VDAC3调控铁死亡参与脓毒症心肌损伤的机制研究
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苏州大学附属儿童医院

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国家自然科学基金面上项目(82472207);江苏省科技计划项目(BE2023714);姑苏卫生人才项目(GSWS2019015);苏州市科技发展项目(SKY2023058、SKJY2021108)。


Mechanisms of ferroptosis regulated by VDAC3 in sepsis-induced myocardial injury
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1.Children'2.'3.s Hospital of Soochow University,Suzhou

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The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan)

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    摘要:

    目的 探究VDAC3调控铁死亡参与脓毒症心肌损伤的潜在机制。方法 将20只小鼠随机分配为2组,分别记为假手术组和脓毒症组,每组各10只。脓毒症组采用盲肠结扎穿孔术(Cecal ligation and puncture , CLP)构建脓毒症心肌损伤模型。采用酶联免疫吸附法检测血清IL-6、TNF-α、CK-MB和cTnT水平;采用苏木精-伊红染色法观察心脏组织病理变化;超声心动图评估心脏结构和功能变化。采用比色法检测心脏组织中谷胱甘肽(Glutathione, GSH)及丙二醛(Malondialdehyde, MDA)水平变化。通过透射电镜观察心肌细胞线粒体形态变化。采用反转录实时定量聚合酶链式反应技术检测心脏组织中IL-6、IL-1β、电压依赖性阴离子通道3(Voltage dependent anion channel 3 , VDAC3)、谷胱甘肽过氧化物酶4(Glutathione peroxidase 4, GPX4)、溶质载体家族7成员11(Solute carrier family 7 members 11, SLC7A11)、前列腺素内过氧化物合酶2(Prostaglandin peroxidase synthase 2, PTGS2)和脂质运载蛋白2(Lipocalin-2, LCN2)mRNA表达水平。采用Western blot法检测VDAC3、GPX4和SLC7A11蛋白表达情况。结果 与Sham组相比,CLP组血清中IL-6、TNF-α、CK-MB和cTnT水平显著升高(P<0.05);光学显微镜下可见CLP组心肌纤维断裂、间质水肿,心室壁增厚;透射电镜下CLP组心肌细胞线粒体膜破裂、线粒体嵴断裂甚至消失;CLP组心脏组织中GSH水平降低(P<0.05),脂质氧化物MDA明显升高(P<0.05)。与Sham组相比,CLP组VDAC3、GPX4及SLC7A11 mRNA和蛋白水平均降低(P<0.05);IL-6、IL-1β、LCN2和PTGS2 mRNA表达水平明显升高(P<0.05)。结论 VDAC3在心肌损伤中表达下降,其可能通过调控铁死亡参与脓毒症心肌损伤的发生。

    Abstract:

    Objective To explore the potential mechanism of ferroptosis regulated by VDAC3 in sepsis-induced myocardial injury. Methods A total of 20 male C57BL/6J mice (7~8 weeks old) were randomly divided into 2 groups, respectively named Sham group and CLP group, with 10 mice in each group. Sepsis was induced by the cecal ligation and puncture (CLP) . The levels of IL-6, TNF-α, CK-MB, and cTnT in the serum were detected by enzyme-linked immunosorbent assay (ELISA); the pathological changes of the heart tissue were observed by hematoxylin and eosin (H&E) staining; the structural and functional changes of the heart were evaluated by echocardiography; the changes of total glutathione , reduced glutathione (GSH), oxidized glutathione (GSSG), and malondialdehyde (MDA) in the heart tissue were detected by spectrophotometry; the morphological structure of mitochondria in mouse cardiomyocytes was observed by transmission electron microscope; the expression levels of IL-6, IL-1β, VDAC3, GPX4, SLC7A11, LCN2 and PTGS2 mRNA were detected by real-time quantitative polymerase chain reaction (qRT-PCR); and the expression levels of VDAC3, GPX4 and SLC7A11 proteins were detected by Western blot. Results The levels of IL-6, TNF-α, CK-MB and cTnT in the CLP group mice were significantly higher than that in the Sham group (P<0.05). After 24 h of CLP, it was observed that myocardial fibers were torn, the ventricular wall was thickened and edematous, and mitochondrial membrane was ruptured, mitochondrial cristae were broken or even disappeared. Moreover, the GSH levels were significantly reduced in the CLP group compared with the Sham group (P<0.05) ; the lipid peroxide MDA were increased in the CLP group(P<0.05). Furthermore, compared with the Sham group, the levels of VDAC3, GPX4 and SLC7A11 mRNA and protein were all lowered (P<0.05) in the CLP group, and the expression levels of IL-6, IL-1β, LCN2 and PTGS2 mRNA were increased (P<0.05). Conclusions VDAC3 expression decreases in myocardial injury, and it may participate in the occurrence of sepsis-induced myocardial injury by regulating ferroptosis.

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  • 收稿日期:2024-12-12
  • 最后修改日期:2025-01-18
  • 录用日期:2025-05-09
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