骨髓间充质干细胞移植对烟雾吸入性损伤兔早期肺组织的影响  

The effect of bone marrow mesenchymal stem cells engraftment on lung tissue at early stage of smoke inhalation injury in rabbits

作　　者：朱峰[1] 郭光华[2] 黄松[3] 陈任生[3] 陈雯[2] 詹剑华[2] 

机构地区：[1]南昌大学第一附属医院重症医学科,江西330006 [2]南昌大学第一附属医院烧伤科,江西330006 [3]南昌大学第一附属医院病理科,江西330006

出　　处：《中国危重病急救医学》2011年第1期18-20,共3页Chinese Critical Care Medicine

基　　金：基金项目：国家科技支撑计划项目（2008BA168806）;国家自然科学基金资助项目（81060155）;江西省教育厅青年科学基金项目（GJJ09432）;江西省研究生创新专项基金项目（YC08A020）

摘　　要：目的 探讨骨髓间充质干细胞（MSCs）移植对烟雾吸入性损伤兔早期肺组织损伤的影响.方法 采用直接贴壁法体外培养兔MSCs,用流式细胞术鉴定MSCs.将48只兔制备烟雾吸入性损伤模型后按随机数字表法均分成致伤组和MSCs组.MSCs组伤后立即静脉给予含1×107个/ml MSCs的磷酸盐缓冲液（PBS）10 ml;致伤组则给予10 ml PBS.分别于干预后2、6和24 h活杀8只兔,取肺组织行组织病理学观察,同时进行肺损伤评分.结果 流式细胞术检测显示所培养细胞为MSCs.肺大体标本和光镜下均观察到MSCs组肺损伤程度较致伤组明显减轻.虽然MSCs组和致伤组伤后2 h肺损伤评分（分）比较差异无统计学意义（4.0±0.7比4.5±0.6,P＞0.05）,但MSCs组伤后6 h和24 h肺损伤评分（分）明显低于致伤组（6 h：6.1±0.9比8.2±0.9,24 h：4.6±0.9比10.4±0.8,均P＜0.01）.结论 MSCs移植能明显减轻烟雾吸入性损伤兔肺组织损伤,改善肺损伤评分.Objective To explore the effect of bone marrow mesenchymal stem cells （MSCs）engraftment on lung tissue at early stage of smoke inhalation injury in rabbits. Methods MSCs were proliferated by the method of whole marrow culture and identified by flow cytometry. Forty-eight rabbits were randomly divided into smoke inhalation group （S group） and MSCs group （M group） after reproduction of rabbit smoke inhalation injury model. 10 ml of phosphate buffer saline （PBS） containing 1 × 107/ml MSCs was intravenously injected in M group, meanwhile 10 ml PBS was injected intravenously in S group. Eight rabbits were sacrificed at 2, 6 and 24 hours after intervention, and the lung tissue was harvested for morphological and pathological observation, and lung injury score was used to evaluate smoke inhalation injury.Results Cultured cells were confirmed to be MSCs with flow cytometry. Lung injury in rabbits of M group was less serious in morphology and histopathology than that in S group. Though there was no significance in lung injury score between M group and S group at 2 hours after injury （4.0±0.7 vs. 4.5±0.6, P〉0.05）,the lung injury scores in M group at 6 hours and 24 hours after injury were significantly lower than those in S group （6 hours： 6.1±0.9 vs. 8.2±0.9, 24 hours： 4. 6±0.9 vs. 10.4±0. 8, both P〈0. 01）. Conclusion Intravenous engraftment of MSCs could ameliorate lung injury induced by smoke inhalation, and improve lung injury score significantly.

关 键 词：骨髓间充质干细胞 烟雾吸入性损伤 肺损伤 兔 

分 类 号：R644[医药卫生—外科学]