Connective tissue growth factor reacts as an IL - World Journal of ...
Connective tissue growth factor reacts as an IL - World Journal of ...
Connective tissue growth factor reacts as an IL - World Journal of ...
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Small intestine <strong>tissue</strong><br />
SOD (U/mg prot)<br />
Serum TNF-α (pg/mL)<br />
3.5<br />
3.0<br />
2.5<br />
2.0<br />
1.5<br />
1.0<br />
0.5<br />
140<br />
120<br />
100<br />
80<br />
60<br />
40<br />
20<br />
then removed by glutathione peroxid<strong>as</strong>e <strong>an</strong>d catal<strong>as</strong>e. A<br />
high amount <strong>of</strong> oxygen free radicals is generated during<br />
ischemia followed by reperfusion, which leads to excessive<br />
consumption <strong>of</strong> SOD [26] . MPO, on the other h<strong>an</strong>d,<br />
is rele<strong>as</strong>ed upon activation to catalyse the formation <strong>of</strong><br />
oxid<strong>an</strong>ts, which c<strong>an</strong> lead to <strong>tissue</strong> damage during chronic<br />
inflammation, <strong>an</strong>d serves <strong>as</strong> a major enzymatic catalyst <strong>of</strong><br />
lipid peroxidation at inflammation sites [27] . In this paper,<br />
the small intestinal <strong>tissue</strong> SOD activity <strong>of</strong> the group LIR<br />
during reperfusion w<strong>as</strong> lower th<strong>an</strong> that <strong>of</strong> the group S, but<br />
higher th<strong>an</strong> that <strong>of</strong> MPO. This shows that <strong>an</strong> incre<strong>as</strong>e in<br />
oxygen free radicals <strong>an</strong>d lipid peroxidation occurs, resulting<br />
in ch<strong>an</strong>ges in the pathophysiology <strong>of</strong> the small intestinal<br />
mucosa, causing mucosal epithelial damage, edema,<br />
<strong>an</strong>d activation <strong>of</strong> inflammatory immune cells.<br />
Ischemia <strong>an</strong>d reperfusion injury are <strong>as</strong>sociated with the<br />
coordinated activation <strong>of</strong> a series <strong>of</strong> cytokines <strong>an</strong>d adhesion<br />
molecules [27-29] . When the intestinal damage rele<strong>as</strong>es a<br />
large amount <strong>of</strong> inflammatory cytokines, including rapidly<br />
produced TNF-α, inflammatory cells accumulate <strong>an</strong>d<br />
intestinal inflammatory damage occurs. <strong>IL</strong>-10 modulates<br />
pro-inflammatory cytokine production <strong>an</strong>d <strong>tissue</strong> injury<br />
following ischemia-reperfusion injury [30] . A study showed<br />
that the exogenous administration <strong>of</strong> <strong>IL</strong>-10 reduced the<br />
systemic inflammatory response in a rodent model <strong>of</strong><br />
intestinal reperfusion injury, <strong>an</strong> effect <strong>as</strong>sociated with the<br />
inhibition <strong>of</strong> cytokine production <strong>an</strong>d neutrophil accumulation<br />
[31] . Being <strong>an</strong>ti-inflammatory, the rele<strong>as</strong>e <strong>of</strong> <strong>IL</strong>-10<br />
WJG|www.wjgnet.com<br />
SOD S group<br />
0.0<br />
0 1 3 6 12 24<br />
t /h<br />
TNF-α<br />
0<br />
0 1 3 6 12 24<br />
t /h<br />
Zh<strong>an</strong>g Y et al . Effects <strong>of</strong> penehyclidine hydrochloride in ischemia-reperfusion<br />
S group<br />
LIR group<br />
PHC group<br />
LIR group<br />
PHC group<br />
Small intestine <strong>tissue</strong><br />
