The effect of leptin on ulcerative colitis (UC) has been controversial. The present study aimed to investigate the role of leptin and its receptor ob‑R in UC and the underlying mechanism of this role. The level of serum leptin and the protein expression of the leptin receptor ob‑R in the colonic mucosa were determined in patients with UC. Experimental colitis was induced through intrarectal administration of 2,4,6‑trinitrobenzene sulfonic acid (TNBS) in leptin receptor‑deficient Zucker rats (LR‑D). The body weight, disease activity index, colon length, and macroscopic and histopathological appearance were evaluated. Furthermore, the myeloperoxidase (MPO) enzyme activity and cytokine levels in colon tissues were also determined. The expression of the signal transducer and activator of transcription 3 (STAT3), phosphorylated STAT3 (p‑STAT3), nuclear factor (NF)‑κB‑p65, and Ras homolog gene family member A (RhoA) proteins in colon tissues was assessed. The results revealed that the expression of the leptin receptor ob‑R was increased in the colonic mucosa but the serum leptin level was not altered in patients with UC compared with healthy volunteers. The severity of experimental colitis, represented by body weight loss, disease activity index, colon length, and macroscopic and histological changes, was ameliorated in LR‑D rats compared with the wild‑type (WT) rats. Moreover, the MPO activity; levels of cytokines including interleukin (IL)‑1β, IL‑6, and tumor necrosis factor‑α; and expression of p‑STAT3, NF‑κB, and RhoA proteins were reduced in colon tissues of LR‑D rats compared with WT rats. In conclusion, activation of the leptin receptor ob‑R is an important pathogenic mechanism of UC, and leptin receptor deficiency may provide resistance against TNBS‑induced colitis by inhibiting the NF‑κB and RhoA signaling pathways.

译文

瘦素对溃疡性结肠炎(UC)的作用一直存在争议。本研究旨在研究瘦蛋白及其受体ob-R在UC中的作用以及这种作用的潜在机制。测定UC患者结肠黏膜的血清瘦素水平和瘦素受体ob‑R的蛋白表达。实验性结肠炎是通过在瘦素受体缺陷型祖克大鼠(LR‑D)中直肠内施用2,4,6-三硝基苯磺酸(TNBS)引起的。评估体重,疾病活动指数,结肠长度以及肉眼和组织病理学外观。此外,还确定了结肠组织中的髓过氧化物酶(MPO)酶活性和细胞因子水平。评估了结肠组织中信号转导和转录激活因子3(STAT3),磷酸化STAT3(p‑STAT3),核因子(NF)‑κB‑p65和Ras同源基因家族成员A(RhoA)蛋白的表达。结果表明,与健康志愿者相比,UC患者的瘦素受体ob-R的表达在结肠粘膜中增加,但血清瘦素水平没有改变。与野生型(WT)大鼠相比,LR‑D大鼠的实验性结肠炎的严重程度得到了改善,其严重程度由体重减轻,疾病活动指数,结肠长度以及宏观和组织学变化表示。此外,MPO活性;细胞因子水平,包括白介素(IL)-1β,IL-6和肿瘤坏死因子-α;与野生型大鼠相比,LR-D大鼠结肠组织中p-STAT3,NF-κB和RhoA蛋白的表达降低。总之,瘦素受体ob-R的激活是UC的重要致病机制,瘦素受体的缺乏可能通过抑制NF-κB和RhoA信号通路来提供对TNBS诱导的结肠炎的抵抗力。

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