CN112121042A - Application of PSO in preparation of anti-septicemia and myocardial damage drug induced by anti-septicemia - Google Patents
Application of PSO in preparation of anti-septicemia and myocardial damage drug induced by anti-septicemia Download PDFInfo
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Abstract
本发明公开了补骨脂定用于制备治疗和/或预防败血症及其诱发的心肌损伤药物的应用。本发明研究发现:PSO可提高败血症生存率、改善小鼠败血症评分、降低白细胞、淋巴细胞、单核细胞、粒细胞的数量以及降低乳酸脱氢酶、尿素氮、肌酸激酶、谷草转氨酶的水平;PSO具有改善心脏收缩功能及维持心肌组织正常形态的作用;此外,PSO也能抑制败血症诱发的心肌损伤后髓过氧化物酶、白细胞介素‑1β的高表达、降低炎症相关分子IL‑1β、IL‑6、NOD样受体家族3的mRNA水平,并减少由败血症引起的超氧化物阴离子累积,从而发挥抗炎和抗氧化应激作用。The present invention discloses the application of psoralen for preparing medicine for treating and/or preventing sepsis and myocardial injury induced by it. The research of the present invention found that PSO can improve the survival rate of sepsis, improve the score of sepsis in mice, reduce the number of white blood cells, lymphocytes, monocytes, granulocytes, and reduce the levels of lactate dehydrogenase, urea nitrogen, creatine kinase and aspartate aminotransferase ; PSO can improve cardiac systolic function and maintain the normal shape of myocardial tissue; in addition, PSO can also inhibit the high expression of myeloperoxidase and interleukin-1β after sepsis-induced myocardial injury, reduce the inflammation-related molecule IL-1β , IL-6, NOD-like receptor family 3 mRNA levels, and reduce superoxide anion accumulation caused by sepsis, thereby exerting anti-inflammatory and anti-oxidative stress effects.
Description
技术领域technical field
本发明涉及补骨脂定(Psoralidin,PSO)的新适应症,具体涉及PSO用于抗败血症及其诱发的心肌损伤药物的应用。The invention relates to a new indication of Psoralidin (PSO), in particular to the application of PSO as an anti-septicemia medicine and the induced myocardial injury medicine.
背景技术Background technique
补骨脂定PSO是结构式如式Ⅰ所示,其具有多种药理活性,包括抗氧化、抗菌、抗炎、抗抑郁和雌激素样作用。Psoralen PSO has the structural formula shown in formula I, and it has various pharmacological activities, including antioxidant, antibacterial, anti-inflammatory, antidepressant and estrogen-like effects.
发明内容SUMMARY OF THE INVENTION
发明人通过构建败血症及其诱发的心肌损伤动物模型,观察其生存率、血常规、血生化、炎症、氧化应激及心肌损伤各项指标发现:By constructing sepsis and its induced myocardial injury animal model, the inventors observed various indicators of survival rate, blood routine, blood biochemistry, inflammation, oxidative stress and myocardial injury and found:
PSO可提高败血症生存率;改善败血症评分;降低白细胞(White Blood Cell,WBC)、淋巴细胞(Lymphocyte,LYM)、单核细胞(Monocytes,MON)、粒细胞(Granulocyte,GRA)的数量以及降低乳酸脱氢酶(Lactate Dehydrogenase,LDH)尿素氮(Blood UreaNitrogen,BUN)、肌酸激酶(Creatine Kinase,CK)、谷草转氨酶(AspartateAminotransferase,AST)的水平;PSO can improve sepsis survival rate; improve sepsis score; reduce white blood cell (WBC), lymphocyte (Lymphocyte, LYM), monocyte (MON), granulocyte (Granulocyte, GRA) number and reduce lactate Levels of Lactate Dehydrogenase (LDH), Blood Urea Nitrogen (BUN), Creatine Kinase (CK), and Aspartate Aminotransferase (AST);
同时,PSO能改善由败血症引起的心肌组织损伤和心脏收缩功能,至少表现为提高左心室收缩末期容积(Volume;s)和左心室舒张末期容积(Volume;d)的降低;并降低左心室收缩末期后壁厚度(LVPW;s)和左心室舒张末期后壁厚度(LVPW;d)以及心率(Heart Rate,HR)的增加,从而达到改善心脏收缩功能的作用;At the same time, PSO can improve myocardial tissue damage and cardiac systolic function caused by sepsis, at least by increasing the left ventricular end-systolic volume (Volume; s) and the decrease in left ventricular end-diastolic volume (Volume; d); and reducing left ventricular contraction End-stage posterior wall thickness (LVPW; s) and left ventricular end-diastolic posterior wall thickness (LVPW; d) and heart rate (Heart Rate, HR) increase, so as to improve cardiac systolic function;
PSO也能抑制败血症诱发的心肌组织损伤后髓过氧化物酶(Myeloperoxidase,MPO)、白细胞介素-1β(Interleukin-1β,IL-1β)、Ly6c、F4/80的高表达、降低IL-1β、IL-6、NOD样受体家族3(NOD-like receptor pyrin domain-containing protein 3,NLRP3)的mRNA水平,并减少由败血症引起的超氧化物阴离子累积,从而发挥抗炎和抗氧化应激作用;PSO can also inhibit the high expression of Myeloperoxidase (MPO), Interleukin-1β (IL-1β), Ly6c, F4/80 after sepsis-induced myocardial tissue injury, reduce IL-1β , IL-6, NOD-like receptor pyrin domain-containing protein 3 (NLRP3) mRNA levels, and reduce superoxide anion accumulation caused by sepsis, thereby exerting anti-inflammatory and anti-oxidative stress effect;
基于上述发现,本发明提供了PSO用于制备治疗和/或预防败血症及其诱发的心肌损伤药物的应用。Based on the above findings, the present invention provides the application of PSO for preparing a medicine for treating and/or preventing sepsis and its induced myocardial damage.
