PMID- 35023060 OWN - NLM STAT- MEDLINE DCOM- 20220826 LR - 20220826 IS - 1993-0402 (Electronic) IS - 1672-0415 (Linking) VI - 28 IP - 9 DP - 2022 Sep TI - Protective Effect of Shenfu Injection on Vascular Endothelial Damage in a Porcine Model of Hemorrhagic Shock. PG - 794-801 LID - 10.1007/s11655-021-2876-x [doi] AB - OBJECTIVE: To investigate the effects of Shenfu Injection (, SFI) on endothelial damage in a porcine model of hemorrhagic shock (HS). METHODS: After being bled to a mean arterial pressure of 40+/-3 mm Hg and held for 60 min, 32 pigs were treated with a venous injection of either shed blood (transfusion group), shed blood and saline (saline group), shed blood and SFI (SFI group) or without resuscitation (sham group). Venous blood samples were collected and analyzed at baseline and 0, 1, 2, 4, and 6 h after HS. Tumor necrosis factor-alpha (TNF-alpha), serum interleuking (IL)-6, and IL-10 levels were measured by enzyme-linked immunosorbent assay (ELISA); expressions of vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule 1 (ICAM -1), von Willebrand factor (vWF), plasminogen activator inhibitor-1 (PAI-1) and Bcl-2, Bax, and caspase-3 proteins were determined by Western blot. RESULTS: The serum level of TNF-alpha in the SFI group was significantly lower than in the other groups at 0, 1, and 2 h after HS, while the level of IL-6 was lower at 4 and 6 h compared with the saline group (P<0.01 or P<0.05). The concentration of serum IL-10 was significantly higher in the SFI group than in the other groups at 0, 1, 4, and 6 h after HS (P<0.01). Western blot and immunohistochemistry of vascular tissue showed that the expression of caspase-3 was downregulated, and that of Bcl-2 and Bax was upregulated in the SFI group compared to other groups (P<0.05). CONCLUSION: SFI attenuated endothelial injury in the porcine model of HS by inhibiting cell apoptosis, suppressing the formation of proinflammatory cytokines, and reducing endothelial activation. CI - (c) 2021. The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Zhang, Ming-Qing AU - Zhang MQ AD - Department of Emergency Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China. FAU - Zhang, Qiang AU - Zhang Q AD - Department of Critical Care Medicine, Peking University Third Hospital, Beijing, 100191, China. FAU - Yuan, Wei AU - Yuan W AD - Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China. FAU - Wu, Jun-Yuan AU - Wu JY AD - Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China. FAU - Liang, Yong AU - Liang Y AD - Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China. FAU - Qin, Hong-Jie AU - Qin HJ AD - Department of Emergency Medicine, Beijing Luhe Hospital, Capital Medical University, Beijing, 101199, China. FAU - Li, Chun-Sheng AU - Li CS AD - Department of Emergency Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China. lcscyyy@163.com. LA - eng PT - Journal Article DEP - 20220113 PL - China TA - Chin J Integr Med JT - Chinese journal of integrative medicine JID - 101181180 RN - 0 (Drugs, Chinese Herbal) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Shen-Fu) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (bcl-2-Associated X Protein) RN - 130068-27-8 (Interleukin-10) RN - EC 3.4.22.- (Caspase 3) SB - IM MH - Animals MH - Caspase 3/metabolism MH - Drugs, Chinese Herbal MH - Interleukin-10 MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - *Shock, Hemorrhagic/drug therapy MH - Swine MH - *Tumor Necrosis Factor-alpha/metabolism MH - bcl-2-Associated X Protein/metabolism OTO - NOTNLM OT - Chinese medicine OT - Shenfu Injection OT - hemorrhagic shock OT - vascular endothelial damage EDAT- 2022/01/14 06:00 MHDA- 2022/08/27 06:00 CRDT- 2022/01/13 06:23 PHST- 2021/03/30 00:00 [accepted] PHST- 2022/01/14 06:00 [pubmed] PHST- 2022/08/27 06:00 [medline] PHST- 2022/01/13 06:23 [entrez] AID - 10.1007/s11655-021-2876-x [pii] AID - 10.1007/s11655-021-2876-x [doi] PST - ppublish SO - Chin J Integr Med. 2022 Sep;28(9):794-801. doi: 10.1007/s11655-021-2876-x. Epub 2022 Jan 13.