The role of endotoxin,TNF-α,and IL-6 in inducing the state of growth hormone insensitivity

来源 :World Journal of Gastroenterology | 被引量 : 0次 | 上传用户:tdcdc
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AIM:Critical illnesses such as sepsis,trauma,and burnscause a growth hormone insensitivity,which leads to anincreased negative nitrogen balance.Endotoxin isgenerously released into blood under these conditions andstimulates the production of proinflammatory cytokines suchas TNF-α,IL-6,and IL-1,which may play a very importantrole in inducing the growth hormone insensitivity.Theobjective of this current study was to investigate the role ofendotoxin,TNF-α and IL-6 in inducing the growth hormoneinsensitivity at the receptor and post-receptor levels.METHODS:Spague-Dawley rats were injected withendotoxin,TNF-α,and IL-6,respectively and part of ratsinjected with endotoxin was treated with exogenoussomatotropin simultaneously.All rats were killed at differenttime points.The expression of IGF-I,GHR,SOCS-3 and β-actin mRNA in the liver was detected by RT-PCR and the GHlevels were measured by radioimmunoassay,the levels ofTNF-α and IL-6 were detected by ELISA.RESULTS:There was no significant difference in serous GHlevels between experimental group and control rats afterendotoxin injection,however,liver IGF-I mRNA expressionhad been obviously down-regulated in endotoxemic rats.Liver GHR mRNA expression also had a predominant down-regulation after endotoxin injection.The lowest regulation ofliver IGF-I mRNA expression occurred at 12 h after LPSinjection,being decreased by 53% compared with controlrats.For GHR mRNA expression,the lowest expressionoccurred at 8 h and had a 81% decrease.Although SOCS-3mRNA was weakly expressed in control rats.it was stronglyup-regulated after LPS injection and had a 7.84 timesincrease compared with control rats.Exogenous GH couldenhance IGF-I mRNA expression in control rats,but it didfail to prevent the decline in IGF-I mRNA expression inendotoxemic rats.Endotoxin stimulated the production ofTNF-α and IL-6,and the elevated IL-6 levels was shown apositive correlation with increased SOCS-3 mRNAexpression.The liver GHR mRNA expression was obviouslydown-regulated after TNF-α iv injection and had a 40%decrease at 8 h,but the liver SOCS-3 mRNA expression wasthe 4.94 times up-regulation occurred at 40 min after IL-6injection.CONCLUSION:The growth hormone insensitivity could beinduced by LPS injection,which was associated with down- regulated GHR mRNA expression at receptor level and withup-regulated SOCS-3 mRNA expression at post-receptorlevel.The in vivo biological activities of LPS were mediatedby TNF-α and IL-6 indirectly,and TNF-α and IL-6 may exerttheir effects on.the receptor and post-receptor levelsrespectively. AIM: Critical illnesses such as sepsis, trauma, and burnscause a growth hormone insensitivity, which leads to an increased negative nitrogen balance. Endotoxin is generously released into blood under these conditions andstimulates the production of proinflammatory cytokines suchas TNF-α, IL-6, and IL -1, which may play a very importantrole in inducing the growth hormone insensitivity. The subject of this current study was to investigate the role of endotoxin, TNF-a and IL-6 in inducing the growth hormone sensitivity at the receptor and post-receptor levels. METHODS : Spague-Dawley rats were injected withendotoxin, TNF-α, and IL-6, respectively and part of rats injected with endotoxin was treated with exogenoussomatotropin simultaneously. All rats were killed at different time points. The expression of IGF-I, GHR, SOCS- 3 and β-actin mRNA in the liver was detected by RT-PCR and the GHlevels were measured by radioimmunoassay, the levels of TNF-α and IL-6 were detected by ELISA .RESULTS: There was no significant difference in serous GHlevels between experimental group and control rats afterendotoxin injection, however, liver IGF-I mRNA expressionhad been significantly down-regulated in endotoxemic rats. Liver GHR mRNA expression also had a predominant down-regulation after endotoxin injection. -I mRNA expression occurred at 12 h after LPS injection, as reduced by 53% compared with controlrats. For the GHR mRNA expression, the lowest expression was observed at 8 h and had a 81% decrease. Although SOCS-3 mRNA was weakly expressed in control rats. was stronglyup-regulated after LPS injection and had a 7.84 times increase compared with control rats. Exogenous GH couldenhance IGF-I mRNA expression in control rats, but it did notail to prevent the decline in IGF-I mRNA expression in ineototoxemic rats. Endotoxin stimulated the production of TNF -α and IL-6, and the elevated IL-6 levels were shown as positive correlation with increased SOCS-3 mRNA expression. The liver GHR mRNA expression was obviou slydoregulated-TNF-α iv injection and had a 40% decrease at 8 h, but the liver SOCS-3 mRNA expression wasthe 4.94 times up-regulation occurred at 40 min after IL-6 injection. CONCLUSION: The growth hormone insensitivity could be induced by LPS injection, which was associated with down-regulated GHR mRNA expression at receptor level and with-regulated SOCS-3 mRNA expression at post-receptor level. The in vivo biological activities of LPS were mediated by TNF-α and IL-6 indirectly, and TNF-α and IL-6 may exert their effects on. The receptor and post-receptor levelsrespectively.
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