT) and carboxyl domain (CT) by enzymes. The released GSDM-NTs bind cell membrane and form pores, thereby leading to the release of cellular components and lytic cell death. GSDM-mediated pyroptosis is considered to play important role in immune responses. However, little is known about the GSDM proteins and GSDM-mediated pyroptosis in birds. In the current study, genes encoding chicken gasdermin A (chGSDMA) and chGSDME were cloned. The cleavage of chGSDMA and chGSDME by chicken caspase-1 (chCASP1), chCASP3 and chCASP7 and the cleavage sites were determined. The chGSDMA-NT obtained form chCASP1-mediated cleavage and chGSDME-NT obtained from chCASP3/chCASP7-mediated cleavage could bind and damage cell membrane and lead to cell death of HEK293 cells. chGSDMA-NT also strongly localized to and formed puncta in nucleus. Besides, both chGSDMA-NT and chGSDME-NT showed growth inhibition and bactericidal activity to bacteria. In chickens challenged with Pasteurella multocida and Salmonella typhimurium, the expression of chGSDMA and chGSDME was upregulated and the activation of chCASP3 and the cleavage of chGSDME were observed. The work provides essential information for expanding our knowledge on pyroptosis in birds.
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  • 文章类型: Journal Article
    脱氧紫草素(DSK)是一种源自紫草红斑的生物成分。虽然DSK具有潜在的抗癌活性,DSK是否对宫颈癌细胞发挥抗癌作用尚不完全。本研究旨在探讨DSK对宫颈癌细胞的抗癌活性及其分子机制。通过MTT测定评价细胞活力。使用蛋白质印迹测定磷酸化和蛋白质水平。通过特异性抑制剂评估信号传导激酶的参与。我们的结果表明,DSK以剂量依赖性方式降低了人宫颈细胞的活力。同时,DSK显著引起HeLa和SiHa细胞凋亡。凋亡微阵列用于阐明所涉及的途径,结果表明,DSK剂量依赖性地减少细胞凋亡抑制蛋白1(cIAP1),cIAP2和XIAP,并诱导聚(ADP-核糖)聚合酶(PARP)和半胱天冬酶-8/9/3的裂解。此外,我们观察到DSK显著触发ERK的激活,JNK,和p38MAPK(p38),并且仅抑制p38减少了DSK介导的pro-caspases裂解。一起来看,我们的结果表明,DSK通过IAP下调和p38介导的caspase激活引起的凋亡级联反应具有抗宫颈癌作用.这表明DSK可以作为促进宫颈癌治疗的佐剂。
    Deoxyshikonin (DSK) is a biological component derived from Lithospermum erythrorhizon. Although DSK possesses potential anticancer activities, whether DSK exerts anticancer effects on cervical cancer cells is incompletely explored. This study was aimed to investigate the anticancer activity of DSK against cervical cancer cells and its molecular mechanisms. Cell viability was evaluated by MTT assay. Level of phosphorylation and protein was determined using Western blot. Involvement of signaling kinases was assessed by specific inhibitors. Our results revealed that DSK reduced viability of human cervical cell in a dose-dependent fashion. Meanwhile, DSK significantly elicited apoptosis of HeLa and SiHa cells. Apoptosis microarray was used to elucidate the involved pathways, and the results showed that DSK dose-dependently diminished cellular inhibitor of apoptosis protein 1 (cIAP1), cIAP2, and XIAP, and induced cleavage of poly(ADP-ribose) polymerase (PARP) and caspase-8/9/3. Furthermore, we observed that DSK significantly triggered activation of ERK, JNK, and p38 MAPK (p38), and only inhibition of p38 diminished the DSK-mediated pro-caspases cleavage. Taken together, our results demonstrate that DSK has anti-cervical cancer effects via the apoptotic cascade elicited by downregulation of IAPs and p38-mediated caspase activation. This suggests that DSK could act as an adjuvant to facilitate cervical cancer management.
