Ulinastatin improves survival of septic mice by suppressing inflammatory response and lymphocyte apoptosis

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• 作者：Na Huang ; MD^a ; ¹ ; Fei Wang ; MD^b ; ¹ ; Yingwei Wang ; MD^a ; ¹ ; Jiong Hou ; MD^b ; Jinbao Li ; MD^b ; ^{lijinbaoshanghai@163.com} ; Xiaoming Deng ; MD^b ; ^{deng_x@yahoo.com}
• 关键词：Ulinastatin ; Sepsis ; Treatment ; Apoptosis
• 刊名：Journal of Surgical Research
• 出版年：2013
• 出版时间：15 June, 2013
• 年：2013
• 卷：182
• 期：2
• 页码：296-302
• 全文大小：1849 K

文摘

Background

Sepsis involves imbalance between the proinflammatory and antiinflammatory response to bacterial insults. Ulinastatin (UTI) is a serine protease inhibitor and reportedly exhibits antiinflammatory properties aside from its blocking of the protease pathway both in?vitro and in?vivo. This study was designed to investigate the potential therapeutic efficacy of UTI for sepsis.

Materials and methods

Adult C57BL/6 male mice were divided into three groups: sham group, cecal ligation and puncture (CLP) group, and CLP?+?UTI group. Acute septic peritonitis was induced by CLP. Saline and UTI (100,000 U/kg) were intravenously injected 30 min after CLP in CLP and CLP?+?UTI groups, respectively. Samples were collected for further analysis 24 h after surgery.

Results

UTI administration significantly improved 7-d survival; ameliorated morphologic damage and weight loss in the spleen and thymus; decreased serum tumor necrosis factor ¦Á, interleukin-6, and interleukin-10 (IL-10) levels; increased the number of T and B cells in peripheral blood, spleen, and thymus; and inhibited T-cell apoptosis in the thymus and spleen in septic mice.

Conclusions

UTI exerted a protective effect against sepsis by suppressing inflammatory response and lymphocyte apoptosis.