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作 者:季艳梅[1] 郑翔[1] 郭家龙[2] 刘伯毅[1]
机构地区:[1]郧阳医学院附属太和医院中心ICU科,湖北十堰442000 [2]华中科技大学同济医学院附属协和医院胸心外科,430022
出 处:《中国急救医学》2009年第1期53-55,共3页Chinese Journal of Critical Care Medicine
基 金:湖北省科技攻关项目(No.2004AA301C97)
摘 要:目的观察丙酮酸乙酯(EP)预先给药对内毒素性急性肺损伤(ALI)大鼠肺组织巨噬细胞炎症蛋白-2表达的影响,探讨丙酮酸乙酯可能的保护机制。方法静脉注射脂多糖(LPS)5mg/kg,复制大鼠ALI模型。雄性SD大鼠30只随机分为三组:A组为对照组,B组为LPS组,C组为EP+LPS组,于静脉注射LPS前1h腹腔内注射EP(40mg/kg)。所有动物于注射LPS或生理盐水后6h颈动脉放血处死,RT-PCR法测定肺组织巨噬细胞炎症蛋白-2mRNA的表达;酶联免疫吸附法测定肺组织TNF-α和IL-1β的含量。结果与A组相比,B组、C组肺组织巨噬细胞炎症蛋白-2mRNA表达增加,肺组织TNF-α和IL-1β含量上升(P〈0.05);与B组相比,C组肺组织巨噬细胞炎症蛋白-2mRNA表达降低,肺组织TNF-α和IL-1β含量降低(P〈0.05)。结论丙酮酸乙酯通过下调大鼠LPS诱导的肺组织巨噬细胞炎症蛋白-2表达,降低了TNF-α和IL-1β的释放,减轻ALI大鼠肺部的炎症反应。Objective To investigate the effects of ethyl pyruvate (EP) pretreatment on the expression of macrophage inflammatory protein 2 ( MIP - 2 ) and content of tumour necrosis factor - alpha { TNF - α) and interleukin - 1 ( IL - 1β ) in the lungs induced by lipopolysaccharide I LPS }, and to explore the mechanisms of ethyl pyruvate protectjng the lungs. Methods The rat model of acute lung injure was established via femoral vein injection lipopolysaccharide( LPS,5 mg/kg}. Thirty male SD rat weighing 200 - 250 g were randomly divided into 3 groups (n = 10 each ) :group A control;group B LPS;group C EP + LPS, Group A received physiologic saline 30 mg/kg only, while group B received 0.1% LPS 5 mg/ kg and physiologic saline 30 mg/kg by right femoral vein injection. The treatment of group C is same with group B except that it pretreated with intrapentoneal EP(40 mg/kg) 4ml before 1 h of LPS injection. The animals were bled to death at 6 h after LPS administration. The lungs were immediately removed for determination of expression of MIP - 2mRNA ( reverse transcription - polymerasechainre - action, RT - PCR ) and TNF - α and IL - 1β content ( enzymelinked immunosorbentassy, ELISA ) in the lung. Results Compared with group A, the expression of MIP - 2mRNA in the cytoplasm and the level of TNF - α and IL - 1β in the lungs was increased in group B and group C ; while compared with group B, they were decreased in group C ( P 〈 0.05 }. Conclusion EP can attenuate the changes in MIP - 2 expression and TNF - α and IL - 1β content in the lung induced by LPS and may alleviate the inflammation of acute lung injury in rat.
关 键 词:丙酮酸盐类 脂多糖类 巨噬细胞炎症蛋白-2
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