同时提供一种治疗和/或预防败血症药物,所述药物由PSO和药物辅料制备而成。At the same time, a medicine for treating and/or preventing sepsis is provided, which is prepared from PSO and pharmaceutical excipients.
进一步,所述药物为静脉注射给药制剂。Further, the drug is a preparation for intravenous injection.
更进一步,所述药物的给药剂量为每千克体重12.5mg-50mg PSO。Further, the dosage of the drug is 12.5mg-50mg PSO per kilogram of body weight.
附图说明:Description of drawings:
图1为PSO对CLP损伤后小鼠生存率的影响,观察CLP术后72h内各组小鼠的生存情况,A图为小鼠生存率造模图片,B图为小鼠生存率曲线,结果以均数±标准差表示,n=12;*vs.Sham组,P<0.05;#vs.CLP组,P<0.05;Figure 1 shows the effect of PSO on the survival rate of mice after CLP injury. The survival of mice in each group within 72 hours after CLP was observed. Picture A is the modeling picture of the survival rate of mice, and picture B is the survival rate curve of mice. Results Expressed as mean±standard deviation, n=12; * vs. Sham group, P<0.05;# vs. CLP group, P<0.05;
图2为PSO对CLP损伤后小鼠败血症评分的影响,于小鼠术后8h,按照败血症评分相关指标对小鼠损伤后状态进行评分,A图为小鼠功能学检测造模图片,B图为败血症评分结果,结果以均数±标准差表示,n=8;*vs.Sham组,P<0.05;#vs.CLP组;Figure 2 shows the effect of PSO on the septicemia score of mice after CLP injury. At 8 hours after the operation, the mice were scored according to the relevant indicators of the septicemia score. The picture of the mice after the injury is shown in picture A, the model picture of the functional test of mice, picture B is the result of sepsis score, the results are expressed as mean ± standard deviation, n=8; * vs. Sham group, P<0.05;# vs. CLP group;
图3为PSO对CLP损伤后小鼠血常规各项指标的影响,于小鼠术后8h测定血常规,结果以均数±标准差表示,n=6;*vs.Sham组,P<0.05;#vs.CLP组;Figure 3 shows the effect of PSO on various indicators of blood routine in mice after CLP injury. Blood routine was measured 8 hours after operation in mice, and the results were expressed as mean ± standard deviation, n=6; * vs. Sham group, P<0.05 ; # vs. CLP group;
图4为PSO对CLP损伤8h后小鼠血生化各项指标的影响,于小鼠术后8h测定血常规,结果以均数±标准差表示,n=6;*vs.Sham组,P<0.05;#vs.CLP组;Figure 4 shows the effect of PSO on the blood biochemical indexes of
图5为PSO对CLP损伤8h后心肌组织形态的影响,心肌组织切片HE染色结果;HE,苏木精-伊红;Figure 5 shows the effect of PSO on the morphology of myocardial tissue 8h after CLP injury, the results of HE staining of myocardial tissue sections; HE, hematoxylin-eosin;
图6为PSO对CLP损伤8h后心脏功能各项指标的影响,于小鼠术后8h进行超声心动图检测,A图为超声心动图胸骨旁左室长轴切面、M模典型图片以及各项心脏功能指标的统计分析图,B图为超声心动图短轴切面、M模典型图片以及各项心脏功能指标的统计分析图,结果以均数±标准差表示,n=6,*vs.Sham组,P<0.05;#vs.CLP组,P<0.05;左心室收缩末期容积;左心室舒张末期容积;左心室收缩末期后壁厚度;左心室舒张末期后壁厚度;心率;Figure 6 shows the effects of PSO on various indicators of
图7为PSO对CLP损伤8h后心肌炎症相关指标的影响,炎症相关典型指标MPO、IL-1β的免疫组织化学染色结果及统计分析图;炎症相关分子IL-1β、IL-6、NLRP3 mRNA表达水平;其中,图A为免疫组织化学染色结果,B图为mRNA表达水平结果,结果以均数±标准差表示,n=6,*vs.Sham组,P<0.05;#vs.CLP组,P<0.05;Figure 7 shows the effect of PSO on myocardial inflammation-
图8为PSO对CLP损伤8h后心肌组织中超氧化物阴离子水平的影响,心肌组织DHE染色结果及统计分析图,结果以均数±标准差表示,n=6。*vs.Sham组,P<0.05;#vs.CLP组,P<0.05,DHE,超氧化物阴离子荧光探针。Figure 8 shows the effect of PSO on the level of superoxide anion in myocardial tissue after 8 h of CLP injury, the results of DHE staining and statistical analysis of myocardial tissue, the results are expressed as mean ± standard deviation, n=6. * vs. Sham group, P<0.05;# vs. CLP group, P<0.05, DHE, superoxide anion fluorescent probe.
具体实施方式Detailed ways
败血症是指各种病原菌侵入血循环,并在血中快速生长繁殖,产生大量毒素和代谢产物,引起严重毒血症的全身感染综合征。败血症加重可引起感染性休克、弥散性血管内凝血和器官功能受损,严重威胁患者生命。心脏是易受败血症损伤的靶器官之一,充分证据显示败血症可以导致心脏功能障碍。临床研究表明,败血症患者并发心脏功能障碍死亡率高达70%-90%。而无心脏功能障碍的败血症患者死亡率约为20%。Sepsis refers to a systemic infection syndrome in which various pathogenic bacteria invade the blood circulation and rapidly grow and multiply in the blood, producing a large number of toxins and metabolites, causing severe toxemia. The aggravation of sepsis can cause septic shock, disseminated intravascular coagulation and organ function impairment, which seriously threatens the life of patients. The heart is one of the target organs vulnerable to sepsis, and there is ample evidence that sepsis can lead to cardiac dysfunction. Clinical studies have shown that the mortality rate of patients with sepsis complicated with cardiac dysfunction is as high as 70%-90%. In contrast, patients with sepsis without cardiac dysfunction have a mortality rate of approximately 20%.
