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作 者:徐久宏[1] 高耀明[1] 张军宁[1] 李新莉[2]
机构地区:[1]苏州大学附属第一医院放射治疗科,江苏苏州215006 [2]苏州大学医学部放射医学与公共卫生学院营养与食品卫生学教研室,江苏苏州215123
出 处:《苏州大学学报(医学版)》2011年第3期354-356,共3页Suzhou University Journal of Medical Science
基 金:国家自然科学基金资助项目(81001185);江苏省高校自然科学研究项目(10KJB310011);苏州市社会发展基金资助项目(YJS0905)
摘 要:目的观察SD大鼠心脏放射损伤时血清内皮素1(ET-1)和心肌肌钙蛋白Ⅰ(cTn-Ⅰ)表达水平的变化,以及将ET-1和cTnⅠ作为放射性心肌损伤诊断指标的可行性。方法采用随机数字表法,将健康雌性SD大鼠30只分为对照组和照射组。照射组大鼠采用直线加速器心前区照射,单次剂量25 Gy。照射后第5、15、30、60天经下腔静脉取血5 ml,离心后取血清,采用ELISA试剂盒,分别测定血清ET-1和cTnⅠ含量。结果照射组大鼠血清ET-1含量均高于对照组,但只有在照射第5天和第15天时与对照组的差异有统计学意义(分别P<0.01和0.05)。cTnⅠ的含量在照射后30 d内均高于对照组,而后下降,但只有照射后第15天(P<0.05)和第30天(P<0.01)时与对照组间的差异有统计学意义。结论大鼠心脏放射损伤的早期血清ET-1和cTnⅠ含量即明显升高,可将血清ET-1和cTnⅠ作为诊断早期放射性心肌损伤的敏感性与特异性指标。Objective To investigate the the effect of radiation-induced heart injury(RIHD) on cardiac endothelin-1(ET-1) and cardiac troponin Ⅰ(cTnⅠ) in SD rats,and the possibility regarding ET-1 and cTnI as biomarker of RIHD was also explored.Methods Healthy female SD rats were randomly divided into two groups: the control group(C) and irradiation group(R).The rats in R group were irradiated with linear accelerator at a single dose of 25Gy.Five milliliters blood was collected from the inferior vena cava on the 5th,15th,30th,60th day after radiation.Blood was centrifuged and serum was collected.Content of ET-1 and cTnⅠ in blood serum were detected by ELISA kits.Results The content of ET-1 in the R group was always higher than that in the C group(P0.01) during the whole process,and the difference between two groups had statistical significance only on the 5th day(P0.01) and 15th day(P0.05) after radiation.However,the content of cTnⅠ in R group was higher than that in the C group withtin 30 days after radiation,then decreased,and only on the 15th day(P0.05) and the 30th day(P0.01) after radiation,there was statistical difference between two groups.Conclusion The content of ET-1 and cTnⅠ in blood serum increase obviously after receiving RIHD,so these two indicators can be used as markers to diagnose early RIHD sensitively and specifically.
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