摘要:
目的 观察Toll样受体4(TLR4)在氧化低密度脂蛋白(ox-LDL)诱导人脐静脉内皮细胞发生氧化应激反应中的作用,并探讨血管紧张素(Ang)-(1-7)对上述反应的作用及其作用机制.方法 体外培养人脐静脉内皮细胞,并将细胞分为6组,分别为对照组(不干预)、ox-LDL组(以ox-LDL 75 mg/L干预)、ox-LDL+ Ang-(1-7)组[Ang-(1-7)1μmol/L预处理30 min后,以ox-LDL75 mg/L干预]、ox-LDL+ Ang-(1-7)+ A-779组[A-779(Mas受体阻断剂)1μmol/L预处理30 min,然后以Ang-(1-7)1 μmol/L预处理30 min,再以ox-LDL 75 mg/L干预]、ox-LDL+A-779组(A-779 1 μmol/L预处理30 min后,以ox-LDL 75 mg/L干预)、ox-LDL+ HTA125组[HTA125(TLR4特异性阻断抗体)10 μg/L预处理30 min后,以ox-LDL 75 mg/L干预].干预24 h后,分别以膜联蛋白V(Annexin V)-FITC/碘化丙啶(PI)双标记流式细胞术和末端脱氧核苷酸转移酶介导的dUTP缺口末端标记测定法(TUNEL)检测细胞凋亡,2',7'-二氯荧光黄双乙酸盐(DCFH-DA)标记法检测活性氧自由基(R OS)水平,实时荧光定量逆转录聚合酶链反应(RT-PCR)检测TLR4和NADPH氧化酶4 (NOX4)的mRNA表达水平,Western blot检测TLR4和NOX4的蛋白表达水平.结果 (1)AnnexinV-FITC/PI双标记流式细胞术显示,ox-LDL组的细胞凋亡比例高于对照组[(21.18±1.40)%比(1.59 ±0.26)%,P<0.01],ox-LDL+ Ang-(1-7)组[(7.42±1.07)%]和ox-LDL+ HTA 125组[(9.19±1.01)%]的细胞凋亡比例均低于ox-LDL组(P均<0.01),ox-LDL+ Ang-(1-7)+A-779组[(19.91±1.30)%]和ox-LDL+ A-779组[(20.47±0.95)%]的细胞凋亡比例均高于ox-LDL+ Ang-(1-7)组(P均<0.01).(2)TUNEL法显示,ox-LDL组的细胞凋亡比例高于对照组[(10.83±0.77)%比(2.83±0.82)%,P<0.01],ox-LDL+ Ang-(1-7)组[(3.66±0.54)%]和ox-LDL+ HTA125组[(4.97±0.60)%]的细胞凋亡比例均低于ox-LDL组(P均<0.01),ox-LDL+ Ang-(1-7)+A-779组[(10.69±0.62)%]和ox-LDL+ A-779组[(11.43±0.42)%]的细胞凋亡比例均高于ox-LDL+ Ang-(1-7)组(P均<0.01).(3)ox-LDL组的ROS水平高于对照组(0.093±0.014比0.053±0.011,P<0.01),ox-LDL+ Ang-(1-7)组(0.063±0.011)和ox-LDL+ HTA125组(0.070±0.010)的ROS水平均低于ox-LDL组(P值分别<0.01和0.05),ox-LDL+ Ang-(1-7)+A-779组(0.088±0.003)和ox-LDL+A-779组(0.095±0.005)的ROS水平均高于ox-LDL+ Ang-(1-7)组(P均<0.01).(4)ox-LDL组NOX4的mRNA表达水平高于对照组(11.74±0.65比1.00±0.00,P<0.01),ox-LDL+ Ang-(1-7)组(2.85±0.75)和ox-LDL+ HTA125组(5.57±0.52) NOX4的mRNA表达水平均低于ox-LDL组(P均<0.01),ox-LDL+ Ang-(1-7)+A-779组(10.51 ±0.54)和ox-LDL+ A-779组(11.04±1.01) NOX4的mRNA表达水平均高于ox-LDL+ Ang-(1-7)组(P均<0.01).ox-LDL组TLR4的mRNA表达水平高于对照组(27.60±1.86比1.00±0.00,P<0.01),ox-LDL+ Ang-(1-7)组(8.00±1.03)和ox-LDL+HTA125组(14.83±0.97) TLR4的mRNA表达水平均低于ox-LDL组(P均<0.01),ox-LDL+Ang-(1-7)+ A-779组(24.81 ±2.19)和ox-LDL+ A-779组(26.64±0.65) TLR4的mRNA表达水平均高于ox-LDL+Ang-(1-7)组(P均<0.01).(5)ox-LDL组NOX4的蛋白表达水平高于对照组(0.61±0.09比0.23±0.02,P<0.01),ox-LDL+ Ang-(1-7)组(0.27±0.03)和ox-LDL+ HTA125组(0.22±0.02) NOX4的蛋白表达水平均低于ox-LDL组(P均<0.01),ox-LDL+ Ang-(1-7)+A-779组(0.58±0.06)和ox-LDL+ A-779组(0.61±0.03) NOX4的蛋白表达水平均高于ox-LDL+Ang-(1-7)组(P均<0.01).ox-LDL组TLR4的蛋白表达水平高于对照组(0.18 ±0.02比0.08±0.01,P<0.01),ox-LDL+ Ang-(1-7)组(0.07±0.01)和ox-LDL+ HTA125组(0.09±0.01)TLR4的蛋白表达水平均低于ox-LDL组(P均<0.01),ox-LDL+Ang-(1-7)+A-779组(0.18±0.02)和ox-LDL+A-779组(0.20±0.02) TLR4的蛋白表达水平均高于ox-LDL+ Ang-(1-7)组(P均<0.01).