盲肠结扎穿孔(Cecal Ligation and Puncture,CLP)动物模型是经典的败血症动物模型,本发明采用CLP动物模型为研究对象,根据现有技术研究,该动物模型可造成急性心肌损伤,如败血症诱发的心肌损伤。Cecal ligation and puncture (Cecal Ligation and Puncture, CLP) animal model is a classic sepsis animal model, the present invention adopts CLP animal model as research object, according to prior art research, this animal model can cause acute myocardial injury, such as sepsis-induced myocardial injury damage.
败血症诱发的心肌损伤属于感染性心肌损伤的一种,感染性心肌损伤指病毒感染过程中或恢复期中出现的如心脏扩大、心力衰竭、心源性休克或心律异常等反应,典型的症状为疲乏无力、食欲不振、恶心、呕吐、呼吸困难、面色苍白以及发热等。Myocardial injury induced by sepsis is a type of infectious myocardial injury. Infectious myocardial injury refers to reactions such as cardiac enlargement, heart failure, cardiogenic shock, or abnormal heart rhythm that occur during viral infection or during recovery. Typical symptoms are fatigue. Weakness, loss of appetite, nausea, vomiting, difficulty breathing, paleness, and fever.
本发明所述的感染性心肌损伤,特别是指细菌性心内膜炎、系统性或者其他脏器感染所致菌血症导致的心肌炎性病变和系统性或者其他脏器感染所致脓毒血症导致的心肌炎性病变,临床上多用肾上腺皮质激素和广谱抗生素,防止菌群失调。在应用过程中应严加观察,特别注意有无消化道、泌尿道和呼吸道的真菌感染。Infectious myocardial injury in the present invention particularly refers to bacterial endocarditis, myocarditis lesions caused by bacteremia caused by systemic or other organ infection, and sepsis caused by systemic or other organ infection In order to prevent myocarditis caused by the disease, adrenal corticosteroids and broad-spectrum antibiotics are often used clinically to prevent dysbacteriosis. Strict observation should be made during the application, and special attention should be paid to the presence or absence of fungal infection of the digestive tract, urinary tract and respiratory tract.
以下通过实施例对本发明做进一步的阐述。实施例是对本发明进行详细说明,但本发明并不受这些的任何限定。The present invention will be further described below through examples. Examples are given to describe the present invention in detail, but the present invention is not limited to these at all.
需要说明的是,以下实施例所用的PSO纯度为HPLC≥98%。所用动物购自第四军医大学实验动物中心,所用试剂为市场采购。如无特殊说明,以下实施例中所采用的实验方法或相关检测方法采用本领域已知方法。It should be noted that the purity of PSO used in the following examples is HPLC≥98%. The animals used were purchased from the Experimental Animal Center of the Fourth Military Medical University, and the reagents used were purchased from the market. Unless otherwise specified, the experimental methods or related detection methods used in the following examples adopt methods known in the art.
实施例1:发明人研究发现PSO能够改善败血症引起的小鼠死亡Example 1: The inventor's study found that PSO can improve the death of mice caused by sepsis
方案:Program:
采用CLP手术,于在体水平上构建败血症模型,给与PSO预保护。Using CLP surgery, the sepsis model was constructed at the in vivo level, and PSO pre-protection was given.
步骤:step:
使用野生型BALB/c小鼠作为研究对象,按照研究设计,用随机数字表法进行分组,小鼠感染性心肌损伤模型按照Rittirsch D等发表的CLP实验方法,复制重度感染性心肌损伤模型。具体实验步骤如下:Wild-type BALB/c mice were used as the research objects, according to the research design, grouped by the random number table method, and the model of infective myocardial injury in mice was replicated according to the CLP experimental method published by Rittirsch D et al. The specific experimental steps are as follows:
(1)分组:生存率实验:将BALB/c小鼠分为假手术组、CLP组、PSO组(12.5、25、50mg/kg剂量),每组12只;(1) Grouping: Survival rate experiment: BALB/c mice were divided into sham operation group, CLP group, and PSO group (12.5, 25, and 50 mg/kg doses), with 12 mice in each group;
(2)给药:手术前6天进行预保护处理(腹腔注射),按照1ml/kg(体重)的浓度给假手术组、CLP组DMSO(二甲亚砜),保护组PSO(DMSO溶解,制成剂量分别为12.5mg/kg、25mg/kg、50mg/kg的PSO溶液),每2天给药1次,共3次,确保每次给药的时间段和手术时间相同;(2) Administration: Pre-protection treatment (intraperitoneal injection) was performed 6 days before the operation, and DMSO (dimethyl sulfoxide) was administered to the sham-operated group and CLP group at a concentration of 1 ml/kg (body weight), and the protection group PSO (DMSO dissolved, PSO solution with doses of 12.5mg/kg, 25mg/kg and 50mg/kg respectively), administered once every 2 days for a total of 3 times, to ensure that the time period of each administration and the operation time are the same;
