Acute respiratory distress syndrome in dogs and cats: a review of clinical findings and pathophysiology

Objective: To review the clinical and pathophysiologic aspects of acute respiratory distress syndrome (ARDS) in dogs and cats. Data sources: Data from human and veterinary literature were reviewed through Medline and CAB as well as manual search of references listed in articles pertaining to acute lung injury (ALI)/ARDS. Human data synthesis: Since the term ARDS was first coined in 1967, there has been a abundance of literature pertaining to this devastating syndrome in human medicine. More complete understanding of the complex interactions between inflammatory cells, soluble mediators (e.g., tumor necrosis factor, interleukin (IL)‐6, IL‐8, platelet activating factor) and the clinical patient has provided for timely recognition and mechanistically based protective strategies decreasing morbidity and mortality in human patients with ARDS. Veterinary data synthesis: Although little is known, ARDS is becoming a more commonly recognized sequela in small animals. Initial case reports and retrospective studies have provided basic clinical characterization of ARDS in dogs and cats. Additionally, information from experimental models has expanded our understanding of the inflammatory mechanisms involved. It appears that the inflammatory processes and pathologic changes associated with ARDS are similar in dogs, cats, and humans. Conclusions: Unfortunately, current mortality rates for ARDS in small animals are close to 100%. As our capability to treat patients with advanced life‐threatening disease increases, it is vital that we develop a familiarity with the pathogenesis of ARDS. Understanding the complex inflammatory interactions is essential for determining effective preventative and management strategies as well as designing novel therapies for veterinary patients.     

氨基酸代谢与免疫反应

炎症反应和感染性疾病均可改变机体的蛋白质和氨基酸需要,导致动物采食量下降、生长受阻和肌肉消耗,这主要是因细胞因子(如IL-1、IL-6、TNF-α)的增加而改变了蛋白质代谢。在免疫反应中,氨基酸将发生重分配并主要用于合成参与炎症和免疫反应的蛋白质以及参与免疫细胞增殖和其他免疫反应的重要化合物。免疫系统的活化可干扰机体正常的生理反应并导致对某些特殊氨基酸的需要量增加。本文主要综述了某些特殊氨基酸(通常是必需氨基酸)在免疫反应中的重要作用。     

Inhibition of histamine release from dispersed canine skin mast cells by cyclosporin A, rolipram and salbutamol, but not by dexamethasone or sodium cromoglycate

Despite the important role that canine skin mast cells play in IgE-mediated allergic inflammation, clinically useful compounds for modulating mediator release from these cells or for suppressing cell response are lacking in the dog. The ability of five compounds to inhibit histamine release induced by non immunological (calcium ionophore A23187 and substance P) and IgE-dependent (concanavalin A) stimuli were compared. Sodium cromoglycate, a mast cell stabilizer, and dexamethasone, a glucocorticoid, failed to inhibit histamine release from isolated skin mast cells following any kind of stimulation. Salbutamol, a β-adrenergic agonist, exhibited inhibitory activity (46.0%) only after concanavalin A activation. In contrast, rolipram, a selective phosphodiesterase IV inhibitor and cyclosporin A, an immunosuppressor, showed potent anti allergic actions, inhibiting both IgE-dependent and -independent stimuli. Rolipram inhibited 42.8%, 44.7% and 19.2% of the mediator release induced by ionophore A23187, substance P and concanavalin A, respectively. Similarly cyclosporin A induced 85.9%, 14.9% and 67.3% inhibition after ionophore A23187, substance P and concanavalin A stimulation, respectively. These results suggest that rolipram and cyclosporin A merit to be clinically tested as agents for the treatment of chronic allergic diseases in the dog.     

