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作 者:娄振凯[1] 彭志[2] 周如丹[1] 王兵[1] 赵学凌[1]
机构地区:[1]昆明医科大学第一附属医院骨科,云南昆明650032 [2]大理学院附属医院外三科,云南大理671000
出 处:《中国急救医学》2016年第2期150-154,I0001,共6页Chinese Journal of Critical Care Medicine
基 金:国家自然科学基金资助项目(81160236);云南省卫生科技计划项目(2014NSl41,2014NSl42);云南省博士研究生学术新人奖项目
摘 要:目的建立并观察大鼠深静脉血栓(deep venous thrombosis,DVT)模型不同时段血栓的形成状态,检测组织因子(tissuefactor,TF)、P-选择素(P—selectin,PS)及P-选择素糖蛋白配体-1(PSGL-1)在血液、静脉壁组织中的表达变化,探讨其与血栓形成之间的关系。方法90只SD大鼠随机分为对照组(n=10)、假手术组(n=40)和实验组(n=40);采用下腔静脉部分瘀滞法(狭窄法)制备深静脉血栓模型,分别于造模后6h、24h、48h和72h随机处死各组10只大鼠并取材,RealTime—PCR法分别检测TF、PS及PSGL-1基因在血液中的表达变化;Westernblot法检测静脉壁组织中PSGL-1的表达变化。结果大鼠DVT模型中,对照组与假手术组各项检测指标比较差异均无统计学意义(P〉0.05);实验组造模后6h时TF、PS及PSGL-1基因表达较对照组、假手术组明显升高(P〈0.05),24h时PSGL-1基因表达仍继续升高且差异有统计学意义(P〈0.05),随着造模时间的延长上述基因表达虽呈上升趋势,但与对照组比较差异无统计学意义(P〉0.05)。实验组PSGL-1在造模后6h、24h较对照组、假手术组表达升高(P〈0.05)。结论Ps和PSGL-1在大鼠DVT模型中呈高表达,并促进血栓形成。Objective To establish and observe the status of thrombosis formation under different time points in rat model of deep venous thrombosis (DVT). By detecting tissue factor( TF), P - selectin glycoprotein ligand - 1 ( PSGL - 1 ) and P - selectin (PS) expression changes in rats' blood and venous wall, explore the correlation between TF, PSGL - 1 and PS with thrombosis. Methods Ninety SD rats were randomly divided into control group (n = 10 ), sham group (n = 40 ) and experimental group (n = 40). The deep venous thrombosis model wasmade by inferior vena cava partial stasis method (narrow). Ten rats were executed after 6 h, 24 h, 48 h and 72 h respectively in each group, and inferior vena cava blood and venous wall were collected. Real - time PCR was used to detect the gene expressions of TF, PSGL - 1 and PS in blood. The protein expression of PSGL - 1 in venous wall was detected by Western blot. Results Each items showed no statistical difference between sham group and control group in DVT rat models (P 〉 0.05 ). The gene expressions of TF, PS and PSGL - 1 in model group were significantly increased 6 h after modeling compared with those in sham group andcontrol group ( P 〈 0. 05 ). The gene expression of PSGL - lwas significantly increased 24 h after modeling (P 〈 O. 05 ) ; although the gene expressions of TF and PS were increasing with time, but showed no statistical difference compared with control group ( P 〉 0.05 ). Western blot showed that the level of PSGL - 1 protein was significantly increased 6 h and 24 h after modeling compared with sham group and control group (P 〈 0.05). Conclusion PS and PSGL - 1 are up - regulated in rat model of deep venous thrombosis and these changes could possibly promote thrombosis formation.
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