中文摘要：

目的：探讨硫化氢（H2S）是否通过调控核因子κB（NF-κB）通路抑制阿霉素（DOX）引起的心肌细胞炎症反应与细胞毒性。方法：应用Western blotting法测定NF-κB p65表达；酶联免疫吸附试验（ELISA）测定白细胞介素（IL）-1β、IL-6及肿瘤坏死因子α（TNF-α）的分泌水平；细胞计数盒（CCK-8）检测细胞存活率，Hoechst 33258核染色法检测凋亡细胞的形态学及数量的变化。结果：应用5 μmol/L DOX处理H9c2心肌细胞明显上调磷酸化NF-κB p65（p-p65）表达水平，并引起炎症反应和细胞毒性，表现为IL-1β、IL-6、TNF-α的分泌水平升高、凋亡细胞数量增多及细胞存活率降低。400 μmol/L NaHS（H2S供体）预处理30 min能显著抑制DOX对心肌细胞p-p65表达的上调作用，并减轻DOX引起的炎症反应和细胞损伤，使IL-1β、IL-6、TNF-α的分泌水平下降、凋亡细胞数量降低及细胞存活率升高。与NaHS的作用相似，NF-κB抑制剂吡咯烷二硫代氨基甲酸盐（PDTC,100 μmol/L）预处理也能阻断DOX引起的心肌炎症反应和细胞毒性。IL-1受体拮抗剂（IL-1Ra, 20 μg/L）与DOX共处理能拮抗DOX对心肌细胞NF-κB p65的激活作用及细胞毒性作用。结论：在DOX引起的心肌细胞炎症中，NF-κB通路与IL-1β之间存在正的相互作用；H2S可通过抑制NF-κB通路保护心肌细胞对抗DOX引起的炎症反应与细胞毒性。

英文摘要：

AIM：To investigate whether hydrogen sulfide （H2S） attenuates doxorubicin （DOX）-induced inflammation and cytotoxicity in rat cardiomyocytes （H9c2 cells） by modulating nuclear factor κB （NF-κB） pathway. METHODS：The expression of NF-κB p65 was measured by western blotting. The secretion levels of interleukin （IL）-1β, IL-6 and tumor necrosis factor α （TNF-α） were tested by enzyme-linked immunosorbent assay （ELISA）. Cell viability was detected by Cell Counting Kit-8 （CCK-8） assay. Hoechst 33258 nuclear staining was used to detect the morphological changes and number of apoptotic cells. RESULTS：Treatment of H9c2 cells with 5 μmol/L DOX significantly up-regulated the expression level of phosphorylated NF-κB p65 （p-p65）, and induced inflammation and cytotoxicity, as evidenced by increases in secretion levels of IL-1β, IL-6 and TNF-α and number of apoptotic cells as well as a decrease in cell viability. Pretreatment of H9c2 cells with 400 μmol/L NaHS （a donor of H2S） for 30 min markedly depressed the up-regulation of p-p65 expression induced by DOX. In addition, NaHS pretreatment also reduced DOX-induced inflammatory response and injury, leading to decreases in IL-1β, IL-6 and TNF-α secretion and number of apoptotic cells as well as an increase in cell viability. Similar to the effect of NaHS, pretreatment with 100 μmol/L pyrrolidine dithiocarbamate （PDTC）, an inhibitor of NF-κB, also blocked DOX-induced cardiac inflammation and cytotoxicity. Co-administration of IL-1 receptor antagonist （IL-1Ra） and DOX reduced DOX-induced activation of NF-κB and cytotoxicity in H9c2 cells. CONCLUSION：During the DOX-induced cardiomyocyte inflammation, there is positive interaction between NF-κB pathway and IL-1β. H2S may protect cardiomyocytes against DOX-induced inflammatory response and cytotoxicity by inhibiting NF-κB pathway.