复方杨树花口服液体内抗炎效果的研究

为了探究复方杨树花口服液在体内的抗炎作用。试验取40只雄性小鼠,随机分为5组,8只/组,分别是空白对照组(生理盐水: 6 ml/kg),阳性对照组(阿斯匹林: 200 mg/kg)和复方杨树花组(高剂量组(12 ml/kg)、中剂量组(6 ml/kg)、低剂量组(3 ml/kg))。左耳涂抹20 μl二甲苯计算耳肿胀率;取40只小鼠做相同处理后,左足注射0.1 ml 10%蛋清制造小鼠足趾肿胀模型,计算小鼠足趾肿胀度。另取40只小鼠随机分为5组,8只/组,分别是空白对照组,阳性对照组和给药组(高、中、低剂量组),除空白对照组,其余组注射15 mg/kg LPS腹腔注射制作小鼠炎症模型,测定血清中TNF-α,IL-1,IL-6含量。结果表明：高剂量复方杨树花口服液能显著性抑制小鼠的耳肿胀率和足趾肿胀度(p＜0.01);并能显著性抑制LPS引起的小鼠血清中TNF-α,IL-1,IL-6含量的升高(p<0.01),与阿司匹林效果相似(p>0.01)。说明：复方杨树花在小鼠体内具有一定的抗炎效果,以12 ml/kg灌胃体内抗炎效果较好。     

日粮添加不同水平芦丁对热应激小鼠睾丸组织的影响

本试验旨在探讨日粮添加不同水平芦丁对缓解热应激小鼠睾丸组织损伤的影响。将30只5周龄体重相近（20～22 g）的ICR系雄性小鼠随机分为5组,各组小鼠分别饲喂基础日粮添加0（CON组）、0（HS组）、250（HS+R250）、500（HS+R500）和1 000（HS+R1000） mg·kg^-1芦丁的日粮,饲养10 d后,除对照组（CON）外,所有小鼠在每天10：00至14：00之间置于42℃恒温箱中连续处理8 d后屠宰取样分析。结果显示：1）与CON组相比,HS组小鼠睾丸指数无显著变化（P>0.05）,而日粮添加250 mg·kg^-1芦丁显著提高热应激小鼠睾丸指数（P<0.05）;小鼠睾丸组织切片结果显示,与CON组相比,HS组小鼠生精小管直径和横截面积显著降低（P<0.05）,生精细胞脱落比率显著增加（P<0.05）;与HS组相比,HS+R250组小鼠生精小管横截面积显著增加（P<0.05）,生精细胞脱落比率显著降低（P<0.05）,HS+R500组生精细胞脱落比率也显著降低（P<0.05）,HS+R1000组小鼠生精小管直径显著增加（P<0.05）;小鼠睾丸指数、生精小管直径及生精小管脱落比率在芦丁处理组与CON组之间无显著差异（P>0.05）,但HS+R250组小鼠睾丸生精小管横截面积显著高于CON组（P<0.05）。2）与CON组相比,HS组小鼠睾丸组织丙二醛（MDA）含量显著升高（P<0.05）,总抗氧化能力（T-AOC）与还原型谷胱甘肽（GSH）含量以及血红素酶-1（HO-1） mRNA的表达量均显著降低（P<0.05）;日粮添加250 mg·kg^-1芦丁显著降低热应激小鼠睾丸组织中MDA含量（P<0.05）,提高T-AOC与GSH含量（P<0.05）,并增强核因子E2相关因子2（Nrf2）、HO-1和谷胱甘肽过氧化物酶（GSH-Px） mRNA的表达量（P<0.05）,而添加500和1 000 mg·kg^-1芦丁也显著提高了GSH含量（P<0.05）;与CON组相比,除HS+R250组Nrf2 mRNA表达量显著高于CON组（P<0.05）外,芦丁组热应激小鼠睾丸组织抗氧化相应基因与酶活指标均无显著性变化（P>0.05）。3）热应激小鼠睾丸中核因子-κB （NF-κB）、TOLL样受体4（TLR-4）和Bax的mRNA表达量显著增加（P<0.05）,而Bcl-2表达量显著降低（P<0.05）;日粮添加250 mg·kg^-1芦丁显著降低NF-κB、TLR-4、髓样分化因子88（MyD88）、白细胞介素-Iβ（IL-1β）和Bax mRNA表达量（P<0.05）,增强Bcl-2的表达水平（P<0.05）;添加500 mg·kg^-1芦丁显著降低NF-κB和TLR-4表达量（P<0.05）,而1 000 mg·kg^-1芦丁能够显著增加Bcl-2的表达（P<0.05）;小鼠睾丸组织中免疫和增值凋亡相关基因的表达量在添加芦丁组及CON组之间无显著性差异（P>0.05）。结果提示,日粮添加适宜剂量芦丁具有改善热应激小鼠睾丸组织形态及功能的效果,其机制可能与芦丁通过Nrf2信号通路缓解氧化应激,通过TLR-4/NF-κB信号通路抑制炎症反应及调控Bax/Bcl-2 mRNA的表达密切相关。本试验条件下日粮添加250 mg·kg^-1芦丁的效果较好。     

