中山大学附属第三医院妇产科,广东 广州 510630
张译文,在读硕士生,研究方向:妇产科学,E-mail: zywzssy@163.com
纸质出版日期:2021-03-20,
收稿日期:2020-12-08,
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张译文,汪黎,邱素苈等.高浓度雌二醇对刀豆蛋白A诱导小鼠急性自身免疫性肝炎的影响[J].中山大学学报(医学科学版),2021,42(02):185-192.
ZHANG Yi-wen,WANG Li,QIU Su-li,et al.Effect of High Concentration Estradiol on Acute Autoimmune Hepatitis Induced by ConA[J].Journal of Sun Yat-sen University(Medical Sciences),2021,42(02):185-192.
目的
2
研究高浓度雌激素(EE)对急性自身免疫性肝炎(AIH)的影响,并初步探索其可能的作用机制。
方法
2
通过小鼠尾静脉注射刀豆蛋白A,建立急性自身免疫性肝炎模型。将20只8周龄雌性C57BL/6小鼠按体质量随机区组分组,分为4组:对照(Control)组,刀豆蛋白A(ConA)组,雌二醇(EE)组和雌二醇+刀豆蛋白组(EE+ConA),每组5只。雌鼠卵巢去势,分别持续腹腔注射雌二醇2周,最后一次给药24 h后,尾静脉注射刀豆蛋白A。模型的评估采用苏木素-伊红染色法和血清ATL和AST测定法。TUNEL法检测肝细胞凋亡情况,酶联免疫吸附实验检测血清TNF-α和IL-6的含量。利用小鼠肝细胞系AML2,各处理组加入不同浓度的雌二醇,处理24 h和48 h,CCK8法检测各组细胞增殖情况,Annexin V-PI 法检测各组细胞凋亡率。
结果
2
苏木素-伊红染色结果显示:分别与Control组和ConA组相比,EE+ConA组肝脏损伤程度加重,且血清ALT和AST水平明显增高,(
P
<0.000 1;
P
<0.000 1),差异具有统计学意义。TUNEL染色结果显示:分别与Control组和ConA组相比,EE+ConA组TUNEL阳性细胞数量明显增高,(
P
<0.000 1),差异具有统计学意义。酶联免疫吸附实验结果表明:分别与Control组和ConA组相比,EE+ConA组IL-6,TNF-α浓度明显增高,(
P
<0.000 1,
P
=0.024 7),差异具有统计学意义。CCK8检测细胞活性发现: 高浓度雌二醇可以抑制AML12增殖活性,
P
<0.05,差异具有统计学意义。流式细胞结果显示:与Control组相比,高浓度雌二醇可以促进肝细胞凋亡,
P
<0.05,差异具有统计学意义。
结论
2
高浓度的雌二醇可能通过促进炎症因子TNF-α和IL-6的分泌,诱导肝细胞细胞凋亡,加重AIH小鼠肝脏炎症反应。
Objective
2
To study the effect of the high-concentration estrogen (EE) on acute autoimmune hepatitis (AIH) and to explore its possible molecular mechanism.
Methods
2
Twenty 8-week-old female C57BL/6 mice were randomly divided into 4 groups according to body weight,5 in each group. The mice in control(CON)group,ConA-treated(ConA)group,estradiol-treated(EE)group and treatment-combined(EE+ConA)group were treated with EE for two weeks by intraperitoneal injection after ovariectomy. After the last administration for 24 h, the caudal vein was injected with concanavalin A to establish AIH model. H&E, serum ATL, and AST were used to test AIH model. Apoptosis in liver tissues was detected by TUNEL. ELISA was employed to determine the levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in serum. AML2 was treated with EE of different concentrations for 24 h and 48 h respectively. The cell viability was detected by CCK-8 assay and apoptosis was detected by Annexin V-FITC/PI flow cytometry.
Results
2
H
&
E and serum revealed that compared with those in Control and ConA, the degree of liver damage was increased significantly in EE+ConA group. The level of serum ALT and AST in EE+ConA group were also increased significantly (
P
<
0.000 1,
P
<
0.000 1). TUNEL: The numbers of TUNEL positive cells increased significantly in EE+ConA, (
P
<0.000 1). ELISA results showed that compared with those in Control and ConA, in EE+ConA, the levels of IL-6 and TNF-α in serum had a significant rise, (
P
<
0.0001,
P
=0.024 7). Compared with Control and ConA, high concentration of EE treated AML12 group indicated lower cell viability,
P
<
0.05. In light of the result of flow cytometry, high concentration of EE could significantly promote hepatocyte apoptosis, (
P
<0.05).
Conclusion
2
High concentration of estradiol may promote the secretion of inflammatory cytokines such as TNF-α and IL-6, induce hepatocyte apoptosis, and aggravate the hepatic inflammation in AIH mice.
雌激素刀豆蛋白自身免疫性肝炎
estrogenConAautoimmune hepatitis
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