(3)造模:①第7天造模,采用小动物吸入麻醉系统对小鼠进行麻醉:小鼠吸入含异氟烷2%(体积分数vol/vol)的氧气,麻醉流量为3L/min,造模过程中流量为1.5L/min,麻醉程度监测标准为肢体的撤回反射消失,将小鼠固定并持续吸入含异氟烷2%的氧气维持麻醉;②小鼠腹正中区域备皮,75%乙醇消毒皮肤两次,延中下腹部正中行纵切口1cm,逐层切开分离皮肤、皮下组织,见腹白线,延腹白线切开腹直肌及腹膜,切口两侧用0.9%生理盐水湿润,用弯镊进腹,找到盲肠后轻柔牵出,将靠近回盲瓣处的粪便轻柔挤向盲肠末端(避免空气残留),在盲肠末端至回盲瓣连线上2/3处(生存率实验为此加重模型,功能学检测采用盲肠末端至回盲瓣连线上1/3处结扎模型,其余步骤与加重模型相同)用4号无菌手术缝线结扎盲肠,在结扎线与盲肠末端中点处用2.5ml注射器针头对穿已结扎肠(避开血管),穿孔后轻轻挤压盲肠,可见结扎段盲肠内容物质顺穿刺孔流出,将盲肠连同周围所有肠管还纳入腹腔,用3号无菌手术缝线逐层间断缝合腹膜及皮肤;③术毕,所有实验小鼠均于术后立即背部皮下注射37℃生理盐水(10ml/kg体重)进行液体复苏,标记后放回鼠笼,等待苏醒。假手术组除不进行盲肠结扎穿孔外,其余步骤与实验组相同。(3) Model establishment: ① Model establishment on the 7th day, the mice were anesthetized with a small animal inhalation anesthesia system: the mice inhaled oxygen containing isoflurane 2% (volume fraction vol/vol), and the anesthesia flow was 3L/min , during the modeling process, the flow rate was 1.5L/min, and the monitoring standard for the degree of anesthesia was the disappearance of the withdrawal reflex of the limbs. The mice were immobilized and continuously inhaled with 2% oxygen containing isoflurane to maintain anesthesia; The skin was disinfected twice with 75% ethanol, a 1 cm longitudinal incision was made along the middle of the lower abdomen, and the skin and subcutaneous tissue were incised layer by layer to separate the skin and subcutaneous tissue. Moisten with % normal saline, enter the abdomen with curved forceps, find the cecum and pull it out gently, gently squeeze the feces near the ileocecal valve to the end of the cecum (to avoid air remaining), and 2/3 of the line connecting the end of the cecum to the ileocecal valve (The survival rate experiment is this aggravated model, and the functional test adopts the ligation model at the 1/3 of the connection between the end of the cecum and the ileocecal valve, and the rest of the steps are the same as the aggravated model) ligature the cecum with No. 4 sterile surgical suture, and then ligate the cecum. Use a 2.5ml syringe needle to pierce the ligated intestine (avoiding blood vessels) at the midpoint of the end of the line and the cecum. After perforation, gently squeeze the cecum. It can be seen that the contents of the cecum in the ligated segment flow out through the puncture hole, and the cecum and all surrounding intestinal tubes are also included. In the abdominal cavity, the peritoneum and skin were sutured layer by layer with No. 3 sterile surgical sutures. Put it back in the cage and wait for it to wake up. In the sham operation group, the rest of the steps were the same as in the experimental group except that the cecal ligation and perforation were not performed.
(4)CLP手术后开始计时,每1h观察一次,记录72h内各个分组小鼠死亡数量,统计并分析生存率;(4) Start timing after CLP operation, observe every 1 h, record the number of deaths of mice in each group within 72 h, and count and analyze the survival rate;
(5)根据各组生存率结果,选择该实施例方案下PSO合适浓度后,同上进行动物实验,所取得的标本进行后续检测。(5) According to the survival rate results of each group, after selecting the appropriate concentration of PSO under the scheme of this embodiment, the animal experiment is carried out as above, and the obtained specimens are subjected to subsequent detection.
结果:result:
小鼠生存率曲线如图1B所示,与对照组相比,CLP处理后,小鼠72h内生存率为40%(P<0.05),PSO(12.5mg/kg)处理后小鼠生存率约为70%(P<0.05),PSO(25mg/kg)处理后小鼠生存率约为70%(P<0.05),PSO(50mg/kg)处理后,小鼠生存率约为80%(P<0.05),提示PSO可以提高小鼠CLP后的生存率,且PSO最佳保护浓度为50mg/kg(后续功能学检测将采用此最佳保护浓度)。The survival rate curve of mice is shown in Figure 1B. Compared with the control group, the survival rate of mice within 72 hours after CLP treatment was 40% (P<0.05), and the survival rate of mice treated with PSO (12.5 mg/kg) was about 40% (P<0.05). was 70% (P<0.05), the survival rate of mice after PSO (25mg/kg) treatment was about 70% (P<0.05), and after PSO (50mg/kg) treatment, the survival rate of mice was about 80% (P <0.05), suggesting that PSO can improve the survival rate of mice after CLP, and the optimal protective concentration of PSO is 50 mg/kg (the optimal protective concentration will be used in subsequent functional tests).
实施例2:发明人研究发现PSO能改善败血症评分及败血症引起的血常规变化。Example 2: The inventor's research found that PSO can improve the sepsis score and blood routine changes caused by sepsis.
方案:Program:
采用CLP手术,于在体水平上构建败血症及其诱发的心肌损伤模型(后续所有功能学检测采用盲肠末端至回盲瓣连线上1/3处结扎,其余步骤与加重模型相同,见图2A),给与PSO处理。Using CLP surgery, a model of sepsis and its induced myocardial injury was constructed at the body level (all subsequent functional tests were performed by ligating the 1/3 of the line connecting the end of the cecum to the ileocecal valve, and the rest of the steps were the same as the aggravation model, see Figure 2A ), and give PSO processing.
步骤:step:
(1)根据败血症评分表对CLP后8h的小鼠进行打分,评分规则采用以下文献公开的内容:(1) The mice at 8 h after CLP were scored according to the sepsis score table, and the scoring rules adopted the content disclosed in the following documents:
[1]Nemzek JA,Hugunin KM,Opp MR:Modeling sepsis in the laboratory:merging sound science with animal well-being.Comp Med 2008,58:120–128.[1] Nemzek JA, Hugunin KM, Opp MR: Modeling sepsis in the laboratory: merging sound science with animal well-being. Comp Med 2008, 58:120–128.