GPX4失活通过JNK通路缓解LPS诱导巨噬细胞炎症反应

【目的】 研究硒蛋白谷胱甘肽过氧化物酶4（glutathione peroxidases 4,GPX4）失活如何参与调控脂多糖（lipopolysaccharide,LPS）诱导的RAW264.7巨噬细胞炎症反应及其潜在的分子机制。【方法】 体外培养RAW264.7巨噬细胞,以DMSO为对照,使用0.1~5.0 μmol/L GPX4抑制剂FIN56处理,通过CCK-8法检测细胞活力和Western blotting检测GPX4蛋白表达水平,确定抑制剂最适浓度。将RAW264.7巨噬细胞分为4组：对照组,添加DMSO培养24 h;FIN56（GPX4抑制剂）组,添加0.5 μmol/L FIN56培养24 h;DMSO-LPS组,DMSO培养24 h后使用LPS （100 ng/mL）刺激3 h;FIN56-LPS组,FIN56培养24 h后使用LPS刺激3 h。各组细胞经培养后,利用荧光探针2',7'-二氯二氢荧光素二乙酸酯（2',7'-dichlorodi-hydrofluorescein diacetate,H₂DCFDA）检测细胞内活性氧（reactive oxygen species,ROS）水平,使用试剂盒法检测细胞内丙二醛（malondialdehyde,MDA）水平,分别使用ELISA和荧光定量PCR检测促炎细胞因子白细胞介素1β（interleukin-1β,IL-1β）、白细胞介素6（interleukin-6,IL-6）、肿瘤坏死因子α（tumor necrosis factor-α,TNF-α）的分泌水平和基因表达量,使用Western blotting法检测Toll样受体4（toll like receptor 4,TLR4）信号通路相关蛋白表达水平。【结果】 与DMSO处理相比,0.5 μmol/L FIN56处理巨噬细胞24 h对细胞活性无显著影响（P>0.05）,且显著降低GPX4蛋白表达水平（P<0.05）,故选用0.5 μmol/L FIN56用于后续实验。与对照组相比,FIN56和LPS均显著增加了ROS积累（P<0.05）,而与DMSO-LPS组相比,FIN56-LPS组ROS水平显著升高（P<0.05）。与对照组相比,LPS可显著增加小鼠巨噬细胞IL-1β、IL-6和TNF-α的mRNA表达量和IL-6含量,以及c-Jun氨基末端蛋白激酶（c-Jun N-terminal protein kinase,JNK）和c-Jun磷酸化水平（P<0.05）,而FIN56可显著下调LPS诱导的IL-6的mRNA表达量和含量及JNK和c-Jun磷酸化水平（P<0.05）,但对p38蛋白（p38 MAPK,p38）、细胞外调节蛋白激酶（phosphorylate extracellular regulated protein kinases1/2,Erk1/2）蛋白表达水平无显著影响（P>0.05）。【结论】 GPX4失活可有效阻断JNK和c-Jun磷酸化,从而特异性抑制LPS诱导的巨噬细胞的炎症反应。该结果可为以GPX4为靶点研发抗炎治疗策略提供理论依据。     

奶牛瘤胃异常代谢产物组胺引起的炎性反应及其消除方法

高精低粗的饲粮结构会引起奶牛瘤胃内乳酸和挥发性脂肪酸浓度升高,瘤胃液pH降低,导致瘤胃内微生物区系发生改变,从而引起瘤胃内异常代谢产物(细菌内毒素、组胺等)增加,甚至引发亚急性瘤胃酸中毒。其中,组胺是机体内重要的炎性介质,高浓度的组胺转运至血液后可引起机体炎症反应,引起奶牛多种疾病,并使奶牛生产性能下降。本文对奶牛瘤胃异常发酵时组胺的产生和转运以及组胺诱导炎性反应的机制进行综述,同时,介绍一些限制组胺生成和转运的方法,为控制和减少组胺对奶牛的危害提供参考。