结论 TLR4在ox-LDL诱导人脐静脉内皮细胞损伤中起介导作用,Ang-(1-7)通过特异性Mas受体发挥对细胞的保护作用.%Objective To explore the role and related mechanisms of angiotensin-(1-7) (Ang(1-7)) on Toll-like receptor 4 (TLR4) mediated oxidized low-density lipoprotein (ox-LDL)-induced oxidative stress in human umbilical vein endothelial cells (HUVECs).Methods HUVECs were cultured in vitro and divided into six groups:the control group (normal medium),the ox-LDL group (treated with 75 mg/L ox-LDL),the ox-LDL +Ang-(1-7) group (1 μ mol/L Ang-(1-7) pretreated for 30 minutes,then intervened with 75 mg/L ox-LDL),the ox-LDL +Ang-(1-7) + A-779 group (1 μmol/L A-779 (Mas receptor) pretreated for 30 minutes,1 μmol/L Ang-(1-7) pretreated for 30 minutes,then intervened with 75 mg/L ox-LDL),the ox-LDL + A-779 group (1 μmol/L A-779 pretreated for 30 minutes,then intervened with 75 mg/L ox-LDL),the ox-LDL + HTA125 group (10 μg/L HTA125 (TLR4-blocking antibody) pretreated for 30 minutes,then intervened with 75 mg/L ox-LDL).The corresponding index was detected after 24 hours after intervention.Apoptosis of cells were detected by Annexin V-FITC/PI double staining flow cytometry and transferase-mediated deoxyuridine triphosphate-biotin nick end labeling (TUNEL).The generation of reactive oxygen species (ROS),products in oxidative stress,were detected by DCFH-DA staining.The mRNA and protein expression levels of NADPH oxidase 4 (NOX4) and TLR4 were detected by real-time reverse transcription-polymerase chain reaction (RT-PCR) and Western blotting analysis respectively.Results (1) The results of Annexin V-FITC/PI double staining flow cytometry showed that the proportion of apoptotic cells was higher in ox-LDL group than in control group ((21.18-± 1.40)% vs.(1.59 ± 0.26) %,P < 0.01),lower in ox-LDL +Ang-(1-7) group ((7.42 ± 1.07) %) and ox-LDL + HTA125 group((9.19 ± 1.01)%) than in ox-LDL group (both P < 0.01),higher in ox-LDL + Ang-(1-7) + A-779 group ((19.91 ± 1.30) %) and ox-LDL + A-779 group ((20.47 ± 0.95) %) than in ox-LDL + Ang-(1-7) group (both P < 0.01).(2) The TUNEL results showed that the proportion of apoptotic cells was higher in ox-LDL group than in control group ((10.83 ± 0.77) % vs.