红细胞生成素抑制活性氧诱导的红细胞衰亡

目的:观察红细胞生成素(erythropoietin,EPO)对过氧化氢(H_2O_2)刺激后红细胞衰亡(eryptosis)和红细胞中活性氧簇(reactive oxygen species,ROS)生成的影响,并探讨其可能机制。方法:将1%健康人红细胞悬液在以下3组不同的体外培养液中孵育:对照组(C组,培养基为PBS液)、H_2O_2组(H组,培养基为H_2O_2终浓度100μmol/L的PBS液)和EPO组(E组,培养基为H_2O_2终浓度100μmol/L、EPO终浓度2×10~4U/L的PBS液)。分别在孵育24 h和60 h时,留取红细胞以备检测。使用流式细胞术检测红细胞的衰亡率、红细胞内ROS和红细胞内钙离子浓度(_i~([Ca2+])),观察各检测指标的变化并分析其相关性。结果:红细胞衰亡率在C组随孵育时间延长而增加,在相同观察时点,H组较C组明显增加(P0.01),E组较H组明显降低(P0.01)。H组红细胞的ROS生成较C组明显增多,_i~([Ca2+])较C组明显升高(P0.01);E组红细胞的ROS生成较H组明显减少,_i~([Ca2+])较H组明显降低(P0.05或P0.01)。结论:H_2O_2诱导健康红细胞加速衰亡,而EPO可以抑制H_2O_2诱导的红细胞衰亡,其机制可能与抗氧化及_i~([Ca2+])的改变有关。

Erythropoietin inhibits eryptosis induced by reactive oxygen species

AIM: To observe the influence of erythropoietin (EPO) on eryptosis and production of reactive oxygen species (ROS) in erythrocytes under stimulation of hydrogen peroxide (H₂O₂),and to explore its related mechanism. METHODS: The erythrocyte suspension (1%) was cultured in vitro and divided into 3 groups:control group (C group, the culture medium was PBS), H₂O₂ group (H group, the culture medium was PBS containing H₂O₂ at final concentration of 100 μmol/L) and EPO group (E group, the culture medium was PBS containing H₂O₂ at final concentration of 100 μmol/L and EPO at final concentration of 2×10⁴ U/L). The erythrocytes were collected at 24 h and 60 h. The eryptosis was detected by flow cytometry with Annexin V staining. The production of ROS and intracellular calcium ion concentration ([Ca²⁺]_i) were also analyzed by flow cytometry. RESULTS: The eryptosis in C group was increased as the incubating time extended. The eryptosis in H group was higher than that in C group (P<0.01), while that in E group was lower than that in H group (P<0.01). Meanwhile, ROS production and[Ca²⁺]_i were higher in H group than those in C group (P<0.01), but those were lower in E group than those in H group (P<0.05 or P<0.01). CONCLUSION: EPO inhibits eryptosis induced by H₂O₂ and its mechanism may be related to antioxidant effect and change of[Ca²⁺]_i.