[2]Huet O,Ramsey D,Miljavec S,Jenney A,Aubron C,Aprico A,StefanovicN,Balkau B,Head GA,de Haan JB,Chin-Dusting JP:Ensuring animal welfare whilemeeting scientific aims using a murine pneumonia model of septic shock.Shock(Augusta,Ga)2013,39:488–494.[2] Huet O, Ramsey D, Miljavec S, Jenney A, Aubron C, Aprico A, Stefanovic N, Balkau B, Head GA, de Haan JB, Chin-Dusting JP: Ensuring animal welfare while meeting scientific aims using a murine pneumonia model of septic shock. Shock (Augusta, Ga) 2013, 39:488–494.
[3]Langford DJ,Bailey AL,Chanda ML,Clarke SE,Drummond TE,Echols S,Glick S,Ingrao J,Klassen-Ross T,Lacroix-Fralish ML,Matsumiya L,Sorge RE,Sotocinal SG,Tabaka JM,Wong D,van den Maagdenberg AM,Ferrari MD,Craig KD,Mogil JS:Coding of facial expressions of pain in the laboratory mouse.Naturemethods 2010,7:447–449.[3] Langford DJ, Bailey AL, Chanda ML, Clarke SE, Drummond TE, Echols S, Glick S, Ingrao J, Klassen-Ross T, Lacroix-Fralish ML, Matsumiya L, Sorge RE, Sotocinal SG, Tabaka JM, Wong D, van den Maagdenberg AM, Ferrari MD, Craig KD, Mogil JS: Coding of facial expressions of pain in the laboratory mouse. Naturemethods 2010, 7:447–449.
[4]Bradly Shrum,Ram V Anantha,Stacey X Xu,Marisa Donnelly,SM MansourHaeryfar,John K McCormick:A robust scoring system to evaluate sepsis severityin an animal model.BMC Research Notes 2014,7:233。[4] Bradly Shrum, Ram V Anantha, Stacey X Xu, Marisa Donnelly, SM Mansour, Haeryfar, John K McCormick: A robust scoring system to evaluate sepsis severity in an animal model. BMC Research Notes 2014, 7:233.
(2)检测CLP手术8h后小鼠血常规各项指标的变化:损伤8h后,采用摘眼球取血法取血,采用全自动血常规仪进行血常规检测。(2) Detect the changes of blood routine indexes of mice after 8 hours of CLP operation: After 8 hours of injury, the blood was collected by removing the eyeball method, and the blood routine test was performed by an automatic blood routine instrument.
结果:result:
于小鼠CLP处理8h进行败血症评分,结果如图2所示,与对照组相比,CLP组败血症评分显著升高,给与PSO保护后,败血症评分显著降低;The mice were treated with CLP for 8 hours for sepsis score. The results are shown in Figure 2. Compared with the control group, the sepsis score in the CLP group was significantly increased, and after PSO protection, the sepsis score was significantly reduced;
于小鼠CLP处理8h后检测了血常规相关指标的变化,如图3所示,与对照组相比,WBC、LYM显著上升(P<0.05),而PSO处理后WBC、LYM均显著下降(P<0.05),但是对RBC和PLT无显著影响(P>0.05)。The changes of blood routine related indexes were detected after 8 h of CLP treatment in mice. As shown in Figure 3, compared with the control group, WBC and LYM increased significantly (P<0.05), while WBC and LYM decreased significantly after PSO treatment (P<0.05). P<0.05), but had no significant effect on RBC and PLT (P>0.05).
实施例3:发明人研究发现PSO能改善败血症引起的血生化变化Example 3: The inventor's research found that PSO can improve blood biochemical changes caused by sepsis
方案:Program:
采用CLP手术,于在体水平上构建败血症及其诱发的心肌损伤模型,给与PSO处理。Using CLP operation, the sepsis and its induced myocardial injury model were constructed at the body level, and PSO treatment was given.
步骤:step:
检测CLP手术8h后小鼠血生化各项指标的变化:损伤8h后,采用摘眼球取血法取血,收集每组全血,3000r/min,离心10min,吸取血清,随后使用全自动血生化分析仪进行检测。Detect the changes of blood biochemical indexes of mice after 8 hours of CLP operation: After 8 hours of injury, blood was collected by removing the eyeball method, collecting whole blood from each group, centrifuging at 3000 r/min for 10 min, drawing serum, and then using automatic blood biochemistry analyzer to detect.
结果:result:
于小鼠CLP处理8h后检测了血生化相关指标的变化,如图4所示,与对照组相比较,CLP损伤8h后,血清中LDH、BUN、CK、AST水平均显著上升(P<0.05),给与PSO处理后,LDH、BUN、CK、AST水平出现明显下降(P<0.05)。The changes of blood biochemical indexes were detected after 8 hours of CLP treatment in mice. As shown in Figure 4, compared with the control group, after 8 hours of CLP injury, the levels of LDH, BUN, CK and AST in serum were significantly increased (P<0.05). ), after PSO treatment, the levels of LDH, BUN, CK and AST decreased significantly (P<0.05).
实施例4:发明人研究发现PSO能改善败血症引起的心肌组织损伤。Example 4: The inventor's research found that PSO can improve myocardial tissue damage caused by sepsis.
方案:Program:
采用CLP手术,于在体水平上构建败血症及其诱发的心肌损伤模型,给与PSO处理。Using CLP operation, the sepsis and its induced myocardial injury model were constructed at the body level, and PSO treatment was given.
