1.400042 重庆,陆军特色医学中心麻醉科
2.400042 重庆,陆军特色医学中心野战外科研究部战伤休克与输血研究室
Received:14 June 2024,
Revised:2024-10-22,
Published:30 December 2024
移动端阅览
Yunxia DU, Han SHE, Yinyu WU, et al. Mechanism of inhibiting acetyl CoA carboxylase 2 to improve cardiac dysfunction in septic mice[J]. Journal of Army Medical University, 2024, 46(24): 2689-2697.
Yunxia DU, Han SHE, Yinyu WU, et al. Mechanism of inhibiting acetyl CoA carboxylase 2 to improve cardiac dysfunction in septic mice[J]. Journal of Army Medical University, 2024, 46(24): 2689-2697. DOI: 10.16016/j.2097-0927.202406038.
目的
2
观察抑制乙酰辅酶A羧化酶2(acetyl-CoA carboxylase 2
ACC2)对脓毒症小鼠心脏功能障碍的改善作用并研究其机制。
方法
2
采用盲肠结扎穿孔术建立小鼠脓毒症模型
取24只8周龄且体质量为20~25 g的雄性C57BL/6小鼠
按照随机数字表法分为假手术组、脓毒症组、ND-630+脓毒症组。利用Cre-LoxP重组酶系统构建心脏特异性ACC2敲除小鼠(ACC2
ΔCM
)
并以ACC2
flox
/
flox
Myh6-Cre
-
(ACC2
fl
/
fl
)小鼠作为对照
取48只ACC2
fl
/
fl
小鼠、48只ACC2
ΔCM
小鼠(8周龄
20~25 g
雄性)按照随机数字表法分为ACC2
fl
/
fl
+假手术组、ACC2
fl
/
fl
+脓毒症组、ACC2
ΔCM
+脓毒症组、ACC2
ΔCM
+Mal-CoA+脓毒症组、ACC2
ΔCM
+假手术组。采用细胞微张力仪检测心肌细胞收缩功能与肌丝钙敏感性; Western blot检测ACC2蛋白表达水平; ELISA检测心肌组织中丙二酰辅酶A (malonyl-CoA
Mal-CoA)水平。观察小鼠脓毒症后36 h存活情况。
结果
2
脓毒症组较假手术组心肌细胞收缩幅度显著下降
钙敏感性显著下降(
P
<
0.05);以ACC2
fl
/
fl
+假手术组为基础水平
ACC2
ΔCM
+脓毒症组较ACC2
fl
/
fl
+脓毒症组心肌细胞收缩幅度恢复48.1%
钙敏感性明显恢复(
P
<
0.
05);ACC2
ΔCM
+Mal-CoA+脓毒症组较ACC2
ΔCM
+脓毒症组心肌细胞收缩幅度与钙敏感性明显下降(
P
<
0.05);ND-630+脓毒症组较脓毒症组心肌细胞收缩幅度与肌丝钙敏感性上升(
P
<
0.05)。脓毒症组较假手术组小鼠心肌组织ACC2蛋白表达水平增加(
P
<
0.05)。脓毒症组心肌Mal-CoA水平较假手术组升高(
P
<
0.05);ACC2
ΔCM
+脓毒症组小鼠心肌Mal-CoA水平较脓毒症组降低(
P
<
0.05)。ACC2
ΔCM
+脓毒症组较ACC2
fl
/
fl
+脓毒症组36 h存活率提高37.5%(
P
<
0.05)。
结论
2
抑制ACC2通过降低Mal-CoA水平对脓毒症小鼠心肌收缩功能和钙敏感性发挥保护作用。
Objective
2
To observe the ameliorative effect of inhibiting acetyl-CoA carboxylase 2(ACC2) on cardiac dysfunction in septic mice and investigate its underlying mechanism.
Methods
2
Mouse model of sepsis was established by cecal ligation and perforation.A total of 24 male C57BL/6 mice (aged 8 weeks
weighing 20~25 g) were divided into sham operation group
sepsis group and ND-630+sepsis group.The cardiac specific ACC2 knockout (ACC2
ΔCM
) mice were constructed by Cre-LoxP recombinase system
and ACC2
flox
/
flox
Myh6-Cre
-
(ACC2
fl
/
fl
) mice were used as control.Several genetically engineered mice (8 weeks old
20~25 g
male) were divided into ACC2
fl
/
fl
+sham operation group
ACC2
fl
/
fl
+sepsis group
ACC2
ΔCM
+sepsis group
ACC2
ΔCM
+Mal-CoA+sepsis group
and ACC2
ΔCM
+sham operation group according to the random number table method.The contractile function and myofilament calcium sensitivity of cardiomyocytes were measured by a cell microtensiometer.Western blotting was used
to detect the expression level of ACC2
and ELISA was employed to measure the level of malonyl-CoA (Mal-CoA) in myocardial tissue.The survival of the mice in 36 h after sepsis was observed.
Results
2
Compared with the sham operation group
the contraction amplitude of cardiomyocytes in sepsis group was decreased markedly
and the calcium sensitivity decreased significantly as well (
P
<
0.05).Based on the ACC2
fl
/
fl
+sham operation group
the ACC2
ΔCM
+sepsis group showed significant improvement in myocardial contraction compared with the ACC2
fl
/
fl
+sepsis group
with the contraction amplitude of cardiomyocytes recovered by 48.1%
and significantly restored calcium sensitivity (
P
<
0.05).ACC2
ΔCM
+Mal-CoA+sepsis group showed a notable decrease in myocardial cell contraction amplitude and a significant decrease in calcium sensitivity when compared to the ACC2
ΔCM
+sepsis group (
P
<
0.05).Compared with the sepsis group
the contraction amplitude of cardiomyocytes in the ND-630+sepsis group increased significantly
and the calcium sensitivity of myofilament also increased (
P
<
0.05).The expression level of ACC2 protein in the myocardial tissue of mice in the sepsis group increased compared to the sham operation group (
P
<
0.05).The level of myocardial Mal-CoA in the sepsis group was higher than that in the sham operation group (
P
<
0.05);Mal-CoA level in the myocardium of ACC2
ΔCM
+sepsis group mice was lower than that of sepsis group (
P
<
0.05).The 36-hour survival rate of the ACC2
ΔCM
+sepsis group.mice was 37.5% higher than that of the ACC2
fl
/
fl
+sepsis group
mice.(
P
<
0.05).
Conclusion
2
Inhibition of ACC2 exerts a protective effect on myocardial contractility and calcium sensitivity in septic mice by reducing Mal-CoA.
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