山东大学学报 (医学版) ›› 2021, Vol. 59 ›› Issue (9): 148-154.doi: 10.6040/j.issn.1671-7554.0.2021.0865
• 科研论著 • 上一篇
王芳1,陈华2,商丽红1,李茹月1,李咏梅1,杨玉娥1,哈春芳2,3
WANG Fang1, CHEN Hua2, SHANG Lihong1, LI Ruyue1, LI Yongmei1, YANG Yu,e1, HA Chunfang2, 3
摘要: 目的 探讨丝裂原活化蛋白激酶抑制剂U0126对子宫内膜异位症大鼠丝裂原活化蛋白激酶/细胞外信号调节激酶蛋白(MEK/ERK)通路及增殖侵袭的影响。 方法 采用自体移植法建立子宫内膜异位症大鼠模型,造模成功的18只雌性SD大鼠随机分为模型组、二甲基亚砜(DMSO组)和U0126组(20 mg/kg),每组6只。另设假手术组6只作为对照组。用药4周后统一处死大鼠,测量并计算各组子宫内膜异位病灶体积,采用苏木精-伊红染色法观察各组大鼠内膜组织病理学形态变化,采用免疫组织化学染色法检测各组大鼠内膜组织中增殖细胞核抗原(PCNA)和基质金属蛋白酶9(MMP9)蛋白表达,采用Western blotting法检测各组大鼠内膜组织中MEK、ERK及NF-κB蛋白表达。 结果 与模型组相比,U0126组异位病灶体积明显缩小(F=4.54,P=0.02);苏木精-伊红染色结果显示,对照组在位内膜组织见子宫内膜腺上皮呈柱状排列,腺体排列整齐,腺腔完整,腺体周围未见出血及炎性细胞形成;与对照组相比,模型组及DMSO组在位内膜组织显示多个大小不等的子宫内膜异位腺体囊肿及间质反应,可见多量炎性细胞浸润,腺体周围可见出血及新生血管生成;与模型组相比,U0126组见子宫内膜腺体明显减少,腺腔变小,腺上皮变薄,间质反应减轻;免疫组化结果显示,与对照组相比,模型组及DMSO组在位内膜组织中PCNA和MMP9蛋白表达水平均升高(P<0.05);与模型组相比,U0126组PCNA和MMP9蛋白表达水平明显降低(P<0.05),DMSO组差异无统计学意义(P>0.05)。Western blotting结果显示,与对照组相比,模型组和DMSO组在位内膜组织中MEK、ERK、NF-κB蛋白表达均明显升高(P<0.05);与模型组相比,U0126组MEK、ERK、NF-κB蛋白表达均明显降低(P<0.05),DMSO组差异无统计学意义(P>0.05)。 结论 U0126可以明显抑制子宫内膜异位症大鼠异位病灶生长及腺体增生,其机制可能与抑制MEK/ERK/NF-κB通路活性降低在位内膜组织增殖侵袭能力有关。
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[1] Gruber TM, Sylvia M. Pathogenesis of Endometriosis: The Origin of Pain and Subfertility [J]. Cells, 2021, 10(6): 1381. [2] Leone Roberti Maggiore U, Ferrero S, Mangili G, et al. A systematic review on endometriosis during pregnancy: diagnosis, misdiagnosis, complications and outcomes [J]. Hum Reprod Update, 2016, 22(1): 70-103. [3] Vercellini P, Viganò P, Somigliana E, et al. Endometriosis: pathogenesis and treatment [J]. Nat Rev Endocrinol, 2014, 10(5): 261-275. [4] Filby CE, Rombauts L, Montgomery GW, et al. Cellular origins of endometriosis: towards novel diagnostics and therapeutics [J]. Semin Reproductive Med, 2020, 38(2/3): 201-215. [5] Bafort C, Beebeejaun Y, Tomassetti C, et al. Laparoscopic surgery for endometriosis [J]. Cochrane Database Syst Rev, 2020, 10: CD01103. doi:10.1002/14651858. [6] Tamhane N, Roberts B, Wiegand L, et al. Robotic surgery for urologic deep infiltrating endometriosis: a review and case presentations [J]. Surg Technol Int, 2020, 37: 154-160. [7] PetryéR, Dresch DF, Carvalho C, et al. Oral glutamine supplementation attenuates inflammation and oxidative stress-mediated skeletal muscle protein content degradation in immobilized rats: Role of 70 kDa heat shock protein [J]. Free Radic Biol Med, 2019, 145: 87-102. doi: 10.1016/j.freeradbio med.2019.08.033. [8] Jiang KF, Zhao G, Deng GZ, et al. Polydatin ameliorates Staphylococcus aureus-induced mastitis in mice via inhibiting TLR2-mediated activation of the p38 MAPK/NF-κB pathway [J]. Acta Pharmacol Sin, 2017, 38(2): 211-222. [9] Li Y, Li R, Ouyang N, et al. Investigating the impact of local inflammation on granulosa cells and follicular development in women with ovarian endometriosis [J]. Fertil Steril, 2019, 112(5): 882-891. [10] 王芳, 杨玉娥, 李茹月, 等. CHI3L1与MMP9在子宫内膜异位症大鼠内膜中的表达及意义[J]. 