步骤:step:
(1)心肌组织HE染色:(1) HE staining of myocardial tissue:
①石蜡包埋:心尖部缓慢注入含肝素生理盐水,右心耳流出的液体变为透明时,将灌注液体替换为4%多聚甲醛固定液;多聚甲醛组织固定成功后,沿心脏根部剪断各血管,完整取下心脏;心脏取出后,切下心脏左半边(左心房及左心室)放入4%多聚甲醛中,进行后固定至少24h;按照顺序依次在80%、95%、95%、100%乙醇中浸泡40min,再按照100%乙醇、100%乙醇∶二甲苯=1∶1混合液、二甲苯浓度梯度浸泡30min进行组织脱水透明;然后于包埋机中浸蜡3h,最后进行滴蜡包埋。① Paraffin embedding: Slowly inject heparin-containing normal saline into the apex of the heart, and when the fluid flowing out of the right atrial appendage becomes transparent, replace the perfusion fluid with 4% paraformaldehyde fixative; Blood vessels, the heart is completely removed; after the heart is removed, the left half of the heart (left atrium and left ventricle) is cut off and placed in 4% paraformaldehyde, post-fixed for at least 24 hours; 80%, 95%, 95% in order , soaked in 100% ethanol for 40 min, and then soaked in 100% ethanol, 100% ethanol: xylene = 1:1 mixture, and xylene concentration gradient for 30 min to dehydrate the tissue; then immersed in wax for 3 h in the embedding machine, and finally Drop wax embedding.
②切片:设置切片厚度为5μm,使用捞片法将切片贴于多聚赖氨酸覆膜载玻片上,70℃烤片1h后,60℃烤片5h。② Slicing: Set the slice thickness to 5 μm, stick the slice on the poly-lysine-coated glass slide using the pick-up method, bake the slice at 70°C for 1 hour, and bake it at 60°C for 5 hours.
③染色:将切片置于二甲苯中浸泡10min,更换二甲苯再次浸泡10min,按照100%、100%、95%、95%、80%乙醇、去离子水的顺序依次浸泡2min脱蜡至水,以备染色;将切片浸入苏木素染液染色3min,使用自来水轻柔冲洗5min;浸入1%盐酸乙醇30s,1%氨水3min脱色,使用自来水轻柔冲洗3min;浸入伊红染液染色3min,使用自来水轻柔冲洗3min;按照70%、80%浓度乙醇30s,95%、95%、95%、100%、100%浓度梯度乙醇、二甲苯、二甲苯的顺序分别浸泡2min进行脱水透明处理;中性树胶封片。③Staining: Immerse the sections in xylene for 10 min, replace the xylene and soak again for 10 min, soak in the order of 100%, 100%, 95%, 95%, 80% ethanol, and deionized water for 2 min to deparaffinize to water. For staining; immerse the sections in hematoxylin staining solution for 3 min, and gently rinse with tap water for 5 min; immerse in 1% hydrochloric acid ethanol for 30 s, 1% ammonia water for 3 min for decolorization, and gently rinse with tap water for 3 min; immerse in eosin staining solution for 3 min and gently rinse with tap water 3min; soak in 70%, 80% concentration ethanol for 30s, 95%, 95%, 95%, 100%, 100% concentration gradient ethanol, xylene, xylene for 2min respectively for dehydration and transparent treatment; neutral resin seal .
结果:result:
小鼠心肌组织HE染色结果显示,如图5所示,与对照组相比,CLP损伤后心肌组织结构紊乱,视野内细胞核数量显著增加,肌细胞间微血管单核细胞浸润增加;与CLP组相比,给与PSO后HE染色可见心肌组织结构相对清晰,视野内细胞核数量减少,肌细胞间微血管单核细胞浸润减少。HE staining results of mouse myocardial tissue showed that, as shown in Figure 5, compared with the control group, the myocardial tissue structure was disordered after CLP injury, the number of nuclei in the visual field increased significantly, and the infiltration of microvascular mononuclear cells between muscle cells increased; Compared with PSO, HE staining showed that the myocardial tissue structure was relatively clear, the number of nuclei in the visual field was reduced, and the infiltration of microvascular mononuclear cells between muscle cells was reduced.
实施例5:发明人研究发现PSO可以改善败血症引发的心肌功能损伤Example 5: The inventor's study found that PSO can improve myocardial function damage caused by sepsis
方案:Program:
采用CLP手术,于在体水平上构建败血症及其诱发的心肌损伤模型,给与PSO处理。Using CLP operation, the sepsis and its induced myocardial injury model were constructed at the body level, and PSO treatment was given.
步骤:step:
小动物超声检测CLP手术8h后小鼠心脏功能:各组动物于超声检测前一天脱去小鼠左胸区域被毛,小鼠经2%异氟烷麻醉,麻醉气体流量为1L/min,异氟烷吸入麻醉后固定于37℃恒温板上,充分暴露左侧胸廓,采用30MHz探头,选取标准胸骨旁左室长轴切面及标准左心室乳头肌短轴切面,记录M模心脏超声切面图像,测量指标包括:左室收缩末期容积、左室舒张末期容积、左室收缩末期后壁厚度、左室舒张末期后壁厚度、心率等。Ultrasound of small animals to detect the cardiac function of
结果:result:
小动物超声检测CLP手术8h后小鼠心肌收缩功能,结果如图6A(胸骨旁左室长轴超声结果)、6B(左室短轴超声结果)所示,与对照组相比,小鼠心脏的左室收缩末期容积、左室舒张末期容积显著下降(P<0.05),给与PSO保护后,心功能明显改善(P<0.05);以及与对照组相比,小鼠左室收缩末期后壁厚度、左室舒张末期后壁厚度明显变厚,心率明显加快(P<0.05),给与PSO保护后,心功能明显改善(P<0.05)。Small animal ultrasound detected myocardial contractile function in
实施例6:发明人研究发现PSO通过减轻炎症反应,改善感染性CLP引起的心肌损伤。Example 6: The inventor's research found that PSO can improve myocardial injury caused by infectious CLP by reducing inflammatory response.
