吡非尼酮对大鼠矽肺纤维化的抑制作用  

Pirfenidone diminishes SiO2 induced lung fibrosis in rats

作　　者：冯玲芳[1] 贾振宇[1] 朱丽瑾[1] 鞠莉[1] 陈钧强[1] 蒋兆强[1] 陈日萍[1] 马臻[2] 张幸[1] 

机构地区：[1]浙江省医学科学院卫生学研究所,杭州310013 [2]浙江省医学科学院药物研究所,杭州310013

出　　处：《中华劳动卫生职业病杂志》2010年第10期772-775,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：基金项目：浙江省卫生厅医学重点学科建设项目（04-001）;浙江省科技厅项目（2008F1028）

摘　　要：目的 探讨吡非尼酮（PFD）对大鼠矽肺纤维化的抑制作用.方法 75只SD雄性大鼠,随机分成未处理对照组、生理盐水组、生理盐水＋PFD组、SiO2组、SiO2＋PFD组,每组15只,采用非暴露式气管内染尘法,SiO2组和SiO2＋PFD组注入SiO2粉尘悬液（25 mg/ml）,生理盐水组和生理盐水＋PFD组注入等量生理盐水,染尘后第2天灌胃给予PFD（50 mg/kg）,分别观察7、21、42 d后处死.HE、VG和Foot染色观察肺组织的病理形态学改变并进行病理分级,测定肺组织中羟脯氨酸（HYP）的含量.结果 大鼠肺组织病理观察显示,SiO2＋PFD组肺组织纤维化程度比同期SiO2组明显减轻,胶原纤维形成缓慢,矽结节分级评分降低.第42天时,SiO2＋PFD组大鼠肺组织HYP含量[（0.75±0.12）mg/g肺组织]比SiO2组[（1.19±0.17）mg/g肺组织]明显降低,差异有统计学意义（P＜0.05）.结论 PFD能降低大鼠矽肺纤维化程度并减少肺组织中HYP的含量,对实验性大鼠矽肺纤维化具有抑制作用.Objective To investigate whether pirfenidone（PFD） presents the antifibrotic effect in silicosis of rats. Methods SD rats were randomly divided into five groups： the non-treat group, the normal saline group, the normal saline ＋ PFD group, the SiO2 group, the SiO2 ＋ PFD group. Rats except in the non-treat group were intratracheally instilled with SiO2（25 mg/ml） or normal saline. The rats in normal saline ＋ PFD group and the SiO2 ＋ PFD group were given PFD （50 rmg/kg） orally the next day after instillation and throughout the study.Rats were respectively sacrifced 7, 21, 42 days after instillation. The pathology changes were evaluated by Haematoxylin-eosin （HE）, Van Gieson and Foot staining, and the hydroxyproline （HYP） content of pulmonary tissue was determined. Results Compared with the SiO2 group, PFD could relieve the fibrotic changes in the lungs of rats. The fibrotic degree in silicotic lesions of lungs was lower in the SiO2 ＋ PFD group than that of SiO2 group. The HYP content in the lungs of the SiO2 ＋ PFD group [（0.75±0.12） mg/g] was signifcantly lower than that of the SiO2 group [（ 1.19±0.17 ） mg/g] at 42 days after instillation（P〈0.05 ）. Conclusion These data support that PFD has an antifibrotic effect against SiO2 induced lung fibrosis in rats, Which appears to be changing collagen accumulation and inhibiting pulmonary fibrosis.

关 键 词：吡非尼酮 矽肺 治疗 肺纤维化 

分 类 号：R686[医药卫生—骨科学]