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蓝萼甲素通过抑制脓毒症期间血小板过度活化来保护肝功能。

Glaucocalyxin a protect liver function via inhibiting platelet over-activation during sepsis.

作者信息

Jiang Jiang, Liu Dengping, Wang Yuanyuan, Li Wei, Hong Zhihui, An Jianzhong, Qiao Shigang, Xie Zhanli

机构信息

Department of Nuclear Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.

Institute of Clinical Medicine Research, Suzhou Science & Technology Town Hospital, Gusu School, Nanjing Medical University, Suzhou, China.

出版信息

Phytomedicine. 2022 Jun;100:154089. doi: 10.1016/j.phymed.2022.154089. Epub 2022 Mar 31.

Abstract

BACKGROUND

Rabdosia japonica (Burm. f.) var. glaucocalyx (Maxim.) is a perennial herb, and is traditionally used as folk medicine for treating inflammatory diseases and cancer. Gaucocalyxin A (GLA) is an ent‑kaurane diterpenoid that is isolated from the aerial parts of R. japonica (Burm. f.) var. glaucocalyx (Maxim.). In a recent study, we found that GLA protects against acute liver dysfunction induced by Escherichia coli, which is likely related to its anti-inflammatory effects. However, the mechanism by which GLA protects liver injury during sepsis is unknown.

AIM

To evaluate the anti-inflammatory function of GLA and its regulatory effect on platelet function.

METHOD

An in vivo model of sepsis was established by inoculating mice with E. coli. Live function and platelet activation were evaluated through standard assays. The levels of pro-inflammatory factors were measured through ELISA and qRT-PCR.

RESULTS

GLA alleviated liver dysfunction in the mouse model of sepsis. GLA-treated mice displayed lower complement activation and liver dysfunction after E. coli infection. GLA alleviated the decrease in peripheral platelet counts by inhibiting their clearance by Kupffer cells in liver. Furthermore, GLA inhibited platelet activation through the RIP1/RIP3/AKT pathway and downregulated C3aR expression on the platelets, thereby inhibiting liver injury and dysfunction due to excessive complement activation.

CONCLUSION

GLA can inhibit platelet activation by reducing surface expression of C3aR, which protect the liver from injury induced by excessive complement activation. GLA is a novel therapeutic agent for controlling sepsis-related liver dysfunction.

摘要

背景

蓝萼香茶菜是一种多年生草本植物,传统上用作治疗炎症性疾病和癌症的民间药物。蓝萼甲素(GLA)是一种从蓝萼香茶菜地上部分分离得到的对映-贝壳杉烷二萜。在最近的一项研究中,我们发现GLA可预防由大肠杆菌诱导的急性肝功能障碍,这可能与其抗炎作用有关。然而,GLA在脓毒症期间保护肝损伤的机制尚不清楚。

目的

评估GLA的抗炎功能及其对血小板功能的调节作用。

方法

通过给小鼠接种大肠杆菌建立脓毒症体内模型。通过标准试验评估肝功能和血小板活化情况。通过酶联免疫吸附测定(ELISA)和定量逆转录聚合酶链反应(qRT-PCR)测量促炎因子水平。

结果

GLA减轻了脓毒症小鼠模型中的肝功能障碍。经GLA处理的小鼠在大肠杆菌感染后表现出较低的补体激活和肝功能障碍。GLA通过抑制肝内库普弗细胞对血小板的清除,减轻外周血小板计数的下降。此外,GLA通过RIP1/RIP3/AKT途径抑制血小板活化,并下调血小板上C3aR的表达,从而抑制因补体过度激活引起的肝损伤和功能障碍。

结论

GLA可通过降低C3aR的表面表达来抑制血小板活化,从而保护肝脏免受补体过度激活所致的损伤。GLA是一种控制脓毒症相关肝功能障碍的新型治疗药物。

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