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中国临床药理学与治疗学 ›› 2025, Vol. 30 ›› Issue (6): 721-731.doi: 10.12092/j.issn.1009-2501.2025.06.001

• 基础研究 • 上一篇    下一篇

瞬时受体电位香草酸亚型1激动剂辣椒素对创伤失血休克大鼠的保护作用

郭玲1,彭小勇2,邓蒙生1,朱英国1,翁昌梅1,程祥云1,王建民1,李涛2,刘良明2,杨光明1   

  1. 1陆军军医大学大坪医院 野战外科研究部,武器杀伤生物效应评估研究室,重庆  400042;2陆军军医大学大坪医院 野战外科研究部,战伤休克与输血研究室,重庆  400042

  • 收稿日期:2024-04-17 修回日期:2024-09-13 出版日期:2025-06-26 发布日期:2025-06-09
  • 通讯作者: 杨光明,男,博士,副研究员,研究方向:战创伤器官功能损害机理及防治研究。 E-mail: yanggm971@ tmmu.edu.cn
  • 作者简介:郭玲,女,硕士,助理研究员,研究方向:战创伤器官功能损害机理。 E-mail: guolingcq22@tmmu.edu.cn
  • 基金资助:
    陆军军医大学科技创新能力提升专项项目(2022XJS31);国家自然科学基金项目(82072164);后勤科研重点项目(BLJ23J006)

Protective effects of  transient receptor potential vanilloid 1 agonist  capsaicin on traumatic hemorrhagic shock rats

GUO Ling1, PENG Xiaoyong2, DENG Mengsheng1, ZHU Yingguo1, WENG Changmei1, CHENG Xiangyun1, WANG Jianmin1, LI Tao2, LIU Liangming2, YANG Guangming1   

  1. 1Department of Weapon injury Bioeffect Assessment, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing 400042, China; 2Department of Shock and Transfusion, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing 400042,  China
  • Received:2024-04-17 Revised:2024-09-13 Online:2025-06-26 Published:2025-06-09

摘要:

目的:研究瞬时受体电位香草酸亚型1(TRPV1)激动剂辣椒素(CAP)对创伤失血休克大鼠的保护作用,并采用网络药理学的方法进一步探讨其可能的作用机制。方法:将45只SD大鼠按照随机数字表法分为5组:正常组、休克组、乳酸林格氏液(LR)组、CAP预处理(休克前单次给药)组、CAP预末给药(休克前后两次给药)组,用于检测大鼠存活情况(每组9只);随后根据存活实验结果将32只大鼠随机分为4组:正常组、休克组、LR组与CAP预末给药组,用于观测血压、血流动力学、动脉血气、血管反应性及肝肾血流量指标(每组8只)。同时采用网络药理学方法探讨CAP 治疗创伤失血休克的潜在作用机制,并应用数据集对核心基因进行验证及诊断价值分析。结果:动物实验显示,休克未治疗动物在休克模型完成后数小时内陆续死亡,平均存活时间1.25(0.42,6.21)h,LR复苏可一定程度改善大鼠存活情况,CAP预处理组大鼠的存活率与生存时间较LR组有所增加,而CAP预末给药组可明显提高休克大鼠的24 h存活率和存活时间,与LR组相比有统计学差异。进一步研究显示,CAP预末给药组较LR组可显著降低创伤失血休克大鼠的血乳酸水平,明显提高血管的收缩与舒张性反应性,并增加大鼠的肝肾血流量;而CAP对血流动力学与血气指标的改善作用略高于LR组,但无统计学意义。通过网络药理学方法共获得CAP抗创伤失血休克的相关基因37个,经KEGG富集分析发现,Ca2+信号通路、Ras信号通路显著富集。数据集验证表明CXCR4、NF-kB1、GFPA和NTF3核心蛋白在正常组和休克组中表达水平均有统计学差异,且CXCR4对创伤失血性休克具有较高的诊断价值。结论:TRPV1激动剂CAP通过改善创伤失血休克大鼠的血管功能、增加器官血流量并减轻机体酸中毒状态,从而降低创伤失血休克后的死亡率,其机制可能与Ca2+信号通路、Ras信号通路相关,而CXCR4、NF-kB1、GFPA和NTF3可能在其中有着重要作用。

关键词: 创伤性失血, 休克, 辣椒素, 瞬时受体电位香草酸亚型1, 网络药理学分析

Abstract:

AIM: To study the protective effect of transient receptor potential vanilic acid subtype 1(TRPV1) agonist capsaicin (CAP) on traumatic blood loss shock rats, and to further explore its possible mechanism by network pharmacology. METHODS: Forty-five SD rats were divided into 5 groups by random number table method: normal group, shock group, lactated Ringer's solution(LR) group, CAP pretreatment (single administration before shock) group, CAP pre-final administration (twice administration before and after shock) group, with 9 rats in each group for survival observation. Then 32 SD rats were divided into 4 groups according to the results of survival experiment: normal group, shock group, LR group, CAP pre-final administration group, with 8 rats in each group for blood pressure, hemodynamics, arterial blood gas, vascular reactivity and hepaticand renal blood flow. At the same time, the potential mechanism of CAP in the treatment of traumatic hemorrhagic shock was investigated by network pharmacology. Furthermore, apply the dataset to validate and analyse the diagnostic value of the hub genes. RESULTS: Rats in shock group died within hours of the completion of the shock model, and the mean survival time was 1.25(0.42,6.21)h. LR resuscitation could improve the survival of rats to some extent. The survival rate and survival time of rats in the CAP pretreatment group were slightly increased as compared with the LR group, while twice administration of CAP before and after shock (CAP pre-final administration) resulted in better outcomes than LR resuscitation alone. Further results indicated that CAP pre-final administration significantly reduced the blood lactic acid level, improved the vasoconstrictive and diastolic reactivity, and increased the liver and kidney blood flow of shock rats as compared with LR group. The improvement of hemodynamics and blood gas indexes in CAP group was slightly higher than LR group,but there was no statistical significance. A total of 37 genes related to CAP anti-traumatic hemorrhage shock were obtained by network pharmacology. KEGG enrichment analysis showed that the Ca ion signaling pathway and Ras signaling pathway were significantly enriched. Validation of the dataset showed that the expression levels of CXCR4, NF-kB1, GFPA and NTF3 hub gene were significantly different in the normal and shock groups, and that CXCR4 has a high diagnostic value for traumatic haemorrhagic shock. CONCLUSIONS: CAP, the TRPV1 agonist, significantly improved vascular function, increased organ blood flow, and corrected the lactic acidosis in rats with traumatic hemorrhagic shock, thus markedly improved the survival outcomes. The mechanism may be related to Ca ion signal pathway and Ras signal pathway. CXCR4, NF-kB1, GFPA and NTF3 may be having an important role in it.

Key words: traumatic hemorrhage, shock, capsaicin, transient receptor potential vanillic acid subtype 1, network pharmacology

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