方案:Program:
采用CLP手术,于在体水平上构建败血症及其诱发的心肌损伤模型,给与PSO处理。Using CLP operation, the sepsis and its induced myocardial injury model were constructed at the body level, and PSO treatment was given.
步骤:step:
(1)免疫组织化学检测:(1) Immunohistochemical detection:
①石蜡包埋、切片步骤同上;①The steps of paraffin embedding and sectioning are the same as above;
②染色:切片常规脱蜡至水:分别取各组小鼠心脏组织石蜡切片依次经二甲苯2次,每次10min,100%乙醇2次、每次10min;95%、90%、80%、70%乙醇各1次,每次5min,最后浸入蒸馏水中5min;抗原修复:柠檬酸钠缓冲液微波抗原修复20min,流水冲洗10min;阻断内源性过氧化物酶:3%双氧水,室温15min。PBS洗3次,每次5min;封闭:滴加5%正常山羊血清封闭液,室温孵育60min;滴加一抗:擦去多余血清,加一抗,4℃孵育过夜。PBS洗3次,每次5min;滴加二抗:滴加辣根过氧化物酶HRP标记的二抗(1∶5000,PBS配制),37℃温箱内孵育1h,PBS洗3次,每次5min;DAB显色:滴加DAB 0.5-3min,镜下控制显色程度,流水冲洗10min,苏木素复染,1%盐酸酒精分化,1%氨水脱色,脱水,经二甲苯透明后用中性树胶封片。②Staining: routine deparaffinization of sections to water: paraffin sections of mouse heart tissue in each group were taken and subjected to xylene twice, 10 minutes each time, 100% ethanol twice, each
③显微镜下观察并拍照:显微镜下观察并拍照,光镜下组织切片呈棕黄色颗粒性沉积区域为阳性染色部位,每张切片随机找出20-30个不重叠视野,采用医学图象分析软件Image J 5.0软件半定量计算。③ Observe and take pictures under a microscope: Observe and take pictures under a microscope. The tissue sections with brownish-yellow granular deposition areas under light microscopes are positive staining sites. Randomly find 20-30 non-overlapping visual fields for each section, and use medical image analysis software. Image J 5.0 software semi-quantitative calculation.
(2)实时定量荧光PCR(2) Real-time quantitative fluorescent PCR
①样品总RNA提取:将装有小鼠心脏样本的离心管从液氮中取出后,加入1mLTrizol和2个研磨小珠,置于组织破碎仪上于60Hz破碎1min,轻轻摇晃使Trizol与样品混匀,置于冰上裂解5min;加入200μL氯仿,手动剧烈震荡管体15s,室温孵育15min后,置于4℃高速离心机离心15min,转速为12000rmp/min;此时RNA全部位于上层水相中,用移液器吸取400μL水相转移至干净的无RNA酶的离心管中,加入等体积的异丙醇进行混合,手动摇晃15s,室温孵育10min后,置于4℃高速离心机离心15min,转速为12000rmp/min;弃上清,加入75%乙醇(用DEPC水配制),手动摇晃使RNA沉淀悬浮,室温孵育5min后,4℃,8000rmp/min离心5min,重复该操作一次;弃去乙醇溶液,留下RNA沉淀,室温干燥5-10min;采用20μL DEPC水溶解RNA沉淀,打开DNA/RNA浓度测定仪,测定样品的浓度,放于-80℃冰箱进行保存。①Extraction of total RNA from the sample: Take out the centrifuge tube containing the mouse heart sample from the liquid nitrogen, add 1 mL of Trizol and 2 grinding beads, place it on a tissue disrupter at 60 Hz for 1 min, and shake gently to make Trizol and the sample Mix well and place on ice to lyse for 5 min; add 200 μL of chloroform, shake the tube vigorously for 15 s, incubate at room temperature for 15 min, and centrifuge in a high-speed centrifuge at 4°C for 15 min at a speed of 12000 rmp/min; at this time, all RNA is in the upper
②反转录:将提取的总RNA从-80℃冰箱中取出,加入反转录试剂(购自湖南艾科瑞生物工程有限公司;货号:AG11706)后置于PCR仪器中进行反转录,反转录程序为:37℃15min;85℃5s;反转后的cDNA放于-20℃保存,反转录体系如表1所示:②Reverse transcription: Take the extracted total RNA out of the -80°C refrigerator, add reverse transcription reagent (purchased from Hunan Aikerui Bioengineering Co., Ltd.; Item No.: AG11706), and place it in a PCR instrument for reverse transcription. The reverse transcription program is: 37 °C for 15 min; 85 °C for 5 s; the reversed cDNA is stored at -20 °C. The reverse transcription system is shown in Table 1:
表1反转录体系Table 1 Reverse transcription system
③qRT-PCR:将cDNA、试剂盒(购自湖南艾科瑞生物工程有限公司;货号:AG11409-S)及所需引物(购自上海生工生物工程有限公司;NLRP3:正向引物5'-GGAGTTCTTCGCTGCTATGTA-3';反向引物5'-GGACCTTCACGTCTCGGTTC-3';IL-1β:正向引物5'-GTGTCTTTCCCGTGGACCTT-3';反向引物5'-CATCTCGGAGCCTGTAGTGC-3';IL-6:正向引物5'-TTGGGACTGATGCTGGTGAC-3';反向引物5'-GGTATAGACAGGTCTGTTGGGAGT-3')从-20℃冰箱中取出,准备好实验所需的器材;待样品和试剂盒融化后,按照以下比例配制溶液后,使用RT-qPCR仪器设置好的程序进行实验;反应条件为:95℃预变性10min;95℃变性15s;58℃退火延伸20s;72℃终末延伸30s,共40个循环,反应体系如表2-1、2-2、2-3所示:③qRT-PCR: cDNA, kit (purchased from Hunan Aikerui Bioengineering Co., Ltd.; product number: AG11409-S) and the required primers (purchased from Shanghai Sangon Bioengineering Co., Ltd.; NLRP3: forward primer 5'- GGAGTTCTTCGCTGCTATGTA-3'; reverse primer 5'-GGACCTTCACGTCTCGGTTC-3'; IL-1β: forward primer 5'-GTGTCTTTCCCGTGGACCTT-3'; reverse primer 5'-CATCTCGGAGCCTGTAGTGC-3'; IL-6: forward primer 5 '-TTGGGACTGATGCTGGTGAC-3'; reverse primer 5'-GGTATAGACAGGTTCTGTTGGGAGT-3') was taken out from the -20°C refrigerator, and the equipment required for the experiment was prepared; after the sample and the kit were melted, the solution was prepared according to the following ratio, and then used The RT-qPCR instrument set the program for the experiment; the reaction conditions were: 95°C pre-denaturation for 10 min; 95°C denaturation for 15s; 58°C annealing and extension for 20s; 72°C final extension for 30s, a total of 40 cycles, the reaction system is shown in Table 2- 1, 2-2, 2-3 show:
