树突状细胞在肾缺血-再灌注损伤中的分布与作用  

Localization and role of dendritic cells in rat kidney with renal ischemia/reperfusion injury

作　　者：孙桂芝[1] 周同[1] 张玉梅[1] 张冬青[2] 陈玉英[3] 胡庆沈[3] 陈楠[1] 

机构地区：[1]上海第二医科大学瑞金医院肾内科,上海200025 [2]上海第二医科大学上海免疫学研究所,上海200025 [3]上海第二医科大学细胞生物学教研室,上海200025

出　　处：《中国危重病急救医学》2003年第12期726-729,共4页Chinese Critical Care Medicine

基　　金：国家自然科学基金资助 ( 3 9970 3 40 ) ;卫生部科研基金资助 ( 982 2 83 ) ;上海市自然科学基金资助 ( 0 2 ZB14 0 41)

摘　　要：目的 :探讨树突状细胞 (DC)在肾缺血再灌注损伤大鼠肾组织中的分布与作用 ,以及抗 P 选择素单克隆抗体 (单抗 )对 DC的影响。方法 :建立肾缺血再灌注损伤大鼠模型 ,随机分为 P选择素单抗治疗组(n=2 0 )和非治疗组 (n=2 0 ) ,按不同再灌注时间 (1、3、6和 2 4 h)再各分为 4组 ;另设假手术组 (n=5 )作为对照。采用荧光图像分析法观察 CD1 a+ CD80 + DC在各组大鼠肾组织中的分布 ;采用免疫组织化学 (组化 )链霉菌抗生物素过氧化物酶复合物 (L SAB)法检测 P 选择素在上述肾组织中的表达。结果 :1 CD1 a+ CD80 + DC在假手术组大鼠肾组织中分布甚少 ;而在非治疗组显著增多 (P<0 .0 0 1 ) ,且主要分布于肾小管、肾间质和肾血管 ,以肾小管间质最为明显 ,其分布和数量自再灌注 1 h起出现增多 ,于 2 4 h时为最高 (P<0 .0 1 ) ,并与大鼠血尿素氮和肌酐呈正相关 (P均 <0 .0 5 )。2缺血再灌注 1 h后 ,P 选择素在肾组织中广泛表达 ,以肾小管上皮细胞为主。 3经抗 P选择素单抗治疗后 ,大鼠肾组织 P选择素的表达下调 ,随之 CD1 a+ CD80 + DC分布及数量减少 (P<0 .0 5和 P<0 .0 1 ) ,继而肾组织病理损伤和肾功能也相应减轻和改善。结论 :DC可能参与了缺血再灌注肾损伤的炎症免疫病理过程 ,并可能与Objective: To investigate the localization and the role of dendritic cells(DCs) in rat kidney with renal ischemia/reperfusion injury, and to explore the effect of antiPselectin Lectinepidermal grouth factor(EGF) domain monoclonal antibody(PsLEGFmAb) on DCs. Methods: ① Rat model of renal ischemia/ reperfusion was established and rats were divided into treated group with PsLEGFmAb( n =20) and untreated group( n =20), which included four subgroups repectively according to reperfusion time ( 1hour , 3hour , 6hour, 24hour), sham group( n =5) severed as control. CD1a +CD80 + DC was observed with microscopy images method and Pselectin was analysed with immunohistochemistry. Results: ①In renal tissues of untreated group, CD1a +CD80 +DC was found in renal tubules, interstitium and vessels , especially in renal tubules and interstitium, but DCs were hardly observed in sham group( P <0 001). The number of CD1a +CD80 +DC in 24hour group was greater than those in other groups( P <0 01). The number of DCs was positively associated with blood uria nitrogen and serum creatinine (both P <0 05). ②Pselectin content was increased significantly after ischemia/reperfusion 1 hour. ③The contents of DC and Pselectin were decreased after treated( P <0 05 and P <0 01) in rat renal tissues. Conclusion: DCs play an important role in immune pathogenesis after renal ischemia/reperfusion injury, which is related to renal immigration of DCs mediated by Pselectin. PsLEGFmAb may inhibit local DCs immigration and accumulation in kidney.

关 键 词：缺血-再灌注损伤 肾 树突状细胞 黏附迁移 P-选择素 

分 类 号：R363[医药卫生—病理学]