摘要
AIM: To investigate inflammatory injury in the intestinal mucosa after intestinal ischemia-reperfusion (IIR) with Toll-like receptor (TLR)-mediated innate immunity. METHODS: Ten macaques were randomized into control and IIR groups. The distribution and expression level of TLR2, TLR4, MD2, nuclear factor (NF)-kappa B p65 and interferon (IFN)-gamma were measured by immunohistochemical stain and western blotting. The mRNA expression of TLR4, TLR2, MD2, interleukin (IL)-1 beta and tumor necrosis factor (TNF)-alpha were measured by reverse transcriptase-polymerase chain reaction. The cytokine levels in blood and intestinal tissues were measured by ELISA. RESULTS: Obvious hemorrhage and erosion of mucosae were seen in the IIR group. Expression of TLR2, TLR4, MD2, NF-kappa B p65 and IFN-gamma. was significantly higher in the IIR group than in the control group (0.13 +/- 0.04, 0.22 +/- 0.04, 0.16 +/- 0.06, 0.65 +/- 0.12, 0.38 +/- 0.10 vs 0.07 +/- 0.04, 0.08 +/- 0.03, 0.04 +/- 0.02, 0.19 +/- 0.06, 0.14 +/- 0.05, P < 0.05). In addition, the expression of TLR2, TLR4, MD2, IL-1 beta and TNF-alpha mRNA in the IIR group were significantly higher than those of control group(1.52 +/- 0.15, 1.39 +/- 0.06, 1.94 +/- 0.12, 1.48 +/- 0.15, 0.66 +/- 0.08 vs 0.31 +/- 0.05, 0.5 +/- 0.04, 0.77 +/- 0.05, 0.35 +/- 0.08, 0.18 +/- 0.04, P < 0.05). Furthermore, IL-1 beta, IL-6 and TNF-alpha levels in the macaques ileum and plasma were significantly higher than in the control group (plasma: 86.3 +/- 15.2, 1129 +/- 248.3, 77.8 +/- 16.2 vs 29.5 +/- 7.3, 19.8 +/- 8.2, 5.6 +/- 1.7; ileum: 273.4. +/- 44.7, 1636 +/- 168.0, 205.5 +/- 30.7 vs 76.8 +/- 20.5, 663.4 +/- 186.9, 49.0 +/- 9.4; P < 0.05). CONCLUSION: After IIR, general inflammatory injury in the intestinal mucosa is correlated with a strong innate immune response, mediated by activation of the TLR-NF-kappa B-cytokine pathway. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
AIM:To investigate inflammatory injury in the intestinal mucosa after intestinal ischemia-reperfusion(ⅡR) with Toll-like receptor(TLR)-mediated innate immunity.METHODS:Ten macaques were randomized into control and ⅡR groups.The distribution and expression level of TLR2,TLR4,MD2,nuclear factor(NF)-κB p65 and interferon(IFN)-γ were measured by immunohistochemical stain and western blotting.The mRNA expression of TLR4,TLR2,MD2,interleukin(IL)-1β and tumor necrosis factor(TNF)-α were measured by reverse transcriptase-polymerase chain reaction.The cytokine levels in blood and intestinal tissues were measured by ELISA.RESULTS:Obvious hemorrhage and erosion of mucosae were seen in the ⅡR group.Expression of TLR2,TLR4,MD2,NF-κB p65 and IFN-γ was significantly higher in the ⅡR group than in the control group(0.13 ± 0.04,0.22 ± 0.04,0.16 ± 0.06,0.65 ± 0.12,0.38 ± 0.10 vs 0.07 ± 0.04,0.08 ± 0.03,0.04 ± 0.02,0.19 ± 0.06,0.14 ± 0.05,P < 0.05).In addition,the expression of TLR2,TLR4,MD2,IL-1β and TNF-α mRNA in the ⅡR group were significantly higher than those of control group(1.52 ± 0.15,1.39 ± 0.06,1.94 ± 0.12,1.48 ± 0.15,0.66 ± 0.08 vs 0.31 ± 0.05,0.5 ± 0.04,0.77 ± 0.05,0.35 ± 0.08,0.18 ± 0.04,P < 0.05).Furthermore,IL-1β,IL-6 and TNF-α levels in the macaques ileum and plasma were significantly higher than in the control group(plasma:86.3 ± 15.2,1129 ± 248.3,77.8 ± 16.2 vs 29.5 ± 7.3,19.8 ± 8.2,5.6 ± 1.7; ileum:273.4.± 44.7,1636 ± 168.0,205.5 ± 30.7 vs 76.8 ± 20.5,663.4 ± 186.9,49.0 ± 9.4; P < 0.05).CONCLUSION:After ⅡR,general inflammatory injury in the intestinal mucosa is correlated with a strong innate immune response,mediated by activation of the TLR-NF-κB-cytokine pathway.
基金
Supported by Key Grant of the Natural Science Fund of China,No.30330270
Chengdu Bureau of Science and Technology Research Projects,No.11DXYB352SF
Chengdu Bureau of Science and Technology Research Projects,No.12PPYB080SF-002