MPO (U/mL)<br />
Serum <strong>IL</strong>-10 (pg/mL)<br />
300<br />
250<br />
200<br />
150<br />
100<br />
50<br />
200<br />
160<br />
120<br />
80<br />
40<br />
0<br />
MPO<br />
0<br />
0 1 3 6 12 24<br />
t /h<br />
<strong>IL</strong>-10<br />
0 1 3 6 12 24<br />
t /h<br />
S group<br />
LIR group<br />
PHC group<br />
S group<br />
LIR group<br />
PHC group<br />
Figure 2 Ch<strong>an</strong>ges <strong>of</strong> intestinal <strong>tissue</strong> superoxide dismut<strong>as</strong>e, intestinal <strong>tissue</strong> myeloperoxid<strong>as</strong>e, serum tumor necrosis <strong>factor</strong>-α <strong>an</strong>d interleukin-10 in rats.<br />
S group: Sham-operation group; LIR group: Lower limb ischemia-reperfusion group; PHC group: Penehyclidine hydrochloride post-conditioning group. SOD: Superoxide<br />
dismut<strong>as</strong>e; MPO: Myeloperoxid<strong>as</strong>e; TNF-α: Tumor necrosis <strong>factor</strong>-α; <strong>IL</strong>-10: Interleukin-10.<br />
c<strong>an</strong> modulate pro-inflammatory cytokine production <strong>an</strong>d<br />
reperfusion-<strong>as</strong>sociated <strong>tissue</strong> injuries [32] . This experiment<br />
also suggested that <strong>IL</strong>-10 may inhibit the role <strong>of</strong> TNF-α.<br />
PHC mainly blocks muscarinic acetylcholine receptors,<br />
which shows a wide r<strong>an</strong>ge <strong>of</strong> biological activities, including<br />
<strong>an</strong>tioxidation, cytoprotective activity, <strong>an</strong>d so on. PHC c<strong>an</strong><br />
inhibit lung v<strong>as</strong>cular leak, inflammation <strong>an</strong>d p38MAPK<br />
activation, signalling a potential role in lipopolysaccharide<br />
<strong>an</strong>d alleviation <strong>of</strong> lung injuries by inhibiting apoptosis in<br />
lung <strong>tissue</strong> cells [9] . W<strong>an</strong>g et al [10] found that PHC attenuated<br />
the acute lung injury induced by endotoxin involving the<br />
nuclear <strong>factor</strong>-κB (NF-κB) pathway. The inhibition <strong>of</strong><br />
NF-κB activation in intestinal epithelial cells prevented the<br />
incre<strong>as</strong>e in systemic TNF-α concentrations after intestinal<br />
ischemia <strong>an</strong>d reperfusion [33] . In this study, PHC postconditioning<br />
signific<strong>an</strong>tly reduced the pathological damage<br />
to the small intestine with lower limb ischemia-reperfusion<br />
injury. Although this damage w<strong>as</strong> inevitable, the small<br />
intestinal injury in the group PHC w<strong>as</strong> less severe th<strong>an</strong><br />
that in the group LIR. PHC post-conditioning incre<strong>as</strong>ed<br />
SOD activity <strong>an</strong>d reduced MPO activity, thereby reducing<br />
oxygen free radicals to diminish <strong>tissue</strong> damage. PHC<br />
post-conditioning c<strong>an</strong> effectively lower the blood levels <strong>of</strong><br />
DAO, endotoxin <strong>an</strong>d TNF-α, which disrupt the effects <strong>of</strong><br />
the org<strong>an</strong>isation. PHC post-conditioning c<strong>an</strong> also promote<br />
the production <strong>of</strong> <strong>an</strong>ti-inflammatory <strong>factor</strong> <strong>IL</strong>-10, which<br />
inhibits TNF-α <strong>an</strong>d reduces inflammatory cell accumulation<br />
in the local org<strong>an</strong>ization.<br />
257 J<strong>an</strong>uary 14, 2011|Volume 17|Issue 2|