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  • 文章类型: Journal Article
    一种广泛使用的有机磷酸酯阻燃剂(OPFR),磷酸三苯酯(TPP),经常在各种环境媒体和人类中检测到。然而,人类角膜上皮暴露于TPP时对健康风险知之甚少。在这项研究中,人正常角膜上皮细胞(HCECs)用于研究细胞活力,形态学,凋亡,和线粒体膜电位暴露于TPP后,以及它们潜在的分子机制。我们发现TPP以浓度依赖的方式降低细胞活力,具有220μM的半最大抑制浓度(IC50)。此外,TPP显著诱导HCEC细胞凋亡,线粒体膜电位以剂量依赖性方式降低,并改变了凋亡生物标志物基因的mRNA水平(Cytc,Caspase-9,Caspase-3,Bcl-2和Bax)。结果表明,TPP对HCECs的细胞毒性,最终导致细胞凋亡和线粒体膜电位的变化。此外,caspase依赖性线粒体途径可能参与TPP诱导的HCEC细胞凋亡。本研究为TPP的人体角膜毒性研究提供参考,表明OPFR对人类健康的风险不容忽视。
    A widely used organophosphate flame retardant (OPFR), triphenyl phosphate (TPP), is frequently detected in various environmental media and humans. However, there is little known on the human corneal epithelium of health risk when exposed to TPP. In this study, human normal corneal epithelial cells (HCECs) were used to investigate the cell viability, morphology, apoptosis, and mitochondrial membrane potential after they were exposed to TPP, as well as their underlying molecular mechanisms. We found that TPP decreased cell viability in a concentration-dependent manner, with a half maximal inhibitory concentration (IC50) of 220 μM. Furthermore, TPP significantly induced HCEC apoptosis, decreased mitochondrial membrane potential in a dose-dependent manner, and changed the mRNA levels of the apoptosis biomarker genes (Cyt c, Caspase-9, Caspase-3, Bcl-2, and Bax). The results showed that TPP induced cytotoxicity in HCECs, eventually leading to apoptosis and changes in mitochondrial membrane potential. In addition, the caspase-dependent mitochondrial pathways may be involved in TPP-induced HCEC apoptosis. This study provides a reference for the human corneal toxicity of TPP, indicating that the risks of OPFR to human health cannot be ignored.
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  • 文章类型: Journal Article
    本研究探索右美托咪定(Dex)减轻顺铂(CP)诱导的大鼠急性肾损伤(AKI)的分子机制。
    建立CP诱导的AKI模型,模型组大鼠腹腔注射不同浓度的Dex。随后,大鼠被分配到对照组,CP,CP+Dex10μg/kg,和CP+Dex25μg/kg组。称重大鼠的肾脏后,计算了肾动脉阻力指数,并对CP诱导的AKI进行评价。此外,检测4项血清生化指标:检测大鼠肾脏组织病理学损伤;白细胞介素(IL)-1β,IL-18、IL-6和肿瘤坏死因子α,通过酶联免疫吸附试验(ELISA)评估大鼠肾组织匀浆中的NLRP-3,caspase-1,cleavedcaspase-1,gasderminD(GSDMD)的水平,通过蛋白质印迹法测定大鼠肾组织中的GSDMD-N。
    Dex治疗可减少CP诱导的AKI引起的肾肥大和血清临床标志物上调。此外,苏木精和伊红染色显示Dex治疗减轻了CP诱导的AKI大鼠肾组织损伤。ELISA分析表明,Dex治疗降低了CP诱导的AKI大鼠肾组织中促炎细胞因子的上调水平,从而减轻肾组织损伤。Western印迹表明Dex通过抑制NLRP-3和caspase-1介导的焦亡减轻CP诱导的AKI。
    Dex保护大鼠免受CP诱导的AKI,其机制可能与NLRP-3/Caspase-1介导的细胞凋亡有关。
    UNASSIGNED: This study explored the molecular mechanisms by which dexmedetomidine (Dex) alleviates cisplatin (CP)-induced acute kidney injury (AKI) in rats.
