Key result
Intracerebroventricular injection of the alpha 7 nicotinic acetylcholine receptor agonist PNU282987 significantly increased the survival rate of septic rats to 80% compared to 40% in the control group.
Why the study?
Does intracerebroventricular injection of PNU282987 alleviate multiple organ injury and improve outcomes in a rat model of sepsis?
Does intracerebroventricular injection of PNU282987 alleviate multiple organ injury and improve outcomes in a rat model of sepsis?
Activation of central alpha 7 nicotinic acetylcholine receptors with PNU282987 attenuates multiple organ dysfunction and reverses immunosuppression in a rat model of sepsis.
Answers are grounded in this paper and cite their sources.
Central α7 nAChR agonism improves rat sepsis survival; leaves open human translation.
Sepsis remains the leading cause of high mortality and huge financial burden in intensive care units (ICU), but with scarce effective treatments due to refractory multiple organ dysfunction and persistent immunosuppression. Treatments that aim at modulating immune function and attenuating multiple organ injury will certainly benefit septic cases. Alpha 7 nicotinic acetylcholine receptor (7nAchR) has been reported with potent immunomodulatory properties in various diseases as the essential mediator of the cholinergic anti-inflammatory pathway (CAP). Few studies have demonstrated the potential effect of central 7nAchR on the progression and prognosis of septic response, while its expression was first discovered on neurons and most abundant in the central nervous system. In the present study, it was found severe damage of multiple organs under the operation of cecal ligation and puncture (CLP) in rats, including heart, liver, kidneys, and lungs, as evidenced by abnormal histomorphology and notable elevation of injury markers. Concurrently, the function of spleen CD4 + T cells was disrupted under septic challenge, accompanied by polarization of helper T cell (Th)2, which exhibited outward signs of immunosuppression. Intracerebroventricular injection of PNU282987, a selective agonist of 7nAchR, significantly alleviated multiple organ injury, reversed immunosuppressive state, and improved the outcome of septic rats, while they were exacerbated by treatment with methyllycaconitine, a selective antagonist of 7nAchR. This study provides the first evidence that activation of central 7nAchR is beneficial for attenuating multiple organ dysfunction as well as abnormal immune response, and improving the prognosis of rats when exposed with sepsis.
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Ren et al. (2018) studied Sepsis. PNU282987 vs. Saline (Sepsis control) was evaluated on Survival rate (p=<0.05). Intracerebroventricular injection of the alpha 7 nicotinic acetylcholine receptor agonist PNU282987 significantly increased the survival rate of septic rats to 80% compared to 40% in the control group.
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