ATP柠檬酸裂解酶在急性胰腺炎胰腺损伤中的作用与机制
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1.福建医科大学附属第一医院 肝胆胰外科,福建 福州 350005;2.福建医科大学附属第一医院滨海院区国家区域医疗中心 肝胆胰外科,福建 福州 350212;3.福建省腹部外科研究所,福建 福州 350005

作者简介:

闫昕,福建医科大学附属第一医院硕士研究生,主要从事肝胆胰疾病方面的研究。

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福建省卫健委中青年骨干人才培养基金资助项目(2020GAA046);福建省科技厅科技创新联合基金资助项目(2021Y9111)。


Role of ATP citrate lyase in pancreatic injury during acute pancreatitis and its action mechanism
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1.Department of Hepatopancreatobiliary Surgery, the First Affiliated Hospital, Fujian Medical University, Fuzhou350005, China;2.Department of Hepatopancreatobiliary Surgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou350212, China;3.Fujian Abdominal Surgery Research Institute, Fuzhou350005, China

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    摘要:

    背景与目的 ATP柠檬酸裂解酶(Acly)在多种组织中广泛表达,被证实在许多炎症性疾病中发挥着重要作用,但是Acly在急性胰腺炎(AP)胰腺损伤中的作用目前尚不清楚。因此,本研究通过建立小鼠AP模型,观察Acly对AP小鼠胰腺损伤的影响,初步探讨其作用机制。方法 将雄性12只C57BL6/J品系AclycKO(胰腺Acly基因条件性敲除)小鼠与12只Aclywt(胰腺存在Acly基因)小鼠随机分为AP组(腹腔注射100 μg/kg雨蛙素,6次/d,间隔1 h,连续4 d)与对照组(相同方式注射生理盐水),每组AclycKO小鼠与Aclywt小鼠各6只。在造模完成后24 h收集胰腺组织标本,观察胰腺病理学改变,检测胰腺组织巨噬细胞标志物CD68与中性粒细胞标志物髓过氧化物酶(MPO)表达,以及核因子NF-κB p65、Toll样受体4(TLR4)与促炎因子TNF-α、IL-1β的表达。结果 与对照组比较,AP组小鼠胰腺出现明显胰腺病理改变,且AclycKO小鼠胰腺病理损伤较Aclywt小鼠更严重,胰腺组织炎症与坏死评分较Aclywt小鼠明显升高(均P<0.05)。AP组中,AclycKO小鼠胰腺组织CD68、MPO表达均较Aclywt小鼠增强(均P<0.05);AclycKO小鼠胰腺组织NF-κB p65核阳性比例及TLR4、TNF-α、IL-1β表达均较Aclywt小鼠升高(均P<0.05)。结论 Acly有抗AP胰腺损伤的作用,其机制可能与抑制NF-κB信号通路的活化,从而削弱炎症反应有关。

    Abstract:

    Background and Aims ATP citrate lyase (Acly) is widely expressed in various tissues and has been shown to play a crucial role in many inflammatory diseases. However, the role of Acly in acute pancreatitis (AP)-induced pancreatic injury remains unclear. This study was conducted to investigate the effect of Acly on pancreatic injury in a mouse AP model and to preliminarily explore its underlying mechanism.Methods Twelve male C57BL6/J AclycKO mice (conditional pancreatic Acly knockout) and twelve Aclywt mice (with intact pancreatic Acly expression) were randomly divided into AP groups (administered caerulein at 100 μg/kg intraperitoneally, 6 times/d, with 1-hour intervals, for 4 consecutive days) and control groups (administered saline in the same manner), with six AclycKO mice and six Aclywt mice in each group. Pancreatic tissue samples were collected 24 hours after modeling to observe pathological changes in the pancreas and to measure the expression of the macrophage marker CD68, the neutrophil marker myeloperoxidase (MPO), as well as nuclear factor NF-κB p65, Toll-like receptor 4 (TLR4), and pro-inflammatory factors TNF-α and IL-1β.Results Compared with the control group, the AP group exhibited significant pathological changes in the pancreas. The pathological damage in AclycKO mice was more severe than in that in Aclywt mice, with significantly higher inflammation and necrosis of pancreatic tissue scores in AclycKO mice (all P<0.05). In the AP group, the pancreatic expressions of CD68 and MPO were significantly higher in AclycKO mice than those in Aclywt mice (both P<0.05). Additionally, AclycKO mice showed increased nuclear positivity for NF-κB p65 and elevated expression of TLR4, TNF-α, and IL-1β compared with Aclywt mice (all P<0.05).Conclusion Acly exerts a protective effect against AP-induced pancreatic injury, possibly by inhibiting the activation of the NF-κB signaling pathway, thereby mitigating the inflammatory response.

    图1 对照组与AP组小鼠胰腺组织病理学检测 A:组织病理学观察(HE×200);B:水肿评分;C:炎症评分;D:坏死评分Fig.1 Histopathological examination of pancreatic tissue in control and AP groups A: Histopathological observation (HE×200); B: Edema score; C: Inflammation score; D: Necrosis score
    图2 AP小鼠胰腺组织CD68阳性巨噬细胞表达 A:CD68免疫荧光染色(×200);B:CD68阳性细胞计数Fig.2 Expression of CD68-positive macrophages in the pancreatic tissue of AP mice A: CD68 immunofluorescence staining (×200); B: Count of CD68-positive cells
    图3 AP小鼠胰腺组织MPO阳性中性粒细胞表达 A:MPO免疫荧光染色(×200);B:MPO阳性细胞计数Fig.3 Expression of MPO-positive neutrophils in the pancreatic tissue of AP mice A: MPO immunofluorescence staining (×200); B: Count of MPO-positive cells
    图4 AP小鼠胰腺组织NF-κB p65表达检测结果 A:NF-κB p65免疫组化染色(×400);B:NF-κB p65核阳性细胞比例Fig.4 Detection of NF-κB p65 expression in the pancreatic tissue of AP mice A: NF-κB p65 immunohistochemical staining (×400); B: Proportion of NF-κB p65 nuclear-positive cells
    图5 AP小鼠胰腺组织TLR4表达检测 A:TLR4免疫荧光染色(×200);B:TLR4平均荧光强度Fig.5 Detection of TLR4 expression in the pancreatic tissue of AP mice A: TLR4 immunofluorescence staining (×200); B: Average fluorescence intensity of TLR4
    图6 AP组小鼠胰腺组织TNF-α表达检测 A:TNF-α免疫组化染色(×400);B:TNF-α平均光密度Fig.6 Detection of TNF-α expression in the pancreatic tissue of AP mice A: TNF-α immunohistochemical staining (×400); B: Average optical density of TNF-α
    图7 AP组小鼠胰腺组织IL-1β表达检测 A:IL-1β免疫荧光染色(×200);B:IL-1β阳性细胞计数Fig.7 Detection of IL-1β expression in the pancreatic tissue of AP mice A: IL-1β immunofluorescence staining (×200); B: Count of IL-1β-positive cells
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闫昕,丁庆祝,洪育蒲. ATP柠檬酸裂解酶在急性胰腺炎胰腺损伤中的作用与机制[J].中国普通外科杂志,2024,33(12):2030-2037.
DOI:10.7659/j. issn.1005-6947.2024.12.011

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  • 收稿日期:2024-06-04
  • 最后修改日期:2024-09-28
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  • 在线发布日期: 2025-01-14