大肠埃希氏菌在葡聚糖硫酸钠诱导的结肠炎恢复中的作用  

Escherichia coli promotes recovery from dextran sulfate sodium-induced colitis in mice

作　　者：李旺林[1] 曹杰[1] 肖焕擎[1] 张伟健[1] 杨平[1] 钟俊斌[1] 张通[1] 

机构地区：[1]广州医学院附属广州市第一人民医院胃肠外科,广东广州510180

出　　处：《中国病理生理杂志》2012年第1期163-167,共5页Chinese Journal of Pathophysiology

基　　金：广州医学院科学研究项目(No.L105084);广东省科技计划项目(No.2010B060900016)

摘　　要：目的:随着对炎症性肠病(inflammatory bowel disease,IBD)发病机制的深入研究,肠道正常菌群与肠道炎症的密切关系日益受到重视。本研究旨在评价肠道大肠埃希氏菌(E.coli)对葡聚糖硫酸钠(dextran sul-fate sodium,DSS)诱导的小鼠结肠炎肠道黏膜的保护作用及其可能机制。方法:BALB/c小鼠饮用含3.5%DSS的饮用水5 d,诱导小鼠急性结肠炎,模拟人类溃疡性结肠炎。空白对照组饮用未添加DSS的饮用水。饮用DSS的小鼠随机分为3组,分别给予不同的处理:(1)单纯DSS处理组;(2)细菌耗竭小鼠(bacteria-depleted mice,BD小鼠)单纯DSS处理组;(3)细菌耗竭小鼠大肠埃希氏菌处理组。从4方面评价各组的处理反应:(1)一般情况:包括体重、疾病活动度(disease activity index,DAI)评分、结肠长度和重量;(2)组织病理评分;(3)化学比色法检测病变组织髓过氧化物酶(myeloperoxidase,MPO)活性;(4)免疫组织化学方法检测活化的核转录因子-κΒ(nu-clear factor kappa B,NF-κB)。结果:无E.coli处理的细菌耗竭小鼠难以从DSS诱导的肠炎中恢复。E.coli处理组和无E.coli处理组比较,大体评分、组织病理评分和MPO活性明显改善(P<0.05)。E.coli处理组NF-κB活性显著高于无E.coli处理组(均P<0.05)。结论:肠道正常菌群是肠道炎症恢复的必需条件。大肠埃希氏菌能够促进小鼠DSS结肠炎的恢复;该作用与促进NF-κB的活化有关。AIM： To investigate the important role of intestinal microflora in the pathogenesis of inflammatory bowel disease by studying the effects of E.coli on dextran sulfate sodium（DSS）-induced colitis in mice.METHODS： BALB/c mice were given 3.5% DSS in the drinking water for 5 days to induce acute colitis.The control mice（n=6） did not drink DSS water.The mice subject to drinking DSS were randomly divided into 3 groups：（1） simple DSS treatment group;（2） bacteria-depleted mice treated with DSS alone;（3） bacteria-depleted mice treated with DSS＋E.coli.Four aspects of the treatment response were evaluated in each group：（1） general conditions,including body weight,disease activity index（DAI） score,colon length and weight;（2） histological score;（3） chemical colorimetric detection of myeloperoxidase（MPO） activity in the diseased tissues;（4） the activation of NF-κB detected by immune histochemistry.RESULTS： The bacteria-depleted mice that did not treat with E.coli were difficult to recover from DSS-induced colitis.Compared with non-treatment group,the general score,histological score and MPO activity in E.coli treatment group improved significantly（P0.05）.The activity of NF-κB in E.coli treatment group was significantly higher than that in non-E.coli treatment group（P0.05）.CONCLUSION： Intestinal microbiota is necessary during the recovery from DSS-induced colitis.E.coli promotes the recovery from DSS-induced colitis in mice.The mechanism may be associated with NF-κB activation.

关 键 词：炎症性肠疾病 溃疡性结肠炎 细菌耗竭小鼠 大肠埃希氏菌 NF-ΚB 

分 类 号：R363[医药卫生—病理学]