左旋精氨酸对糖尿病大鼠烧伤创面血管形成的影响  

The influence of L-arginine on angiogenesis in burn wounds in diabetic rats

作　　者：葛奎[1] 陆树良[1] 青春[1] 谢挺[1] 戎柳[1] 牛轶雯[1] 王敏骏[1] 廖镇江[1] 史济湘[1] 

机构地区：[1]上海第二医科大学瑞金医院烧伤科,200025

出　　处：《中华烧伤杂志》2004年第4期210-213,共4页Chinese Journal of Burns

基　　金：国家重点基础研究发展规划资助项目 (G19990 5 42 0 5)

摘　　要：目的　观察左旋 (L)精氨酸对糖尿病大鼠烧伤创面修复过程中血管形成的影响。 方法雄性SD大鼠 ,设烫伤对照 (A)组、糖尿病烫伤 (B)组、甘氨酸对照 (C)组和L 精氨酸干预 (D)组 ,每组各 2 5只。B、C、D组大鼠通过腹腔注射链脲佐菌素 (STZ)建立糖尿病模型 ,C、D组分别管饲甘氨酸和L 精氨酸 2 0 0mg·kg-1·d-1。8周后取各组大鼠 (每组 5只 )背部皮肤组织测定糖含量。之后各组大鼠给予 2 0 %TBSA深Ⅱ度烫伤 ,于伤后 3、7、14、2 1d测量创面面积 ,计算创面愈合率 ;采用CD34免疫组织化学染色计算微血管密度 (MVD);检测创面组织释放一氧化氮 (NO)、血管内皮生长因子(VEGF)和转化生长因子 (TGF)β1含量。　结果　与B组相比 ,D组大鼠创面愈合率从伤后第 7天起显著增加为 [( 4 4.10± 3.5 0 ) % ,P <0 0 5 ],创面MVD值在伤后各时相点均显著增加 ( P <0 0 5 ),创面组织中释放NO、VEGF和TGF β1量增加 ,皮肤组织糖含量降低为 ( 1.380± 0 .12 0 )mg/g。　 结论L 精氨酸可通过增加NO、VEGF和TGF β1的合成与释放 ,降低皮肤组织糖含量 ,增加糖尿病大鼠烧伤创面的血管形成 。Objective To investigate the possible mechanism of L arginine supplementation on the angiogenesis of burn wounds in diabetic rats. Methods One hundred male Spraque Dawley (SD) rats were used in the study and were randomly divided into A (scalding control, n=25), B (scalding of the rats with diabetes, n=25), C (L glycin control, n=25) and D (L arginine supplementation, n=25) groups. Diabetes was produced by intra peritoneal injection of streptozotocin (STZ) in B, C and D groups. The rats in C and D groups were gavaged with L glycin and L arginine in dose of 200 mg·kg -1 ·d -1 , respectively. The glucose content of the back skin tissue was determined for five rats in each group eight weeks after STZ administration. Deep partial thickness scalding of 20% TBSA was engendered on the back in the other 80 rats. The wound area, wound healing rate, and microvascular density with CD34 immunohistochemistry staining were determined on 3rd, 7th, 14th, and 21st post scalding days (PSDs), In addition, the amount of nitric oxide (NO) released from the wound tissue and the tissue contents of vascular endothelial growth factor(VEGF) and transforming growth factor β 1(TGF β 1) from wound were determined at the above time points.Results Compared to those in group B, the wound healing rate in group D increased significantly since the 7th PSD [(44.10±3.50)%,P<0.05], and the wound MVD value was increased significantly at all postburn time points. Furthermore, the levels of VEGF, NO and TGF β 1 in the wound tissue was also increased significantly,while the glucose content in the cutaneous tissue was decreased to (1.380±0.120)mg/g. Conclusion L arginine supplementation could be beneficial to the angiogenesis in the burn wound of the rats with diabetes,as well as to wound healing by increasing the synthesis and the release of VEGF,NO and TGF β 1 from burn wound and by decreasing the glucose content in the cutaneous tissue of diabetic rats.

关 键 词：左旋精氨酸 糖尿病 大鼠 烧伤 血管形成 

分 类 号：R644[医药卫生—外科学]