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作 者:金晓凤[1] 徐正衸[1] 王万铁[1] 许益笑[1]
机构地区:[1]温州医学院病理生理学教研室,浙江温州325025
出 处:《中国病理生理杂志》2008年第4期666-669,共4页Chinese Journal of Pathophysiology
基 金:浙江省卫生厅科研基金资助项目(NoSWS00021)
摘 要:目的:研究家兔肺缺血再灌注损伤时Toll样受体4(TLR4)信号转导通路变化及虎杖甙(PD)对其影响。方法:复制在体肺缺血再灌注损伤模型。健康日本大耳白免30只,随机分为对照(C)组、缺血再灌注(IR)组、PD组。鲎试剂试管法检测血浆内毒素(ET);免疫组化法检测肺组织TLR4、核因子-κB p65(NF-κB p65)和热休克蛋白70(HSP70)的蛋白表达;原位杂交法检测肺组织细胞间黏附分子-1(ICAM-1)mRNA表达;电镜观察肺超微结构变化。结果:IR组、PD组与C组相比血浆ET无显著差异(均P>0.05)。IR组肺组织TLR4、NF-κB p65、HSP70蛋白及ICAM-1 mRNA表达较C组显著升高(均P<0.01);PD组上述改变较IR组明显下降,但仍高于C组(均P<0.01);电镜见PD组肺超微结构损伤明显轻于IR组。结论:肺缺血再灌注损伤过程中HSP70合成增加,作为内源性配体之一上调TLR4,可能通过激活NF-κB,进而诱导ICAM-1的转录和分泌。PD可以下调该信号转导途径,减轻肺缺血再灌注损伤。AIM : To explore the influence of polydatin (PD) on Toll - like receptor 4 (TLR4) signal transduction pathway during lung ischemia reperfusion injury in rabbits. METHODS: Rabbit lung model of ischemia reperfusion (IR) injury was constituted in vivo. Thirty rabbits were divided into groups randomly: control (C), IR and PD group, respectively. The concentration of endotoxin (ET) in plasma was analyzed by end -point chromogenic assay. The protein expressions of TLR4, nuclear factor (NF) - κB p65 and heat shock protein 70 (HSP70) were measured by immunohistochemistry. The intracellular adhesion molecule - 1 ( ICAM - 1 ) mRNA expression was detected by in situ hybridization histochemistry. The ultrastructural changes were observed by electron microscope. RESULTS : No significant difference of ET concentration in plasma between groups (all P 〉0. 05) was observed. The protein expressions of TLR-4, NF-κB p65, HSP70 and ICAM - 1 mRNA in IR group were significantly increased as compared to C group and PD group, while those expressions in PD group were evidently higher than those in C group ( all P 〈 0. 01 ). The lung pathological injuries in PD group were obviously alleviated as compared to IR group under electron microscope. CONCLUSION: It suggests that lung ischemia reperfusion releases endogenous ligands of TLR4 as HSPT0, then activates NF - κB, promotes the release of mediators of inflammation such as ICAM - 1. PD might have a protective effect on lung ischemia repeffusion injury by regulating TLR4 signal transduction pathway.
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