宁夏医科大学学报,2021, 43(6): 614-619. [11] Sutrisno S, Sulistyorini C, Manungkalit EM, et al. The effect of genistein on TGF-β signal, dysregulation of apoptosis, cyclooxy genase-2 pathway, and NF-kB pathway in mice peritoneum of endometriosis model [J]. Middle East Fertility Society Journal, 2017, 22(4): 295-299. [12] McCluggage WG. Endometriosis-related pathology: a discussion of selected uncommon benign, premalignant and malignant lesions [J]. Histopathology, 2020, 76(1): 76-92. [13] Arcoverde F, Andres MP, Souza CC, et al. Deep endometriosis: medical or surgical treatment? [J]. Minerva Obstet Gynecol, 2021, 73(3): 341-346. [14] Yuan J, Zhang J, Cao J, et al. Geniposide alleviates traumatic brain injury in rats via anti-inflammatory effect and MAPK/NF-kB inhibition [J]. Cell Mol Neurobiol, 2020, 40(4): 511-520. [15] El-Agamy DS, El-Harbi KM, Khoshhal S, et al. Pristimerin protects against doxorubicin-induced cardiotoxicity and fibrosis through modulation of Nrf2 and MAPK/ NF-kB signaling pathways [J]. Cancer Manag Res, 2019, 11: 47-61. doi: 10. 2147/cmar.s186696. [16] Uimari O, Rahmioglu N, Nyholt DR, et al. Genome-wide genetic analyses highlight mitogen-activated protein kinase(MAPK)signaling in the pathogenesis of endometriosis [J]. Hum Reprod, 2017, 32(4): 780-793. [17] 丑丹, 黄艳辉, 冯丹, 等. 温经止痛合剂对子宫内膜异位症大鼠MAPK信号通路的影响[J]. 中华中医药杂志, 2021, 36(7): 3807-3811. CHOU Dan, HUANG Yanhui, FENG Dan, et al. Effects of Wenjing Zhitong Mixture on MAPK signaling pathway in the endometriosis model rats [J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2021, 36(7): 3807-3811. [18] 谢韬, 曾薇薇, 陆齐天, 等. 信号通路调控子宫内膜异位症的研究进展[J]. 国际妇产科学杂志, 2021, 48(1): 1-4. XIE Tao, ZENG Weiwei, LU Qitian, et al. Advances in research on signaling pathways regulation of endometriosis [J]. Journal of International Obstetrics And Gynecology, 2021, 48(1): 1-4. [19] Bustami A, Sopiah P, Muharam R, et al. Effects of gallic acid and its derivates on inflammatory regulation of endo-metriotic primary cultures: study on NF-κB mRNA expression and IL-6 secretion [J]. Biomed Pharma J, 2018, 11(3): 1479-1484. [20] 李博然, 马璐璐, 申乐, 等. NF-κB信号通路在子宫内膜异位症疼痛中作用的研究进展 [J]. 基础医学与临床, 2018, 38(10): 1466-1469. LI Boran, MA Lulu, SHEN Le, et al. Progress in nuclear factor-κB signaling pathway in the pathogenesis of endometriosis pain [J]. Basic and Clinical Medicine, 2018, 38(10): 1466-1469. [21] 朱小琳, 韩亚光, 韩延华, 等. 子宫内膜异位症相关信号通路研究进展[J]. 国际妇产科学杂志, 2019, 46(4): 370-373. ZHU Xiaolin, HAN Yaguang, HAN Yanhua, et al. Advances in research on signaling pathway related to endometriosis [J]. Journal of International Obstetrics And Gynecology, 2019, 46(4):370-373. [22] Simonneau L, Gallego M, Pujol R, et al. Comparative expression patterns of T-, N-, E-cadherins, beta-catenin, and polysialic acid neural cell adhesion molecule in rat cochlea during development: implications for the nature of Kölliker's organ [J]. J Comp Neurol, 2003, 459(2): 113-126. [23] Li T, Quan H, Zhang H, et al. Silencing cyclophilin a improves insulin secretion, reduces cell apoptosis, and alleviates inflammation as well as oxidant stress in high glucose-induced pancreatic β-cells via MAPK/NF-kb signaling pathway [J]. Bioengineered, 2020, 11(1): 1047-1057. [24] Arosh JA, Banu SK. Dual inhibition of ERK1/2 and AKT pathways is required to suppress the growth and survival of endometriotic cells and lesions [J]. Mol Cell Endocrinol, 2019, 484: 78-92. doi:10.1016/j.mce.2018.12.011. |
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