    UNASSIGNED: CP-induced AKI models were established, and Dex was intraperitoneally injected at different concentrations into rats in the model groups. Subsequently, rats were assigned to the control, CP, CP + Dex 10 μg/kg, and CP + Dex 25 μg/kg groups. After weighing the kidneys of the rats, the kidney arterial resistive index was calculated, and CP-induced AKI was evaluated. In addition, four serum biochemical indices were measured: histopathological damage in rat kidneys was detected; levels of inflammatory factors, interleukin (IL)-1β, IL-18, IL-6, and tumor necrosis factor alpha, in kidney tissue homogenate of rats were assessed through enzyme-linked immunosorbent assay (ELISA); and levels of NLRP-3, caspase-1, cleaved caspase-1, gasdermin D (GSDMD), and GSDMD-N in kidney tissues of rats were determined via western blotting.
    UNASSIGNED: Dex treatment reduced nephromegaly and serum clinical marker upregulation caused by CP-induced AKI. In addition, hematoxylin and eosin staining revealed that Dex treatment relieved CP-induced kidney tissue injury in AKI rats. ELISA analyses demonstrated that Dex treatment reduced the upregulated levels of proinflammatory cytokines in the kidney tissue of AKI rats induced by CP, thereby alleviating kidney tissue injury. Western blotting indicated that Dex alleviated CP-induced AKI by inhibiting pyroptosis mediated by NLRP-3 and caspase-1.
    UNASSIGNED: Dex protected rats from CP-induced AKI, and the mechanism may be related to NLRP-3/Caspase-1-mediated pyroptosis.
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  • 文章类型: Journal Article
    OBJECTIVE: To observe the effects of electroacupuncture (EA) with \"intestinal disease prescription\" on the intestinal mucosal barrier and NLRP3 inflammasome in rats with dextran sulfate sodium (DSS)-induced acute ulcerative colitis (UC), and explore the underlying mechanism of EA with \"intestinal disease prescription\" for the treatment of UC.
    METHODS: Thirty-two healthy male SPF-grade SD rats were randomly divided into a blank group, a model group, a medication group, and an EA group, with 8 rats in each group. Except for the blank group, the UC model was established by administering 5% DSS solution for 7 days. After modeling, the rats in the medication group were treated with mesalazine suspension (200 mg/kg) by gavage, while the rats in the EA group were treated with acupuncture at bilateral \"Tianshu\" (ST 25), \"Shangjuxu\" (ST 37) and \"Zhongwan\" (CV 12), with the ipsilateral \"Tianshu\" (ST 25) and \"Shangjuxu\" (ST 37) connected to the electrodes of the EA instrument, using disperse-dense wave, with a frequency of 10 Hz/50 Hz, and each intervention lasted for 20 minutes. Both interventions were performed once daily for 3 days. The general conditions of rats were observed daily. After intervention, the disease activity index (DAI) score was calculated; colon tissue morphology was observed using HE staining; serum levels of pro-inflammatory cytokines (interleukin [IL]-18, IL-1β) were measured by ELISA; protein expression of NLRP3, apoptosis-associated speck-like protein containing a CARD (ASC), and Caspase-1 in colon tissues was detected by Western blot; positive expression of zonula occludens-1 (ZO-1) and Occludin in colon tissues was examined by immunofluorescence.
