机构地区:[1]四川大学华西医院心内科,成都610041 [2]四川大学华西医院胸心外科,成都610041 [3]四川大学华西口腔医院病理科 [4]四川大学华西医院麻醉科,成都610041
出 处:《中国修复重建外科杂志》2013年第3期340-344,共5页Chinese Journal of Reparative and Reconstructive Surgery
基 金:国家自然科学基金面上项目(30872535);四川省科技支撑资助项目(2008SZ0198)~~
摘 要:目的探讨抗细胞间黏附分子1(intercellular adhesion molecule 1,ICAM-1)靶向液态氟碳(per-fluorooctylbromide,PFOB)微球对大鼠缺血再灌注损伤心肌的靶向结合和抗炎作用。方法取成年SD大鼠76只,雌雄不限,体重250~300 g。取30只采用结扎冠状动脉左前降支30 min方法制备心肌缺血再灌注损伤模型,免疫组织化学染色观察缺血再灌注6 h心肌细胞表面ICAM-1蛋白表达情况,以10只正常大鼠作为对照;液相芯片技术检测缺血再灌注6、12、18、24、30、36、42、48 h血清中IL-8含量。另取36只大鼠随机分为6组(n=6):心肌缺血再灌注/靶向PFOB微球组(A组)、心肌缺血再灌注/普通PFOB微球组(B组)、正常大鼠/靶向PFOB微球组(C组)、正常大鼠/普通PFOB微球组(D组)、心肌缺血再灌注/生理盐水组(E组)、假手术组(F组)。A、B、E组大鼠同法建立心肌缺血再灌注损伤模型;F组开胸后在冠状动脉下穿线但不结扎。缺血再灌注6 h后,A、B、C、D组经颈静脉注入1 mL对应的PFOB微球,E组注入1 mL生理盐水。超声观察A、B、C、D组注入PFOB微球前后心肌显像情况;荧光显微镜观察A、B、C、D组心脏冰冻切片微球结合情况;液相芯片技术检测A、B、E、F组缺血再灌注6 h及24 h血清中IL-8含量。结果缺血再灌注6 h后大鼠心肌细胞表面ICAM-1蛋白表达以前间隔和左室前壁较明显;IL-8含量自缺血再灌注6 h起开始增高,24 h达峰值。注入PFOB微球后至缺血再灌注24 h A、B、C、D组超声观察均未见明确受损心肌靶向显影;荧光显微镜下A组前间隔和左室前壁心肌细胞核周围可见绿染的靶向PFOB微球,B、C、D组均未见绿色荧光。缺血再灌注6 h,A、B、E组间IL-8含量相似(P>0.05),但均高于F组(P<0.05);24 h时A、B组间IL-8含量相似(P>0.05),均低于E组(P<0.05)。结论抗ICAM-1靶向PFOB微球可靶向结合大鼠缺血再灌注损伤心肌,通过其抗炎作用保护受损心肌。Objective To investigate the targeted combination and anti-inflammatory effects of anti-intercellular adhesion molecule 1 (ICAM-1) targeted perfluorooctylbromide (PFOB) particles on myocardial ischemia-reperfusion injury in rat model. Methods Seventy-six adult Sprague Dawley rats (male or female, weighing 250-300 g) were selected for experiment. The models of myocardial ischemia-reperfusion injury were established by l igating the left anterior descending coronary artery for 30 minutes in 30 rats. The expression of ICAM-1 protein was detected by immunohistochemistry staining at 6 hours after reperfusion, and the normal myocardium of 10 rats were harvested as control; then the content of interleukin 8 (IL-8) in serum was tested every 6 hours from 6 hours to 48 hours after reperfusion. The other 36 rats were randomly divided into 6 groups (n=6): ischemia-reperfusion injury model/targeted PFOB particles group (group A), ischemia-reperfusion injury model/untargeted PFOB group (group B), normal control/targeted PFOB particles group (group C), normal control/untargeted PFOB particles group (group D), ischemia-reperfusion injury model/normal saline group (group E), and sham operation group (group F). The ischemia-reperfusion injury models were established in groups A, B, and E; while a thread crossed under the coronary artery, which was not ligated after open-chest in group F. After 6 hours of reperfusion, 1 mL of corresponding PFOB particles was injected through juglar vein in groups A, B, C, and D, while 1 mL of nomal saline was injected in group E. Ultrasonography was performed in groups A, B, C, and D before and after injection. The targeted combination was tested byfluorescence microscope. The content of IL-8 was tested after 6 and 24 hours of reperfusion by liquid chip technology in groups A, B, E, and F. Results After 6 hours of reperfusion, the expression of ICAM- 1 protein significantly increased in the anterior septum and left ventricular anterior waU of the rat mo
关 键 词:心肌缺血再灌注损伤 液态氟碳 细胞间黏附分子1 大鼠
分 类 号:R541[医药卫生—心血管疾病]
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