中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2011年
6期
499-502
,共4页
庄卓男%周瑞玲%张培建%孟中良%苏辉%张杰%伍学艳
莊卓男%週瑞玲%張培建%孟中良%囌輝%張傑%伍學豔
장탁남%주서령%장배건%맹중량%소휘%장걸%오학염
肝移植%细胞低氧%低氧诱导因子1%早期生长反应因子1
肝移植%細胞低氧%低氧誘導因子1%早期生長反應因子1
간이식%세포저양%저양유도인자1%조기생장반응인자1
Liver transplantation%Cell hypoxia%Hypoxia inducible factor 1%Early growth response factor-1
目的 探讨低氧预适应对大鼠肝移植术后早期生长反应因子1(early growth response factor-1,EGR-1)的影响.方法 采用门静脉灌注的大鼠自体肝移植模型:A组:低氧预适应大鼠自体肝移植组;B组:大鼠自体肝移植组;C组:正常大鼠对照组.比较大鼠自体肝移植术后肝脏组织病理学改变、肝组织中低氧诱导因子(hypoxic induce factor 1,HIF-1)、肿瘤坏死因子(tumor necrosis factor,TNF)的mRNA表达变化和早期生长反应因子1(EGR-1)的WB结果.结果 A组大鼠因术前低氧诱导致HIF-1 ENA的表达比B组和C组更明显,术后6h明显高于B组(t=9.601,df=10,2-tailed Sig=0.000,P<0.05);A组和B组的Egr-1蛋白表达量术后都增多,但A组明显低于B组.而B组肿瘤坏死因子RNA的RT-PCR表达比A组和C组更明显,其中术后6 h明显高于A组(t=-12.067,df=10,2-tailed Sig=0.000,P<0.05),与Esgr-1蛋白表达呈正相关.肝细胞病理结果示A组肝小叶结构损伤较B组轻,肝细胞轻微肿胀,肝组织无明显改变.结论 低氧预适应后大鼠移植肝中EGR-1生成适度增加,与大鼠自体肝移植组相比明显减少,降低了TNF等炎性因子的产生从而减少肝脏的病理损害.
目的 探討低氧預適應對大鼠肝移植術後早期生長反應因子1(early growth response factor-1,EGR-1)的影響.方法 採用門靜脈灌註的大鼠自體肝移植模型:A組:低氧預適應大鼠自體肝移植組;B組:大鼠自體肝移植組;C組:正常大鼠對照組.比較大鼠自體肝移植術後肝髒組織病理學改變、肝組織中低氧誘導因子(hypoxic induce factor 1,HIF-1)、腫瘤壞死因子(tumor necrosis factor,TNF)的mRNA錶達變化和早期生長反應因子1(EGR-1)的WB結果.結果 A組大鼠因術前低氧誘導緻HIF-1 ENA的錶達比B組和C組更明顯,術後6h明顯高于B組(t=9.601,df=10,2-tailed Sig=0.000,P<0.05);A組和B組的Egr-1蛋白錶達量術後都增多,但A組明顯低于B組.而B組腫瘤壞死因子RNA的RT-PCR錶達比A組和C組更明顯,其中術後6 h明顯高于A組(t=-12.067,df=10,2-tailed Sig=0.000,P<0.05),與Esgr-1蛋白錶達呈正相關.肝細胞病理結果示A組肝小葉結構損傷較B組輕,肝細胞輕微腫脹,肝組織無明顯改變.結論 低氧預適應後大鼠移植肝中EGR-1生成適度增加,與大鼠自體肝移植組相比明顯減少,降低瞭TNF等炎性因子的產生從而減少肝髒的病理損害.
목적 탐토저양예괄응대대서간이식술후조기생장반응인자1(early growth response factor-1,EGR-1)적영향.방법 채용문정맥관주적대서자체간이식모형:A조:저양예괄응대서자체간이식조;B조:대서자체간이식조;C조:정상대서대조조.비교대서자체간이식술후간장조직병이학개변、간조직중저양유도인자(hypoxic induce factor 1,HIF-1)、종류배사인자(tumor necrosis factor,TNF)적mRNA표체변화화조기생장반응인자1(EGR-1)적WB결과.결과 A조대서인술전저양유도치HIF-1 ENA적표체비B조화C조경명현,술후6h명현고우B조(t=9.601,df=10,2-tailed Sig=0.000,P<0.05);A조화B조적Egr-1단백표체량술후도증다,단A조명현저우B조.이B조종류배사인자RNA적RT-PCR표체비A조화C조경명현,기중술후6 h명현고우A조(t=-12.067,df=10,2-tailed Sig=0.000,P<0.05),여Esgr-1단백표체정정상관.간세포병리결과시A조간소협결구손상교B조경,간세포경미종창,간조직무명현개변.결론 저양예괄응후대서이식간중EGR-1생성괄도증가,여대서자체간이식조상비명현감소,강저료TNF등염성인자적산생종이감소간장적병리손해.
Objective To investigate the effect of hypoxic preconditioning on hepatocytes early growth response factor 1 ( EGR-1 ) in a rat liver autotransplantation. Methods The rat portal vein perfusion model was established for donor liver autotransplantation. Rats were then divided into group A:hypoxic preconditioning was done before transplantation; group B: rats undergoing liver transplantation without preconditioning; group C: Normal control group of rats. Liver histopathological changes, the mRNA expression of HIF-1, TNF-1 and the WB results of EGR-1 were compared between groups. Results The expression of HIF-1 α RNA determined in group A was more obvious than in group B and group C. Six hours after surgery, the expression in group A was significantly higher than that in group B (t =9. 601, df= 10, 2-tailed Sig = 0. 000, P<0. 05 ) ; Egr-1 protein expression in group A and group B increased after surgery,with that in group A being significantly lower than that in group B. The RT-PCR expression of TNF-α RNA in group B compared with group A and group C was more obvious. Six hours after operation, the expression of TNF in group B was significantly higher than that in group A ( t = -12. 067, df = 10, 2-tailed Sig =0. 000, P<0. 05 ). The expression of Egr-1 was positively correlated with that of TNF. A liver cell pathology showed less severe injury in structure of hepatic lobule, mild swelling of liver cells, no significant changes in liver tissue. Conclusions Hypoxic preconditioning adaptation in rat liver transplantation generates modest increase in EGR-1, and reduces the production of TNF and other inflammatory factors.