表2-1 qRT-PCR反应体系Table 2-1 qRT-PCR reaction system
表2-2 qRT-PCR反应体系Table 2-2 qRT-PCR reaction system
表2-3 qRT-PCR反应体系Table 2-3 qRT-PCR reaction system
结果:result:
小鼠心肌组织IHC染色结果显示,如图7A所示,与对照组相比,CLP损伤后MPO、IL-1β表达均显著升高,给与PSO处理后其表达量显著降低;The IHC staining results of mouse myocardial tissue showed that, as shown in Figure 7A, compared with the control group, the expressions of MPO and IL-1β were significantly increased after CLP injury, and their expressions were significantly decreased after PSO treatment;
小鼠心肌组织qRT-PCR结果显示,如图7B所示,与对照组相比,CLP损伤后炎症相关分子IL-1β、IL-6、NLRP3的mRNA水平均显著升高(P<0.05),给与PSO处理后其表达量下降(P<0.05)。The qRT-PCR results of mouse myocardial tissue showed that, as shown in Figure 7B, compared with the control group, the mRNA levels of inflammation-related molecules IL-1β, IL-6, and NLRP3 were significantly increased after CLP injury (P<0.05). The expression level decreased after PSO treatment (P<0.05).
实施例7:发明人研究发现PSO通过减少由败血症引起的超氧化物阴离子累积,改善感染性CLP引起的心肌损伤。Example 7: The inventor's study found that PSO ameliorated myocardial damage caused by infectious CLP by reducing superoxide anion accumulation caused by sepsis.
方案:Program:
采用CLP手术,于在体水平上构建败血症及其诱发的心肌损伤模型,给与PSO处理。Using CLP operation, the sepsis and its induced myocardial injury model were constructed at the body level, and PSO treatment was given.
步骤:step:
DHE染色:DHE staining:
①石蜡包埋、切片步骤同上。①The steps of paraffin embedding and sectioning are the same as above.
②DHE染色:将切片置于二甲苯中浸泡10min,更换二甲苯再次浸泡10min,按照100%、100%、95%、95%、80%乙醇、去离子水的顺序浸泡2min脱蜡至水,以备染色;脱蜡结束后,使用DHE染色液于37℃下孵育30min,经过适当洗涤后,荧光显微镜下观察并拍照,荧光显微镜下组织切片呈红色荧光阳性染色部位,每张切片随机找出20-30个不重叠视野,采用医学图象分析软件Image-J 5.0软件半定量计算阳性物质的相对含量。②DHE staining: soak the sections in xylene for 10 minutes, replace the xylene and soak for 10 minutes again, soak in 100%, 100%, 95%, 95%, 80% ethanol and deionized water for 2 minutes to deparaffinize to water, then use Prepare for staining; after dewaxing, use DHE staining solution to incubate at 37 °C for 30 min, after proper washing, observe and take pictures under a fluorescence microscope, the tissue sections under the fluorescence microscope show red fluorescence positive staining, and each section randomly finds 20 -30 non-overlapping visual fields were used to semi-quantitatively calculate the relative content of positive substances using the medical image analysis software Image-J 5.0 software.
结果:result:
小鼠心肌组织DHE染色结果显示,如图8所示,与对照组相比,CLP损伤后红色荧光部位显著增多,且红色荧光强度显著增强(P<0.05),PSO处理后其荧光部位显著减少,荧光强度明显下降(P<0.05)。The DHE staining results of mouse myocardial tissue showed that, as shown in Figure 8, compared with the control group, the red fluorescence sites were significantly increased after CLP injury, and the red fluorescence intensity was significantly enhanced (P<0.05), and the fluorescence sites were significantly reduced after PSO treatment. , the fluorescence intensity decreased significantly (P<0.05).
Claims (5)
- Use of PSO for the preparation of a medicament for the treatment and/or prevention of sepsis.
- Use of PSO for the preparation of a medicament for the treatment and/or prevention of sepsis-induced myocardial injury.
- 3. The medicine for treating and/or preventing septicemia and myocardial damage induced by septicemia is characterized by being prepared from PSO and pharmaceutical excipients.
- 4. The medicament of claim 3, wherein the medicament is an intravenous formulation.
- 5. The medicament of claim 3 or 4, wherein said medicament is administered in a dose of 12.5mg to 50mg PSO per kilogram body weight.
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