(2.83 ± 0.82) %,P < 0.01),lower in ox-LDL + Ang-(1-7) group ((3.66 ± 0.54) %) and ox-LDL + HTA125 group((4.97 ± 0.60) %) than in ox-LDL group(both P < 0.01),higher in ox-LDL + Ang-(1-7) + A-779 group ((10.69 ± 0.62) %) and ox-LDL + A-779 group ((1 1.43 ± 0.42) %) than in ox-LDL +Ang-(1-7) group (both P < 0.01).(3) ROS level was higher in ox-LDL group than in control group(0.093 ±0.014 vs.0.053 ±0.011,P <0.01),lower in ox-LDL +Ang-(1-7) group (0.063 ± 0.011,P < 0.01) and ox-LDL + HTA125 group (0.070 ± 0.010,P <0.05) than in ox-LDL group,higher in ox-LDL +Ang-(1-7) + A-779 group(0.088 ±0.003) and ox-LDL + A-779 group (0.095 ± 0.005) than in ox LDL + Ang-(1-7) group (both P < 0.01).(4) The mRNA expression level of NOX4 was higher in ox-LDL group than in control group(11.74 ±0.65 vs.1.00 ± 0.00,P <0.01),lower in ox-LDL +Ang-(1-7) group (2.85 ±0.75)and ox-LDL + HTA125 group(5.57 ± 0.52) than in ox-LDL group(both P <0.01),higher in ox-LDL +Ang-(1-7) + A-779 group(10.51 ± 0.54) and ox-LDL + A-779 group (11.04 ± 1.01) than in ox-LDL +Ang-(1-7) group (both P < 0.01),higher in ox-LDL group than in control group(27.60 ± 1.86 vs.1.00 ±0.00,P <0.01),lower in ox-LDL + Ang-(1-7) group (8.00 ± 1.03)and ox-LDL + HTA125 group (14.83 ± 0.97) than in ox-LDL group (both P < 0.01),higher in ox-LDL +Ang-(1-7) + A-779 group (24.81 ± 2.19) and ox-LDL + A-779 group (26.64 ± 0.65) than in ox-LDL +Ang-(1-7) group (both P < 0.01).(5) The protein expression level of NOX4 was higher in ox-LDL group than in control group (0.61 ±0.09 vs.0.23 ±0.02,P <0.01),lower in ox-LDL + Ang-(1-7) group (0.27 ± 0.03) and ox-LDL + HTA125 group (0.22 ± 0.02) than in ox-LDL group(both P < 0.01),higher in ox-LDL + Ang-(1-7) + A-779 group (0.58 ± 0.06) and ox-LDL + A-779 group(0.61 ± 0.03) than in ox-LDL +Ang-(1-7) group (both P < 0.01).The protein expression level of TLR4 was higher in ox-LDL group than in control group(0.18 ±0.02 vs.0.08 ±0.01,P <0.01),lower in ox-LDL + Ang-(1-7) group (0.07 ± 0.01) and ox-LDL + HTA125 group (0.09 ± 0.01) than in ox-LDL group(both P < 0.01),higher in ox-LDL + Ang (1 7) + A-779 group (0.18 ± 0.02) and ox-LDL + A-779 group(0.20 ± 0.02) than in ox-LDL + Ang-(1-7) group (both P < 0.01).Conclusion TLR4 mediated the ox-LDL induced injury in HUVECs,and Ang-(1-7) could attenuate ox-LDL induced injury in HUVECs by modulating the specific Mas receptors.