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作 者:夏亮[1] 陈江[2] 刘丕[2] 苏涛[2] 胡滢[2] 吕农华[2]
机构地区:[1]南昌大学第一附属医院重症医学科,330006 [2]南昌大学第一附属医院消化内科,330006
出 处:《中华消化杂志》2012年第9期598-601,共4页Chinese Journal of Digestion
基 金:江西省青年科学基金(20114BAB215050)
摘 要:目的探讨蛋白酶激活受体-2(PAR-2)的表达与急性坏死性胰腺炎(ANP)大鼠肠黏膜屏障损伤的相关性。方法制备ANP大鼠模型,采用免疫组织化学法、Western印迹法及RT—PCR方法检测假手术对照组和造模后6、12、24h大鼠肠黏膜组织中PAR-2的表达。组间数据比较采用单因素方差分析。结果免疫组织化学法显示,假手术对照组大鼠小肠黏膜组织中PAR-2的表达较微弱。ANP造模后,PAR~2阳性细胞表达数量明显增加,染色强度明显增强。造模后6、12、24h的免疫组织化学评分分别为4.88±0.33、5.87±0.32、11.17±0.27,与假手术对照组(2.86±0.31)相比,差异有统计学意义(F=747.08,P〈0.01)。假手术对照组大鼠小肠黏膜中PAR-2的mRNA和蛋白表达量均较少,随着ANP造模时间的延长,两者的表达水平均逐渐升高,造模后6、12、24h,mRNA分别为0.56土0.03、0.69±0.03、1.05±0.05,蛋白分别为0.28±0.02、0.35±0.03、0.69±0.04;各时间点与假手术对照组相比,差异均有统计学意义(F=785.69、1177.82,P值均〈O.01)。结论PAR-2在ANP炎性反应中被激活,在肠黏膜屏障损伤的发生发展过程中发挥重要作用。Objective To explore the correlation between the expression of protease activated receptors-2 (PAR-2) and intestinal mucosal barrier injury of acute necrotizing panereatitis (ANP) in rats. Methods The ANP rat model was created. The expression of PAR-2 in rat's intestinal mucosa of sham-operated group and ANP group at six, 12 and 24 hours after model established was detected by immunohistochemistry (IHC), reverse transcription-polymerase chain reaction (RT-PCR) and Western blot. The difference between groups was analyzed by one way analysis o{ variance. Results The results of IHC indicated that PAR 2 expression in rat's intestinal mucosa of sham-operated group was weak. The number of PAR-2 expression positive cells and immunostaining intensity increased significantly after ANP model established. The IHC score was 4.88±0.33, 5.87±0.32 and 11.17±0.27 at six, 12 and 24 hours after model established respectively. Compared with those of sham- operated group (2.86 ± 0.31 ), the differences were statistically significant (F = 747.08, P〈 0.01 ). The expression of PAR-2 at mRNA and protein level in intestinal mucosa of sham-operated group was very low. As time extended after ANP model established, both expression increased gradually. The PAR-2 mRNA was 0. 56±0. 03, 0. 69±0. 03, 1.05±0.05, and the protein was 0. 28±0. 02, 0.35±0.03, 0.69±0.04 at six, 12 and 24 hours after model established respectively. Compared with shamoperated group, the differences were statistically significant at each time point (F=785.69, 1177.82, both P〈0.01). Conclusions PAR-2 is activated in the inflammatory progress of ANP, and may play an important role in the pathogenesis and development of intestinal mueosa barrier iniury in ANP.
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