Original Article
Influences of estrogen-related receptor α on pulmonary vascular endothelium of rats undergoing sepsis
Wenfang Xia, Huanming Zhang, Zhou Pan, Guang Li
Published 2019-06-28
Cite as Chin Crit Care Med, 2019, 31(6): 699-703. DOI: 10.3760/cma.j.issn.2095-4352.2019.06.008
Abstract
ObjectiveTo investigate influences of estrogen-related receptor α(ERRα) on pulmonary vascular endothelium of rats undergoing sepsis.
MethodsMale Sprague-Dawley (SD) rats were divided into four groups according to the random number table method (12 in each group): normal control group (NC group), sham operation group (Sham group), sepsis model caused by cecal ligation and puncture (CLP) group (CLP group), XCT790 intervention group (XCT790 group, given the XCT790 2.5 mg/kg via intraperitoneal injection 30 minutes before CLP). After 24 hours, rats were sacrificed and the organs were harvested. The pathological changes of lung tissue were observed using hematoxylin and eosin (HE) staining, and the ultrastructural changes of lung tissue were observed by double staining of uranium citrate with lead acetate, the degree of apoptosis of pulmonary capillary endothelial cells were observed by TdT-mediated dUTP nike end labeling stain (TUNEL), the permeability of lung vascular endothelial was detected by Evans blue (EB) staining, the levels of serum cytokines were detected by enzyme linked immunosorbent assay (ELISA), and white blood cell count in bronchial alveolar lavage fluid (BALF) was detected.
ResultsCompared with NC group and Sham group, the CLP group and XCT790 group had severe pathological damage and increased lung tissue permeability, the levels of serum cytokines and white blood cell count in BALF were increased. Compared with CLP group, the pathological changes of lung tissue, the degree of ultrastructural damage of lung tissue, the degree of apoptosis of lung capillary endothelial cells in XCT790 group further intensified, the permeability of lung endothelial barrier further increased [the content of EB (μg/g): 116.00±15.46 vs. 60.19±19.79, P < 0.05], and the level of serum cytokines further increased [interleukin-1β(IL-1β, ng/L): 71.38±4.01 vs. 56.58±2.45, interleukin-6 (IL-6, ng/L): 741.62±88.94 vs. 534.22±72.70, tumor necrosis factor-α(TNF-α, ng/L): 188.55±7.41 vs. 143.33±11.27, all P < 0.05], the white blood cell count in the BALF increased further (×104/L: 193.79±27.46 vs. 99.34±36.41, P < 0.05).
ConclusionERRα can aggravate inflammation in sepsis rats, destroy lung tissue and increase pulmonary permeability.
Key words:
Sepsis; Estrogen-related receptor α; XCT790; Inflammation; Pulmonary permeability
Contributor Information
Wenfang Xia
Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, China
Huanming Zhang
Department of Critical Care Medicine, Linyi Central Hospital, Linyi 276400, Shandong, China
Zhou Pan
Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, China
Guang Li
Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, China