实用医学杂志 ›› 2026, Vol. 42 ›› Issue (10): 1849-1857.doi: 10.3969/j.issn.1006-5725.2026.10.020

• 论著·临床实践 • 上一篇    

Maresin1通过TLR4/NF-κB/NLRP3通路抑制焦亡减轻下肢缺血再灌注损伤的机制

吕俊1,邓堂1,彭锦2,王迅开1,吴江鹏1,金桂云1()   

  1. 1.海南医科大学,第一附属医院,急救与创伤研究教育部重点实验室,介入血管外科 (海南 海口 570000 )
    2.海南现代妇女儿童医院影像科 (海南 海口 570311 )
  • 收稿日期:2026-01-19 出版日期:2026-05-25 发布日期:2026-05-27
  • 通讯作者: 金桂云 E-mail:13976609625@163.com
  • 基金资助:
    国家自然科学基金项目(82460362);海南省重点研发项目(ZDYF2022SHFZ293);海南省重点研发项目(ZDYF2024SHFZ120);海南省重点研发项目(ZDYF2025SHFZ050);海南省自然科学基金项目(823MS146)

Mechanism of maresin1 in alleviating lower limb ischemia-reperfusion injury by inhibiting pyroptosis via the TLR4/NF-κB/NLRP3 pathway

Jun LÜ1,Tang DENG1,Jin PENG2,Xunkai WANG1,Jiangpeng WU1,Guiyun JIN1()   

  1. 1.Key Laboratory of Emergency and Trauma of Ministryof Education,Department of Interventional Radiology and Vascular Surgery,the First Affiliated Hospital,Hainan Medical University,Haikou 570000,Hainan,China
    2.Department of Radiology,Hainan Modern Women and Children's Hospital,Haikou 570311,Hainan,China
  • Received:2026-01-19 Online:2026-05-25 Published:2026-05-27
  • Contact: Guiyun JIN E-mail:13976609625@163.com

摘要:

目的 探讨Maresin1(MaR1)通过抑制细胞焦亡减轻下肢缺血再灌注损伤的作用机制。 方法 本研究采用体内外实验相结合。体内实验共使用27只C57BL/6小鼠随机分为对照组(Control组)、模型组(LL-IRI组)和治疗组(MaR1组)。造模成功并药物干预后,取各组5例(n = 5)小鼠腓肠肌组织进行转录组测序与生物信息学分析;其余样本用于评估组织病理损伤、检测toll样受体4(TLR4)/核因子-κB(NF-κB)p65及核苷酸结合寡聚化结构域样受体蛋白3(NLRP3)/Gasdermin-D(GSDMD)蛋白表达;试剂盒测定采集后的小鼠血清中MDA含量及CAT活性。体外实验采用LPS联合ATP刺激L6骨骼肌细胞构建焦亡模型,分组造模后行ELISA检测各组细胞上清IL-1β与IL-18含量。 结果 BulkRNA测序分析提示,与对照组相比,LL-IRI组中TLR4/NF-κB/NLRP3信号通路以及细胞焦亡相关基因表达显著上调,经MaR1干预后可逆转以上趋势,并负向调控炎症小体活化与细胞焦亡相关生物学过程。组织病理切片显示LL-IRI 组肌纤维排列紊乱、断裂明显,免疫荧光佐证生信分析,TLR4/NF-κBp65与NLRP3/GSDMD的蛋白表达显著增强(P < 0.01),且伴随血清MDA含量升高(P < 0.01)、CAT活性下降(P < 0.01)。MaR1治疗能显著改善上述病理、分子及生化指标。体外实验结果表明LPS+ATP组较正常组相比,焦亡终末炎症因子IL-1β与IL-18的释放水平明显上升(P < 0.01),在MaR1干预后能有效抑制IL-1β与IL-18的释放(P < 0.01)。 结论 MaR1可能通过阻断TLR4/NF-κB/NLRP3炎症级联抑制细胞焦亡,从而减轻小鼠下肢缺血再灌注损伤。

关键词: Maresin1, 下肢缺血再灌注损伤, 细胞焦亡, toll样受体4

Abstract:

Objective To investigate the mechanism by which Maresin1 reduces lower limb ischemia-reperfusion injury through the inhibition of pyroptosis. Methods This study employed a combination of in vivo and in vitro experiments. In the in vivo experiment, 27 C57BL/6 mice were randomly allocated into the Control group, the model group (LL-IRI), and the treatment group (MaR1). After successful modeling and drug intervention, the gastrocnemius muscle tissue of 5 mice (n = 5) from each group was collected for transcriptome sequencing and bioinformatics analysis. The remaining samples were utilized to assess histopathological damage and to detect the expression of TLR4/NF-κB p65 and NLRP3/GSDMD proteins. The MDA content and CAT activity in the serum were determined using kits. In vitro, L6 skeletal muscle cells were stimulated with LPS and ATP to establish a pyroptosis model. After modeling, ELISA was applied to measure the content of IL-1β and IL-18 in the supernatant of each group. Results Bulk RNA sequencing analysis demonstrated that, in comparison with the control group, the TLR4/NF-κB/NLRP3 signaling pathway and the expression of pyroptosis-related genes were significantly up-regulated in the LL-IRI group. Moreover, the intervention of MaR1 could reverse the above-mentioned trend, as MaR1 negatively regulated the activation of inflammasomes and the biological process associated with pyroptosis. Immunohistochemistry indicated that the expression of TLR4/NF-κB p65 and NLRP3/GSDMD was significantly enhanced in the LL-IRI group (P < 0.01), accompanied by an increase in serum MDA content (P < 0.01) and a decrease in CAT activity (P < 0.01). MaR1 treatment could significantly improve these pathological, molecular, and biochemical parameters. The results of in vitro experiments showed that, compared with the normal group, there was a significant increase in the release of inflammatory factors IL-1β and IL-18 at the end of pyroptosis in the LPS + ATP group (P < 0.01). After the intervention of MaR1, the release of IL-1β and IL-18 in the LPS + ATP group was significantly reduced (P < 0.01). Conclusion MaR1 may inhibit pyroptosis by blocking the TLR4/NF-κB/NLRP3 inflammatory cascade, thereby alleviating lower limb ischemia/reperfusion (I/R) injury in mice.

Key words: Maresin1, lower limb ischemia-reperfusion injury, pyroptosis, toll-like receptor 4

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