    RESULTS: Compared with the blank group, the rats in the model group exhibited poor general conditions, slow body weight gain, shortened colon length (P<0.01), increased DAI score and spleen index (P<0.01), elevated serum IL-18 and IL-1β levels, and increased protein expression of NLRP3, ASC, and Caspase-1 in colon tissues (P<0.01), along with decreased positive expression of ZO-1 and Occludin in colon tissues (P<0.01). Compared with the model group, the rats in the medication group and the EA group exhibited improved general conditions, accelerated body weight gain, increased colon length (P<0.05), reduced DAI scores and spleen indexes (P<0.05), decreased serum IL-18 and IL-1β levels, and lower protein expression of NLRP3, ASC and Caspase-1 in colon tissues (P<0.05), as well as increased positive expression of ZO-1 and Occludin in colon tissues (P<0.05). There were no significant differences in the above indexes between the medication group and the EA group (P>0.05). Compared with the blank group, the rats in the model group exhibited disrupted colon mucosal morphology, disordered gland arrangement, and atrophy of crypts, along with significant inflammatory cell infiltration. Compared with the model group, the rats in both the medication group and the EA group showed relatively intact colon mucosal morphology, with restored and improved gland and crypt structures, and reduced inflammatory cell infiltration.
    CONCLUSIONS: EA with \"intestinal disease prescription\" has a significant therapeutic effect on DSS-induced UC, possibly by regulating the expression of NLRP3 inflammasome and proteins related to the intestinal mucosal barrier, thereby alleviating symptoms of ulcerative colitis.
    目的: 观察电针“肠病方”对葡聚糖硫酸钠(DSS)诱导的急性溃疡性结肠炎(UC)大鼠肠黏膜屏障和核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)炎性小体的影响,探讨电针“肠病方”治疗UC的作用机制。方法: 将32只SPF级健康雄性SD大鼠随机分成空白组、模型组、西药组和电针组,每组8只。除空白组外,大鼠饮用5%DSS溶液7 d制备UC模型。造模后,西药组予美沙拉嗪混悬液(200 mg/kg)灌胃;电针组予针刺双侧“天枢”“上巨虚”和“中脘”穴,同侧“天枢”与“上巨虚”连接电子针疗仪电极,予疏密波,频率10 Hz/50 Hz,每次干预20 min。两组均每日1次,干预3 d。每天观察各组大鼠一般情况。干预后,计算大鼠疾病活动指数(DAI)评分;HE染色法观察大鼠结肠组织形态;ELISA法检测血清促炎性细胞因子[白细胞介素(IL)-18、IL-1β]含量;Western blot法检测大鼠结肠组织NLRP3、凋亡相关斑点样蛋白(ASC)、半胱氨酸天冬氨酸蛋白酶-1(Caspase-1)蛋白表达;免疫荧光法检测结肠组织闭锁连接蛋白-1(ZO-1)、闭锁蛋白(Occludin)阳性表达。结果: 与空白组比较,模型组大鼠一般状况较差,体质量增长缓慢,结肠长度缩短(P<0.01),DAI评分与脾脏指数升高(P<0.01),血清IL-18、IL-1β含量与结肠组织NLRP3、ASC、Caspase-1蛋白表达升高(P<0.01),结肠组织ZO-1、Occludin阳性表达减少(P<0.01)。与模型组比较,电针组与西药组大鼠的一般状况改善,体质量增长加快,结肠长度增加(P<0.05),DAI评分与脾脏指数降低(P<0.05),血清IL-18、IL-1β含量与结肠组织NLRP3、ASC、Caspase-1蛋白表达降低(P<0.05),结肠组织ZO-1、Occludin阳性表达增加(P<0.05)。西药组和电针组以上指标比较,差异无统计学意义(P>0.05)。与空白组比较,模型组结肠黏膜形态破坏,腺体排列紊乱,隐窝萎缩,有明显的炎性细胞浸润;与模型组比较,西药组和电针组大鼠结肠黏膜形态相对完好,腺体与隐窝结构得到了恢复与改善,炎性细胞浸润减少。结论: 电针“肠病方”对DSS诱导的急性UC具有显著的改善作用,可能是通过调节NLRP3炎性小体和肠黏膜屏障相关蛋白的表达,从而减轻溃疡性结肠炎的症状。.
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