首页|期刊导航|现代中西医结合杂志|补骨脂酚调控p53介导的铁死亡对心肌缺血再灌注损伤的影响研究

补骨脂酚调控p53介导的铁死亡对心肌缺血再灌注损伤的影响研究OA

Bakuchiol alleviates myocardial ischemia-reperfusion injury via regulating p53-mediated ferroptosis

中文摘要英文摘要

目的 探究补骨脂酚对大鼠心肌缺血再灌注损伤(MIRI)后心肌细胞铁死亡的影响及其作用机制.方法 将50 只 SD 大鼠随机分为假手术组、模型组、补骨脂酚低剂量组、补骨脂酚高剂量组、补骨脂酚高剂量+Nutlin-3a 组,每组10 只.补骨脂酚低、高剂量组大鼠分别每天灌胃2.5 mg/kg、5 mg/kg 补骨脂酚,补骨脂酚高剂量+Nutlin-3a 组大鼠每天灌胃5 mg/kg 补骨脂酚并腹腔注射25 mg/kg Nutlin-3a,假手术组和模型组大鼠每天灌胃等量生理盐水,均1 次/d.连续干预5d 后,除假手术组外的其余4 组大鼠均建立 MIRI 模型.术后 24 h,ELISA 法检测血清肌酸激酶同工酶(CK-MB)和乳酸脱氢酶(LDH)水平,HE 染色和普鲁士蓝染色分别观察心肌组织损伤及铁沉积情况,试剂盒测定心肌组织中亚铁离子(Fe2+)、丙二醛(MDA)和谷胱甘肽过氧化物酶(GSH)含量,二氢乙锭(DHE)染色检测心肌组织中活性氧(ROS)荧光强度,免疫组化染色检测心肌组织中 p53 阳 性 表 达 情 况,Western blot 法检测心肌组织中 p53、溶质载体家族 7 成员 11(SLC7A11)、谷胱甘肽过氧化物酶4(GPX4)蛋白表达情况.结果 与假手术组比较,模型组血清CK-MB、LDH 水平均明显升高(P 均<0.05);出现心肌细胞与心肌纤维损伤;心肌组织中铁沉积占比、Fe2+含量及 ROS 荧光强度、MDA 含量、p53 阳性表达平均光密度值和 p53 蛋白相对表达量均明显升高(P 均<0.05),GSH 含量及 SLC7A11、GPX4 蛋白相对表达量均明显降低(P 均<0.05).与模型组比较,补骨脂酚低、高剂量组血清 CK-MB、LDH 水平均明显降低(P 均<0.05);心肌细胞与心肌纤维损伤均减轻;心肌组织中铁沉积占比、Fe2+含量及 ROS 荧光强度、MDA 含量、p53 阳性表达平均光密度值和 p53 蛋白相对表达量均明显降低(P 均<0.05),GSH 含量及 SLC7A11、GPX4 蛋白相对表达量均明显升高(P 均<0.05).与补骨脂酚高剂量组比较,补骨脂酚高剂量+Nutlin-3a 组心肌损伤加重,上述各检测指标均被逆转,差异均有统计学意义(P 均<0.05).结论 补骨脂酚可通过下调 p53 表达来抑制 MIRI 大鼠心肌细胞铁死亡,从而减轻心肌损伤.

Objective It is to investigate the effect and mechanism of action of bakuchiol on ferroptosis of cardiomyo-cytes after myocardial ischemia-reperfusion injury(MIRI)in rats.Methods Fifty SD rats were randomly divided into sham operation group,model group,low-dose bakuchiol group,high-dose bakuchiol group and high-dose bakuchiol+Nutlin-3a group,with 10 rats in each group.The rats in the low-dose and high-dose bakuchiol groups were given bakuchiol 2.5 and 5 mg/kg via gavage,respectively,and the rats in the high-dose bakuchiol+Nutlin 3a group were given bakuchiol 5 mg/kg via gavage and Nutlin-3a 25 mg/kg via intraperitoneal injection,all once daily.After 5 days of treatment,the rats of all groups except for the sham operation group were prepared to establish models of MIRI.At 24 hours after surgery,the serum levels of creatine kinase isoenzyme(CK-MB)and lactate dehydrogenase(LDH)were measured by ELISA,the myocardial pathological damage and iron deposition were observed by HE staining and Prussian blue staining,the contents of ferrous ions(Fe2+),malondialdehyde(MDA)and glutathione peroxidase(GSH)in myocardial tissue were measured by kits,the flu-orescence intensity of reactive oxygen species(ROS)in myocardial tissue were detected by dihydroethidium(DHE)stai-ning,the positive expression of p53 protein in myocardial tissue was detected by immunohistochemistry staining,and the protein expressions of p53,solute carrier family 7 member 11(SLC7A11)and glutathione peroxidase 4(GPX4)in myo-cardial tissue were measured by Western Blot.Results Compared with the sham operation group,the serum levels of CK-MB and LDH of rats were significantly increased in the model group(both P<0.05);damage to cardiomyocytes and myo-cardial fibers were found;the proportion of iron deposition,contents of Fe2+and MDA,fluorescence intensity of ROS,mean optical density of p53-positive expression,and relative expression of p53 protein in myocardial tissue were all signifi-cantly increased(all P<0.05),while the content of GSH and relative protein expressions of SLC7A11 and GPX4 in myo-cardial tissue were all significantly reduced(all P<0.05).Compared with the model group,the serum levels of CK-MB and LDH of rats were significantly increased in the low-dose bakuchiol group and high-dose bakuchiol group(all P<0.05);the cardiomyocytes and myocardial fibers damages were alleviated;the proportion of iron deposition,contents of Fe2+and MDA,fluorescence intensity of ROS,mean optical density of p53-positive expression,and relative expression of p53 protein in myocardial tissue were all significantly decreased(all P<0.05),while the content of GSH and relative pro-tein expressions of SLC7A11 and GPX4 in myocardial tissue were all significantly increased(all P<0.05).Compared with the high-dose bakuchiol group,the myocardial damage in the high-dose bakuchiol+Nutlin-3a group was aggravated,and all of the aforementioned diagnostic indicators were reversed,the differences were all statistically significant(all P<0.05).Conclusion Bakuchiol can inhibit myocardial ferroptosis in MIRI rats via down-regulating expression of p53,there-by alleviate myocardial injury.

闫强;刘冲;陈哲;徐桂萍

新疆维吾尔自治区人民医院/新疆麻醉管理临床医学研究中心,新疆 乌鲁木齐 830001新疆医科大学第五附属医院,新疆 乌鲁木齐 830011新疆维吾尔自治区人民医院/新疆麻醉管理临床医学研究中心,新疆 乌鲁木齐 830001新疆维吾尔自治区人民医院/新疆麻醉管理临床医学研究中心,新疆 乌鲁木齐 830001

医药卫生

心肌缺血再灌注损伤心肌损伤补骨脂酚p53铁死亡

myocardial ischemia-reperfusion injurymyocardial injurybakuchiolp53ferroptosis

《现代中西医结合杂志》 2026 (16)

2205-2211,2240,8

新疆维吾尔自治区人民医院院内项目(20240107)

10.3969/j.issn.1008-8849.2026.16.003

评论