1.40038 重庆,陆军军医大学(第三军医大学)第一附属医院麻醉科
2.400021 重庆,重庆市中医院麻醉科
Received:30 December 2023,
Revised:2024-01-27,
Published:30 March 2024
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Ziyang ZENG, Yuhao LEI, Xianfeng WU, et al. Catalpol protects hepatopulmonary syndrome rats against liver and lung injury[J]. Journal of Army Medical University, 2024, 46(6): 587-596.
Ziyang ZENG, Yuhao LEI, Xianfeng WU, et al. Catalpol protects hepatopulmonary syndrome rats against liver and lung injury[J]. Journal of Army Medical University, 2024, 46(6): 587-596. DOI: 10.16016/j.2097-0927.202312145.
目的
2
探索梓醇通过增强TGR5表达和降低肝胆汁酸水平对胆总管结扎术(CBDL)大鼠肺损伤的保护作用。
方法
2
将大鼠随机分为三组[Sham组、CBDL组和梓醇(Catalpol)组
]
,评估生存率、动脉血氧分压(PO
2
)和肺泡-动脉血氧分压差P(A-a)O
2
、肝功能、肝肺组织病理变化差异;进一步分析胆汁酸表达水平和TGR5的关系以及相关机制。
结果
2
梓醇治疗改善CBDL导致的肝功能损伤,提高CBDL的生存率和改善了低氧血症;减少了肝、肺血管新生。同时,梓醇通过增强TGR5和降低FXR的表达,减轻BAs水平过高引起肺损伤。
结论
2
梓醇通过上调TGR5和降低FXR的表达,改善BAs水平过高引起的肺损伤,发挥对CBDL大鼠的肝肺保护作用。
Objective
2
To explore the protective effect of catalpol by enhancing TGR5 expression and reducing bile acid (BAs) level against liver and lung injury in rats with common bile duct ligation (CBDL).
Methods
2
Fifty male rats were randomly divided into sham-operation group (
n
=10)
CBDL group (
n
=20) and catalpol group (
n
=20). The survival rate
arterial partial pressure of oxygen (PO
2
) and alveolar and arterial PO
2
gradient difference [P(A-a)O
2
]
liver function
and pathological changes in the liver and lungs. The relationship between bile acid level and TGR5 was analyzed.
Results
2
Catalpol ameliorated liver function damage
improved survival rate and hypoxemia induced by CBDL. It also reduced angiogenesis in the liver and lung. Meanwhile
catalpol mitigated lung injury caused by excessive BAs levels through enhancing TGR5 expression and reducing FXR expression.
Conclusion
2
The protective effects of catalpol on CBDL lung injury caused by excessive BAs levels through enhancing TGR5 expression and reducing FXR expression.
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