1)山东第二医科大学康复医学院,潍坊 261053;2)山东省公共卫生临床中心康复医学科,济南 250132;3)苏州大学附属第四医院康复医学科,苏州 215000
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山东省自然科学基金(ZR2022QH094),山东省大学生创新创业训练计划(S202310438041S),国家食品安全风险评估中心科研联合攻关计划(LH2022GG11)和潍坊市科技发展计划(2022RKX087)资助项目。
1)School of Rehabilitation Medicine, Shandong Second Medical University, Weifang 261053, China;2)Department of Rehabilitation Medicine, Shandong Public Health Clinical Center, Jinan 250132, China;3)Department of Rehabilitation Medicine, Fourth Affiliated Hospital of Soochow University, Suzhou 215000, China
This work was supported by grants from Shandong Natural Science Foundation Youth Project (ZR2022QH094), Shandong Students’ Innovation and Entrepreneurship Training Program (S202310438041S), National Food Safety Risk Assessment Center Scientific Research Joint Research Plan Project (LH2022GG11), and Weifang City Science and Technology Development Plan Projects (2022RKX087).
目的 本实验旨在探究热量限制(caloric restriction,CR)对脂多糖(lipopolysaccharide,LPS)诱导的脓毒症心肌病(septic cardiomyopathy,SCM)预防效果,并探索CR发挥心肌保护作用的机制,为SCM的预防提供新的策略和理论依据。方法 48只8周龄的20~25 g雄性C57BL/6小鼠,随机分成4组,分别为:CON组、LPS组、CR组和CR+LPS组,每组12只。CR组与CR+LPS组适应性喂养2周后计算每只小鼠的进食量,第1周的CR设置为限制前的80%,后5周限制为60%。6周CR干预后,4组小鼠腹腔注射等量的生理盐水或LPS(10 mg/kg),12 h后测试心功能,然后取心脏和血液。酶联免疫吸附分析(ELISA)测定血清炎症因子水平;全自动生化仪测定血清心肌酶谱;心肌组织切片分别做苏木精-伊红(HE)染色和免疫荧光染色;蛋白质印迹法(Western blot,WB)检测心肌组织炎症因子(TNF-α、IL-9、IL-18)、氧化应激因子(iNOS、SOD2)、凋亡相关因子(Bax/Bcl-2比值、CASP3)和SIRT3/SIRT6的表达水平。结果 LPS注射后12 h,射血分数(ejection fraction,EF)和缩短分数(fractional shortening,FS)值显著下降,左心室收缩末期内径(left ventricular end-systolic diameter,LVESD)值显著升高;CR干预能够明显增加EF和FS值,降低LVESD。形态学和血液指标(AST、LDH、CK和CK-MB)显示,LPS注射能够造成心肌形态结构紊乱和心肌损伤,6周CR能够预防上述心肌损伤。LPS注射可显著增加小鼠循环炎症水平(IL-1β、TNF-α),免疫荧光和WB发现,LPS注射显著上调心肌组织炎症相关蛋白(TNF-α、IL-9、IL-18)、氧化应激相关蛋白(iNOS、SOD2)和凋亡相关蛋白(Bax/Bcl-2比值、CASP3)的表达。6周CR干预能够显著降低循环炎症水平,下调心肌组织炎症、氧化应激和促凋亡相关蛋白的表达。此外,LPS注射显著下调了小鼠心肌组织SIRT3和SIRT6蛋白的表达,且CR干预可恢复SIRT3蛋白的表达。结论 6周CR能够预防LPS造成的SCM,包括心功能下降、心肌结构损伤、炎症、氧化应激和凋亡,其机制可能与调节心肌SIRT3表达相关。
Objective The aim of this study was to investigate the prophylactic effects of caloric restriction (CR) on lipopolysaccharide (LPS)-induced septic cardiomyopathy (SCM) and to elucidate the mechanisms underlying the cardioprotective actions of CR. This research aims to provide innovative strategies and theoretical support for the prevention of SCM.Methods A total of forty-eight 8-week-old male C57BL/6 mice, weighing between 20-25 g, were randomly assigned to 4 distinct groups, each consisting of 12 mice. The groups were designated as follows: CON (control), LPS, CR, and CR+LPS. Prior to the initiation of the CR protocol, the CR and CR+LPS groups underwent a 2-week acclimatization period during which individual food consumption was measured. The initial week of CR intervention was set at 80% of the baseline intake, followed by a reduction to 60% for the subsequent 5 weeks. After 6-week CR intervention, all 4 groups received an intraperitoneal injection of either normal saline or LPS (10 mg/kg). Twelve hours post-injection, heart function was assessed, and subsequently, heart and blood samples were collected. Serum inflammatory markers were quantified using enzyme-linked immunosorbent assay (ELISA). The serum myocardial enzyme spectrum was analyzed using an automated biochemical instrument. Myocardial tissue sections underwent hematoxylin and eosin (HE) staining and immunofluorescence (IF) staining. Western blot analysis was used to detect the expression of protein in myocardial tissue, including inflammatory markers (TNF-α, IL-9, IL-18), oxidative stress markers (iNOS, SOD2), pro-apoptotic markers (Bax/Bcl-2 ratio, CASP3), and SIRT3/SIRT6.Results Twelve hours after LPS injection, there was a significant decrease in ejection fraction (EF) and fractional shortening (FS) ratios, along with a notable increase in left ventricular end-systolic diameter (LVESD). Morphological and serum indicators (AST, LDH, CK, and CK-MB) indicated that LPS injection could induce myocardial structural disorders and myocardial injury. Furthermore, 6-week CR effectively prevented the myocardial injury. LPS injection also significantly increased the circulating inflammatory levels (IL-1β, TNF-α) in mice. IF and Western blot analyses revealed that LPS injection significantly up-regulating the expression of inflammatory-related proteins (TNF-α, IL-9, IL-18), oxidative stress-related proteins (iNOS, SOD2) and apoptotic proteins (Bax/Bcl-2 ratio, CASP3) in myocardial tissue. 6-week CR intervention significantly reduced circulating inflammatory levels and downregulated the expression of inflammatory, oxidative stress-related proteins and pro-apoptotic level in myocardial tissue. Additionally, LPS injection significantly downregulated the expression of SIRT3 and SIRT6 proteins in myocardial tissue, and CR intervention could restore the expression of SIRT3 proteins.Conclusion A 6-week CR could prevent LPS-induced septic cardiomyopathy, including cardiac function decline, myocardial structural damage, inflammation, oxidative stress, and apoptosis. The mechanism may be associated with the regulation of SIRT3 expression in myocardial tissue.
张铭宸,张慧,李婷婷,陈明华,王孝文,孙忠广.6周热量限制通过调控沉默信息调节因子3 (SIRT3)改善脂多糖引起的脓毒症心肌病[J].生物化学与生物物理进展,2025,52(7):1878-1889
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