肠外营养导致大鼠肝细胞周期基因的变化及临床意义  

Parenteral nutrition leads to alteration of hepatocyte cell cycle？ Gene expression in rats

作　　者：张献兵[1] 汪健[1] 黄顺根[1] 卢春玉[1] 

机构地区：[1]苏州大学附属儿童医院小儿外科,苏州215003

出　　处：《中华小儿外科杂志》2009年第6期388-391,共4页Chinese Journal of Pediatric Surgery

基　　金：本课题受江苏省卫生厅重大课题基金资助（编号：BK200509）,江苏省社发基金资助（BS2006026）

摘　　要：目的本研究利用实时定量PCR芯片技术，检测TPN后肝脏细胞周期基因表达的变化，探讨哪些基因在肝脏损害中发挥作用，为临床预防和治疗PNALD提供资料。方法选择12只雄性SD大鼠，随机分为TPN组（6只）和生理盐水对照组（6只），7d后应用实时定量PCR芯片检测方法，比较两组大鼠间肝脏细胞周期基因的表达。结果TPN组大鼠肝脏病理表现为肝细胞弥漫的脂肪空泡变性，小叶中央区较周边区更为明显；TPN组大鼠肝脏细胞周期表达上调基因有Atm、Brca1、Cdkn1b、Dnajc2、G2a、Nfatc1、Notch2、Pkd1、Ppp2r3a等，表达下调基因有Cc／c25b、Ccnd1、E2f1、Mcm3、Nek2、wee1等。结论TPN组与生理盐水对照组大鼠比较，肝脏细胞周期基因表达存在差异，肝细胞周期基因ATM、BRCA1、Cdkn1b等表达的改变，提示肝细胞增生减少和凋亡的增加，从而阻止肝细胞的修复，可能TPN与肝脏损伤的发生和发展相关。Objective Total parenteral nutrition （TPN）-associated liver disease （PNALD） is a well-recognized complication. Despite the severity of this disease, neither the etiology nor the pathophysiology of PNALD is currently understood. The goal of these experiments was to determine changes of cell cycle genes, using real time PCR array. Methods 12 male SD rats were randomized into two groups. The TPN group （N = 6） received standard TPN solution through a silastie catheter inserted in the right jugular vein and similarly the control group （N= 6） received the physiologic saline. After 7 days of infusion,we analyze the difference of cell cycle gene expressions between the two groups with real time PCR array. Results The TPN group was found to have large lipid droplets with unclear margins in the perilobular region and smaller lipid droplets in the centrilobular regions. Nine genes were up-regulated in the TPN group： Atm, Brcal, Cdkn1 b, Dnajc2, G2a , Nfatc1, Notch2, Pkdl, Ppp2r3a. Seven genes with down-regulated in the TPN group：Cdc25b,Cend1 ,E2f1 ,Mcm3,Mcm2,Nek2,Wee1. Conclusions This study demonstrates significant alternations in gene expressions in liver of rats which received TPN. These alterations may provide insight into potential mechanism of TPN-induced hepatocyte injury.

关 键 词：胃肠外营养 全 肝细胞 基因表达芯片 

分 类 号：R686[医药卫生—骨科学]