补充脂质体谷胱甘肽可减轻肝脾肺外结核。

Kayvan Sasaninia, Melissa Kelley, Arbi Abnousian, James Owens, SonYeol Yoon, Abrianna Beever, Nala Kachour, Aram Yegiazaryan, Afsal Kolloli, Ranjeet Kumar, Santhamani Ramasamy, Selvakumar Subbian, Vishwanath Venketaraman
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引用次数: 0

摘要

背景:肺外结核(EPTB)占全世界结核分枝杆菌(M.tb)感染人数的五分之一。结核分枝杆菌多药耐药性的增加以及与抗生素相关的肝毒性给结核病的管理和治疗带来了挑战,从而促使人们需要新的治疗方法。脂质体谷胱甘肽(L-GSH)的给药先前已被证明可以降低氧化应激,增强肉芽肿反应,并减轻结核分枝杆菌感染小鼠肺部的结核分枝杆菌负担。然而,补充L-GSH对肝脏和脾脏活动性EPTB的影响尚待探索。方法:在本研究中,我们评估了未治疗和L-GSH治疗的结核分枝杆菌感染野生型(WT)小鼠的肝脏谷胱甘肽(GSH)和丙二醛(MDA)水平,以及细胞因子谱。此外,还评估了肝和脾结核分枝杆菌负荷和组织病理。结果:补充L-GSH可提高肝脏总水平,降低GSH含量。L-GSH处理后,MDA、氧化GSH和白细胞介素(IL)-6的水平也有所下降。此外,补充L-GSH可增加干扰素-γ和肿瘤坏死因子-α的产生,并降低IL-10水平。补充L-GSH后,肝和脾中结核分枝杆菌的存活率显著降低。L-GSH治疗也对结核分枝杆菌感染小鼠的肝脏和脾脏提供了宿主保护作用。结论:总体而言,补充L-GSH通过降低氧化应激、增强免疫支持性细胞因子的产生和降低免疫抑制性细胞因子水平,提高了肝脏中GSH的总形式和减少形式的水平,并减轻了结核分枝杆菌的负担。这些观察到的益处突出了在活动性肺结核期间补充L-GSH的潜力,并为针对结核分枝杆菌感染的新的治疗干预措施提供了见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Liposomal Glutathione Supplementation Mitigates Extrapulmonary Tuberculosis in the Liver and Spleen.

Background: Extrapulmonary tuberculosis (EPTB) accounts for a fifth of all Mycobacterium tuberculosis (M. tb) infections worldwide. The rise of multidrug resistance in M. tb alongside the hepatotoxicity associated with antibiotics presents challenges in managing and treating tuberculosis (TB), thereby prompting a need for new therapeutic approaches. Administration of liposomal glutathione (L-GSH) has previously been shown to lower oxidative stress, enhance a granulomatous response, and reduce the burden of M. tb in the lungs of M. tb-infected mice. However, the effects of L-GSH supplementation during active EPTB in the liver and spleen have yet to be explored.

Methods: In this study, we evaluated hepatic glutathione (GSH) and malondialdehyde (MDA) levels, and the cytokine profiles of untreated and L-GSH-treated M. tb-infected wild type (WT) mice. Additionally, the hepatic and splenic M. tb burdens and tissue pathologies were also assessed.

Results: L-GSH supplementation increased total hepatic levels and reduced GSH. A decrease in the levels of MDA, oxidized GSH, and interleukin (IL)-6 was also detected following L-GSH treatment. Furthermore, L-GSH supplementation was observed to increase interferon-gamma (IFN-γ) and tumor necrosis factor (TNF)-α production and decrease IL-10 levels. M. tb survival was significantly reduced in the liver and spleen following L-GSH supplementation. L-GSH treatment also provided a host-protective effect in the liver and spleen of M. tb-infected mice.

Conclusions: Overall, L-GSH supplementation elevated the levels of total and reduced forms of GSH in the liver and reduced the burden of M. tb by decreasing oxidative stress, enhancing the production of immunosupportive cytokines, and reducing the levels of immunosuppressive cytokines. These observed benefits highlight the potential of L-GSH supplementation during active EPTB and provide insight into novel therapeutic interventions against M. tb infections.

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